Village of Bergen, NY · Genesee County
Building Permit Application
This application requests a Village of Bergen building permit for proposed construction, alterations, additions, or other listed projects, and is filed by the property owner or applicant.
- 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
Use this four-page application to describe the property, proposed work, project dimensions and cost, and contractor or design professional information. The Village asks applicants to complete all required information; incomplete applications cannot be processed. An owner of an eligible, owner-occupied residence may complete the included workers’ compensation exemption affidavit if its statements apply, and that affidavit includes a notary section.
Who needs it
Property owners or applicants proposing construction, an alteration, addition, change of use, or another listed project in the Village of Bergen need this application.
Why it needs a notary
The included exemption affidavit has a sworn-to-before-me block; the homeowner who makes the affidavit signs it before a notary public.
How to get this notarized
- 1
Download the Application
Get the Village of Bergen Building Permit Application and review its application pages and exemption affidavit.
- 2
Fill In Required Details
Enter the property, project, owner, contractor, and insurance information requested. Complete the affidavit only if its statements apply.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary for the homeowner’s affidavit signature.
- 4
Sign on Video
Sign the affidavit during the online notary session and follow the notary’s instructions.
- 5
Submit to the Village
Submit the completed application and any applicable notarized affidavit to the Village of Bergen building office.
Preview the form
The blank PDF straight from Village of Bergen. 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 notarize the exemption affidavit?
- Complete the affidavit if its statements apply, then sign it during a video session with a commissioned online notary. Submit the notarized affidavit with your application as directed by the Village.
- Do I need to notarize the entire building permit application?
- The notary block appears on the included workers’ compensation exemption affidavit. The homeowner making that affidavit signs before a notary; the form does not identify other application sections as requiring notarization.
- Can I complete this form with a commissioned online notary?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, and New York recognizes qualifying acts performed outside the state under Real Property Law §299. Confirm with the city, town or village if unsure.
- What information should I gather before applying?
- The form requests property and owner details, a project description, dimensions and cost, contractor information, and insurance certificate status. Complete all required information because incomplete applications cannot be processed.
Building Permit Application in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.