Wappinger, NY · Dutchess County
Piping Pressure Test Verification Affidavit
This affidavit records a gas piping leakage test and installation certification for a building, completed by the plumbing contractor and signed by the plumber.
What this form is
The Town of Wappinger Building Department form documents a leakage test for gas distribution piping installed inside a building and certifies installation under the listed code. It asks for the business, building location, owner, test pressure and duration, date, plumber’s signature and printed name, and plumbing contractor. The form also includes test requirements and states that oxygen must not be used as the test medium.
Who needs it
A plumbing contractor or plumber completing a gas piping installation test for a building can use this form to record the test and installation certification.
How to submit it
Submit it to the Town of Wappinger Building Department, 20 Middlebush Road, Wappingers Falls, NY 12590-0324; the form also lists a fax number but does not specify a submission method.
About notarization
This document is signed and dated without a notary; it asks for the plumber’s signature and test date, with no notarized attachment or related step listed.
How to submit this form
- 1
Download The Form
Download the Piping Pressure Test Verification Affidavit PDF.
- 2
Complete The Test Details
Enter the business, building location, owner, test pressure and duration, and test date.
- 3
Add Contractor Information
Have the plumber sign and print their name, and enter the plumbing contractor.
- 4
Submit To The Building Department
Submit the completed form to the Town of Wappinger Building Department at the address printed on it.
Frequently asked questions
- What does the Piping Pressure Test Verification Affidavit record?
- It records a leakage test for gas distribution piping installed inside a building, including the test pressure, duration, date, plumber, and plumbing contractor.
- Who completes the affidavit?
- The form requests the plumbing contractor’s information and the plumber’s signature and printed name, along with the business, building location, and owner.
- Do I need a notary for the Piping Pressure Test Verification Affidavit?
- No. This document is signed and dated without a notary; it asks for the plumber’s signature and test date, and lists no notarized attachment or related step.
- How do I submit the affidavit?
- Submit it to the Town of Wappinger Building Department at 20 Middlebush Road, Wappingers Falls, NY 12590-0324. The form lists a fax number but does not specify a submission method.
Need something notarized?
This Piping Pressure Test Verification Affidavit doesn’t need a notary — but if you have another Wappinger form that does, a commissioned online notary can help.