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The New York City PA1 form, a crucial document for anyone managing or operating a place of assembly, serves multiple important purposes, whether for new filings, changes to owner, lessee, or the name of an establishment, or modifications to layouts/use. Its primary function is to ensure that all places where people gather for various activities comply with the safety and zoning regulations set forth by the city. From indicating the location, including house number, street name, borough, and zoning details, to providing applicant information, the form covers all bases to certify the establishment meets legal requirements. The form also delves into specifics such as occupancy designations, cabaret numbers, and even details about the place of assembly space itself, ensuring each application is thoroughly vetted for compliance. Moreover, the inclusion of a section for filing representatives different from the applicant broadens its scope, making it adaptable for different filing scenarios. Importantly, the PA1 form mandates statements and signatures from both the applicant and the owner, underscoring the legalities involved, including the acknowledgment of penalties for falsification. This comprehensive approach ensures every angle is covered, from professional certifications to acknowledgment of legal responsibilities, making the PA1 form a cornerstone in the regulation and safe operation of assembly spaces across New York City.

Nyc Pa1 Sample

PA1: Place of Assembly

Must be typewritten. Indicate reason for filing:

New Filing

Change to Owner/Lessee/Name of Estab. ONLY Change to Layouts/Use and any other information

Orient and affix BIS

job number label here

1Location Information Required for all applications.

 

House No(s)

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Borough

Block

Lot

BIN

 

C.B. No.

 

 

 

 

 

 

 

 

 

 

 

 

Zoning District(s)

 

 

Overlay(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

Special Dist(s)

 

 

 

Zoning Map No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Applicant Information

Required for all applications. Professionally certifying application?

Yes

No If yes, complete POC-1 form.

 

 

 

 

 

 

 

 

 

 

Last Name

 

First Name

 

 

Middle Initial

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

Business Telephone

 

 

 

 

 

 

 

 

 

 

 

 

Business Address

 

 

 

 

Business Fax

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip

 

Mobile Telephone

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

License Number

 

P.E.

 

 

 

 

 

R.A.

 

 

 

 

 

 

 

 

3Filing Representative Complete if different from section 2. Fax, mobile phone, and e-mail are optional info.

Last Name

 

First Name

Middle Initial

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

Business Address

 

 

Business Fax

 

 

 

 

City

State

Zip

Mobile Telephone

 

 

 

 

E-Mail

 

 

Registration Number

 

 

 

 

4Place of Assembly Space Information Submit comments using an AI-1 form (optional). *Use 2014 Code occupancy designations only.

Specific Floor(s) of PA Space

 

 

 

 

 

 

Occupancy

Cabaret

Number of

Description

 

 

 

 

 

 

 

Designation*

 

 

Persons

Code

NB/A1 Job No. Establishing PA

If Pre-BIS, provide BIN:

 

 

 

 

Primary

 

 

Yes

 

 

 

 

 

 

Plan

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

Prior PA No. (if applicable)

Irregular Floor Numbering?

 

Yes

 

No

Alt. 1

 

 

Yes

 

 

 

 

 

 

 

 

 

Plan

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of PA Establishment

 

 

 

 

 

Alt. 2

 

 

Yes

 

 

 

 

 

 

 

Plan

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

5

Statements and Signatures of Applicant and Owner PE/RA not required for change to owner/lessee/name of establishment only.

Falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment, or both. It is unlawful to give to a city employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the job or in exchange for special consideration. Violation is punishable by imprisonment or fine or both. Applicant: I prepared or supervised the preparation of the submittal documents herewith submitted and to the best of my knowledge and belief, the submittal documents and work shown thereon comply with the provisions of the NYC Administrative Code and other applicable laws and regulations, except as set forth in the accompanying documents. I acknowledge that I have read and complied with all instructions pertaining to this application and supplementary schedules submitted. Owner: I have authorized the applicant to file this application for the work specified herein and all future amendments.

P.E. / R.A Name (print):

Signature

Date

P.E. / R.A. Seal (apply seal, then sign and date over seal)

Individual/Lessee Responsible for Annual Renewal of PA (if not owner)

Name (print):

Relationship to Owner:

Business Name/Agency:

Street Address:

City:

State:

Zip:

 

 

 

Telephone Number:

Fax:

 

 

 

 

E-Mail Address:

 

 

 

 

 

Owner

Condo/Co-Op

 

Partnership

HHC

NYCHA

type:

Corporation

 

DCAS

HPD

NYS

 

Individual

 

DOE

Other Government

 

Is the deed-holder a non-profit per 28-112.1?

Yes No

Name (print):

 

 

 

 

 

 

 

 

 

Relationship to Owner:

 

 

 

 

 

 

 

 

 

Business Name/Agency:

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

Zip:

 

 

 

 

 

 

Telephone Number:

 

Fax:

 

 

 

 

 

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

 

Signature and Date ►

 

 

 

 

 

 

 

 

 

 

12/14

File Overview

Fact Detail
Form Purpose The NYC PA1 form is used for filing applications related to Places of Assembly, including new filings, changes to ownership, lessee information, establishment name, and changes to layouts/use.
Typewriting Requirement All information on the PA1 form must be typewritten to ensure clarity and legibility.
Location Information Section 1 of the form requires detailed information about the location of the assembly space, including house number, street name, borough, block, lot, BIN, zoning district, and zoning map number.
Applicant Information Section 2 mandates the provision of applicant information, including certification by a professional, which necessitates the completion of a POC-1 form if the application is professionally certified.
Governing Law The submission and compliance of the PA1 form are governed by the NYC Administrative Code and other applicable laws and regulations, emphasizing the importance of adherence to legal standards in the planning and maintenance of Places of Assembly.

Nyc Pa1: Usage Guidelines

Filling out the NYC PA1 form, officially known as the Place of Assembly Application, involves a straightforward process. This application is required for establishments that wish to host gatherings, highlighting the necessity of adherence to safety and zoning regulations. Accuracy and thoroughness are crucial when completing this form to ensure compliance with New York City's administrative codes and other applicable laws. Below are detailed steps to guide you through each section of the form.

  1. Orient and affix the BIS job number label in the designated space at the top right corner of the form, if applicable.
  2. In the Indicate reason for filing section, check the appropriate box that describes your reason for submission: New Filing, Change to Owner/Lessee/Name of Establishment ONLY, or Change to Layouts/Use and any other information.
  3. Under Location Information, provide the required details about the location of the assembly space including the house number(s), street name, borough, block, lot, BIN, C.B. No., zoning district(s), overlay(s), special district(s), and zoning map number.
  4. In the Applicant Information section, enter your professional credentials, if certifying the application. Include your last name, first name, middle initial, business name, telephone, address, fax, city, state, zip, mobile telephone, email, and license number (P.E. R.A.). Check "Yes" if professionally certifying the application and remember to complete a POC-1 form.
  5. For the Filing Representative section, complete this part if it is different from the applicant information. Include optional information such as fax, mobile phone, and e-mail. Provide the last name, first name, middle initial, business name, telephone, address, fax, city, state, zip, mobile telephone, email, and registration number.
  6. In the Place of Assembly Space Information section, specify the floor(s) of the PA space, occupancy cabaret, number of persons, code, NB/A1 job number, and establish if the PA space is pre-BIS with the provided BIN. Additionally, state the primary plan number, prior PA number if applicable, and specify if there is irregular floor numbering. Also, highlight the name of the PA establishment and any alternatives.
  7. Under Statements and Signatures of Applicant and Owner, the applicant must acknowledge the accuracy and compliance of the submitted documents. The owner must authorize the applicant to file the application. Both parties are required to print their names, sign, and date. If the PE/RA is not required, only the owner's lessee name is to be filled in. Additionally, fill in the information for the individual/lessee responsible for annual renewal of the Place of Assembly if it's not the owner, including relationship to the owner, business name/agency, street address, city, state, zip, telephone number, fax, and e-mail address.
  8. Indicate the type of ownership of the premises (Owner Condo/Co-op, Partnership, Government, etc.) and specify if the deed-holder is a non-profit per 28-112.1 by checking yes or no. Provide the name and relationship to the owner of the deed-holder, along with contact information.

Upon completing these steps, review the form to ensure all information provided is accurate and no sections have been overlooked. Submit the completed form to the designated New York City department for processing. Following submission, your application will be reviewed to ensure it meets all necessary codes and regulations for a place of assembly. It's important to await confirmation and any further instructions or requirements from the city officials before proceeding with plans for your assembly space.

FAQ

  1. What is the NYC PA1 form?

    The NYC PA1 form is a document required for the application or amendment of a Place of Assembly Certificate of Operation. It is used to provide detailed information about the location, applicant, ownership, and specifics of the assembly space, including occupancy, layout changes, and contact information for all relevant parties.

  2. When is it necessary to file an NYC PA1 form?

    Filing an NYC PA1 form is necessary when seeking a new Place of Assembly Certificate of Operation, changing the owner, lessee, or name of the establishment, and altering the layout/use of the assembly space. It ensures compliance with NYC safety and zoning regulations for spaces intended to host a large number of people.

  3. Who needs to complete the NYC PA1 form?

    The form must be completed by the individual or entity responsible for the operation of the place of assembly. This typically involves the owner or lessee of the property, as well as a certified professional (Professional Engineer or Registered Architect) if the filing relates to new applications or changes to the layout/use of the space.

  4. What sections are included in the NYC PA1 form?

    The NYC PA1 form consists of the following sections:

    • Location Information
    • Applicant Information
    • Filing Representative (if applicable)
    • Place of Assembly Space Information
    • Statements and Signatures of Applicant and Owner

  5. Can the NYC PA1 form be typewritten?

    Yes, the NYC PA1 form must be typewritten to ensure clarity and legibility. This requirement helps in the accurate processing and review of the application by city officials.

  6. What is the importance of the BIS job number in the NYC PA1 form?

    The BIS (Building Information System) job number is a critical identifier for any filing related to building and construction within NYC, including place of assembly applications. It allows for easy tracking and reference of the application throughout the review and approval process.

  7. How does one submit the NYC PAThis form?

    The completed NYC PA1 form can be submitted to the relevant New York City department, typically the Department of Buildings (DOB). Submission procedures may vary, so it is advised to check the DOB website or contact them directly for specific instructions.

  8. What are the penalties for falsification of information on the NYC PA1 form?

    Providing false statements on the NYC PA1 form is a misdemeanor punishable by fines, imprisonment, or both. It's also unlawful to offer or accept any benefit for special consideration or for properly performing the job related to the application, with similar penalties.

  9. Is a Professional Engineer or Registered Architect signature required for all NYC PA1 filings?

    A Professional Engineer (PE) or Registered Architect (RA) signature is not required for changes solely related to the owner, lessee, or name of the establishment. However, for new filings or changes to the layout/use of the space, a PE or RA must certify the application.

  10. Who is responsible for the annual renewal of the Place of Assembly Certificate of Operation?

    The individual or entity listed as the owner or designated lessee on the NYC PA1 form is responsible for ensuring the annual renewal of the Place of Assembly Certificate of Operation to maintain compliance with city regulations.

Common mistakes

Filling out the NYC PA1 form, which is essential for places of assembly, often involves detailed entry of information. A few common mistakes can lead to delays or rejection of the application. Understanding these errors can help in ensuring a smooth processing experience.

One prevalent issue is failing to type the form. The requirement for the document to be typewritten is not merely a suggestion but a requirement. This practice ensures readability and prevents misinterpretation of handwritten entries. People often overlook this, thinking a legible handwriting would suffice, but it doesn't meet the official standards.

  1. Missing information in the "Location Information" section is a frequent oversight. Each field, including House No(s), Street Name, Borough, and so on, must be accurately filled. Leaving any of these blank or incomplete could immediately halt the review process.
  2. Incorrectly indicating the reason for filing at the beginning of the form is a common error. This could be due to a lack of understanding of whether the filing is for a new establishment, a change to the owner/lessee/name, or a change to layouts/use. It’s crucial to mark the correct reason to guide the review process appropriately.
  3. Another common mistake is neglecting to complete the Applicant Information section comprehensively. Specifically, not including a business fax number or email when these are the primary means of communication could lead to missed correspondence regarding the application.
  4. Lastly, the omission of the Place of Assembly Space Information is often seen. This includes specifics like the occupancy designation, cabaret number, and description. Such details are vital for city planning and emergency services, among other things.

In addition to these issues, there are also mistakes related to the Statements and Signatures of Applicant and Owner section. Some people mistakenly think a PE/RA seal is not required when filing for changes other than to the owner/lessee/name of the establishment. However, this seal is critical for validating the application’s authenticity.

  • Omitting the signature and date at the end of the application renders it incomplete.
  • Failing to correctly identify the deed-holder’s relationship to the owner can lead to confusion about ownership and responsibilities regarding the place of assembly.

By avoiding these pitfalls, applicants can facilitate a smoother application process for their NYC PA1 form. It’s all about attention to detail and thoroughly reviewing each section before submission. Remember, the goal is to provide clear, comprehensive, and accurate information to avoid any unnecessary delays or complications.

Documents used along the form

When dealing with the complexities of establishing or modifying a Place of Assembly (PA) in New York City, various forms and documents must accompany the PA1 form to ensure compliance with all regulatory requirements. These supplementary materials are crucial for a thorough review and approval process by city officials, assisting in the smooth progression of the application and ensuring that all aspects of safety, legal, and zoning regulations are met.

  • POC-1 Form: This form is essential for any application where professional certification is provided, detailing the qualifications and certifying the application’s adherence to applicable laws and codes.
  • AI-1 Form: Used optionally to submit comments or explanations related to the application, this form allows for additional information or clarification to be provided regarding the place of assembly.
  • Property Deed: Demonstrates ownership of the property in question, ensuring the applicant has the legal right to make modifications or utilize the space as a place of assembly.
  • Lease Agreement: For lessees rather than property owners, this document is crucial in establishing the right to use the property as a place of assembly under the terms agreed upon with the landlord.
  • Fire Safety Plan: A detailed document outlining the measures in place to protect occupants in case of a fire, including evacuation routes and the location of fire extinguishers and alarms.
  • Occupancy Certificate: Proof that the building meets local building codes for its intended use and the maximum number of people allowed safely within the space at one time.
  • Zoning Verification: Confirms that the intended use of the space as a place of assembly complies with local zoning laws, which dictate how properties in certain areas can be used.
  • Architectural Plans: Detailed drawings of the space, showing current and proposed layouts, including exits, seating arrangements, and other elements key to the place of assembly’s design and function.

Each document plays a crucial role in the application process, providing vital information that supports the PA1 form submission. Proper preparation and submission of these documents ensure compliance with New York City regulations, thereby facilitating a smoother approval process for place of assembly applications. This systematic approach not only ensures the safety and well-being of occupants but also safeguards the interests of property owners and lessees by ensuring all legal and regulatory obligations are met.

Similar forms

The NYC PA1 form, which is crucial for the application process related to Place of Assembly permits, shares similarities with the Building Information System (BIS) Application. Just like the NYC PA1 form requires detailed information about the location, owner, and nature of the assembly space, the BIS Application demands comprehensive details about the property, including its dimensions, usage type, and ownership data. Both forms are integral to ensuring public safety and regulatory compliance, particularly in environments where large numbers of people gather, necessitating strict adherence to building and safety codes.

The Certificate of Occupancy Application is another document bearing likeness to the NYC PA1 form. This document is essential when seeking to certify a building's legal use and occupancy, mirroring the PA1's emphasis on detailing the use and characteristics of a space designated for assembly. Where the PA1 form focuses on the safety and legality of gathering spaces, the Certificate of Occupancy serves a broader purpose in officializing the permissible use of a property as a whole, encompassing residential, commercial, or mixed uses, alongside adherence to zoning laws and building codes.

Similar to the NYC PA1 form, the Alteration Type-1 (Alt-1) Application plays a pivotal role in the modification of existing buildings. The Alt-1 requires detailed submissions on changes to building structure, use, occupancy, and egress, closely paralleling the PA1’s requirement to outline modifications to layouts or use of assembly spaces. Both documents are fundamental to the city's regulatory framework, ensuring that any alterations meet safety standards and do not compromise the well-being of occupants or the general public.

The Property Registration Form shares a common purpose with the NYC PA1 form in the realm of property management and safety regulation. While the PA1 form is specific to places of assembly within a property, ensuring they meet safety and legal standards, the Property Registration Form is necessary for identifying who is responsible for the overall maintenance and safety of the property. This overarching responsibility includes compliance with codes and regulations, making both forms critical to maintaining public health and safety in properties across the city.

Dos and Don'ts

When filling out the NYC PA1 form, which is essential for places of assembly in New York City, accuracy and adherence to specified instructions are paramount. Below are several vital do's and don'ts to consider during the process to ensure your submission is correct and compliant.

Do's
  • Ensure all information is typewritten: As the form must be typewritten, handwritten submissions could be rejected or cause delays.
  • Complete all required sections accurately: Location and applicant information are mandatory; ensure they are filled out with correct details to avoid processing delays.
  • Indicate the reason for filing clearly: Whether it’s a new filing or a change to owner or layout, marking the appropriate section helps in processing your application correctly.
  • Attach the BIS job number label if available: Properly orienting and affixing the BIS job number facilitates the tracking and reviewing process.
  • Use 2014 Code occupancy designations: When detailing the place of assembly space information, adhering to the current code ensures compliance.
  • Include all supplementary documents: If additional documents or clarifications are necessary, such as the AI-1 form for comments, ensure they are included with your submission.
  • Sign and date the form: The application requires signatures from the applicant and the owner. These are critical for the form's validity.
Don'ts
  • Don’t leave required fields blank: Incomplete forms can result in rejections. Verify that all mandatory fields have been filled.
  • Don’t use outdated occupancy designations: Using incorrect occupancy codes can misrepresent the space, possibly leading to compliance issues.
  • Don’t forget to attach the POC-1 form if professionally certifying: If the application is being professionally certified, the POC-1 form is required.
  • Don’t falsify information: Providing incorrect information can lead to misdemeanor charges, fines, or imprisonment.
  • Don’t neglect to read and comply with all instructions: Understanding and following all the form's instructions ensures a smoother submission process.
  • Don’t omit the signature and date over the PE/RA seal: For sections requiring professional certification, ensure the seal is correctly applied with signature and date.
  • Don’t fail to review the form before submission: A final review can catch potential errors or omissions, saving time and preventing issues down the line.

Misconceptions

When it comes to understanding the NYC PA1 form, used for Place of Assembly applications and various changes, there are several misconceptions that can lead to confusion. Here, we'll dispel five common myths to help clarify the process.

  • Only new establishments need to file the PA1 form. This statement is misleading because the PA1 form is required not only for new filings but also for changes to existing places of assembly. This includes changes to the owner or lessee, the name of the establishment, layouts, uses, and any other significant information that affects the place of assembly.
  • The PA1 form is only concerned with the layout. While changes to the layout are a significant part of the PA1 form, it's important to note that the form also covers a range of other changes and information. This includes the location, applicant details, place of assembly space information, and crucial statements and signatures that certify compliance with the NYC Administrative Code and other applicable laws and regulations.
  • Personal certification by the applicant is optional. The section regarding professional certification asks, "Professionally certifying application? Yes No." This query often leads to the misconception that professional certification is optional in all cases. However, depending on the specifics of the filing, such certification may be required to ensure that the plans comply with relevant codes and laws. Professional certification adds a layer of accountability and expertise to the process.
  • Information about the deed-holder is not required. In fact, the form has specific sections asking about the deed-holder, including whether the deed-holder is a non-profit as per section 28-112.1 and detailing the relationship to the owner. This information is essential, especially in understanding who is responsible for the annual renewal of the Place of Assembly Certificate of Operation and ensuring compliance with legal and code requirements.
  • Falsification of statements on the PA1 form carries no real consequences. This is a dangerous myth. The form clearly states that "Falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment, or both." It is crucial for applicants to understand the seriousness of the legal declarations made on this form. Violations can also lead to penalties, including fines or imprisonment, highlighting the importance of accurate and truthful submissions.

Understanding these misconceptions about the NYC PA1 form can help applicants navigate the process more effectively, ensuring that they comply fully with the requirements for Places of Assembly in New York City. Remember, accuracy, and honesty in completing the form are paramount in maintaining the integrity of the process and avoiding legal issues.

Key takeaways

  • Before filling out the NYC PA1 form, it's essential that it is done typewritten to ensure clarity and avoid any potential processing delays linked to illegible handwriting. This requirement highlights the value the city places on legibility and proper documentation for places of assembly.
  • The form necessitates the stating of the reason for filing right at the outset, distinguishing between a new filing, a change to the owner, lessee, or name of the establishment, or modifications to layouts/use. It's pivotal to mark the correct option, as it directs the path and specific requirements for the remainder of the form's completion process.
  • Comprehensive location information is mandatory for all applications, including house number(s), street name, borough, block and lot, BIN, and zoning details. This information is crucial in establishing the premises' identity and ensuring it complies with local zoning and safety regulations.
  • If certifying the application professionally, the submission must include a completed POC-1 form. This step underscores the importance of ensuring that submissions are not only accurate but also endorsed by professionals who bear responsibility for their correctness and compliance with applicable codes and regulations.
  • All applicants and owners are required to provide statements and signatures, affirming the truthfulness of the provided information and acknowledging the legal implications of falsification. This part of the process serves as a reminder of the legal and ethical responsibilities involved in filing such an application.
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