Upper Brookville, NY · Nassau County
Application for Plumbing Fixtures
This application identifies a property, owner or lessee, plumber, proposed building work, and plumbing fixture count for submission to the Upper Brookville Building Department.
- 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 form collects property location and building details, owner or lessee information, plumber details, and a count of plumbing fixtures. It also asks for a schematic showing piping type, size, runs, and venting. The Upper Brookville Building Department uses the application for plumbing fixture work; the form does not specify which projects require filing, so check with the department if you are unsure.
Who needs it
An owner or lessee and plumber preparing an application for plumbing fixture work at a property in Upper Brookville may need this form for the Building Department.
Why it needs a notary
The form includes a “Sworn to before me” line and an acknowledgment block; the master plumber signs before the notary, with the plumber’s license information requested.
How to get this notarized
- 1
Download the Application
Get the plumbing fixture application from the Upper Brookville Building Department.
- 2
Fill In the Form
Add the property, owner or lessee, and plumber details, fixture count, and a schematic showing piping type, size, runs, and venting.
- 3
Book an Online Notary
Arrange an online notarization for the master plumber’s signature.
- 4
Sign on Video
The master plumber signs before the commissioned online notary during the video session.
- 5
Submit to the Building Department
Send the completed application to the Upper Brookville Building Department.
Preview the form
The blank PDF straight from Upper Brookville. 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 plumbing fixture application?
- Enter the property, owner or lessee, and plumber details; provide the fixture count and requested schematic; then have the master plumber sign before a notary and submit the application to the Building Department.
- Do I need a notary for this form?
- The form includes “Sworn to before me” and acknowledgment language, along with a master plumber signature line and space for a notary public.
- Can I sign this form with a commissioned online notary?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, effective in 2023. Check with the Building Department if you are unsure whether it will accept a remotely notarized form.
- What should the plumbing schematic show?
- The form says the schematic must indicate the type of piping, size, runs, and venting. Confirm with the city, town or village if unsure.
Other forms in Upper Brookville
Application for Plumbing Fixtures in other Nassau County cities
Each city publishes its own version of this form. Pick the city where you’re filing.