Manchester, CT · Hartford County

Certified Statement of Actual Project Costs

This sworn statement reports the actual cost of completed work under building permits and is filed by the property owner, agent, or contractor with Manchester’s Building Department.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form records the actual value of completed work authorized under Manchester Building Inspection Division permits, with separate entries for building, electrical, plumbing, mechanical, and fire sprinkler work. The statement says it is made pursuant to Sections 129-4 of the Town of Manchester Code of Ordinance. Use a separate form if more permit lines are needed.

Who needs it

An owner, agent, or contractor attesting to the actual cost of completed work authorized under permits listed on the statement needs to complete and file it.

Why it needs a notary

The form has a subscribed-and-sworn jurat; the owner, agent, or contractor signing the cost statement must swear to it before the notary.

How to get this notarized

  1. 1

    Download the Statement

    Get Manchester’s Certified Statement of Actual Project Costs form.

  2. 2

    Fill In the Project Details

    Provide the permit number, job location, work description, and actual values for completed work.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary.

  4. 4

    Sign and Swear on Video

    Sign the statement and swear to its contents before the notary during the video session.

  5. 5

    Submit It to the Town

    File the completed statement with Manchester’s Building Department.

Preview the form

The blank PDF straight from Manchester. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete and notarize this statement?
Enter the permit, job, and actual work-cost details, then book a commissioned online notary. Sign and swear to the statement during the video session, and submit it to Manchester’s Building Department.
Do I need to sign this statement in front of a notary?
Yes. The form includes a subscribed-and-sworn jurat, so the owner, agent, or contractor signing the statement must swear to it before a notary.
Can I use an online notary for this form?
Connecticut authorizes remote online notarization by its own notaries under Public Act 23-28, effective October 1, 2023. Ask the receiving department whether it accepts this remotely notarized form.
Where do I submit the completed statement?
The form identifies the Town of Manchester Building Department and Building Inspection Division. Confirm filing details with that department; confirm with the town clerk if unsure.

Ready to notarize your Certified Statement of Actual Project Costs?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.