Village of Gouverneur, NY · St. Lawrence County
Building Permit Application and Workers’ Compensation Exemption
This combined building permit application and workers’ compensation exemption form is for applicants and eligible homeowners submitting project details and coverage information to the Village of Gouverneur.
- 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 form collects information about the property, proposed construction, applicant, owner, contractor, and project plans for a building or use permit application. Its attached BP-1 affidavit lets eligible owners of one- to four-family, owner-occupied residences certify an exemption from workers’ compensation coverage requirements. Submit the relevant sections with the permit application when seeking approval for construction, alteration, repair, removal, or demolition in the Village of Gouverneur.
Who needs it
Applicants seeking a building or use permit in Gouverneur may need the application, while eligible owners of one- to four-family, owner-occupied homes may also submit the BP-1 exemption affidavit.
Why it needs a notary
The application includes an applicant jurat, and the BP-1 includes a homeowner jurat; the applicant and homeowner, respectively, sign their statements before the notary.
How to get this notarized
- 1
Download The Form
Get the building permit application and attached BP-1 affidavit from the Village of Gouverneur.
- 2
Fill In Applicable Sections
Provide project and property details, and complete the BP-1 only if you are an eligible homeowner seeking the stated exemption.
- 3
Book An Online Notary
Schedule a session with a commissioned online notary and have identification ready.
- 4
Sign On Video
Sign the applicable applicant or homeowner jurat during the online notarization session.
- 5
Submit To The Village
Send the notarized form and required supporting materials to the Village of Gouverneur with your permit application.
Preview the form
The blank PDF straight from Village of Gouverneur. 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 Gouverneur permit form notarized online?
- Complete the applicable sections, then book a session with a commissioned online notary. Sign the applicant or homeowner jurat during the video session, and submit the notarized form with your permit materials.
- Do I need to notarize both sections?
- The application has an applicant jurat, and the BP-1 has a separate homeowner jurat. Sign the section or sections that apply to you before the notary; confirm with the city, town or village if unsure.
- Can I use an online notary for this New York form?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, effective since 2023. Ask the Village of Gouverneur whether it accepts a remotely notarized version for this filing.
- Who can use the BP-1 exemption affidavit?
- The form describes the BP-1 for owners of one- to four-family, owner-occupied residences, including condominiums, who meet one of the listed exemption conditions.