Documents, Forms and Fees

Select from the list of departments to browse that area. Click on the description within each department to expand it and view the information and forms.

Assessor	GIS
Buildings	Industrial Development Agency
City Clerk	Parking
Civil Service	Planning
Consumer Affairs	Police Department
Finance	Veterans
Fire Department	Water Supply
General

Assessor

Application for School Tax Relief (STAR) Exemption – RP-425

Income and Expense Form

Renewal Application for STAR Exemption – RP-425-Rnw

Veterans Exemption Application

Alternative Veterans Exemption Application

Complaint on Real Property Assessment

Senior Citizen Exemption RP-467

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Buildings

Applications may be picked up at the Department of Buildings between the hours of 8:30 AM and 4:30 PM

You may request to have these forms mailed to you:

By phone: 914-664-2483

By e-mail: kknotts@cmvny.com (Be sure to specify the type and the number of forms you need)

Use original forms issued by the Department of Buildings for filing. No photocopies or facsimiles will be accepted.

Completed applications may be filed with the Department of Buildings between the hours of 8:30 AM and 3:30 PM

The following form samples are for information only. The forms may be picked at the Department of Buildings between the hours of 8:30 am. to 4:30 pm. You may also request, by phone, that the forms be mailed to you. The Department telephone number is 914-665-2483.

You can use the links below to obtain samples of application forms in PDF format:

Building Permit Application

The application fee for a building permit shall be as follows:

$100.00 filing fee, plus
For all buildings, except existing one- and two-family dwellings, $10.00 for each $1,000.00 of estimated cost, permit fee.
For work on existing one- and two-family dwellings, $6.00 for each $1,000.00 of estimated cost, permit fee.

Checklist for Building Permit

Building Permit Application Form

Items to Submit for a Building Permit Form

Construction Documents Requirements Form

Conditional Temporary Certificate of Occupancy

The fee for each conditional temporary Certificate of Occupancy shall be the same as the fee for a final certificate, and shall be paid separately from the final certificate fee.

Any extension of time for a conditional temporary certificate of occupancy shall be charged $100.00.

Demolition Permit Application

The application fee for a demolition permit shall be as follows:

$100.00 filing fee, plus
$90.00 per 1,000 square feet of gross floor area of structure or building to be demolished.

Demolition Permit Application Form

Electrical Permit Application

The application fee for an electrical permit shall be as follows:

$100.00 filing fee, plus
For all buildings, except existing one- and two-family dwellings, $9.00 for each $1,000.00 of estimated cost, permit fee.
For existing one- and two-family dwellings, $6.00 for each $1,000.00 of estimated cost, permit fee.
For all buildings, the fee to install new or additional electrical meters shall be $90.00 per meter, additional to the filing and permit fee.

Filing and permit fees must be paid simultaneously at the time of filing.

Electrical Permit Application Form

Equipment Permit Application

The application fee for an equipment permit shall be as follows:

$100.00 filing fee, plus
For all buildings, except existing one- and two-family dwellings, $10.00 for each $1,000.00 of estimated cost, permit fee.
For work on existing one- and two-family dwellings, $6.00 for each $1,000.00 of estimated cost, permit fee.

Equipment Permit Application Form

Legalization Fee for Permits

The legalization fee is charged additionally to the filing and permit fees when the application is filed to legalize a structure or site where work has been performed without a permit, except that the filing and permit fee shall be omitted when no stop order or violation have been issued.

$1,500.00 per dwelling unit, for legalization of the work, other than electrical and plumbing work, performed to create a dwelling unit.
$500.00 for legalization of work under a building or equipment permit application for which construction documents prepared by a registered design professional is not required.
$1,000.00 for legalization of any other type of work.

The legalization fee for plumbing and/or electrical work performed without a permit in connection with the work to be legalized under a building, equipment, demolition or sign permit shall be paid additionally and simultaneously with the application fee of these aforesaid permits.

Letter of Completion

The filing fee for a letter of completion shall be $90.00 per permit number.

Available in person.

Multiple Dwelling Certificate of Inspection

The filing fee for each yearly certificate of multiple dwelling inspections shall be:

$90.00 for each building with 10 or less dwelling units.
$180.00 for each building with more than 10 dwelling units.
A late fee equals to two times the application fee shall be charged additionally to the application fee for failure to request the required certificate and inspection at least 30 days prior to expiration of previous certificate.

Sign Permit Application

The application fee for a sign permit shall be as follows:

$200.00 for all types of signs except awnings, canopies, and ground signs.
$250.00 for awnings and canopies that bear advertising on no more than one side, plus $100.00 for each additional side that bears advertising.
$200.00 for street clock.
$200.00 for ground signs with advertising on one side, $400.00 for ground signs with advertising on two sides.
$500.00 per sign for an application to the Sign Board of Appeals, additional to the sign permit fee.

The permit fee for re-painting or re-facing an existing sign shall be the same as a new sign of the same type.

Sign Permit Application

Temporary Construction

The application fee for temporary construction shall be:

$90.00 filing fee, plus
$6.00 for each $1,000.00 of estimated cost.

Occupancy Signs

The filing fee for an occupancy sign shall be:

$ 100.00 per sign for the first 50 occupants, plus $ 30.00 for each additional 50 occupants.
$ 90.00 required yearly renewal per sign. Renewal must be requested by the applicant.
$75.00 late fee, additional to occupancy sign fee, for failure to request the required occupancy sign at least 30 days prior to expiration of sign.

The premises will be subject to inspection prior to the issuance of a new or renewed occupancy sign.

Plumbing Permit

The application fee for a plumbing permit shall be as follows:

$100.00 filing fee, plus
For all buildings, except existing one- and two-family dwellings, $15.00 per fixture.
For work on existing one- and two-family dwellings, $10.00 per fixture.

Note: Each floor drain and appliance, including each boiler, requiring plumbing connections shall constitute one fixture.

$200.00 for sewer connection.
$200.00 for water connection.
$200.00 for new gas line.
$15 per meter.

Available in person.

Reapportionment and Subdivision Application

The filing fee for an application for subdivision or reapportionment shall be:

$90.00 per lot created and altered, filing fee, plus,
$500.00 per lot created and altered by the subdivision, subdivision fee.
$500.00 per lot altered by the reapportionment, reapportionment fee.
The subdivision or reapportionment fee may be paid after Zoning and/or Planning Board approvals when such approval(s) is (are) required.

Reapportionment and Subdivision Application

Re-Inspection Fee

The re-inspection fee for an inspection required for a granted permit shall be charged as follows:

$75.00 for the first re-inspection.
$100.00 for each subsequent re-inspection of the same type required inspection.

Re-Inspection Fee for Certificate of Occupancy

The re-inspection fee if the inspections fail and the premises must be re-inspected shall be:

Residential uses: $75.00 plus $20.00 per dwelling unit to be re-inspected.
Other uses: $90.00 per 5,000 square feet of non-residential use to be re-inspected.

Revision Fee for Permits

The revision fee shall be charged each time additional or revised documentation or construction documents are submitted for a pending, but current, permit application. The revision fee shall be charged for each submission of documentations and/or construction documents following the initial filing of an application.

The revision fee shall be:

$90.00 when construction documents, prepared by a registered design professional, are part of the submission, and
$50.00 otherwise, except for re-submission of the Contractor’s Information Form, license and/or insurance certificates, which shall be exempt of charge.

Vacant Apartment Inspection

The inspection fee for vacant apartments inspection shall be $90.00 per apartment.

Contractor’s Information Form

Contractor Information Form Instructions

Contractors Information Form

Change of Grade and Fill of Vacant Land

$90.00 for the first six inches in change of grade, plus $ 50.00 for each additional inch.
$1,000.00 for the first 10,000 cubic yard for fill of vacant land, plus $ 20.00 for each additional cubic yard

Amendment Application

The application fee for an amendment to a building or equipment permit shall be as follows:

$100.00 filing fee, plus
For all buildings, except existing one- and two-family dwellings, $10.00 for each $1,000.00 of estimated cost above the original cost, permit fee.
For work on existing one- and two-family dwellings, $6.00 for each $1,000.00 of estimated cost above the original cost, permit fee.

Amendment Application

Application for Inspection of Fuel Oil Burner Installation

Application for Inspection of Fuel Oil Burner Installation

Subdivision and Reapportionment – Planning Board

The filing fee for an application to the Planning Board for subdivision or reapportionment shall be:

$2,500.00 per lot created and altered by the subdivision.
$1,000.00 per lot altered by the reapportionment.

Site Plan Approval

The filing fee for an application to the Planning Board for site plan approval shall be:

$500.00, plus $20.00 per off-street parking and loading space provided at the premises.
$500.00 for an amendment to site plan approval to request an extension of time.
$500.00, plus $20.00 per off-street parking and loading spaces provided at the premises for an amendment to the site plan approval other than an extension of time.

Special Use Permit

The filing fee for an application to the Planning Board for a special use permit, except for wireless telecommunication facilities, shall be:

$500.00 for a Special Use Permit application.
$250.00 for an amendment to a Special Use Permit approval to request an extension of time.

Parking Fee

The parking fee shall be $10,000 for the first ten required off-street parking spaces that are not provided, and $20,000 for each required space above that, except that for residential use up to five-family dwelling, the parking fee shall be $20,000 per space that is not provided.

Landscaping Fee

The landscaping fee shall be $ 30.00 per square feet of impervious surface in excess of the permitted coverage.

Hoisting Equipment Annual Inspection Fee

The fee for the mandatory annual inspection shall be:

$350.00 per elevator.
$250.00 per conveyor and escalator.
$250.00 per auto lift and per hoisting equipment other than the ones listed above.

A late charge fee of $200.00 shall be charged additionally for failure to pay within the required time.

Signs Annual Fee

The annual sign fee is only applicable to the signs listed below:

$500.00 per legally existing billboard.
$3.00 per square feet of any type of signs overhanging more than 12 inches over the City’s right-of-way.

Dismissal of Violation

$90.00 per violation. The letter of dismissal may only be requested once the violations have been corrected in accordance with codes and Department of Buildings procedures.

Search of Records and Copies

$90.00 for search of violations for one property. Copy of a violation shall be charged additionally.
$90.00 for search of Certificates of Occupancy and/or Tenancy and letter of completion for one property. Copy of a certificate shall be charged additionally.
$90.00 for search of permits and/or applications for one property. Copy of a permit or application shall be charged additionally.
$0.25 per page for photocopy of any documents, including copies of violations, certificates, or permits identified in a requested search.

Copy of Approved Plans

Copy of approved plans shall be available upon written and notarized request from the property owner and shall be charged as follows:

$2.00 per page up to 11” x 17”
$4.00 per page up to 36” x 42”
$5.00 per page greater than 36”x 42”.

Refunds

If an application for a permit is withdrawn prior to any official review, all but the filing fee of $90.00 shall be refunded.
If an application for a permit is withdrawn during the review process, an amount to be determined by the Commissioner, and commensurate with the review work already performed, shall be retained.
If an application for a permit is withdrawn after its approval, fees shall not be refundable.
If an application for a permit is dormant or abandoned for a period in excess of six months, it shall become void. Paid fees shall not be refundable.

Administrative Procedural Fee

ADMINISTRATIVE PROCEDURAL FEE:

An administrative fee shall be charged to the owner of a property, directly or as a lien on the property, in addition to the actual cost of the work. The administrative fee shall be equal to 15% of the actual contracted cost.

Home Improvement License

The prescribed fee for a Home Improvement License shall be $250.00 renewable every two (2) Years.
The prescribed fee for a duplicate copy of a license shall be $50.00.
Notwithstanding any fees to the contrary in any city ordinance, the above fee schedule shall control.

What is a Certificate of Occupancy and how do I get one?

A Certificate of Occupancy certifies a premises maybe occupied in accordance with codes for the use specified in the C.O.

Come into the Department of Buildings with your block and lot number(s) and review our file to see if a Certificate of Occupancy (C.O.) and/or floor plans are there. If you do not find a C.O. then you will be required to file an application for one. If floor plans exist in your file then you only need to provide us with a copy f your survey along with the application and we will make an appointment to come and check your home. If floor plans do not exists in your file then you will be required to provided the Department with plans drawn to architectural standards showing the occupancy of each room/space. If work was done with permits and does not agree with the City’s records, then you will be required to legalized the work done by applying for a building permit.

The filing fee for a “Certificate of Occupancy” application shall be:

Residential use: $150.00, plus $ 50.00 per dwelling unit
Other uses: $300.00 per 5,000 square feet of gross floor area of non-residential use.

Certificate of Occupancy Application

What is a certificate of tenancy? When is it required?

A certificate of tenancy is a certificate of occupancy for the Tenant space only. It certifies that the tenant space can be occupied in accordance with the use listed on the certificate and in compliance with applicable codes.

The filing fee for a “Certificate of Tenancy” application for non-residential tenancies shall be:

$200.00 for up to 5,000 square feet of gross floor area, plus $50.00 for each additional 5,000 square feet.
$500.00 occupancy legalization fee shall be charged in addition to the filing fee for new non-residential tenancies occupying a space without first obtaining a Certificate of Tenancy.

Certificate of Tenancy Application

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City Clerk

Marriage License

Valid only in New York State

1. Couple must come to Office of the City Clerk, Room 104

Hours & Days:9:00 A.M. TO 3:30 P.M., Monday thru Friday (Closed on weekends and holidays).

The fee is $40, Cash or Money Order only.

2. Identification required for both parties:

a) Certified (raised seal) Long Form (one with both parents names) Birth Certificate . If the form is in a foreign language, a certified English translation must accompany original)

b) Government Issued Picture ID (choose one of the following)

– current Driver’s License (U.S.only)

– current State Non-Driver’s License I.D. issued by the Dept. of Motor Vehicles

– valid Passport

– original Naturalization Papers

– U.S. Military photo I.D.

c) Proof of current address

3. If this is not your first marriage, you will need the following:

a) Original or certified copies of all divorces/annulments/death documents

If you have additional questions please phone the office of the Mount Vernon City Clerk (914)665-2348 during business hours.

License is valid after 24 hours and good for 60 days.

Request for Marriage Certification

(please note: this form must be notarized, driver license copies will no longer be accepted)

Birth or Death Certificates

In order to receive a certificate of birth or death the person must have been born or died in the City ofMount Vernon. You should be prepared to provide the name of the individual and the date of death or birth of the individual whose name is on the certificate. The fee is $10.00. Genealogy copies are $11.00.

Who is eligible to obtain a death certificate copy? The spouse, parent or child or sibling of the deceased. You must be able to produce proof of your relationship to the deceased when applying for the copy.

Who is eligible to obtain a genealogy death certificate copy? Anyone can request once the death certificate is over 75 years.

Who else is eligible? Other persons who have a:

Documented lawful right or claim
Documented medical need
New York State Court Order

may be eligible.

Request for Birth Certificate

Request for Death Certificate

Bingo Licenses

Bingo/Occasion	$25.00
Games of Chance/Occasion	$25.00
Bell Jar/Year	$25.00
Commercial Lessor License/Year	$25.00
Additional Bingo License	3% Net Proceeds
Additional Fee – Games of Chance	5% Net Proceeds
Additional Fee – Bell Jar	2% Net Proceeds
Commercial Lessor Agreement Fee	Variable

Bingo/Occasion

Dog Licenses

UN-Neutered Dog – Under 6 Months	$7.50
UN-Neutered Dog License	$10.50
Neutered Dog License	$2.50
Lost Dog Tag	$3.00

Bingo/Occasion

Taxi Licenses

Original Taxi Driver License	$40.00
Renewal Taxi Driver License	$40.00
Original Taxi Owner License	$500.00
Prorated Taxi Owner License – Per Month	$41.67
Renewal Taxi Owner License	Variable
Taxi Owner License Transfer	$10.00
Driver Badges – Lost License	$10.00
Taxi Renewal Late Fees	$1.00 to $10.00

Peddler’s Licenses

Peddler’s License – Truck or Vehicle	$200.00
Peddler’s License – Cart/Carry/Stand	$100.00
Peddler License – Veteran	No Charge
Peddler Badge Card	$10.00

Miscellaneous Licenses

Junk License	$150.00
Going Out of Business/Month	$25.00
Transient Merchant/Month	$25.00
Film on City Property/Day	$500.00
Curb Lowering Permits/Linear Foot	$10.00
Circular Distribution License	$100.00
Auctioneer License	$200.00
Auction Permit – Per Day	$100.00
Amusement Device/Per Device	$100.00
Amusement Device – Prorated After 6 Months/Device	$50.00
Amusement Device – Temporary Per Device	$10.00
Jukebox/Device	$30.00
Jukebox – Prorated After 6 Months/Device	$15.00
Theatre License – One Performance	$15.00 – $62.50
Theatre License – 6 Months	$62.50
Theatre License – 6 Months to 1 Year	$125.00
Auto Wrecker License	$150.00
Pawn Broker/Year	$350.00
Street Sidewalk Obstruction (Min. $75.00 Charge)	$5.00/Linear Foot
Sidewalk Cafe Permit	Table: $60.00 Chair: $10.00
Sidewalk Display/Year	$360.00
Private Carting License/Vehicle	$180.00
Tow Truck Owner License	$80.00
Tow Truck Driver License	$20.00
Towing from Parking Lot Permit	$100.00
Private Parking Lot – 25 Vehicles or Less/Year	$50.00
Private Parking Lot – 26 to 50 Vehicles/Year	$100.00
Private Parking Lot – 51 to 99 Vehicles/Year	$150.00
Private Parking Lot – More Than 100	$200.00
Dance Hall – Under 6 Months	$25.00
Dance Hall – Over 6 Months to 1 Year	$50.00
Solicitor’s License– 3 Months or Less	$7.50
Solicitor’s License – 3 to 6 Months	$15.00
Solicitor’s License – 6 Months to 1 Year	$25.00
Solicitor’s Identification	$2.00
Sound Truck Permit/Day	$5.00
Parade/Procession or Motorcade Permit	$100.00
Relig/Political Parade/Procession or Motorcade Permit	No Charge
Social Club License/Year	$250.00
City Street Opening	$350.00

City Maps, Charters and Codes

General Ordinance – Code Book	LINK TO E-CODE
Housing Code/Page	LINK TO E-CODE
Fire Prevention Book	LINK TO E-CODE
Zoning Ordinance Book ($4 P/H Charge if Mailed)	LINK TO E-CODE
City Charter	LINK TO E-CODE
Small Street or Election Map	$5.00
Large Street or Election Map	$10.00
Small Zoning Map	$10.00
Large Zoning Map	$20.00

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Civil Service

Application Fee Waiver

Application Fee Waiver

Accident Waiver

Application for Veteran’s Credits

Application for Disabled Vet’s Credits

Cross-Filer Form

I-9 Employment Eligibility Verification Form

Personnel Change Form

W-4 Tax Form

CS W-9 Tax Form (Monitors & Proctors)

W-9 Tax Form (Monitors & Proctors)

General Employment Application

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Consumer Affairs

Consumer Protection Complaint Form

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Finance

Transfer Tax Application

Please be advised that BOTH the page 2 Transfer Tax Application and the Westchester County Transfer Tax Receipt (found below) are required along with any necessary payment to process a property transfer.

Transfer Tax Application

Westchester County Transfer Tax Receipt

Request for Mailing of Duplicate Bills of Statements of Unpaid Taxes to Third Party

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Fire Department

Application for Inspection of Fuel Oil Burner Installation

Application for Inspection of Fuel Oil Burner Installation

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General

Sanitation Schedule

Sanitation Schedule

Freedom of Information Act Request

Public Access Channel Community Bulletin Board Request

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GIS

Aerial Photograph (2007 Imagery)

New York State Empire Zones (Program is being sunsetted)

2000 Census Block Groups

2000 Census Tracts

New York State Excelsior Zones

Land Use (Based on Westchester County GIS data)

Mount Vernon Police Department Sectors

Planning Intensity Areas

Public Transportation

Streets Map

Voting Districts

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Industrial Development Agency

Industrial Development Agency Preliminary Application

IDA Introductory Application

Mount Vernon IDA 5 Year Budget and Financial Plan

Mount Vernon IDA List of Officers

Mount Vernon IDA Mission Statement

Mount Vernon IDA Summary of Net Assets

Mount Vernon IDA Procurement Report

2012 Independent Audit Notice for Mount Vernon IDA

2011-2012 Mount Vernon IDA Audit Report

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Parking

Parking Permit Fees

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Planning

Planning Board Forms and Procedures

Planning Board Rules of Procedure

Planning Board Application

Planning Board Application Materials Checklist and Submission Review

Planning Board Submission Instructions

Affidavit of Sign Posting

Notice of Public Hearing Form (Planning Board)

Consent Objection Form

State Environmental Quality Review – Short Assessment Form

Planning Board Journal News Advertising Affidavit

Planning Board Site Plan Technical Checklist

Zoning Board of Appeals Forms and Procedures

Zoning Board Rules and Procedures

Zoning Board Application

Zoning Board Submission Process and Instructions

Zoning Board Affidavit of Sign Posting

Notice of Public Hearing Form (Zoning Board)

Draft Parcel Based Zoning Map

Zoning Board Materials and Applications Checklist

Zoning Board Proposed Building Envelope

Zoning Board Consent Objection Form

Zoning Board Journal News Advertising Affidavit

Zoning Board State Environmental Quality Review – Short Assessment Form

Zoning Board Table Form

Architectural Review Board Forms and Procedures

Architectural Review Board Application

Architectural Review Board Submission Process and Instructions

Architectural Review Board Affidavit of Sign Posting

Architectural Review Board Application Materials Checklist and Submission Review

Architectural Review Board Minor and Major Applications Tables

Sign Appeals Board Forms and Procedures

Sign Appeals Board Application

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Police Department

Mount Vernon Police Department Sectors

Lost Property Report

Crime Prevention and Safety Brochures

Crime Prevention Brochure

Summertime Tips Brochure

Tip Line Palm Card 3×5

Safeguard New York Brochure

Safeguard Mass Transit Brochure

MVPD Commendation Form

English

Spanish

NYS DMV MV-104 Report of Motor Vehicle Accident Form

NYS DMV MV-664.1 Application for Plates and Permits for Persons with Severe Disabilities

NYS DMV Vehicle Theft Prevention Program Registration Form

Civilian Complaint Form

English

Spanish

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Veterans

Veterans Exemption Application

Alternative Veterans Exemption Application

Application for Veteran’s Credits

Application for Disabled Vet’s Credits

Water Supply

The Board of Water Supply Application for Service

Board of Water Supply Application for Service

Installation of Service Line

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