The DLT L 59 form is an application required by the Rhode Island Department of Labor and Training for obtaining a permit to install a boiler. This form must be completed by the installer before the installation begins and submitted along with the necessary installation fee and boiler drawings. To ensure compliance with state regulations, it is crucial to fill out this form accurately and completely.
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The DLT L 59 form is a crucial document for anyone involved in the installation of boilers in Rhode Island. This application, issued by the Department of Labor and Training’s Division of Occupational Safety, must be completed by the installer before any boiler installation takes place. It serves multiple purposes, including providing essential information about the boiler, the installer, and the intended installation site. The form requires details such as the manufacturer, model, and specifications of the boiler, as well as the installation date and location. Additionally, it asks for confirmation that the boiler room meets all necessary code requirements, including proper ventilation and clearance around the boiler. Accompanying the application, the installer must submit boiler drawings and pay the required installation fee, which varies depending on whether the unit is classified as high or low pressure. By signing the form, the installer certifies compliance with state laws governing boiler installations, acknowledging the potential penalties for non-compliance. This form is not just a bureaucratic step; it plays a vital role in ensuring safety and regulatory adherence in boiler installations throughout the state.
Filling out the DLT L 59 form is a crucial step in obtaining the necessary permit for boiler installation. Once completed, the form must be submitted along with the required installation fee and any accompanying drawings to the Rhode Island Department of Labor and Training. Below are the steps to guide you through the process of filling out the form accurately.
After completing the form, ensure that all required documents and the payment are included before sending it to the appropriate address. This will help facilitate the approval process for your boiler installation permit.
The DLT L 59 form is essential for obtaining a permit to install a boiler in Rhode Island. Along with this form, several other documents are commonly required to ensure compliance with safety regulations and installation standards. Below is a list of these documents, each serving a specific purpose in the installation process.
Gathering these documents along with the DLT L 59 form is crucial for a smooth installation process. Ensuring all paperwork is complete can help avoid delays and potential compliance issues with local regulations.
What is the DLT L 59 form used for?
The DLT L 59 form is an application for a permit to install a boiler in the state of Rhode Island. It must be completed by the installer prior to the installation and submitted to the Department of Labor and Training, along with the required installation fee and boiler drawings.
Who needs to fill out the DLT L 59 form?
The form must be filled out by the installer of the boiler. This includes providing details about the owner/user, the installation location, and specifications of the boiler being installed.
What information is required on the DLT L 59 form?
The form requires several pieces of information, including the owner/user’s name and contact details, the installer’s information, the approximate installation date, and the boiler’s specifications, such as the manufacturer, serial number, and safety appurtenances included.
Are there fees associated with submitting the DLT L 59 form?
Yes, there are fees associated with the permit application. The fee is $300 for each high-pressure boiler unit and $120 for each low-pressure unit. This fee must accompany the completed form when submitted.
What are the safety requirements for the boiler room?
The boiler room must meet specific code requirements, including proper ventilation and maintaining a three-foot clearance on all sides and above the boiler. If the boiler room does not meet these requirements, an explanation should be provided in the comments section of the form.
What happens if the installation does not comply with state laws?
Failure to adhere to state laws regarding boiler installations can result in serious consequences. These may include fines of up to $500 and imprisonment for up to three months, as outlined in Rhode Island General Laws.
How can I ensure my application is approved?
To increase the chances of approval, ensure that all sections of the DLT L 59 form are completed accurately. Include all necessary documentation, such as boiler drawings, and confirm that the boiler room meets all code requirements before submission.
Where do I send the completed DLT L 59 form?
The completed form should be sent to the Department of Labor and Training, Division of Occupational Safety, at 1511 Pontiac Avenue, P.O. Box 20157, Cranston, RI 02920-0942. Make sure to include the installation fee and any required drawings.
When filling out the DLT L 59 form, it’s important to follow specific guidelines to ensure accuracy and compliance. Here are eight things you should and shouldn't do:
Here are key takeaways regarding the DLT L 59 form:
DLT-L-59 (Rev. 10/2002)
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Department of Labor and Training - Division of Occupational Safety
1511 Pontiac Avenue, P. O. Box 20157 Cranston, RI 02920-0942
(401) 462-8570 | www.dlt.ri.gov/occusafe/boiler.htm
BOILER UNIT
Benjamin P.Anthony Chief Inspector
Application for Permit to Install BoilerS
PERMIT #
TO BE COMPLETED BY INSTALLER PRIOR TO BOILER INSTALLATION, THEN FORWARDED TO ABOVE ADDRESS ACCOMPANIED BY INSTALLATION FEE.* BOILER DRAWINGS MUST ACOMPANY THIS APPLICATION.
1. Owner/User:
Installer:
Address:
Tel. No.:
Approx. Installation Date:
Location:
2. BOILER Manufactured By:
Steam:
Circulating H.W.:
New:
Used:
Yr. Manuf.
NB#
Manuf. Ser. No.
C. I.:
Steel:
Watertube:
Firetube:
H.W. Tank:
MAWP:
PSI
Min. Safety Valve Rel. Cap.
Heat Input:
BTU/Hour:
Steam Generating Capacity:
LB/Hour
Water Heating Capacity:
BTU/LB/Hour:
3. SAFETY APPURTENANCES INCLUDED:
Firomatic Switch:
L.W. C. O.
Safety Valve(s):
Remote Switch:
4. BOILER ROOM:
Existing:
5. Does Boiler Room meet all code requirements?
Yes
No
Ex. (a) Proper ventilation:
(b)Three (3) foot clearances on all sides and top of boiler(s) and aceiling or piping for boilers with manholes.
(If no, use comment space at bottom to explain.)
* Each High Pressure Unit $300.00
Pipefitter Master I License Number:
Each Low Pressure Unit $120.00
CERTIFICATION
I,
certify that the boiler mentioned above will be installed in compliance with all state
law pertaining to boiler installations. I also recognize that failure to adhere to said state laws may result in a fine of up to $500.00 and imprisionment of up to 3 months or both, as set forth in 28-25-10 of the Rhode Island General Laws.
STATE OF RHODE ISLAND
DEPT. OF LABOR & TRAINING
Date:
Amount:
Receipt #:
Check #:
PERMIT APPROVED BY:
INSTALLATION APPROVED BY:
DATE:
IF INSURED, BY WHOM:
COMMENTS:
Cm010 - The Rhode Island Bar number of your attorney must be listed if applicable.
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Here are four common misconceptions about the DLT L 59 form: