Middlesex, NY · Yates County
Building Permit Application
Property owners, applicants, or contractors use this application to provide project and property details for a building permit in the Town of Middlesex.
What this form is
The Town of Middlesex Building Permit Application collects applicant, property owner, contractor, property, and project information, along with the estimated cost of work. It also describes insurance documentation requirements and notes that onsite wastewater treatment system requirements must be met. The applicant or property owner signs to acknowledge responsibility for external consultant fees connected with the application.
Who needs it
Applicants seeking a building permit in the Town of Middlesex should complete the application with property and project information.
How to submit it
The application lists the Town of Middlesex Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, NY 14507; it does not provide a submission method.
About notarization
This application is signed and dated without a notary; applicable insurance proof or a signed and dated CE-200 Certificate of Attestation of Exemption is also required.
How to submit this form
- 1
Download The Application
Download the Town of Middlesex Building Permit Application PDF.
- 2
Complete The Application
Enter applicant, owner, contractor, property, project, and estimated cost information.
- 3
Gather Required Documents
Include required insurance proof or, if exempt, a signed and dated CE-200 Certificate of Attestation of Exemption.
- 4
Submit To The Code Enforcement Office
The form lists the Town of Middlesex Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, NY 14507.
Frequently asked questions
- Do I need a notary for the Building Permit Application?
- No. The application requires an applicant signature and date, not notarization. Applicable insurance proof or a signed and dated CE-200 Certificate of Attestation of Exemption may also be required.
- How do I submit the Building Permit Application?
- The application lists the Town of Middlesex Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, NY 14507, but does not specify how to submit it.
- What information does the application ask for?
- It asks for applicant, property owner, and contractor contact details; property address, tax map ID, zoning classification, project description, and estimated work cost.
- What supporting documents may be required?
- Contractors and subcontractors must submit proof of liability, workers’ compensation, and disability insurance. An exempt homeowner or contractor must submit a signed and dated CE-200 certificate.