Jefferson County, NY · Jefferson County
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
Download the Permit
Download the Jefferson County permit PDF.
- 2
Complete the Application
Enter applicant contact details and specify the project description and county road location.
- 3
Gather Insurance Documents
Provide the insurance documents required for the work arrangement before site work begins.
- 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.
