North Salem, NY · Westchester County

No notary required

Application for Certificate of Appropriateness

Property owners or their representatives file this application with North Salem’s Historic Preservation Commission to seek approval for proposed work on a landmark or property in a historic district.

What this form is

Use this application to describe proposed alterations, construction, or demolition affecting a landmark site or property in a historic district. The Commission reviews whether work affects protected features or changes a building’s original appearance; a Certificate of Appropriateness follows a public hearing and formal approval. The application must be signed by the owner and include information and materials that fully describe the project.

Who needs it

Owners proposing work on a landmark or property in a historic district should file this application, which may also be submitted by an architect, engineer, contractor, or other representative.

How to submit it

Applications may be filed by mail or in person with an appointment with the Historic Preservation Commission. The document does not provide an address or other contact details.

About notarization

This document is signed without a notary; the property owner signs and dates the application.

How to submit this form

  1. 1

    Download The Application

    Download the Certificate of Appropriateness application for North Salem.

  2. 2

    Complete The Application

    Complete all applicable items, mark items that do not apply as N/A, and have the property owner sign and date the application.

  3. 3

    Gather Project Materials

    Include information that fully describes the project, such as applicable drawings, photographs, samples, or specifications.

  4. 4

    Submit To The Commission

    File by mail or in person with an appointment with the Historic Preservation Commission.

Frequently asked questions

Do I need a notary for the Certificate of Appropriateness application?
No. This application has no notary requirement; the property owner signs and dates it.
How do I submit the Certificate of Appropriateness application?
The document says applications may be filed by mail or in person with an appointment with the Historic Preservation Commission. It does not list an address.
What materials should I include with the application?
Include information that fully describes the project. Depending on the work, this may include drawings, photographs, material samples, and specifications listed in the document.
When is a Certificate of Appropriateness required?
The document describes it for work affecting a building’s protected features or making a major change to its original appearance, whether or not a Building Department permit is required.

Need something notarized?

This Application for Certificate of Appropriateness doesn’t need a notary — but if you have another North Salem form that does, a commissioned online notary can help.