Jefferson County, NY · Jefferson County

No notary required

Permit for Construction Within County Right-of-Way

Property owners or contractors use this permit application to request approval for construction work within a Jefferson County road right-of-way.

At a glance

Issued by
City of Jefferson County · Jefferson County, Jefferson County, New York
Notarization
Not required: file this form without a notary.
Official source
jeffersoncountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This permit requests approval for specified work at a county road location and lists conditions the permit holder must follow, including traffic control, site restoration, and notifying the Highway office when work starts and ends. The form asks for applicant contact details, the work location and project description, and owner and contractor signatures. Depending on who performs the work, proof of liability insurance and workers’ compensation documentation may be required before work begins.

Who needs it

A property owner or contractor planning construction work within a Jefferson County road right-of-way should complete this permit application.

How to submit it

Submit it to the Jefferson County Office of Superintendent of Highways, 21897 County Road 190, Watertown, NY 13601; the form does not specify a submission method.

About notarization

This document is signed and dated without a notary; the form requires signatures from the property owner and contractor, with no sworn or notarized attachment stated.

How to submit this form

  1. 1

    Download the Permit

    Download the Jefferson County permit PDF.

  2. 2

    Complete the Application

    Enter applicant contact details and specify the project description and county road location.

  3. 3

    Gather Insurance Documents

    Provide the insurance documents required for the work arrangement before site work begins.

  4. 4

    Sign and Submit

    Have the property owner and contractor sign and date the form, then submit it to the county highway office.

Frequently asked questions

Do I need a notary for the Jefferson County right-of-way permit?
No. The form calls for property owner and contractor signatures and dates, not notarization; it does not state that any attachment must be sworn or notarized.
How do I submit the construction permit application?
The form does not give submission instructions. It identifies the Jefferson County Office of Superintendent of Highways at 21897 County Road 190, Watertown, NY 13601.
What information does the permit application ask for?
It asks for applicant contact information, the project description and location, and signatures from the property owner and contractor.
What insurance documents may be required?
For contracted work, the contractor must submit liability insurance information and, if employing more than one employee, a workers’ compensation certificate before site work. An owner doing the work personally must provide proof of liability insurance.

Need something notarized?

This Permit for Construction Within County Right-of-Way doesn’t need a notary, but if you have another Jefferson County form that does, a commissioned online notary can help.