Jerusalem, NY · Yates County

No notary required

Driveway/Culvert Permit Application

Jerusalem property owners or agents use this application to request approval for a driveway, culvert, or related driveway or culvert work.

What this form is

The Town of Jerusalem application requests information about the applicant, property, project type, and a project drawing or sketch. It also includes sections for culvert details, permit approval, fees, and office use. The form says to call before completing it and lists a $35 application fee, along with installation charges for pipe and gravel.

Who needs it

A property owner or agent seeking a permit for a culvert, driveway, driveway extension, or related work in the Town of Jerusalem needs this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists 3816 Italy Hill Road, Branchport, NY 14418.

About notarization

This application is signed and dated without a notary; it identifies no sworn or notarized attachment, so the applicant or agent just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Driveway/Culvert Permit Application PDF.

  2. 2

    Complete The Applicant Section

    Print or type the applicant and property information, select the project type, and include a project drawing or sketch.

  3. 3

    Review The Fees

    The form lists a $35 application fee and installation charges for pipe and gravel.

  4. 4

    Sign And Contact The Town

    Sign and date the application. The form says to call 315-595-2877 before completing it.

  5. 5

    Submit To The Town

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

Frequently asked questions

What is the Driveway/Culvert Permit Application for?
It requests information about the applicant, property, and proposed driveway or culvert work, with sections for project details, fees, approval, and office use.
Who should complete this application?
The form includes a signature line for an applicant or agent and asks for applicant and property information.
Do I need a notary for the Driveway/Culvert Permit Application?
No. This application is signed and dated without a notary, and it identifies no sworn or notarized attachment. The applicant or agent just signs and dates it.
How do I submit the Driveway/Culvert Permit Application?
The form lists the Town of Jerusalem address at 3816 Italy Hill Road, Branchport, NY 14418. It does not specify a submission method; check the city website for current contact details.

Need something notarized?

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