Munsey Park, NY · Nassau County

Chimney Affidavit

This affidavit lets a licensed plumber, chimney company, or general contractor certify a chimney liner installation for a Village of Munsey Park permit application.

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 affidavit identifies the permit and property address, the contractor’s New York license, the inspection date, and how the chimney liner installation was verified. The signer certifies that the inspected work complies with the referenced state and village codes and other applicable rules. The form asks the contractor to provide the affidavit for the Village of Munsey Park, which relies on the statement to determine code compliance.

Who needs it

A licensed plumber, chimney company, or general contractor completing a chimney liner installation under a Village of Munsey Park permit application needs to provide this affidavit.

Why it needs a notary

The form has a jurat: the licensed contractor signing the affidavit must swear to the statement before a notary public.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the Chimney Affidavit from the Village of Munsey Park.

  2. 2

    Complete The Form

    Enter the permit and property details, license information, inspection date, and description of how the installation was verified.

  3. 3

    Book An Online Notary

    Schedule a video session with a commissioned online notary.

  4. 4

    Swear And Sign On Video

    Take the oath and sign the affidavit during the online notary session.

  5. 5

    Submit The Affidavit

    Send the notarized affidavit to the Village of Munsey Park with your permit materials.

Preview the form

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

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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 notarize the chimney affidavit online?
Complete the affidavit, then meet with a commissioned online notary by video. Sign and swear to the statement during the session, and submit the notarized form with your permit materials.
Do I need to sign the affidavit in front of a notary?
Yes. The form includes a jurat stating that the affidavit was sworn to before a notary public. The contractor signing the certification must take the oath before the notary.
Can I use remote online notarization for this form?
New York allows its notaries to perform remote online notarizations. You can meet with a commissioned online notary by video; confirm with the city, town or village if unsure.
Who should complete the chimney affidavit?
The form is for a licensed plumber, chimney company, or general contractor who personally inspected the chimney liner installation and can certify the work described.

Ready to notarize your Chimney Affidavit?

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