Eaton, OH · Preble County

No notary required

Statement of Special Inspections

This statement identifies required special inspections and qualified inspectors for a construction project and is prepared by the applicant for plan approval.

What this form is

The applicant prepares this statement as a condition for plan approval. It has two parts: a schedule where the applicant marks applicable work items and inspection frequency, and a list of qualified special inspectors. It also requests project details, inspector and company names, and applicant and property owner signatures and dates; resumes or certificates for inspectors must accompany the marked inspection items.

Who needs it

An applicant acting as the owner’s agent prepares this statement for a project requiring special inspections as a condition of plan approval.

How to submit it

Submit the completed two-part statement as a condition for plan approval. The document says the final special inspection report goes to the building official before issuance of the certificate of occupancy.

About notarization

This statement is signed and dated without a notary; it includes applicant and property owner signature fields, with no sworn or notarized attachment identified.

How to submit this form

  1. 1

    Download The Statement

    Download the Statement of Special Inspections PDF.

  2. 2

    Complete The Project Details

    Enter the project name and location, then mark applicable work items and required inspection frequency in Part I.

  3. 3

    List Qualified Inspectors

    Complete Part II with inspection company and inspector names for the applicable work.

  4. 4

    Gather Inspector Credentials

    Include proper resumes or certificates for the special inspectors for marked Part I items.

  5. 5

    Sign And Submit

    Have the applicant and property owner complete their signature and date fields, then submit the statement as a condition for plan approval.

Frequently asked questions

What is the Statement of Special Inspections?
It is a two-part statement listing project work that requires special inspections, inspection frequency, and qualified inspectors.
Who prepares this statement?
The applicant acting as the owner’s agent prepares it as a condition for plan approval.
Do I need a notary for the Statement of Special Inspections?
No. The statement has applicant and property owner signature and date fields, but no notary block or notarized attachment is identified.
How do I submit the Statement of Special Inspections?
Submit the completed two-part statement as a condition for plan approval. The document does not provide a submission address or method.

Need something notarized?

This Statement of Special Inspections doesn’t need a notary — but if you have another Eaton form that does, a commissioned online notary can help.