CITY OF ALBANY
DEPARTMENT OF BUILDINGS & REGULATORY COMPLIANCE
200 Henry Johnson Boulevard
Albany, NY 12210
Phone (518) 434-5995
codes@albanyny.gov
CLASS B PLUMBING LICENSE APPLICATION
This form is for individuals seeking a Class B plumbing license and must be accompanied by an application for a permit to do the work for which the
Class B license will be issued. The requirements to be considered for a Class B plumbing license are set out on the reverse of this form. This application
must be submitted in person so that Department staff may confirm the identity of the applicant. The fee for this application is $400.
APPLICANT INFORMATION
NAME: _________________________________________________________________________________________________________________
ADDRESS: ____________________________________________________ ZIP: _______________________
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 023 Rev’d: 1/2017
Page 1 of 2
Qualifications for a Class B Plumbing License
In order to be considered for a class B plumbing application an applicant must meet, at a minimum, the
following requirements as set forth by the City of Albany Examining Board of Plumbers.
1. Five (5) years of experience performing work under the supervision of a licensed master
plumber; or
2. A Bachelor of Science degree in plumbing engineering from an accredited four-year college or
university program and at least three (3) years of experience performing plumbing work under
the supervision of licensed master plumber; or
3. An Associate of Science degree or its equivalent, consisting of a two-year program of study in
plumbing engineering from an accredited college or university and at least four (4) years of
experience performing plumbing work under the supervision of a licensed master plumber; or
4. A degree from a recognized plumbing trade school or approved apprentice training school, and at
least four (4) years of experience performing plumbing work under the supervision of a licensed
master plumber.
Applicants for a class B plumbing license must provide verifiable contact information for the employing
master plumber(s) under which the applicant worked. Applicants may provide sworn letters of
recommendation from such licensed plumbers.
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 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. Class A plumbing licenses are granted by the
Examining Board of Plumbers, 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 Plumber’s 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.
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.
BRC Form 023 Page 2 of 2