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Click here or scroll down to respond to this candidateDSS-10 (E) 10/01/2018 (page 1 of 3)Candidate's Name
In order to qualify for a CityFHEPS, State FHEPS or SOTA (NYC only) Apartment/Room Review, the apartment/room must pass the clearances below.Client Name: Shelter/Provider Name: Date of website checks: Apartment InformationAddress:Borough: Zip:Building Owner InformationName: (Last) ; (First) OR name of Company BIN:Department of Buildings (DOB)The following questions can be answered by visiting the DOB website www.nyc.gov/buildings 1. Does this building have open vacate orders that affect either the entire building or the individual apartment/room, as per the DOB?Yes No2. Does this building have a Stop Work Order in effect Partial or Full that affects either the entire building or the individual apartment(s)/room(s) intended for use?Yes No3. Are there any complaints on the DOB BIS system in the last four years in categories 31, 45, or 71 with a final disposition code of A1 A9, C1 C4, or with no disposition code? http://a810-bisweb.nyc.gov/bisweb/bispi00.jspYes No4. Does the unit appear to be a legal apartment as per the Certificate of Occupancy (C of O) on the DOB website?Note: The C of O, Temporary C of O, Letter of No Objection, or I-Card authorizes residential occupancy.http://a810-bisweb.nyc.gov/bisweb/bispi00.jspYes No N/A5. Please enter the date of construction of the building as listed on the C of O. Year of construction:(Turn Page)DSS-10 (E) 10/01/2018 (page 2 of 3) Department of Social Services LLF Human Resources AdministrationDepartment of Finance (DOF)The following question can be answered by visiting the DOF website https://www1.nyc.gov/site/finance/index.page.1. Is a building owner listed for the unit? Yes No If yes, record the building owner name._Department of Housing Preservation and Development (HPD) The following questions can be answered by visiting the HPD website https://hpdonline.hpdnyc.org/HPDonline/provide_address.aspx or by entering the property address into the HPDONLINE section of HPDs page at www.nyc.gov/hpd. 1. Does the unit have an open lead violation on the HPD website? Order Numbers 555, 604, 606, 607, 610, 611, 612, 614, 616, 617, 618, or 619 If there are open lead-based paint violations, the owner must correct those violations before an Apartment Review will be conducted. You can call HPD at 212-863-5501 or visit their website at nyc.gov/hpd to obtain guidance on how to clear those violations.Yes No2. Does the building have open litigation for heat and hot water? Yes No 3. Is the building subject to comprehensive litigation? Yes No 4. Is the building listed in the Alternative Enforcement Program with anI Order?Note: the AEP is listed in red if your building is in the program. A building with an I Order number 729 does not pass review.Yes No5. Is the building listed in the Underlying Conditions program? Note: I Order number 730 does not pass review.Yes No6. Does this building have open vacate orders that affect either the entire building or the individual apartment/room intended for use with the subsidy as per HPD?Yes No7. Is the building subject to 7A Administration? Yes No Fire Department of the City of New York (FDNY)The following question can be answered by visiting the FDNY website https://www1.nyc.gov/site/fdny/business/violations/violations.page 1. Does the FDNY have an active vacate order for this property?Yes No(Turn Page)DSS-10 (E) 10/01/2018 (page 3 of 3) Department of Social Services LLF Human Resources AdministrationNew York State Department of Health (NYS DOH)The following question can be answered by visiting the NYS DOH website https://www.health.ny.gov/facilities/adult_care/memorandum.htm 1. Does NYS DOH include this building on its Uncertified Facilities List or Referral Suspension List?Yes NoCommentsPerson completing checklist (Print) Person completing checklist (Signature) Date |
