Old Westbury, NY · Nassau County
Owner As Contractor Affidavit
This affidavit lets a property owner state that they will perform proposed building work themselves when applying to the Old Westbury Building Department for a 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
Use this form when applying to the Old Westbury Building Department for a permit to construct work on property you own and plan to complete yourself. The affidavit states that the work will be done solely by you, making you exempt from the workers’ compensation insurance requirement described on the form. It also says you will obtain the necessary insurance and comply with applicable laws if you later employ workers or subcontractors.
Who needs it
A property owner applying to the Old Westbury Building Department for a construction permit and stating that they will perform the work themselves needs this affidavit.
How to get this notarized
- 1
Download the Form
Get the Owner As Contractor Affidavit from the Old Westbury website.
- 2
Fill In the Details
Complete the residence, project, ownership and property-location fields.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary.
- 4
Sign on Video
Sign and swear to the affidavit during the online notary session.
- 5
Submit to the Building Department
Send the notarized form to the Old Westbury Building Department with your permit application.
Preview the form
The blank PDF straight from Old Westbury. 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 complete the owner-as-contractor affidavit?
- Enter your residence, project, property owner and location details, then sign the affidavit before a notary. Submit the completed form to the Old Westbury Building Department with your permit application.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a sworn-to jurat and a notary public section, so the owner making the affidavit must sign before a notary.
- Can I use a commissioned online notary?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, effective since 2023. A commissioned online notary can notarize the affidavit in a remote session; confirm with the city, town or village if unsure.
- What if I hire workers or a subcontractor after filing?
- The affidavit says that if you later employ workers or subcontractors, you will obtain the necessary workers’ compensation insurance and comply with applicable New York laws.