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Fillable Nyc Buildings Bo 9 Form in PDF

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In the bustling landscape of New York City, ensuring the safety and compliance of boiler systems is a critical aspect of building management. The NYC Buildings BO-9 form serves as a vital tool for property owners and managers, facilitating the inspection and renewal process for existing boilers. This form is not just a piece of paper; it is a comprehensive document that streamlines communication between building owners and two key agencies: the Department of Buildings (DOB) and the Department of Environmental Protection (DEP). By completing the BO-9 form, individuals can fulfill their obligations for both agencies simultaneously, provided they navigate the specific sections required for each. The form includes essential details such as the premises address, building occupancy type, and owner information, alongside sections dedicated to inspection reports and insurance details. It is crucial to remember that the BO-9 is intended solely for the renewal of existing boilers, while new installations require separate filings. Timely submission of this form is paramount; failure to comply could result in civil penalties. Moreover, accuracy is essential, as any falsification can lead to serious legal repercussions. Understanding the nuances of the BO-9 form can make the difference between smooth operations and costly setbacks in boiler management.

Preview - Nyc Buildings Bo 9 Form

BO9: DOB Boiler Inspection Report

Note: This inspection report must be filed within forty-five (45) days following the inspection date. Only one form per boiler. Filing Fee Payment Required: Refer to Agency Fee Rule

1

Property Information (Address where the Boiler is Physically Located)

 

Borough:

Block:

Lot:

BIN:

Special Place Name:

 

 

 

 

 

 

House No.:

Street Name:

 

Zip:

 

 

 

 

 

 

 

Multiple Dwelling

Commercial

Mixed Use

Other:

Total Number of Residential Units:

 

 

 

 

 

If Fee Exempt, check type of acceptable proof:

Real Estate $0.00 tax bill

Verification Letter from Department of Finance

 

 

 

 

2

Owner/Representative Information (for returned purposes)

 

 

 

 

 

 

 

 

 

Owner/Contact Name:

 

 

Day Phone:

Email:

 

 

 

 

 

 

 

Address:

City:

 

State:

Zip:

3

Authorized Inspector Information

License Professional First / Last Name

 

License Number:

 

 

 

 

 

 

License Type:

Oil Burner Installer

Master Plumber

High Pressure Boiler Operator

Insurance Company

 

 

 

 

 

 

Company Name:

 

Business Telephone:

Email:

 

 

 

 

 

 

 

 

Company Address:

 

City:

State:

Zip:

 

4

Boiler Device Information

Inspection Completed On:

Boilers must be inspected in accordance with requirements of NY State Labor Law Sections 204, NY State Department of Labor Rules and Regulations 12 NYCRR 4, New York City Code, Article 303 of Title 28 of the Administrative Code, and RCNY §§ 101-07 and 103

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection

 

DOB Boiler Number

 

 

 

 

 

 

 

 

Pressure

 

 

 

 

 

 

 

 

 

I = Internal

##### - ##

 

Boiler Make & Model

Hi/Lo

PSI

 

 

BTUs

Location/Floor

 

E=External

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Boiler Inspection Defect Summary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection Results:

No Hazardous Defects, if there are Recommendations for Non-hazardous conditions to be corrected, indicate below

 

 

(or)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(check one only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes - Hazardous Defects Found (BO13 must be filed within 180 days of insp. date), must indicate defects below

 

 

 

Defect (s) Summary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BOILER PART

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIOLATING CONDITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REMEDY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comments/Notes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

Authorized Inspector’s Statements and Signature

SEAL

(to be sealed by Oil Burner Installer or Master Plumber only)

Licensee Name:

License No.:

The Department of Buildings’ Boiler Division must receive this form within 45 days of the in- spection date. If the report is not filed prior to deadline, the owner shall be liable for a civil penalty, pursuant to Section 103-01(c) of Subchapter C of Chapter 100 of Title 1 of the Official Compilation of the Rules of the City of New York.

I hereby state that the information above is correct and complete to the best of my knowledge. Falsification of any statement is a misdemeanor under §§28-211.1, 28-201.2.1.2, and 28-

203.1.1of the Administrative Code and is punishable by a fine, imprisonment, or both. It is a crime to offer or give to a city employee, or for a city employee to accept, any benefit, mone- tary or otherwise, either as a gratuity for properly performing the job or in exchange for special consideration. A conviction of offering of a bribe or gratuity is punishable by imprisonment, fine or both.

Licensee Signature:

Date:

INTERNAL USE ONLY—DO NOT WRITE

DOB Audit—Inspector’s Initials:

Badge Number:

Violation Issued

No Violation Found

 

 

Inspection Date:

Comments:

BO9 (5/14)

Get Nyc Buildings Bo 9 PDF Form

Form Characteristics

Fact Name Details
Form Purpose This form is used for the DOB Boiler Inspection Report and the DEP Boiler Renewal Request.
Filing Requirements To file a DOB Boiler Inspection Report, complete sections 1-6 and 8. For a DEP Boiler Renewal Request, complete sections 1-3 and 7-8.
Online Availability The fill-in form can be accessed online at NYC DOB Forms.
Inspection Regulations Inspections must comply with NY State Labor Law Section 204, along with NYC Building Code Title 27, Chapter 1.
Fee Structure The fee for inspections is $30 per boiler, as indicated in Section 4 of the form.
Submission Deadline The form must be submitted to the Department of Buildings within 30 days of the inspection date.
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