Black River, NY · Jefferson County

No notary required

Roof Permit Application

Property owners or contractors use this application to request a Village of Black River permit for planned roofing work before work begins.

What this form is

The application requests a permit for roofing work and collects property owner and contractor contact information, a project description, and estimated construction cost. It also asks for roof details, including wind rating where applicable, weight, area, pitch, and roofing and deck materials. The document says work cannot begin until the permit is issued and lists insurance documentation requirements.

Who needs it

Property owners planning roofing work, or contractors doing the work, should complete this application before beginning the project.

How to submit it

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

About notarization

This application is signed without a notary; the applicant signs the attestation, and no notarized or sworn attachment is identified.

How to submit this form

  1. 1

    Download The Application

    Download the Roof Permit Application PDF.

  2. 2

    Complete The Application

    Provide the property owner and contractor information, project description, estimated construction cost, and requested roof details. Do not use pencil.

  3. 3

    Gather Required Insurance Proof

    If applicable, include the workers compensation and liability insurance documentation described in the application.

  4. 4

    Submit To Code Enforcement

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

Frequently asked questions

Do I need a notary for the Roof Permit Application?
No. The application is signed without a notary; the applicant signs the attestation, and the document identifies no notarized or sworn attachment.
How do I submit the Roof Permit Application?
Submit it to the Department of Code Enforcement at 107 Jefferson Place, Black River, NY 13612.
Can roofing work begin when I submit the application?
No. The application states that submitting it does not authorize work to begin; wait until the permit is issued.
What information and documents does the application request?
It asks for owner and contractor information, project details, estimated construction cost, and roof specifications. It also lists insurance documentation requirements.

Need something notarized?

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