DeRuyter, NY · Madison County

No notary required

Application to Zoning Board of Appeals

Property owners and other applicants use this application to appeal a denied building permit and request a zoning interpretation or variance from the Town of DeRuyter.

What this form is

The application asks the Zoning Board of Appeals to review a denied building permit and grant an interpretation or variance. Applicants provide property and project details, explain the requested relief, and complete the applicable interpretation or variance sections. The application requires a scaled site plan and Part 1 of the Environmental Assessment Form; the town’s instructions also specify a filing deadline and a $50 application fee.

Who needs it

Anyone appealing a denied building permit to the Town of DeRuyter Zoning Board of Appeals should complete this application and provide the required supporting documents.

How to submit it

File the application and supporting documentation with the Clerk at 735 Utica St., PO Box 394, DeRuyter, New York 13052. The document states that the $50 application fee is payable to the Town of DeRuyter when the application is made.

About notarization

This document is signed without a notary; the applicant signs the application and dates the Environmental Assessment Form affirmation.

How to submit this form

  1. 1

    Download The Application

    Download the Town of DeRuyter Zoning Board of Appeals application PDF.

  2. 2

    Complete The Application

    Provide applicant and property details, select an interpretation or variance, and complete the applicable sections.

  3. 3

    Gather Required Attachments

    Include a site plan completed to scale and Part 1 of the Environmental Assessment Form.

  4. 4

    File With The Clerk

    File the application and supporting documents with the Clerk at the address listed on the form, with the $50 fee.

Frequently asked questions

Do I need a notary for the Zoning Board of Appeals application?
No. The application has no notary block; the applicant signs it and dates the Environmental Assessment Form affirmation.
How do I submit the Zoning Board of Appeals application?
File the application and supporting documents with the Clerk at 735 Utica St., PO Box 394, DeRuyter, New York 13052. The stated application fee is $50.
What documents must accompany the application?
The application lists a site plan completed to scale and Part 1 of the Environmental Assessment Form as required attachments.
What can I request with this application?
The application is for an appeal after a building permit denial and allows the applicant to request an interpretation or variance.

Need something notarized?

This Application to Zoning Board of Appeals doesn’t need a notary — but if you have another DeRuyter form that does, a commissioned online notary can help.