Salem, NY · Washington County
Application for a Certificate of Appropriateness
This application lets property owners or their agents request a Certificate of Appropriateness for a project in Salem’s historic district.
What this form is
Use this application to request a Certificate of Appropriateness for a project in Salem’s historic district. It asks for applicant and property details, the project location and description, and adjacent property owners’ names. Attach relevant maps, drawings, blueprints, or a materials list. Applications are due 14 days before the regular meeting, and the applicant or agent must attend the meeting and any required public hearing.
Who needs it
Property owners or their agents seeking a Certificate of Appropriateness for a project in Salem’s historic district need this application.
How to submit it
Present three copies at the historian’s office at least 14 days before the regular meeting, scheduled for the third Monday of each month at 4 p.m. The applicant or agent must attend the meeting and any required public hearing.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Certificate of Appropriateness application.
- 2
Complete the Application
Enter applicant and property details, describe the project, and sign and date the application.
- 3
Gather Attachments
Attach any relevant maps, drawings, blueprints, or materials list.
- 4
Submit to the Historian’s Office
Present three copies at least 14 days before the regular meeting; the applicant or agent must attend the meeting and any required public hearing.
Frequently asked questions
- What information does the Certificate of Appropriateness application request?
- It asks for applicant and property details, whether the use is residential or commercial, the project location and description, and the names of adjacent property owners.
- How do I submit the Certificate of Appropriateness application?
- Present three copies at the historian’s office at least 14 days before the regular meeting. The applicant or agent must attend the meeting and any required public hearing.
- Do I need a notary for the Certificate of Appropriateness application?
- No. This application is signed and dated without a notary, and it lists no notarized or sworn attachment.
Need something notarized?
This Application for a Certificate of Appropriateness doesn’t need a notary — but if you have another Salem form that does, a commissioned online notary can help.