Claverack, NY · Columbia County

No notary required

Owner Authorization Form

Claverack property owners use this form to authorize a contractor or agent to act for them during permit or certification processing.

What this form is

The Owner Authorization Form lets registered property owners authorize a contractor or agent to act on their behalf for processing, issuance, and acceptance of a permit or certification. It asks for the parcel number, construction address, owner and contractor or firm details, contact information, and the owner's signature and date. The form also includes a statement that the submitted information is true and accurate.

Who needs it

Registered property owners who want a contractor or agent to act for them in processing a permit or certification need this form.

How to submit it

The form lists the Town of Claverack Building Department at 91 Church Street, PO Box V, Mellenville, NY 12544. It does not provide specific submission instructions.

About notarization

This form is signed and dated without a notary; it mentions no notarized or sworn attachment, so the property owner simply signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Owner Authorization Form PDF.

  2. 2

    Complete The Form

    Enter the parcel number, construction address, property owner details, contractor or agent information, and contact details.

  3. 3

    Sign And Date

    The property owner signs and dates the form and certifies the information is true and accurate.

  4. 4

    Submit To The Town

    The form lists the Town of Claverack Building Department address; it does not specify how to submit the completed form.

Frequently asked questions

What does the Owner Authorization Form authorize?
It authorizes a contractor or agent to act on a property owner's behalf for processing, issuance, and acceptance of a permit or certification.
What information does the form ask for?
It asks for the parcel number, construction address, property owner details, contractor or firm information, contact details, and the owner's signature and date.
Do I need a notary for the Owner Authorization Form?
No. This form has no notary block or notarized attachment; the property owner signs and dates it.
How do I submit the Owner Authorization Form?
The form lists the Town of Claverack Building Department at 91 Church Street, PO Box V, Mellenville, NY 12544, but does not specify submission instructions.

Need something notarized?

This Owner Authorization Form doesn’t need a notary — but if you have another Claverack form that does, a commissioned online notary can help.