Port Jefferson, NY · Suffolk County

No notary required

Planning Board Application

Property applicants use this application to request Planning Board review for subdivision, site development, conditional use, or a change of use in Port Jefferson.

What this form is

The application requests Planning Board review for projects such as subdivisions, site development plans, conditional use permits, and changes of use. Applicants must complete it in full and provide the required plans, supporting documents, owner endorsement, and disclosure form; an Environmental Assessment Form is required in all cases. The application also explains public-hearing notification steps after a complete submission.

Who needs it

Applicants seeking Planning Board review for a subdivision, site development plan, conditional use permit, or change of use must complete this application.

How to submit it

Submit six sets of the completed application and required documents to the Building & Planning Department, 88 North Country Road, Port Jefferson, NY 11777. Include an electronic copy of surveys and plans; filing fees depend on the application type.

About notarization

This application is signed without a notary; its disclosure certification is made under penalty of perjury, and the mailing-and-posting affidavit is also required.

How to submit this form

  1. 1

    Download The Application

    Download the Planning Board Application PDF.

  2. 2

    Complete The Application

    Fill in all application sections and provide the project, applicant, owner, and property information requested.

  3. 3

    Gather Required Documents

    Prepare six copies of plans and supporting documents, the required Environmental Assessment Form, owner endorsement, disclosure form, and applicable attachments.

  4. 4

    Submit To The Department

    Submit six sets to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777, with an electronic copy of surveys and plans.

Frequently asked questions

What is the Planning Board Application used for?
It requests Planning Board review for projects such as subdivisions, site development plans, conditional use permits, and changes of use in Port Jefferson.
Do I need a notary for the Planning Board Application?
No. This application is signed without a notary. Its disclosure certification is made under penalty of perjury, and the mailing-and-posting affidavit is also required.
How do I submit the Planning Board Application?
Submit six sets of the completed application and required documents to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777. Include an electronic copy of surveys and plans.
What materials must accompany the application?
The document calls for six copies of the site development plan and supporting documents, an Environmental Assessment Form, owner endorsement, disclosure form, and other items depending on the project.

Need something notarized?

This Planning Board Application doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.