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Plumbing Forms

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LAA1: Limited Alteration Application (Plumbing/Oil Burning/Fire Suppression Alterations)Use this form for certain minor plumbing and oil burner installations/repairs or sprinkler and standpipe work.

LAA1 Form - Rev. 9/16

LAA1 Instructions

OP98 (Combined former OP38 and OP39 forms)Use this form to indicate the date and time of inspection/tests.

OP98 Form - Rev. 1/10

OP98 Instructions

OP128: Ordinary Plumbing Work Report Use this form to submit up to 20 jobs, on-going or completed the previous calendar month, in accordance with §28-105.4.4

OP128 Fact Sheet

OP128 Form & Instructions - Rev. 11/23

OP129: Report on Testing of Secondary Backflow Prevention Device Use this form to report the test that is required on all Internal (secondary) Backflow devices. Secondary devices are RPZs or Backflows used for cooling towers, boilers, medical equipment, etc. These secondary backflow devices are recorded by DOB not DEP. The LMP completes sections one (1) and three (3) and the certified tester completes section two (2). No P.E. or R.A. is necessary on this form. The form dated 4/24 is an updated version of the previous form dated 12/14. The 12/14 version is acceptable but will no longer be available on DOB’s website.

OP129 Form - Rev. 4/24

B Form FP10: Dry Pipe Valve TestsUse this form to indicate the work installed.

B Form FP10 Form - Rev. 6/03

B Form FP84: Standpipe Inspection ReportUse this form to indicate the work installed.

B Form FP84 Form - Rev. 6/03

B Form FP85: Sprinkler Inspection ReportUse this form to indicate the work installed.

B Form FP85 Form - Rev. 6/03

B Form FP86: Standpipe Fire Pump TestUse this form to indicate the work installed.

B Form FP86 Form - Rev. 6/03

Certification of Compliance with Color CodingUse this form to certify that all exposed standpipe and sprinkler components have been painted in accordance with Local Law 58 of 2009.

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Certification of Compliance with Color Coding Form - Rev. 4/10

GPS1: Gas Piping System Periodic Inspection ReportUse this form to indicate the results of periodic inspections of gas piping systems in accordance with Local Law 152 of 2016, AC §28-318, and 1 RCNY §103-10. The inspecting licensed master plumber must submit this Inspection Report form to the building owner (not the Department).

GPS1 Form - Rev. 11/20

GPS2: Gas Piping System Periodic Inspection CertificationUse this form to (1) certify that a building contains no gas piping system; (2) certify completed periodic inspections of gas piping systems; and (3) certify correction of conditions identified in Gas Piping System Periodic Inspection Reports in accordance with Local Law 152 of 2016, §28-318, and 1 RCNY §103-10.

GPS2 Form - Rev. 11/20

GPS2 Certification Submission PortalUse this portal to submit Gas Piping System Periodic Inspection Certifications in accordance with Local Law 152 of 2016.

GPS2 Certification Submission Portal