Coxsackie, NY · Greene County

No notary required

Application for Variance

Property owners use this application to request an area or use variance from the Village of Coxsackie Zoning Board of Appeals.

What this form is

This application lets property owners ask the Village of Coxsackie Zoning Board of Appeals for an area or use variance. The document says to submit the application and the attached Short Environmental Assessment Form; it also lists a fee and supporting documents. After the board schedules a hearing, applicants must use the attached notice to notify affected landowners and file the green return cards with the board before the hearing.

Who needs it

Property owners seeking an area or use variance from the Village of Coxsackie Zoning Board of Appeals need to complete this application.

How to submit it

Return the application and Short Environmental Assessment Form to Ms. Nikki Bereznak, Clerk, at 119 Mansion Street, Coxsackie, New York 12051. Enclose a check payable to the Village of Coxsackie: $200 for a commercial business or $50 for a private resident.

About notarization

This document is signed without a notary; the applicant signs the application and later uses the attached hearing notice to notify affected landowners.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Variance and its attached Short Environmental Assessment Form and Notice of Public Hearing.

  2. 2

    Complete The Application

    Provide the property ownership details, variance type, requested explanation, and applicant signature.

  3. 3

    Gather Supporting Documents

    Include the required area map, deed copy, and written determination; include a survey map if available and a building permit application if applicable.

  4. 4

    Submit To The Clerk

    Return the application and Short Environmental Assessment Form with the required check to the clerk at 119 Mansion Street, Coxsackie, New York 12051.

Frequently asked questions

Do I need a notary for the Application for Variance?
No. The application has a signature line but no notary block. The attached hearing notice is used to notify affected landowners after the board schedules a hearing.
How do I submit the Application for Variance?
Return the application and Short Environmental Assessment Form to the clerk at 119 Mansion Street, Coxsackie, New York 12051, with the required check payable to the Village.
What documents must accompany the variance application?
Submit the Short Environmental Assessment Form. The checklist also calls for an area map, a survey map if available, a building permit application if applicable, a written determination from the Building Inspector, and a deed copy.
What fee does the application require?
The form states that a commercial business must enclose a $200 check and a private resident must enclose a $50 check payable to the Village of Coxsackie.

Need something notarized?

This Application for Variance doesn’t need a notary — but if you have another Coxsackie form that does, a commissioned online notary can help.