Southold, NY · Suffolk County
Building Department Owner Authorization Form
This form lets a property owner authorize an agent to apply to the Southold Building Department on the owner’s behalf.
What this form is
The form records a property owner’s authorization for an agent to apply to the Southold Building Department on the owner’s behalf. It is for applicants who are not the property owner. The form asks for the owner’s name and mailing address, the agent’s name, and the owner’s signature, date, and printed name.
Who needs it
A property owner completes this form when an agent, rather than the owner, is applying to the Southold Building Department on the owner’s behalf.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the property owner just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Building Department Owner Authorization Form.
- 2
Complete the Form
Enter the property owner’s name and mailing address and the agent’s name.
- 3
Sign and Date
The property owner signs, dates, and prints their name on the form.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Who completes the Building Department Owner Authorization Form?
- The property owner completes it when someone else is applying to the Southold Building Department on the owner’s behalf.
- What information does the form ask for?
- It asks for the property owner’s printed name and mailing address, the agent’s name, and the owner’s signature, date, and printed name.
- Do I need a notary for the Building Department Owner Authorization Form?
- No. This document is signed without a notary; the property owner just signs and dates it.
- How do I submit the Owner Authorization Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Building Department Owner Authorization Form doesn’t need a notary — but if you have another Southold form that does, a commissioned online notary can help.