North Salem, NY · Westchester County

No notary required

Request for an Extension of Building Permit

This form lets a permit holder request a first or second one-year extension of a Town of North Salem building permit.

What this form is

The form is for requesting a first or second one-year extension of a building permit; the second extension is subject to completion of all outside work. It asks for the permit number, issue date, applicant name and address, and property sheet, block, and lot, and includes fields for the requested extension dates, fee, and Building Inspector decision.

Who needs it

A holder of a Town of North Salem building permit who wants to request a first or second one-year extension can use this form.

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 request is completed without a notary; it lists no notarized attachment or sworn step, and the signer simply completes the fields and dates the request.

How to submit this form

  1. 1

    Download The Form

    Download the Request for an Extension of Building Permit.

  2. 2

    Complete The Request

    Enter the permit and applicant details, property information, and requested extension dates.

  3. 3

    Gather Attachments

    The form does not list any required attachments.

  4. 4

    Submit To The Town

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Request for an Extension of Building Permit?
It is a Town of North Salem form for requesting a first or second one-year extension of a building permit. A second extension is subject to completion of all outside work.
What information does the form ask for?
It asks for the permit number and issue date, name and address, and property sheet, block, and lot. It also has fields for extension dates, fee, and the Building Inspector’s decision.
Do I need a notary for a building permit extension request?
No. This request is completed without a notary; it lists no notarized attachment or sworn step, and the signer simply completes the fields and dates the request.
How do I submit the building permit extension request?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Request for an Extension of Building Permit doesn’t need a notary — but if you have another North Salem form that does, a commissioned online notary can help.