Middlefield, NY · Otsego County

No notary required

Temporary Special Permit

The Town of Middlefield uses this application to review temporary special permit requests from property owners or businesses planning an event or other special use.

What this form is

This application requests a temporary special permit for a property or business in Middlefield. It asks for the property owner’s contact details, property location and tax map number, land use district, special use, event dates, and approval details. An insurance certificate covering all event dates and naming the Town as an additional insured must accompany the application.

Who needs it

Property owners or businesses seeking a temporary special permit for an event or other special use in Middlefield need this application.

How to submit it

Submit the application and required insurance certificate to the Town Clerk at least two business days before a scheduled Town Board meeting prior to the event. The certificate must cover all event dates and name the Town as an additional insured.

About notarization

This permit is signed without a notary; the Town Supervisor signs and dates the approval, and the document identifies no sworn attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Temporary Special Permit application.

  2. 2

    Complete The Application

    Fill in the requested property, owner, business or event, special use, and event-date information.

  3. 3

    Gather The Insurance Certificate

    Include a certificate covering all event dates, naming the Town as an additional insured, and listing the event name and date.

  4. 4

    Submit To The Town Clerk

    Submit the application and certificate to the Town Clerk at least two business days before a scheduled Town Board meeting prior to the event.

Frequently asked questions

What is the Temporary Special Permit used for?
It is an application for a temporary special permit in Middlefield. It collects property, owner, business or event, use, and event-date information for Town Board approval.
What must accompany the application?
An insurance certificate must accompany the application. It must cover all event dates, name the Town as an additional insured, and list the event name and date.
How do I submit the Temporary Special Permit?
Submit the application and insurance certificate to the Town Clerk at least two business days before a scheduled Town Board meeting prior to the event.
Do I need a notary for the Temporary Special Permit?
No. The permit has no notary block; the Town Supervisor signs and dates the approval, and the document identifies no sworn attachment.

Need something notarized?

This Temporary Special Permit doesn’t need a notary — but if you have another Middlefield form that does, a commissioned online notary can help.