Dutchess County, NY · Dutchess County
Certification of Construction Compliance
Engineers complete this form to certify that a project was installed according to its construction permit, certificate of approval, and approved plans.
At a glance
- Issued by
- City of Dutchess County · Dutchess County, Dutchess County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- dutchessny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form documents an engineer’s certification that a project was installed under their direction and responsibility in accordance with the permit, certificate of approval, and approved plans. The engineer identifies the project, reports exceptions or deviations, and lists supporting documentation. For phased certifications, the form asks which project components are being certified; the county requires maps highlighting those portions.
Who needs it
An engineer responsible for a project’s installation completes and submits this certification to the Dutchess County Health Department.
How to submit it
Complete Sections A through D and submit the form to the Dutchess County Health Department, 85 Civic Center Plaza, Suite 106, Poughkeepsie, NY 12601.
About notarization
This certification is signed and dated without a notary; attach as-built drawings and any required supporting records, such as test results or third-party certifications.
How to submit this form
- 1
Download the Form
Download the Certification of Construction Compliance form.
- 2
Complete Sections A Through D
Provide project information, describe any exceptions or deviations, list supporting documentation, and complete the certification.
- 3
Gather Supporting Documents
Attach as-built drawings and any required test results, third-party certifications, or other supporting documents.
- 4
Submit to the County
Submit the completed form to the Dutchess County Health Department at the address listed on the form.
Frequently asked questions
- What does the Certification of Construction Compliance document?
- It records an engineer’s certification that a project was installed according to its permit, certificate of approval, approved plans, and any amendments.
- Who completes this certification?
- The engineer completes Sections A through D, identifying the project, describing any deviations, listing supporting documents, and signing and dating the certification.
- Do I need a notary for the Certification of Construction Compliance?
- No. The certification is signed and dated without a notary. Attach as-built drawings and any required supporting records, such as test results or third-party certifications.
- How do I submit the Certification of Construction Compliance?
- Complete Sections A through D and submit the form to the Dutchess County Health Department at 85 Civic Center Plaza, Suite 106, Poughkeepsie, NY 12601.