Jerusalem, NY · Yates County

No notary required

Building Permit Application

Property owners or their agents use this application to request a building permit for construction, alterations, repairs, demolition, or other listed work in Jerusalem.

What this form is

This application requests a building permit for work such as new construction, additions, repairs, renovations, alterations, demolition, roofing, electrical, plumbing, or other projects. Applicants provide project, property, owner, contractor, work-description, square-footage, and estimated-cost details, then sign an affirmation. The form lists required documentation, including insurance proof, a plot plan, building plans, and wastewater information when applicable.

Who needs it

Property owners or their agents, architects, builders, and contractors applying for a building permit for a project in Jerusalem should complete this application.

How to submit it

Submit the application to the Department of Code Enforcement and Administration at 3816 Italy Hill Rd., Jerusalem, New York 14418, or email [email protected].

About notarization

This application is signed and dated without a notary; listed insurance proof, plot plans, building plans, and wastewater documents have no notarization or sworn step stated.

How to submit this form

  1. 1

    Download The Application

    Download the Building Permit Application PDF for Jerusalem.

  2. 2

    Complete The Form

    Fill in the applicant, property, contractor, project, work-description, square-footage, and estimated-cost fields.

  3. 3

    Gather Required Documents

    Include the listed insurance proof, plot plan, building plans, and wastewater documentation when applicable.

  4. 4

    Submit To The Town

    Submit the application to the Department of Code Enforcement and Administration by the listed address or email.

Frequently asked questions

Do I need a notary for the Building Permit Application?
No. The application has a signature and date line but no notary block. The listed insurance, plot plan, building plan, and wastewater attachments have no notarization or sworn step stated.
Who should complete this building permit application?
Property owners or their agents, architects, builders, and contractors can complete it. The form asks applicants to identify their role and provide project and property details.
What documents may need to accompany the application?
The form lists proof of workers' compensation and disability benefits insurance, a plot plan, approved building plans, and wastewater documentation as required documentation when applicable.
How do I submit the building permit application?
Submit it to the Department of Code Enforcement and Administration at 3816 Italy Hill Rd., Jerusalem, New York 14418, or email it to [email protected].

Need something notarized?

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