Lyonsdale, NY · Lewis County

No notary required

Mobile Home Permit Application

The Town of Lyonsdale application for owners, lessees, agents, or builders seeking a permit to install or alter a mobile home.

What this form is

Use this application to request a Lyonsdale permit for mobile home work, including a new installation, replacement, or alteration. The form says it must be completed and submitted with the required fee and three sets of plans and specifications; work may not begin before a building permit is issued. It asks about the property, home, foundation, utilities, installation, and workers’ compensation.

Who needs it

Owners, lessees, agents, architects, engineers, or builders applying for a Lyonsdale mobile home permit should complete this application.

How to submit it

Submit the completed application to the Lyonsdale Town Clerk’s Office, P.O. Box 144, Port Leyden, NY 13433, with the $35.00 plus 10 cents per square foot fee and three sets of plans and specifications.

About notarization

This application is signed without a notary; its workers’ compensation statement is made under penalty of perjury, but no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Application

    Download the Lyonsdale Mobile Home Permit Application.

  2. 2

    Complete The Form

    Fill in the application by ink or typewriter, and write N/A for items that do not apply.

  3. 3

    Gather Plans And Documents

    Include three sets of plans and specifications and any certifications or workers’ compensation documentation required for your project.

  4. 4

    Submit To The Town

    Submit the application and stated fee to the Lyonsdale Town Clerk’s Office.

Frequently asked questions

Who should use the Lyonsdale Mobile Home Permit Application?
Owners, lessees, agents, architects, engineers, or builders applying for a permit for mobile home installation, replacement, or alteration can use this application.
Do I need a notary for the Mobile Home Permit Application?
No. The application is signed without a notary. Its workers’ compensation statement is made under penalty of perjury, but the form does not specify a notarized attachment.
How do I submit the Mobile Home Permit Application?
Submit it to the Lyonsdale Town Clerk’s Office at P.O. Box 144, Port Leyden, NY 13433, with the stated fee and three sets of plans and specifications.
What should accompany the application?
The form requires three sets of plans and specifications and a fee of $35.00 plus 10 cents per square foot. It also describes additional certifications or documentation that may apply to the home and project.

Need something notarized?

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