Jackson, NY · Washington County
Demolition Permit Application
Property owners, applicants, or contractors use this application to request a demolition permit from Washington County Code Enforcement for work in Jackson.
What this form is
This application requests a demolition permit and collects project, property, applicant, utility, building, and asbestos information. It requires supporting items such as a pre-demolition asbestos survey and report, insurance documentation or an exemption certificate, and local compliance certificate LRCC #1; written owner authorization is required if the applicant is not the property owner. The packet also includes LRCC #2 for completion after demolition and cleanup.
Who needs it
A property owner or other applicant planning a demolition project in Jackson should complete the application and submit the required supporting documents.
How to submit it
Complete and return the application to Washington County Code Enforcement, 383 Broadway, Fort Edward, NY 12828. Enclose the calculated non-refundable fee by check payable to the Washington County Treasurer.
About notarization
This application is signed and dated without a notary; it includes a statement that the applicant swears the information is true, but no notary block is provided.
How to submit this form
- 1
Download The Application
Download the demolition permit application and review its instructions and supporting-document requirements.
- 2
Complete And Sign
Complete all application sections and sign and date the form where indicated.
- 3
Gather Required Documents
Include the required asbestos report, insurance documents or exemption certificate, LRCC #1, and owner authorization if applicable.
- 4
Submit To The County
Return the application and enclose the calculated fee by check payable to the Washington County Treasurer.
Frequently asked questions
- Do I need a notary for the Demolition Permit Application?
- No. The application has a signature and date line but no notary block. It includes a statement that the applicant swears the information is true.
- How do I submit the Demolition Permit Application?
- Return the completed application to Washington County Code Enforcement at 383 Broadway, Fort Edward, NY 12828, with the calculated fee enclosed by check payable to the Washington County Treasurer.
- What supporting documents does the application require?
- The instructions require a pre-demolition asbestos survey and report, insurance certificates or an exemption certificate, and LRCC #1 signed by the applicant and local official. Non-owners must also provide written owner authorization.
- Does the application list a fee?
- Yes. The application lists fees for partial residential, commercial, and complete residential demolitions. It says the application fee is non-refundable and payment should be enclosed by check.
Need something notarized?
This Demolition Permit Application doesn’t need a notary — but if you have another Jackson form that does, a commissioned online notary can help.
