TR8
PAGE 2
Rev. 5/20
Name (please print)
Signature Date
P.E./R.A. Seal (apply seal, then sign and date over seal)
4 Design Applicant’s Statements and Signatures (P.E./R.A. responsible for plans must sign and seal)
I have identified herein all of the progress inspections, and commissioning
required for compliance and determined whether commissioning is
required.
Check all that apply below:
For the Progress Inspections indicated above in Section 3 and identified by me for responsibility, I certify that I am the
principal/director of the progress inspection agency accepting responsibility for conducting the inspections as identified in
section 3B. I further certify that I have read the applicable sections of the New York City Construction Codes and 1 RCNY
5000-01 in connection with progress inspections as well as 1 RCNY 101-07, which specifies the qualifications required for
each progress inspector, and that this agency meets those qualifications for each and every progress inspection for which
I/we take responsibility. I agree that both I and the agency will comply with all provisions of the New York City Construction
Codes and the Rules. I am aware of the additional sanctions imposed on false filings by §28-211.1.2 of the Administrative
Code.
5 Inspection Applicant’s Identification of Responsibilities
Change of Applicant: I am a newly designated individual responsible for the items specified herein and I hereby state that:
None of the inspections/tests indicated herein have been performed to date by the previously designated individual.
Some of the inspections/tests indicated herein have been performed by the previously designated individual,
as indicated in the attached report.
I am aware of the additional sanctions imposed on false filings by §28-211.1.2 of the Administrative Code.
Name (please print)
Signature Date
P.E. / R.A. Seal (apply seal, then sign and date over seal)
Withdrawal of Applicant: I am withdrawing responsibility for the items of progress inspections and/or tests indicated herein
and herewith submit the results or status of the work performed to date.
Name (please print)
Signature Date
P.E. / R.A. Seal (apply seal, then sign and date over seal)
I have completed the items specified herein and certify the following (check one only):
All work performed substantially conforms to approved construction documents and has been performed in accordance
with applicable provisions of the New York City Energy Conservation Code and other designated rules and regulations.
All work performed substantially conforms to approved construction documents and has been performed in accordance
with applicable provisions of the New York City Energy Conservation Code and other designated rules and regulations,
except as indicated in the attached report.
I am aware of the additional sanctions imposed on false filings by §28-211.1.2 of the Administrative Code.
6 Inspection Applicant’s Certification of Completion
Commissioning is required for applications where C408 or ASHRAE 90.1
Section 6.7.2.3 requires commissioning. Check one:
This project requires commissioning and a preliminary commissioning
report certification will be provided prior to sign-off.
This project does not require commissioning.
