Pendleton, NY · Niagara County

No notary required

ZBA Denial of Building Application

This form records a building application denial for the applicant and Code Enforcement Officer to complete and file with the Board of Appeals.

What this form is

This form documents the denial of a building application and is filed with the Board of Appeals along with supporting documentation. It asks for the property location, SBL number, owner and contact information, and reason for denial. The applicant and Code Enforcement Officer each have a place to sign and date the form.

Who needs it

Applicants and the Code Enforcement Officer use this form to document a building application denial for filing with the Board of Appeals.

How to submit it

File this form and supporting documentation with the Board of Appeals. The form lists the Town of Pendleton Building Department at 6570 Campbell Blvd., Lockport, NY 14094.

About notarization

This form is signed and dated by the applicant and Code Enforcement Officer without a notary; it does not specify a notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the ZBA Denial of Building Application form.

  2. 2

    Complete The Form

    Enter the property location, SBL number, owner and contact information, and reason for denial.

  3. 3

    Sign And Date

    Have the applicant and Code Enforcement Officer sign and date the form.

  4. 4

    Gather Supporting Documentation

    Collect the supporting documentation to file with the form.

  5. 5

    File With The Board Of Appeals

    File the form and supporting documentation with the Board of Appeals.

Frequently asked questions

Do I need a notary for the ZBA Denial of Building Application?
No. The form has signature and date lines for the applicant and Code Enforcement Officer, but no notary block; it does not specify a notarized attachment or sworn step.
How do I submit the ZBA Denial of Building Application?
File the completed form and supporting documentation with the Board of Appeals. The form lists the Town of Pendleton Building Department address as 6570 Campbell Blvd., Lockport, NY 14094.
What information does the form ask for?
It asks for the property location, SBL number, owner name and address, email address, and reason for denial. It also provides signature and date lines for the applicant and Code Enforcement Officer.

Need something notarized?

This ZBA Denial of Building Application doesn’t need a notary — but if you have another Pendleton form that does, a commissioned online notary can help.