Rockland, NY · Sullivan County

No notary required

Accessory Use Permit Application

Applicants use this form to request an accessory use permit from the Town of Rockland Building Department and describe the proposed change.

What this form is

Use this application to request an accessory use permit and describe the proposed change at a site in the Town of Rockland. It asks for applicant, owner, and site details, along with information about the lot, buildings, units, and proposed work. Where applicable, the form calls for plot-plan details such as setbacks, parking, access, landscaping, and playground areas.

Who needs it

Applicants seeking an accessory use permit for a proposed change in the Town of Rockland should complete this application.

How to submit it

Submit the application to the Town of Rockland Building Department, P.O. Box 964, Livingston Manor, NY 12758; the form also lists phone and fax numbers.

About notarization

This application is signed without a notary; the applicant signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Accessory Use Permit Application PDF.

  2. 2

    Complete The Application

    Enter applicant, owner, site, and proposed-change information, along with the requested lot and building details.

  3. 3

    Gather Applicable Plot-Plan Details

    Where applicable, include plot-plan information such as building sizes, setbacks, parking, access, and landscaping.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the Building Department at the address listed on the form.

Frequently asked questions

What is the Accessory Use Permit Application for?
It is used to request an accessory use permit and provide details about the applicant, property, and proposed change.
What information does the application ask for?
It requests applicant, owner, and site information, details about the lot and buildings, and plot-plan information where applicable.
Do I need a notary for the Accessory Use Permit Application?
No. This application is signed without a notary; the applicant signs and dates it.
How do I submit the Accessory Use Permit Application?
Submit it to the Town of Rockland Building Department at P.O. Box 964, Livingston Manor, NY 12758. The form also lists phone and fax numbers.

Need something notarized?

This Accessory Use Permit Application doesn’t need a notary — but if you have another Rockland form that does, a commissioned online notary can help.