Middlesex, NY · Yates County

No notary required

UDML Permit Application

The Town of Middlesex application requests a permit for docks, boathouses, or boat stations and is submitted by the upland property owner or their agent.

What this form is

Use this application to request a permit for a dock, boathouse, or boat station in the Town of Middlesex. It asks for applicant, upland property owner, property, and contractor details, a project description, and estimated cost. 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.

Who needs it

An upland property owner or their agent who is applying for a permit for a dock, boathouse, or boat station needs this application.

How to submit it

Submit it to the Town of Middlesex Code Enforcement Office, listed at 1216 Route 245, PO Box 147, Middlesex, New York 14507; the form lists no email or portal.

About notarization

This application is signed and dated without a notary; an exempt homeowner or contractor must submit a signed and dated CE-200 Certificate of Attestation of Exemption.

How to submit this form

  1. 1

    Download The Application

    Download the UDML Permit Application for docks, boathouses, or boat stations.

  2. 2

    Complete The Application

    Provide applicant, owner, property, and contractor details, along with the project description and estimated cost.

  3. 3

    Gather Required Attachments

    Contractors and subcontractors must submit proof of liability, workers’ compensation, and disability insurance. Exempt applicants must submit a signed and dated CE-200 certificate.

  4. 4

    Sign And Date

    Sign and date the application and certify that persons or entities with an interest in the berthing or mooring facility have been notified.

  5. 5

    Submit To The Town

    Submit the application to the Town of Middlesex Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, New York 14507.

Frequently asked questions

What is the UDML Permit Application for?
It is an application for a Town of Middlesex permit for docks, boathouses, and boat stations. It collects project, property, applicant, owner, and contractor information.
Who may submit the application?
The form states that only the upland property owner or their agent may submit an application.
Do I need a notary for the UDML Permit Application?
No. The application has a signature and date line but no notary block. An exempt homeowner or contractor must submit a signed and dated CE-200 Certificate of Attestation of Exemption.
How do I submit the UDML Permit Application?
Submit it to the Town of Middlesex Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, New York 14507, as listed on the form.

Need something notarized?

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