Bayville, NY · Nassau County
Installer's Self-Certification of On-Site Sewage Disposal Systems
This affidavit lets an installer certify work on an on-site sewage disposal system and is submitted to the Village of Bayville Building Department in connection with a building permit application.
- 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 installer identifies the company, property, owner and work, then certifies that the work meets the listed state and Village of Bayville requirements and that necessary tests passed. The form states that a building permit application was filed with the Building Department. It also says the Village may audit completed work to check code compliance and fair pricing.
Who needs it
An installer completing or inspecting on-site sewage disposal system work for a property owner uses this form to certify the work and its tests.
Why it needs a notary
The form has a “SWORN TO BEFORE ME” jurat; the installer signs and dates the certification before the notary, who completes the notarial block.
How to get this notarized
- 1
Download the Form
Get the Installer's Self-Certification of On-Site Sewage Disposal Systems form from the Village of Bayville.
- 2
Fill In the Details
Provide the requested company, installer, work, property and property owner information.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
Sign on Video
Sign and date the certification during the video session so the notary can complete the jurat.
- 5
Submit to the Village
Submit the completed affidavit to the appropriate Village of Bayville department.
Preview the form
The blank PDF straight from Bayville. Look it over, then upload your filled copy to start the notary session.
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 this installer certification?
- Enter the company, installer, work, property and owner details. Sign and date the certification in front of a notary, then submit the completed form to the appropriate Village department.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a “SWORN TO BEFORE ME” block, so the installer should sign and date it in front of a notary.
- Can I use an online notary for this affidavit?
- New York authorizes remote online notarization by its own notaries. You can sign during a video session with a commissioned online notary; confirm with the city, town or village if unsure.
- What does the installer certify?
- The installer certifies that the described work was completed in accordance with the listed codes and local requirements, and that necessary tests passed.