Rensselaerville, NY · Albany County

No notary required

Building Permit Application

Property owners or applicants use this application to request a building permit from the Town of Rensselaerville for proposed construction or other work.

What this form is

The application requests a building permit and asks for applicant, property, contractor, project cost, work description, and site information. Applicants must include a tax bill copy, contractor insurance affidavit, property sketch, and scaled plans; the form also lists inspection and sign-off requirements. Work cannot start until the permit is obtained, and the application is not a work permit.

Who needs it

Property owners or applicants proposing construction or other work in Rensselaerville need this application to request a building permit.

How to submit it

The form lists the Town of Rensselaerville Department at 87 Barger Road, Medusa, NY 12120, and phone numbers 518-239-4225 and 518-239-4318.

About notarization

This application is signed and dated without a notary; it lists required attachments, but does not say any attachment must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Building Permit Application PDF.

  2. 2

    Complete The Application

    Answer the application questions and provide applicant, property, contractor, project, and site information.

  3. 3

    Gather Required Attachments

    Include the tax bill copy, contractor insurance affidavit, property sketch, and plans described on the form.

  4. 4

    Submit To The Town

    Submit the completed application and attachments to the Town of Rensselaerville Department at the address listed on the form.

Frequently asked questions

Do I need a notary for the Building Permit Application?
No. The application is signed and dated without a notary; it does not state that any listed attachment must be notarized or sworn.
How do I submit the Building Permit Application?
The form lists the Town of Rensselaerville Department at 87 Barger Road, Medusa, NY 12120. It also provides phone numbers for the department.
What should I include with the application?
The form calls for a tax bill copy, contractor insurance affidavit, property plot sketch, and a complete set of plans to scale. It also lists further plan and sign-off requirements.
Can construction start before the permit is issued?
No. The form says work may not start until the permit is obtained and notes that the application itself is not a work permit.

Need something notarized?

This Building Permit Application doesn’t need a notary — but if you have another Rensselaerville form that does, a commissioned online notary can help.