Hyde Park, NY · Dutchess County

No notary required

New York State Application for Variance or Appeal

Property owners and authorized representatives use this application to request a variance or appeal a local determination under the Uniform Fire Prevention and Building Code.

What this form is

This application asks the New York State Department of State to review a request for relief from applicable building code provisions or an appeal of a local code official’s determination. It collects petitioner and property details, code sections, requested relief, project information, supporting arguments, and attachments. Applicants must first contact a regional representative, provide the required documents and fee, and have the application reviewed and accepted by a Regional Office.

Who needs it

A property owner or authorized representative seeking a code variance or appealing a local code official’s determination uses this application.

How to submit it

Contact the appropriate Regional Office before applying, then submit the completed application and at least one copy of required documents there. For Board of Review petitions, deliver seven additional copies to the Central Office in Albany after Regional Office review.

About notarization

This application is signed and dated without a notary; the signer affirms under penalties of perjury that the supporting information is true and correct.

How to submit this form

  1. 1

    Download the Application

    Download the New York State Application for Variance or Appeal PDF.

  2. 2

    Contact a Regional Representative

    Contact the appropriate Regional Office before completing a Board of Review petition; the instructions say this helps begin the process.

  3. 3

    Complete and Sign the Application

    Provide petitioner, property, code, project, and requested-relief details, then sign and date the application.

  4. 4

    Gather Supporting Documents

    Include required materials such as a project summary, site plan when applicable, building plans, and relevant records.

  5. 5

    Submit to the Regional Office

    Submit the application and at least one copy of required documents to the appropriate Regional Office; Board petitions require additional copies after review.

Frequently asked questions

Do I need a notary for the New York State Application for Variance or Appeal?
No. The application is signed and dated without a notary. The signer affirms under penalties of perjury that the supporting information is true and correct.
How do I submit the variance or appeal application?
Contact the appropriate Regional Office first, then submit the application and at least one copy of required documents there. Board of Review petitions require seven additional copies delivered to the Albany Central Office after regional review.
What supporting documents does the application request?
The application lists a project summary, site plan when applicable, building plans, and supplementary materials such as photographs or reports. Include copies of relevant applications, permits, certificates, orders, and other documents.
Does the application include a filing fee?
Yes. The form lists non-refundable filing fees and says to review the fee schedule with the Regional Office. Checks are payable to the New York State Department of State.

Need something notarized?

This New York State Application for Variance or Appeal doesn’t need a notary — but if you have another Hyde Park form that does, a commissioned online notary can help.