White Plains, NY · Westchester County
Owner's Certification of Inspection and Chimney Cleaning
This notarized owner certification documents chimney cleaning and inspection before initial startup, for property owners submitting a building permit application to the White Plains Department of Building.
- 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 owner certifies that the chimney flue was cleaned and inspected from the roof outlet to the base, including clean-outs and the vent connection. The form also says a separate mechanical permit must be filed for a chimney liner if the chimney is condemned during cleaning. White Plains requires the applicant to have this application notarized before submitting it to the Department of Building.
Who needs it
The property owner applying for a boiler or HVAC permit in White Plains needs this certification to document chimney cleaning and inspection before initial startup.
Why it needs a notary
The form has a sworn statement and a “Sworn to before me” jurat; the owner applicant signs and swears to the certification before the notary.
How to get this notarized
- 1
Download the Form
Get the Owner's Certification of Inspection and Chimney Cleaning form from the White Plains Department of Building.
- 2
Fill In the Details
Enter the permit, site, work, and owner information, and ensure the chimney cleaning and inspection details are accurate.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary before signing the sworn certification.
- 4
Sign on Video
Sign and swear to the certification during the notary's video session, following their instructions.
- 5
Submit to the City
Submit the notarized application to the White Plains Department of Building.
Preview the form
The blank PDF straight from White Plains. 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 get the owner certification notarized?
- Complete the owner and property details, then book a remote session with a commissioned online notary. Sign and swear to the certification during the video session.
- Do I need to clean and inspect the chimney before signing?
- The form certifies that the chimney flue has been cleaned and inspected from the roof outlet to the base, including clean-outs and the vent connection, before initial startup.
- Can I notarize this form online?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, in effect since 2023. Use a commissioned online notary and follow the session instructions.
- What if the chimney is condemned during cleaning?
- The form says a separate mechanical permit must be filed for a chimney liner if the chimney is condemned at the time of cleaning. Confirm with the city, town or village if unsure.
Other forms in White Plains
Affidavit of Cost
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Architect/Engineer's Affidavit for Final Inspection
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Builder's Affidavit for Final Inspection
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Building Long Form Application (Volume Added)
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Designer’s Affidavit for Approval of Plans and Specifications
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Look-Alike Affidavit for One- and Two-Family Dwellings
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