Lyonsdale, NY · Lewis County

No notary required

Pole Building Permit Application

Property owners and their agents use this application to request a Town of Lyonsdale building permit for a proposed pole building.

What this form is

The application requests a building permit before work begins on a pole building in the Town of Lyonsdale. It asks for property and tax map details, project dimensions, contractor and design professional information, proposed work, occupancy, and a plot diagram. Applicants must submit required fees, plans and specifications, and proof of workers’ compensation insurance or an exemption.

Who needs it

Property owners, applicants, or their agents planning pole building construction in the Town of Lyonsdale need to submit this application before starting work.

How to submit it

Submit the completed application with required fees to the Town of Lyonsdale Clerk, P.O. Box 144, Port Leyden, NY 13433; checks should be payable to the Town of Lyonsdale.

About notarization

This application is signed and dated by the applicant without a notary; the document does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Pole Building Permit Application PDF.

  2. 2

    Complete The Application

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

  3. 3

    Gather Required Materials

    Include required fees, plans and specifications, and proof of workers’ compensation insurance or an exemption.

  4. 4

    Submit To The Town Clerk

    Send the application and required materials to the Town of Lyonsdale Clerk at the address provided on the form.

Frequently asked questions

Do I need a notary for the Pole Building Permit Application?
No. The applicant signs and dates this application without a notary; it does not identify any attachment or related step that must be notarized or sworn.
How do I submit the Pole Building Permit Application?
Submit the completed application with required fees to the Town of Lyonsdale Clerk, P.O. Box 144, Port Leyden, NY 13433. Checks should be payable to the Town of Lyonsdale.
What must accompany the application?
The instructions require plans and specifications, including plans stamped by a licensed design professional, and proof of workers’ compensation insurance or an exemption.
Can construction begin before the permit is issued?
No. The application states that work covered by it may not begin before the building permit is issued.

Need something notarized?

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