Middletown, NY · Delaware County
Application for Two Family Owner Occupied Dwelling Permit
This application is for owners seeking a permit for a two-family owner-occupied dwelling in Middletown.
What this form is
The application collects the dwelling location, owner and emergency contact information, and details about dogs on the premises and insurance. Owners must provide insurance company, agent, and policy information, picture identification, and—if a dog over 30 pounds is on the premises—proof of dog insurance. The form also states that a new inspection and permit are required with each change of tenant.
Who needs it
Owners seeking a permit for a two-family owner-occupied dwelling in Middletown must complete this application and provide the listed information and documents.
How to submit it
The application lists a $100 fee payable by check to the City of Middletown. 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 signer just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Middletown application for a two-family owner-occupied dwelling permit.
- 2
Complete The Application
Enter the dwelling location, owner and emergency contact information, and answer the questions about dogs and insurance.
- 3
Gather Required Documents
Include picture identification, insurance details, and a valid rabies certificate if a dog is on the premises. Provide dog insurance if a dog over 30 pounds is present.
- 4
Submit The Application
Submit the completed application and a $100 check payable to the City of Middletown to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Two Family Owner Occupied Dwelling Permit Application?
- No. This application is signed and dated without a notary; the signer just signs and dates the application.
- How do I submit the application?
- The form lists a $100 fee payable by check to the City of Middletown. Submit the application to the city department named on the form; check the city website for current contact details.
- What documents does the application require?
- Owners must provide picture identification and insurance company, local agent, and policy details. If a dog is on the premises, submit a valid rabies certificate; insurance is required for a dog over 30 pounds.
Need something notarized?
This Application for Two Family Owner Occupied Dwelling Permit doesn’t need a notary — but if you have another Middletown form that does, a commissioned online notary can help.