Middlesex, NY · Yates County

No notary required

Certificate of Non-Conformity Application

Town of Middlesex property owners use this application to identify a pre-existing non-conforming structure or use and request continued use or occupancy.

What this form is

This application identifies a pre-existing non-conforming structure or use and requests continued use or occupancy of the facility described. It asks for property, owner, zoning, present-use, and non-conformity details, along with the law and adoption date. Applicants must submit a site map showing structures and measured setbacks, plus proof that the non-conforming structure or use existed when the law was adopted.

Who needs it

Property owners seeking continued use or occupancy of a pre-existing non-conforming structure or use complete and sign this application.

How to submit it

Submit the application and required site map and proof to the Town of Middlesex Code Enforcement Office, 1216 Route 245, PO Box 147, Middlesex, NY 14507.

About notarization

This application is signed and dated without a notary; the applicant must also submit a site map and proof of the structure’s or use’s prior existence.

How to submit this form

  1. 1

    Download The Application

    Download the Certificate of Non-Conformity Application PDF.

  2. 2

    Complete The Application

    Enter the property and owner details, present use, applicable law and adoption date, and areas or structures that do not conform.

  3. 3

    Gather Required Materials

    Prepare a site map showing structures and measured setbacks, and proof of existence when the law was adopted.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it and the required materials to the Town of Middlesex Code Enforcement Office.

Frequently asked questions

What does the Certificate of Non-Conformity Application do?
It identifies a pre-existing non-conforming structure or use and requests continued use or occupancy of the facility described.
What must I include with the application?
Submit a site map showing structures and measured setbacks, and proof that the non-conforming structure or use existed when the law was adopted.
Do I need a notary for the Certificate of Non-Conformity Application?
No. The form asks the property owner to sign and date it without a notary. It also requires a site map and proof of prior existence.
How do I submit the Certificate of Non-Conformity Application?
Submit the application and required materials to the Town of Middlesex Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, NY 14507.

Need something notarized?

This Certificate of Non-Conformity Application doesn’t need a notary — but if you have another Middlesex form that does, a commissioned online notary can help.