Black River, NY · Jefferson County

No notary required

Building Permit Application

Property owners and applicants use this application to request a building permit for planned construction, alterations, or other listed projects in Black River.

What this form is

Use this application to request a building permit for a planned project; submitting it does not authorize work to begin, and work must wait until the permit is issued. The form asks for owner, design professional, and contractor details; project type and description; utility, construction, and site information; and an applicant attestation. It also lists required plans, a plot plan, and applicable insurance proof.

Who needs it

Property owners or applicants planning a listed building project in Black River need to complete this application and submit the required supporting materials.

How to submit it

Submit the completed application to the Department of Code Enforcement, 107 Jefferson Place, Black River, NY 13612. The form does not state an email or online submission option.

About notarization

This application is signed without a notary; the applicant signs the attestation, and the form does not identify any notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Building Permit Application PDF.

  2. 2

    Complete The Application

    Fill in the owner, project, construction, utility, and site information. Do not complete the application in pencil.

  3. 3

    Gather Required Attachments

    Include a plot plan and three complete sets of construction plans; submit applicable workers compensation and liability insurance proof.

  4. 4

    Submit To The Department

    Submit the application and supporting materials to the Department of Code Enforcement at 107 Jefferson Place, Black River, NY 13612.

Frequently asked questions

Do I need a notary for the Building Permit Application?
No. This application is signed without a notary; the applicant signs the attestation, and the form does not identify any notarized or sworn attachment.
How do I submit the Building Permit Application?
Submit the completed application to the Department of Code Enforcement at 107 Jefferson Place, Black River, NY 13612. The form does not list email or online submission.
What plans must accompany the application?
The application requires a plot plan showing property lines, lot size, and project distances, plus three complete sets of construction plans with the listed project details.
Can work begin after I submit the application?
No. The document states that submitting the application does not authorize work to begin; wait until the permit is issued.

Need something notarized?

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