Get Op98 2010-2024

B Scan Sticker here OP-98 Notice/Results Self-Certification of Plumbing Sprinkler Standpipe Inspection s Test s A copy of this completed notice must be retained for re-submission with results. 1 Permit No* Document No* Block Borough 2 Permit Applicant Lot Permit Type check one only House No E-Mail First Name City Last Name Address 3 Inspection Data Inspection/test scheduled for // mmddyy Apts and Floors Business Phone Business Name M. I. State ZIP License No* Time 8 00am 1 00pm 4 Notice/Result Select one PL SP SD only Plumbing PL Systems Underground Roughing Finish Notice Results Notice Results Notice Results Pass Fail LAA SD SP Sprinkler SP Fax No* LMP LFSC 12 30pm 3 00 Meeting Location PL Street Name Standpipe SD Fire Standpipe - SD Water/Sanitary - PL Storm - PL Gas - PL Alarm Sys 64/09 Medical Gas - PL Tests Hydrostatic - PL Dry Pipe Valve Fire Pump Pressure - Water Booster Pump Water Storm Gas Tested at psi 50 psi 100 psi 3 psi Gas 90 psi Hydrostatic 63/09 75 Ft 100 Ft Additional Information/Comments Submitted with minor variations described here Legalization Remove/Cap Gas to Gas Appliance Direct Replacement Detention 5 Gas Meters/Risers Data No* of Meters Gas usage Check all applicable to this inspection* Include gas usages for each listed meter s /riser s No* of Risers Location s Floor/Apt. Boiler Pilot for oil burner Heat Water Heater Tankless Coil Cooking 6 Certifying Applicant HVAC 7 Applicant Statements and Signatures Gas requested for listed meters and risers Welded Gas Piping Dryer Fire Place Drywell/Retention Other describe All Comments resolved review for sign-off P. E* R*A. All required back-up documents attached I certify the statements herein are correct and comply with the NYC Building code. I meet the requirements of the NYC Building code as they relate to the experience requirements set forth for gas tests. I realize falsification of any statement is a misdemeanor under 28-211. 1 of the Administrative code punishable by a fine or imprisonment or both and may result in removal from participation in the self-certification program and/or disciplinary action by the Licensed Master Plumber or Licensed Fire Suppression Piping Contractor License Board. Print Name of Certifying Applicant Signature Date SEAL licensee from same firm LMP/LFSC ONLY FOR DOB USE ONLY Reviewed by Date Entered by R*S*O. 1 Permit No* Document No* Block Borough 2 Permit Applicant Lot Permit Type check one only House No E-Mail First Name City Last Name Address 3 Inspection Data Inspection/test scheduled for // mmddyy Apts and Floors Business Phone Business Name M. I. State ZIP License No* Time 8 00am 1 00pm 4 Notice/Result Select one PL SP SD only Plumbing PL Systems Underground Roughing Finish Notice Results Notice Results Notice Results Pass Fail LAA SD SP Sprinkler SP Fax No* LMP LFSC 12 30pm 3 00 Meeting Location PL Street Name Standpipe SD Fire Standpipe - SD Water/Sanitary - PL Storm - PL Gas - PL Alarm Sys 64/09 Medical Gas - PL Tests Hydrostatic - PL Dry Pipe Valve Fire Pump Pressure - Water Booster Pump Water Storm Gas Tested at psi 50 psi 100 psi 3 psi Gas 90 psi Hydrostatic 63/09 75 Ft 100 Ft Additional Information/Comments Submitted with minor variations described here Legalization Remove/Cap Gas to Gas Appliance Direct Replacement Detention 5 Gas Meters/Risers Data No* of Meters Gas usage Check all applicable to this inspection* Include gas usages for each listed meter s /riser s No* of Risers Location s Floor/Apt. .