Port Dickinson, NY · Broome County
Demolition Permit Form
Property owners or their representatives use this form to apply for a Port Dickinson demolition permit and provide project and property information.
What this form is
This property owner statement is for an application to demolish a structure or other project on a property in Port Dickinson. It asks for the property owner’s name, street address, tax map number, project type, signature, and date. The signer confirms the information is accurate and acknowledges responsibilities for inspections and work performed before inspection sign-off.
Who needs it
A property owner or their representative applying for a permit to demolish a project on the property needs this form.
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 and dated without a notary; the owner affirms under penalty of perjury that the information is true and correct.
How to submit this form
- 1
Download The Form
Download the Demolition Permit Form PDF.
- 2
Complete The Statement
Provide the property owner’s name, street address, tax map number, and project type.
- 3
Sign And Date
The property owner signs and dates the statement, affirming the information is true and correct.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Demolition Permit Form for?
- It is a property owner statement for applying for a permit to demolish a project on a property in Port Dickinson.
- What information does the form ask for?
- It asks for the owner’s name, property street address, tax map number, project type, signature, and date. The signer also confirms the information is accurate.
- Do I need a notary for the Demolition Permit Form?
- No. The document is signed and dated without a notary. The owner affirms under penalty of perjury that the information is true and correct.
- How do I submit the Demolition Permit Form?
- Submit it to the city department named on the form; check the city website for current contact details.