Gouverneur, NY · St. Lawrence County
Permit Guidelines: Signature Required
Property owners or their agents sign this page to affirm their permit application statements and acknowledge the Town of Gouverneur’s building permit conditions.
What this form is
This signature page explains inspection, insurance, occupancy, and other conditions connected with work under a building permit. The applicant, either the lawful property owner or the owner’s lawful agent, signs and dates it to affirm that statements in the application are true. It also describes required inspections and documents, including contractor insurance certificates or proof of exemption when applicable.
Who needs it
The lawful property owner or the owner’s lawful agent signs this page as part of the building permit application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer affirms the application statements and signs and dates the page.
How to submit this form
- 1
Download The Page
Download the Permit Guidelines: Signature Required page.
- 2
Read The Notices
Review the inspection, insurance, occupancy, and other permit conditions printed on the page.
- 3
Gather Required Documents
Where applicable, attach contractor insurance certificates or proof of exemption, and include the other documents referenced in the notices.
- 4
Sign And Date
The lawful property owner or agent signs and dates the page.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Permit Guidelines: Signature Required?
- No. The document has a signature and date line but no notary block; the applicant affirms the application statements and signs and dates the page.
- Who signs the permit guidelines page?
- The document says the signer must be the lawful owner of the property or the lawful agent of that owner.
- What does the applicant affirm by signing?
- The signer affirms under penalty of perjury that the statements made on the application are true.
- How do I submit the permit guidelines page?
- Submit it to the city department named on the form; check the city website for current contact details.