Winchester, CT · Litchfield County

Building Permit Affidavit

This affidavit lets a Winchester building permit applicant who is a property owner or sole proprietor swear that they will require workers’ compensation proof from workers on the property.

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

Winchester’s Building Permit Affidavit is for a property owner or sole proprietor applying for a building permit who intends to act as a general contractor or principal employer. The applicant swears that the information is true and that they will require proof of workers’ compensation insurance from contractors, subcontractors, and other workers before they begin work on the property. The form says the applicant must provide an insurance certificate or sign the affidavit.

Who needs it

A Winchester building permit applicant who is a property owner or sole proprietor and intends to act as a general contractor or principal employer may need this affidavit.

Why it needs a notary

The form carries a jurat stating it was subscribed and sworn to before a notary public or commissioner of the court; the applicant signs before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get Winchester’s Building Permit Affidavit and review the instructions and choices.

  2. 2

    Fill In the Applicant Details

    Enter the applicant and property information, select the applicable status and intent, and complete the affidavit without signing it yet.

  3. 3

    Book an Online Notary

    Schedule a video appointment with a commissioned online notary and have the unsigned form and required identification ready.

  4. 4

    Sign on Video

    Follow the notary’s instructions and sign the affidavit during the video session.

  5. 5

    Submit to the City

    Submit the notarized affidavit with your building permit materials as directed by Winchester’s building department.

Preview the form

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

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Info

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 Building Permit Affidavit notarized?
Complete the form, then book a video appointment with a commissioned online notary. Sign the affidavit during the session, after the notary directs you, and submit it with your building permit materials.
Do I need to sign this affidavit?
The form says an applicant must provide a certificate of workers’ compensation insurance or sign the affidavit. It is for a property owner or sole proprietor who intends to act as a general contractor or principal employer.
Can a commissioned online notary notarize this form?
Connecticut authorizes its own notaries to perform remote online notarizations under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b. Conn. Gen. Stat. §1-57 recognizes qualifying notarial acts performed outside Connecticut.
Where do I submit the completed affidavit?
The form is a building permit affidavit for Winchester. Check with the building department about how to submit it with your permit materials; confirm with the town clerk if unsure.

Ready to notarize your Building Permit Affidavit?

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