NY Templates
Homepage ➨ Fillable Nyc Buildings Op128 Form in PDF
Article Guide

The NYC Buildings OP128 form, also known as the Ordinary Plumbing Work Report, serves a vital role for licensed master plumbers in New York City. This form is specifically designed for reporting plumbing work that falls under the category of ordinary plumbing tasks, as outlined in the city's building code. Notably, this work does not require a formal permit, making it essential for plumbers to document their activities accurately and promptly. Each report must include detailed information about the applicant, including their contact details and license number, along with specifics about the plumbing work performed during the previous month. This includes tasks such as the removal or relocation of plumbing fixtures, repairs to plumbing systems, and installations of certain appliances, all of which must comply with the relevant codes. Plumbers are required to submit their reports by the 15th of each month, ensuring that the Department of Buildings is kept informed of ongoing plumbing activities. Failure to file on time may lead to penalties, underscoring the importance of adhering to the form's requirements. Additionally, the OP128 form emphasizes the need for accurate reporting and compliance with safety regulations, providing a framework that supports the integrity of plumbing practices in the city.

Preview - Nyc Buildings Op128 Form

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

 

 

 

 

 

 

 

r

 

 

 

 

 

 

 

e

 

 

 

 

 

 

b

 

 

 

 

 

m

 

 

 

 

 

 

u

 

 

 

 

 

 

N

 

 

 

 

 

h

 

 

 

 

g

k

 

 

 

 

u

 

 

 

 

o

 

c

t

 

 

r

 

 

 

o

 

 

lo

o

 

B

 

 

 

B

 

L

EX.

5

44444

 

55555

1

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

13

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

m

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

o

 

 

 

 

 

 

 

 

 

 

 

 

 

 

r

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

o

 

 

 

 

 

 

 

 

 

 

 

 

 

 

p

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

N

 

 

 

 

r

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

h

 

 

 

 

 

 

 

 

 

 

 

 

 

p

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

 

 

 

 

 

 

r

 

 

 

 

 

t

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

o

 

 

 

 

 

 

a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

t

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

 

 

 

 

 

 

 

 

 

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

?

 

 

 

 

 

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

?

 

 

 

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

t

 

 

i

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

l

 

 

 

 

 

 

(

 

s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

n

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a

 

 

 

 

 

 

 

?

 

e

 

 

(K

 

n

 

 

 

 

 

 

 

 

 

e

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a

 

i

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

n

 

 

 

 

 

#

 

 

 

 

 

 

 

 

 

i

 

c

 

 

 

 

 

 

 

e

 

r

 

 

 

 

 

io

 

 

 

 

 

l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

t

 

 

 

 

 

 

 

 

 

t

 

u

 

?

 

 

 

 

 

 

 

 

m

 

o

 

*

 

 

 

e

 

 

t

 

 

 

 

 

 

n

 

 

r

 

 

 

 

 

 

 

e

 

t

 

 

 

t

 

r

 

a

 

 

 

 

i

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e

 

 

 

 

 

 

 

l

 

x

 

 

n

 

a

 

 

 

 

 

e

 

 

t

 

k

 

 

#

s

 

 

e

 

r

#

 

e

 

 

 

 

 

 

 

 

p

 

i

 

 

e

 

l

 

 

 

i

 

v

 

 

c

 

 

 

a

 

r

 

 

 

 

u

 

e

 

o

 

t

i

 

 

 

 

m

 

 

 

e

 

 

m

 

 

F

 

 

h

 

 

a

 

p

 

 

 

 

 

 

l

 

 

o

 

o

 

 

 

N

o

 

r

 

 

 

s

 

 

m

 

 

 

t

 

 

 

f

 

c

 

 

t

 

 

 

 

m

 

 

p

 

 

 

 

 

 

 

 

 

t

 

o

p

e

 

 

 

 

 

a

 

o

 

o

 

 

t

 

s

 

 

e

 

 

 

 

 

 

 

l

 

 

W

 

 

 

 

I

H

 

S

 

l

 

 

o

 

 

 

 

 

D

C

 

 

 

i

 

 

R

 

 

e

e

 

 

e

 

 

 

 

 

 

B

 

 

 

 

 

F

 

A

R

C

 

 

 

 

 

 

 

#

 

 

K

 

In

 

 

 

R

 

R

 

 

R

 

 

 

 

 

 

 

 

1234567

12345

 

NORTH WESTMINSTER AVE

20

20B

 

R

 

 

 

12-12-08

Y

 

2

 

 

 

K

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

3A,3B,5A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*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

Get Nyc Buildings Op128 PDF Form

Form Characteristics

Fact Name Description
Form Purpose The OP128 form is used for reporting ordinary plumbing work that does not require a permit, as specified in NYC Administrative Code Section 28-105.4.4.
Filing Deadline Reports must be submitted to the Department of Buildings (DOB) by the 15th of the month following the work being reported.
Filing Fee A fee of $100 is required for each report submitted to the DOB.
Applicant Information All applications must include the applicant's name, business name, contact details, and filing date.
Location Details Applicants must provide detailed location information, including borough, block, lot, and the nature of the plumbing work.
License Requirements The applicant must have an active plumbing license and insurance at the time of filing the report.
Signature Certification Applicants must certify the accuracy of the information provided and acknowledge that falsification is a misdemeanor under NYC law.
Work Limitations The form allows for a maximum of 20 plumbing activities to be reported per submission.
Please rate Fillable Nyc Buildings Op128 Form in PDF Form
4.75
Perfect
24 Votes

More PDF Templates

Nycers F501 - The F501 form allows NYCERS members to designate a beneficiary for a lump-sum death benefit post-retirement.

Nyc Nycers - Outlines how to designate a contingent beneficiary and the consequences thereof.

Where to Get 2023 Tax Forms - The ET-95 form requires detailed reasons for the claim, backed by factual explanations and calculations.