Black Brook, NY · Clinton County

No notary required

Building Permit Application

The Town of Black Brook application is for property owners or applicants seeking permission for construction, alterations, demolition, and other work requiring a building permit.

What this form is

Use this application to request a Town of Black Brook building permit before starting work that requires one, including construction, alterations, demolition, plumbing, or heating equipment installation. It asks for owner and project details, property location, construction costs, building plans, and contractor information. The document lists some work that does not require a permit and includes a fee schedule.

Who needs it

Property owners or their applicants need this application before starting work in Black Brook that requires a building permit.

How to submit it

Submit the application to the Town of Black Brook Building & Fire Codes Department, 48 N. Main St., PO Box 715, Au Sable Forks, NY 12912.

About notarization

This application is signed without a notary; if the job does not require a contractor, the affidavit of exemption on page 10 must be completed and notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Building Permit Application PDF.

  2. 2

    Complete The Application

    Print or type the requested owner, property, project, and contractor information.

  3. 3

    Gather Plans And Attachments

    Include plans and specifications; contractors must provide a certificate of insurance naming the Town as certificate holder.

  4. 4

    Submit To The Town

    Send the completed application to the Town of Black Brook Building & Fire Codes Department at the address listed on the form.

Frequently asked questions

Do I need a notary for the Black Brook Building Permit Application?
No, the application itself is signed without a notary. If the job does not require a contractor, the affidavit of exemption on page 10 must be completed and notarized.
How do I submit the Black Brook Building Permit Application?
Submit it to the Town of Black Brook Building & Fire Codes Department at 48 N. Main St., PO Box 715, Au Sable Forks, NY 12912.
What information does the application ask for?
It requests owner and applicant details, the property address and tax map number, project description, estimated costs, plans, and contractor information where applicable.

Need something notarized?

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