Village of Bergen, NY · Genesee County
Fence Permit Application and Workers’ Compensation Exemption Affidavit
This application requests a Village of Bergen fence permit and includes an owner affidavit about workers’ compensation coverage for certain owner-occupied residences seeking a building permit.
- 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 application asks for project, property-owner and contractor details, a $25 permit fee, and a plot diagram showing the proposed fence and yard dimensions from property lines. It also includes a separate homeowner affidavit for certain one- to four-family, owner-occupied residences seeking a building permit. The Village says incomplete applications cannot be processed and issues a fence permit if the fence complies with its zoning regulations and the fee is paid.
Who needs it
Property owners seeking a Village of Bergen fence permit should complete the application; the included affidavit applies to qualifying homeowners seeking a building permit.
Why it needs a notary
The included homeowner affidavit has a “Sworn to before me” block; the homeowner signs the certification before a notary public or county clerk.
How to get this notarized
- 1
Download the Form
Get the Village of Bergen Fence Permit Application, including its homeowner workers’ compensation exemption affidavit and plot diagram.
- 2
Complete the Application
Enter the requested project, property-owner and contractor information, and prepare a plot diagram showing the proposed fence and yard dimensions.
- 3
Book an Online Notary
If completing the homeowner affidavit, book a remote session with a commissioned online notary.
- 4
- 5
Submit to the Village
Submit the completed application, plot diagram, fee and any applicable notarized affidavit to the Village of Bergen.
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 get the homeowner affidavit notarized online?
- Complete the affidavit and book a session with a commissioned online notary. Sign during the video session, then include the notarized affidavit with the applicable permit paperwork.
- Do I need to notarize the fence permit application?
- The form’s notary block is on the included homeowner workers’ compensation exemption affidavit, not the fence application section. The homeowner signing that affidavit must swear to it before a notary public or county clerk.
- What should I include with a fence permit application?
- The form requests project and contact details, a $25 fee, and a plot diagram showing the fence location and dimensions from property lines. It says incomplete applications cannot be processed.
- Can I use remote online notarization for this affidavit?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, in effect since 2023. Real Property Law §299 recognizes acts performed outside New York by an officer authorized where the act is performed. Confirm with the city, town or village if unsure.
Fence Permit Application and Workers’ Compensation Exemption Affidavit in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.