Tivoli, NY · Dutchess County

Application for Temporary Certificate of Occupancy

This application requests a temporary certificate of occupancy for a building or part of a building in Tivoli, and is filed by the applicant or the applicant’s agent.

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

The form asks the Village of Tivoli Building and Zoning Department to issue a temporary certificate of occupancy before all work covered by a building permit is complete. The applicant swears that the completed portion can be occupied safely, that construction follows approved plans subject to authorized variations, and that required supporting documents have been filed. The application also asks for a list of unfinished items and whether the applicant wants the form mailed or held for pickup.

Who needs it

An applicant or agent seeking permission to occupy a safely completed portion of a building before all work under its building permit is finished needs this application.

Why it needs a notary

The applicant or agent signs the sworn statement before a notary, who completes the form’s “Sworn to me before this” jurat and notary signature block.

How to get this notarized

  1. 1

    Download the Application

    Get the Village of Tivoli Application for Temporary Certificate of Occupancy.

  2. 2

    Fill In the Application

    Enter applicant, building permit, premises, contact, and unfinished-item information.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary for the sworn statement.

  4. 4

    Sign on Video

    Sign the applicant or agent statement during the notary’s video session.

  5. 5

    Submit to the Village

    Send the notarized application and required supporting documents to the Village of Tivoli Building and Zoning Department.

Preview the form

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

Open in new tab
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 this application notarized online?
Complete the application, then book a session with a commissioned online notary. Sign the sworn statement during the video session and submit the notarized form to the Village of Tivoli.
Do I need to include a list of unfinished items?
Yes. The form says the application is to include a list of items not completed. It also refers to filing an electrical inspection approval and, if site work was done, an As Built Site Survey.
Can this application be notarized remotely?
New York authorizes its own notaries to perform remote online notarizations under Executive Law §135-c, in effect since 2023. A commissioned online notary can notarize the sworn statement by video.
Where do I submit the completed application?
The form is for the Village of Tivoli Building and Zoning Department. Contact the department about submission and whether to mail or pick up the application; confirm with the city, town or village if unsure.

Ready to notarize your Application for Temporary Certificate of Occupancy?

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