CITY OF ALBANY
DEPARTMENT OF BUILDINGS & REGULATORY COMPLIANCE
200 Henry Johnson Boulevard
Albany, NY 12210
Phone (518) 434-5995
codes@albanyny.gov
CLASS B ELECTRICIAN’S LICENSE APPLICATION
This form is for individuals seeking a Class B electrician’s license and must be accompanied by an application for a permit to do the work for which the
Class B license will be issued. This application must be submitted in person so that Department staff may confirm the identity of the applicant and
properly notarize the application. The fee for a Class B license application is $400.
APPLICANT INFORMATION
NAME: _________________________________________________________________________________________________________________
ADDRESS: _______________________________________________________________________________
EMAIL: ____________________________________________________
PHONE: ______________________
JOB SITE ADDRESS FOR WHICH LICENSE IS SOUGHT:
______________________________________________________________________________________
MUNICIPALITY WHERE APPLICANT IS LICENSED:
_______________________________________________________
LICENSE NO.:
_____________________________
HOW WOULD YOU LIKE TO RECEIVE YOUR LICENSE (PLEASE CHOOSE ONE): A.) PICK UP OR B.) BY MAIL
IF YOU WOULD LIKE TO RECEIVE YOUR LICENSE BY MAIL, PLEASE INCLUDE A STAMPED SELF-ADDRESSED ENVELOPE.
ADDITIONAL DOCUMENTATION
IN ORDER TO PROCESS THIS APPLICATION, WE NEED 1) A COPY OF YOUR LICENSE, 2) A COPY OF YOUR INSURANCE, AND 3) A COPY
OF YOUR GOVERNMENT ISSUED ID (DRIVERS LICENSE, PASSPORT, ETC.).
AFFIDAVIT
THIS APPLICATION HAS BEEN FILLED OUT BY ME AND THE INFORMATION CONTAINED HEREIN IS CORRECT TO THE BEST
OF MY KNOWLEDGE. IF I AM GRANTED A CLASS B LICENSE, I AGREE TO FULLY COMPLY WITH ALL APPLICABLE LAWS,
CODES, AND ORDINANCES, INCLUDING AND ESPECIALLY THOSE OF THE CITY OF ALBANY.
____________________________________________
SIGNATURE
STATE OF NEW YORK :
COUNTY OF ALBANY :
ON THIS ____ DAY OF _______________, ____, BEFORE ME CAME ____________________________________,
TO ME KNOWN TO BE THE PERSON DESCRIBED IN AND TO HAVE EXECUTED THE FOREGOING INSTRUMENT.
___________________________________________
NOTARY PUBLIC OR COMMISSIONER OF DEEDS
STAFF USE ONLY
PERMIT NO.: ___________
APP. FEE: _____________
DATE RECD: ___________
DATE ISSUED: __________
SCANNED BY: ____________
BRC Form 027 Rev’d: 6/2017
Page 1 of 2
STAFF USE ONLY
A CLASS B LICENSE IS HEREBY GRANTED TO THE ABOVE INDIVIDUAL FOR WORK RELATED TO PERMIT NO. _________________.
THE FOLLOWING ADDITIONAL CONDITIONS APPLY TO THIS APPROVAL:
GRANTED BY: ___________________________________ DATE: _________________
TITLE: _________________________________________
Class B License Information
Duration. Class B electrician’s licenses are limited to work on a
specific permit and terminate upon completion of the work
allowed by that permit. Class B license holders are expected to
comply with all applicable laws related to work they are licensed
to do.
Class A Licenses. Licenses are granted by the Electrical
Examining Board, not by this Department, on a yearly basis.
Applications for Class A licenses are available from our office and
we will put you in contact with the relevant board should you wish
to pursue a Class A license.
Inspections. All projects are subject to a rough and a final
inspection and no inspection may occur until all the necessary
materials have been submitted to the department. Please request
inspections at least 24 hours in advance and no inspection request
will be accepted by voice or email without express confirmation
from our inspector.
Stop Work Orders. If it is determined that work has been done
beyond what is allowed in a permit or in violation of any
conditions above, the applicant will be subject to a stop work
order and concomitant fee of $300 per violation.
Project Commencement. Work on a project may not be
commenced prior to issuance of the permit except in emergency
situations where the applicant has secured the explicit approval of
the inspector assigned to the permit. If work begins prior to the
permit being issued, the applicant will be at risk of receiving a
stop work order and may be required to redo noncompliant work.
Project Completion. Upon completion of your project, the
applicant must to contact BRC to schedule a closing inspection to
ensure that the work done was in fact legal and code compliant.
Worker’s Compensation. As per NY GML § 125, we cannot
issue a permit without proof of worker’s compensation insurance.
From contractors, we will need one of the following: 1) WCB form
C-105.2 or U-26.3, 2) WCB form SI-12 or GSI -105.2, 3) WCB form
CE-200, and/or 4) WCB form DB 120.1 or 120.2.
Insurance. For work being done in the City, either the owner of
the contractor is required to have a liability policy naming the City
of Albany as insured or co-insured covering the work described in
the permit application. This liability policy must be, at minimum,
in the following amounts:
a) $100,000.00 Personal Injury single incident
b) $300,000.00 Personal Injury cumulative
c) $50,000.00 Property Damage
Proof of Insurance. Before we may issue an electrical permit,
we must have proof of insurance. A contractor may file an
Owner’s and Contractor’s Protective Liability Policy, naming the
City of Albany as an additional insured, for the individual job, in
the required amounts; or the contractor may file a blanket policy
with the City, covering all work to be undertaken within the period
of the policy.
Code Justification Letter. For complex projects, code
justification letters are strongly encouraged and will greatly
expedite the issuance of your permit.
BRC Form 027 Page 2 of 2