Old Brookville, NY · Nassau County
Application for Building Permit
This four-page application requests a building permit for proposed construction, additions, alterations, repairs, removal, or demolition, and is filed with the Old Brookville Building Inspector.
- 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
Property owners or their applicants use this form to request a permit for proposed work at a property in Old Brookville. The application asks for property, applicant, owner, construction, cost, contractor, and insurance details, and requires a sworn statement that its information is true. The village instructs applicants to submit the completed form in duplicate with a survey, plot plan, and two sets of plans; work must not begin before a permit is issued.
Who needs it
A property owner or authorized applicant seeking a permit for construction, an addition, alteration, repair, removal, or demolition in Old Brookville needs this application.
Why it needs a notary
The applicant named in the sworn statement signs before a notary, who completes the form’s State of New York and Nassau County jurat and sworn-to date.
How to get this notarized
- 1
Download the Application
Download the Old Brookville building permit application and review its instructions and required attachments.
- 2
Fill Out the Form
Complete the application fields and gather the survey, plot plan, construction plans, and insurance certificate required for your project.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary to notarize the application’s sworn statement.
- 4
Sign on Video
Sign the sworn statement during the live video session and follow the notary’s instructions.
- 5
Submit to the Village
Submit the completed application in duplicate with the required supporting documents to the Old Brookville Building Inspector.
Preview the form
The blank PDF straight from Old Brookville. 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 building permit application notarized?
- Complete the application, then book with a commissioned online notary. Sign the sworn statement during the video session, and submit the completed form and required supporting materials to the Building Inspector.
- Do I need to sign the application in front of a notary?
- Yes. The application includes a sworn statement and a jurat for the applicant’s signature. Sign that statement before the notary completes the jurat.
- Can I use an online notary for this form?
- New York has authorized remote online notarization by its own notaries under Executive Law §135-c since 2023. A commissioned online notary can notarize the sworn statement through a live video session.
- What else must I submit with the application?
- The form instructs applicants to submit the application in duplicate, along with a survey, a plot plan, and two complete sets of construction plans. Confirm with the city, town or village if unsure.
Other forms in Old Brookville
Application for Building Permit in other Nassau County cities
Each city publishes its own version of this form. Pick the city where you’re filing.