Business Information *

Business Address

House Number*

Street Name*

Borough*

BIN*

Zip Code*

Business Owner Information

Business Owner Name*

Business Owner Phone*

Business Owner Email*

Tell Us Who You Are*

Other (please explain)*

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Business Space*

Business Name*

Other (please explain)*

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How are you associated with the property in question? (select all that apply)*

Building Owner

Tenant

Other (Please explain)

Other (please explain)*

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Employer Identification Number(Federal Tax ID)*

Business Sector (select all that apply)*

Childcare

Grocery Store/Supermarket

Manufacturing

Nightclub/Cabaret/Live Performance Venue

Professional Services

Restaurant/Bar

Cannabis

Retail

Other/Unknown

License Types*

License Number

Is this a certified Minority and/or Women-Owned Business (MWBE)?*

Yes

Type*

Federal

State

City

Which category are you seeking help with? (select all that apply)*

Inspection

Work Permit

Sign-Off

Licensee/Contractor

General Information/Advice

Type*

Certificate of Occupancy (CO)/Temporary Certificate of Occupancy (TCO)

Letter of No Objection (LNO)

Please explain your issue/question and the assistance you need from the Department of Buildings*

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Does your inquiry involve any other New York City or State Agencies?*

Yes

Other Agency Name*

Job/Filing Reference Number Type*

Reference Number*

License Number

How many staff does this business employ or plan to employ at this particular business location? (A small business is defined as a business that employs fewer than one hundred persons.)*

How many other business locations do you have in New York City?*

Are you submitting this help form on behalf of someone else?*

Yes

Your Name*

Your Email Address*

Your Business Title/Role*

Your Telephone Number*

Documents

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