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BRC Form 001 Rev’d: 05/2021; 02/2026 Page 1 of 2 GENERAL BUILDING PERMIT APPLICATION A building permit is needed before any Change of Use/Commercial Tenancy, general construction, repair, rehab, gutting, or other work may be done. Additional permits are required for specialized work such as electric or plumbing work which requires a license. Please refer to our website or ask our staff if you have any questions about what permits your project requires. Work done without a permit is subject to a Stop Work Order. STAFF USE ONLY PERMIT NO.: DATE REC’D: REC’D BY: S&B PENDING SCANNED & SAVED INTAKE NOTES: JOB SITE ADDRESS: ZIP: PROPERTY ACCT ZONE: OVERLAYS: THIS INFORMATION IS AVAILABLE AT APPLICANT: ADDRESS: ZIP: EMAIL: PHONE: ALL PERMITS ARE EMAILED TO THE APPLICANT AN APPLICATION OR PERMIT WILL BE MARKED ‘VOID’ WHERE COMMUNICATIONS FROM OUR OFFICE ARE NOT RESPONDED TO WITHIN 3 MONTHS. OWNER (IF DIFFERENT): ADDRESS: ZIP: EMAIL: PHONE: ADDITIONAL CONTACT INFORMATION SHOULD BE INCLUDED ON THE BACK OF THIS FORM. PROPOSED PROJECT: (PLEASE PROVIDE A DETAILED DESCRIPTION OF ALL WORK TO BE DONE; STAMPED PLANS MAY BE REQUIRED): IS THIS AN ACDA PROJECT YES NO If yes, name of rehab coordinator: IS THE PROPERTY LOCATED IN A HISTORIC OVERLAY, ADDITIONAL FORMS ARE REQUIRED FOR HRC: YES NO IS THIS A VACANT BUILDING, VACANT BUILDINGS MUST BE REGISTERED ON THE VACANT BUILDING REGISTRY YES NO INCLUDES A CHANGE OF USE OR CHANGE OF COMMERCIAL TENANCY (SEE OUR INFORMATIONAL FOR DETAILS) YES NO CURRENT USE OF THE PROPERTY: PROPOSED USE OF THE DEVELOPMENT PERMIT: IS THIS PROJECT THE SUBJECT OF A PLANNING DEP’T ISSUED DEVELOPMENT PERMIT. YES NO TOTAL COST OF WORK: INCLUDING LABOR & MATERIALS. BRC STAFF RESERVE THE RIGHT TO CONDITION CLOSURE OF A PERMIT, INCLUDING ISSUANCE OF A CERT. OF OCCUPANCY ON PROOF OF TOTAL WORK COST. PERMIT FEE: FEES DEPEND ON THE PROJECT TYPE. SEE OUR WEBSITE FOR OUR FEE SCHEDULE OR CALL OUR OFFICE AT (518) 434-5995 TO SPEAK WITH OUR STAFF ABOUT FEE CALCULATION. • APPLICATIONS MUST BE ACCOMPANIED BY PROOF OR WORKER’S COMP INSURANCE OR A FORM BP-1 “AFFIDAVIT OF EXEMPTION” AND FOR PROJECTS WHERE THE TOTAL COST OF WORK IS MORE THAN $10,000 PROOF OF LIABILITY INSURANCE NAMING THE CITY OF ALBANY AS ADDITIONALLY INSURED. • WORK THAT WILL OBSTRUCT A PUBLIC RIGHT OF WAY WILL REQUIRE A SIDEWALK & BARRICADE PERMIT. • AN ADDITIONAL INSPECTION FEE OF $100 MAY BE CHARGED WHERE PREVIOUSLY CITED CORRECTIONS HAVE NOT BEEN MADE, NO ONE IS AVAILABLE TO MEET OUR INSPECTOR OR THE WORK IS NOT READY FOR INSPECTION AT A SCHEDULED INSPECTION, AND WHERE THE INSPECTION IS REQUESTED TO ISSUE A TCO. • NEW STRUCTURES AND SUBSTANTIAL ADDITIONS OR ALTERATIONS, INCLUDING TWO-STORY DECKS AND ALTERATIONS TO OR REMOVAL OF LOAD-BEARING BUILDING COMPONENTS, MUST BE ACCOMPANIED BY PLANS STAMPED BY A LICENSED ENGINEER OR ARCHITECT. ---PAGE BREAK--- Page 2 of 2 JOB SITE ADDRESS: ADDITIONAL CONTRACTOR/CONTACT INFORMATION (WHERE APPLICABLE) OWNER: ADDRESS ZIP: EMAIL: PHONE: ARCHITECT/ENGINEER: ADDRESS ZIP: EMAIL: PHONE: CONTRACTOR: TYPE: ELECTRIC PLUMBING HVAC ELEVATOR SPRINKLER OTHER COST: ADDRESS ZIP: EMAIL: PHONE: CONTRACTOR: TYPE: ELECTRIC PLUMBING HVAC ELEVATOR SPRINKLER OTHER COST: ADDRESS ZIP: EMAIL: PHONE: CONTRACTOR: TYPE: ELECTRIC PLUMBING HVAC ELEVATOR SPRINKLER OTHER COST: ADDRESS ZIP: EMAIL: PHONE: Certification: I hereby certify that I have examined this application and know the information contained therein to be correct. I understand that the granting of a permit does not grant authority to violate or ignore any law, that this permit authorizes only the work described herein and will expire, unless otherwise noted, in one year from the date of issuance. Applicant Date: