Black River, NY · Jefferson County
Pool Permit Application
Property owners or contractors use this application to request a Village of Black River permit for pool work before beginning the project.
What this form is
The application requests a permit for pool work, and it states that work cannot begin until the permit is issued. Applicants must submit a plot plan showing property lines, lot size, and distances to the project. Depending on who performs the work, the application also calls for workers’ compensation proof or an exemption form, plus proof of liability insurance.
Who needs it
A property owner or contractor planning pool work in the Village of Black River needs this application before starting the project.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Pool Permit Application PDF.
- 2
Complete The Application
Complete the application without using pencil.
- 3
Gather Required Attachments
Prepare a plot plan and the required insurance proof or exemption form, as applicable.
- 4
Submit To The City
Submit the application and attachments to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Pool Permit Application?
- No. This application is signed without a notary; the signer just signs and dates it.
- How do I submit the Pool Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What should I include with the application?
- Include a plot plan showing property lines, lot size, and distances to the project. The application also requires proof of liability insurance and, depending on who does the work, workers’ compensation proof or an exemption form.
- Can pool work begin when I submit the application?
- No. The application states that no work may begin until the permit is issued, and submitting the application does not authorize work to begin.