Elmsford, NY · Westchester County
Statement of Special Inspections
This form documents a project’s special inspection program and is prepared by the registered design professional responsible for the building systems.
What this form is
The Statement of Special Inspections is submitted as a condition of permit issuance when a project requires special inspections and structural testing. The registered design professional identifies the project, covered building systems, inspection agencies, inspection scopes, and reporting frequency; the owner or agent also signs. The form says interim reports must be submitted to the Village at least monthly.
Who needs it
Owners or their agents and the registered design professional responsible for the project’s building systems complete and submit this statement for applicable construction.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the design professional and owner or agent sign and date it, and the design professional adds a professional seal.
How to submit this form
- 1
Download The Form
Download the Statement of Special Inspections PDF.
- 2
Complete The Applicable Sections
Have the responsible design professional identify the project, covered systems, inspection agencies, inspection scopes, and reporting frequency.
- 3
Gather Required Information
List the inspection program members and their contact details; include the required qualifications page and applicable completed inspection program pages.
- 4
Sign And Submit
The design professional and owner or agent sign and date the form. Submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Statement of Special Inspections?
- No. The design professional and owner or agent sign and date the form, and the design professional adds a professional seal; no notary is indicated.
- How do I submit the Statement of Special Inspections?
- Submit it to the city department named on the form; check the city website for current contact details.
- Who prepares the Statement of Special Inspections?
- The registered design professional responsible for the building systems prepares the applicable sections. The structural engineer prepares structural sections, while the architect and MEP engineer prepare sections for their systems.
- When is the form required?
- The form is submitted as a condition for permit issuance in accordance with the special inspection and structural testing requirements stated in the document.
Need something notarized?
This Statement of Special Inspections doesn’t need a notary — but if you have another Elmsford form that does, a commissioned online notary can help.