Nyc Buildings Form Op128 PDF Details

In the dynamic landscape of New York City's construction and plumbing sectors, the New York City Buildings OP128 form stands as a pivotal document for Licensed Master Plumbers. This comprehensive report, essential for filing ordinary plumbing work, demands meticulous attention to detail. It must be compiled with a keen eye on ensuring compliance with the city's stringent building codes. From capturing applicant information, detailing the scope of plumbing work, to emphasizing the importance of adhering to necessary filing statuses—such as initial filings or corrections—the form encapsulates a wide range of activities that fall under "ordinary plumbing work". These include, but are not limited to, removal or relocation of plumbing systems, installation or repair of food waste grinders, and maintenance of non-gas, non-fire suppression piping. Furthermore, it delves into specific requirements related to gas fired boilers and water heaters, underscoring the necessity for operational chimneys and unaltered gas cocks. The OP128 form also serves a vital purpose in the routine maintenance and reporting cycle, obliging Licensed Master Plumbers to submit monthly reports that underscore the previous month's work. This process ensures that work does not require individual permits yet adheres to the city's building and safety standards. As such, the accurate and timely submission of this form plays a crucial role in maintaining the integrity of New York City's building infrastructure, reinforcing safety protocols, and upholding the high standards of plumbing work within the city.

QuestionAnswer
Form NameNyc Buildings Form Op128
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names5th, tche, BTU, 3a3b5a

Form Preview Example

OP128:

Ordinary Plumbing Work Report

Orient and affix BIS

license number label here

Must be typewritten

Application must be double sided

1

Filing Status

 

Initial Filing

 

Correction Reference Num:_______________________

2Applicant Information Required for all applications.

 

Last Name

 

First Name

Middle Initial

 

 

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

 

 

Business Address

 

 

Business Fax

 

 

 

 

 

 

City

State

Zip

Mobile Telephone

 

 

 

 

 

 

E-Mail

 

 

Filing Date (Mo/Yr)

 

 

 

 

 

3 Location Information Required for all applications.

Maximum of 20 activities per Ordinary Plumbing Work Report

 

 

 

 

 

 

 

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NORTH WESTMINSTER AVE

20

20B

 

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*Work authorized to be performed pursuant to Administrative Code 28-105.4.4 (see instructions for details):

1)Removal of a domestic plumbing system not connected to a fire suppression system, or the removal of a portion of such system

2)Relocation of up to two plumbing fixtures within the same room to maximum of 10 feet from original location, except healthcare facilities

3a) Installation, replacement or repair of food waste grinder

3b) Installation, replacement or repair of internal (Secondary) backflow prevention (Test Letter Required - Department of Buildings) 3c) Replacement or repair of sump pump

4)Replacement of closet bend(s)

5a) For fewer than six families: replacement of gas fired boiler with a capacity of or under 350,000 BTU’s

5b) For fewer than six families: replacement of gas water heater with a capacity of or under 350,000 BTU’s

6)Repair or replacement of non-gas, non fire suppression piping not longer than 10 feet inside a building or connected piping previously repaired or replaced under the provisions of Administrative Code 28-105.4.4

7)Repair or replacement of non-fire suppression branch piping after the riser shut-off valve, including the replacement of fixtures, limited to two bathrooms and one kitchen per building per each monthly reporting period

Please Note that Primary Backflow Prevention must be filed as an Limited Alteration Application

9/08

OP128

PAGE 2

4

Applicant Statements and Signature

Please check if the following apply:

If I am working on the replacement of a gas fired boiler or a gas water heater with a capacity of or under 350,000 BTU’s, I certify the gas cock has not been moved, the chimney is in good operational condition, and no gas piping has been installed/replaced with the installation of this

heating equipment.

Print Name of Licensed Master

Seal

 

I certify the statements herein are correct and comply with the NYC

Plumber (LMP)

 

Building Code. I meet the requirements of the NYC Building Code as

 

 

they relate to the experience requirements set forth in Building Code

 

 

Section 28-105.4.4. I understand falsification of any statement is a

 

 

 

 

misdemeanor under Sections 28-201.2.1.2, 28-203.1.1, and 28-211.1 of

 

 

the Administrative Code punishable by a fine or imprisonment or both and

Signature

 

may result in the removal from participation in the self-certification

 

 

 

program and/or disciplinary action by the Plumbing and Fire Suppression

Date

 

Piping Contractor License Board.

 

 

 

 

 

 

5

Instructions

Purpose of form:

This monthly report is to be used by Licensed Master Plumbers filing work that the code details as Ordinary Plumbing Work as per section 28-105.4.4. This work doesn’t require a permit. The report must specify all work underway or done by the plumber during the previous month. Forms must be submitted to DOB by the 15th of the month after the month for which the work is being reported. Those who fail to file and late filers will be subject to violations and/or disciplinary action. License and insurance must be active at time of filing.

Report Submittal:

All reports must have a sticker affixed with the applicant’s license number. License number stickers are available at the Plumbing Inspections office at 280 Broadway, 4th Floor, in Manhattan.

The Department’s LAA unit must receive all reports, with a fee of $100 per report, by the 15th of the month for the previous month’s ordinary plumbing work, and report’s must include a self-addressed, stamped envelope. Reports may be mailed or delivered to: Department of Buildings ARA/Permit Renewals, 280 Broadway - 5th Floor, New York, NY 10007.

Filing of this report does not relieve the applicant of obligation to comply with the applicable requirements of the Department of Environmental Protection with regards to asbestos abatement

1 Applicant of Record Information

Please provide the last name, first name, middle initial, business name, business address, business telephone number, fax number, mobile number, e-mail address, and filling month (specify month/year).

2 Location Information

Please provide the borough number, block, lot, BIN #, address (house #, street, floor, apt #), residential or commercial (R or C), date, completion status (Y or N). Additionally, list # of fixtures, kitchen or bathroom (K or B), installation, repair, replacement, relocation and the appropriate work # where applicable for each ordinary plumbing repair

Please refer to the Building Code section §28-105.4.4 excerpt below for what is required to be reported as Ordinary Plumbing Work.

The items listed below are followed by parenthetical references corresponding to the listing above of ordinary plumbing work authorized to be performed and detailed on this form. Use those references when completing the last column on page 1.

1.The removal of a domestic plumbing system not connected to a fire suppression system, or the removal of a portion of such system. (for 1 on the report)

2.The relocation of up to two plumbing fixtures within the same room to a maximum of 10 feet (3048 mm) distant from the original location, except in health care facilities. (for 2 on the report)

3.The installation, replacement or repair of a food waste grinder (food waste disposal) or back flow preventer and the replacement or repair of a sump pump. (for 3a, 3b, 3c on the report)

4.The replacement of closet bends. (for 4 on the report)

5.In buildings in occupancy group R2 occupied by fewer than six families or in buildings in occupancy group R3, the replacement of a gas water heater or a gas fired boiler with a capacity of 350,000 BTU or less where the existing appliance gas cock is not moved, provided the chimney has been inspected as/per NYC Fuel Gas Code section 503.5.6. (for 5a, 5b on the report)

6.The repair or replacement of any non-gas, non-fire suppression piping not longer than 10 feet (3048 mm) inside a building, or connected piping previously repaired or replaced under this provision. (for 6 on the report)

7.The repair or replacement of non-fire suppression branch piping after the riser shutoff valve, including the replacement of fixtures, limited to two bathrooms and one kitchen per building per monthly reporting period. (for 7 on the report)

3 Applicant Statement and Signature

Please certify that the gas cock has not been moved and the chimney is in good operational condition if filing replacement of a gas fired boiler or a gas water heater

Review all statements in this section in detail before signing.

Print name, date, sign and seal.

9/08