Berlin, NY · Rensselaer County
Building Permit Application and Workers’ Compensation Affidavit
This application requests a building permit from the Town of Berlin and includes an affidavit for applicants who certify that workers’ compensation and disability benefits coverage are not required.
- 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 application to request a permit for construction, additions, alterations, repairs, relocation, demolition, or other listed work in Berlin. It asks for project, property, owner, contractor, and design details, and requires a sketch or plot plan. Applicants claiming that workers’ compensation and disability benefits coverage are not required can complete the included affidavit and business statement; the applicant’s affidavit must be sworn before a notary.
Who needs it
Property owners or their agents applying to the Town of Berlin for a building permit should complete the application, including the coverage affidavit if applicable.
How to get this notarized
- 1
Download the Application
Get the Town of Berlin building permit application and review its instructions and included coverage forms.
- 2
Fill Out the Form
Enter the project, property, owner, and contractor details, and attach the requested sketch or plot plan.
- 3
Book an Online Notary
If completing the coverage affidavit, book a commissioned online notary and leave the signature line unsigned.
- 4
Sign on Video
Show identification and swear or affirm the affidavit before signing during the online notary session.
- 5
Submit to the Town
Submit the completed application, notarized affidavit if applicable, and required attachments to the Town of Berlin.
Preview the form
The blank PDF straight from Berlin. 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
- Which part of the application needs notarization?
- The included workers’ compensation and disability benefits affidavit has a jurat. The applicant swears or affirms the statements in that affidavit before a notary.
- How do I get the affidavit notarized online?
- Complete the affidavit but wait to sign. Book with a commissioned online notary, show identification, and sign during the video session when instructed. Submit the notarized form with your permit application.
- Do I need to complete the coverage affidavit?
- The affidavit is for applicants who certify that workers’ compensation and disability benefits coverage are not required. The form also says that valid insurance certificates must be attached or on file when coverage is required.
- Can this application be notarized remotely?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c. Real Property Law §299 recognizes notarial acts performed outside New York by an officer authorized where the act is performed. Confirm with the city, town or village if unsure.