Kensington, NY · Nassau County

Building or Plumbing Permit Extension Application

This application requests an extension of a building or plumbing permit and is filed with the Village of Kensington by the property owner or the party requesting the extension.

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

Use this form to request more time to complete work under an original building or plumbing permit. The applicant provides property, permit, work-completion, and estimated-completion details and explains why the work was not finished within the prior 12 months. The owner’s sworn statement names the property and may designate a representative. Submit two copies with original signatures where required and the applicable non-refundable fee; the extension is not valid until approved and stamped by the Building Inspector.

Who needs it

A property owner or party requesting an extension for work under a Kensington building or plumbing permit should complete and submit this application.

Why it needs a notary

The property owner signs the sworn statement before a notary, completing the form’s “Sworn to me” jurat and the notary’s signature line.

How to get this notarized

  1. 1

    Download The Application

    Get the Village of Kensington Building or Plumbing Permit Extension Application.

  2. 2

    Fill In The Form

    Provide the property and permit details, work progress, estimated completion date, and reason the work was not completed within the prior 12 months.

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary to notarize the property owner’s sworn statement.

  4. 4

    Sign On Video

    Sign the owner’s sworn statement during the online notary session and complete the jurat.

  5. 5

    Submit To The Village

    Submit two copies with original signatures where required and the applicable fee to the Village of Kensington.

Preview the form

The blank PDF straight from Kensington. 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 request a Kensington permit extension?
Complete the application with the property, original permit, work progress, and estimated completion details. Include the owner’s sworn statement, submit two copies with original signatures where required, and pay the applicable fee.
Do I need to sign this application before a notary?
Yes. The form includes an owner’s sworn statement with a “Sworn to me” jurat and a Notary Public signature line. The property owner should sign the statement before a notary.
Can I use an online notary for this form?
New York authorizes remote online notarization by a commissioned online notary under Executive Law §135-c. You can sign the sworn statement during a video session with a commissioned online notary.
What do I submit with the permit extension application?
The form calls for two copies, original signatures where required, and a non-refundable fee of $350 for building or $200 for plumbing. Make the check payable to the Village of Kensington; confirm with the city, town or village if unsure.

Ready to notarize your Building or Plumbing Permit Extension Application?

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