Jerusalem, NY · Yates County

No notary required

Docking & Mooring Application

Property owners and their representatives use this application to request Town of Jerusalem review of proposed docking or mooring work.

What this form is

The Town of Jerusalem Docking & Mooring Application gathers property, project, and contact details for review by the Code Enforcement Officer. It asks about the proposed work, water rights lines, nearby interested parties, and required documentation; the form identifies a survey and construction documents as possible requirements, with a survey waiver described for certain replacement projects.

Who needs it

Property owners or their agents, architects, builders, and contractors proposing docking or mooring work can complete this application for town review.

How to submit it

Submit the application to the Code Enforcement Officer, 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; it lists no sworn or notarized attachment, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Jerusalem Docking & Mooring Application PDF.

  2. 2

    Complete The Form

    Provide contact, property, and project information, answer every listed question, and sign and date the affirmation.

  3. 3

    Gather Required Documents

    Include the survey and construction documents described on the form when applicable.

  4. 4

    Submit To The Town

    Send the application to the Code Enforcement Officer at the listed address or email it to [email protected].

Frequently asked questions

Do I need a notary for the Docking & Mooring Application?
No. The application has a signature and date line but no notary block, and it lists no sworn or notarized attachment.
How do I submit the Docking & Mooring Application?
Submit it to the Code Enforcement Officer, Department of Code Enforcement and Administration, at 3816 Italy Hill Rd., Jerusalem, NY 14418, or email [email protected].
What documents may be required with the application?
The form lists a survey showing littoral rights lines and construction documents with dimensions. It describes a survey waiver for certain replacement projects.
What information does the application ask for?
It requests contact and property information, project details, answers about water rights lines and notifications, required documentation, and the applicant’s affirmation and signature.

Need something notarized?

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