
Town of Jerusalem 3816 Italy Hill Road Branchport, NY 14418 Daryl H. Jones Supervisor 315-595 2287 Town Council; Neil Simmons Michael Folts Loretta Hopkins Raymond Stewart Sheila McMichael Town Clerk 315-595-6668 Robert Payne Highway Superintendent 315-595-2877 Alan Comstock Assessor 315-595-2840 John F. Phillips Code Enforcement Officer 315-595-2284 Matthew Davison Justice 315-595-6102 Carrie Wheeler Water/Sewer Department 315-595-6657 Zoning &Planning Boards Elaine Nesbit ZAP Administration 315-595-2726 Fax: 315-595-2707 Fax: 315-595-2558 1-800-662-1220 TDD Monday - Friday
Town of Jerusalem APPLICATIONS/FORMS This directory lists all of the Town of Jerusalem forms and permits that are currently available online. These forms are available for you to print and complete prior to arriving at the Town Hall office. These forms are all PDF files. You will need Adobe Acrobat Reader to view them. TOWN CLERK Marriage License - 296 KB PDF Record Of Marriage - 356 KB PDF Birth Certificates - 432 KB PDF Death Certificates - 228 KB PDF Handicapped Parking Permits Hunting/Fishing Licenses Fireworks Display Permit Application - 260 KB PDF Freedom Of Information - 428 KB PDF Dog License Jerusalem Town Code Article II. Dog Control - 464 KB PDF BUILDING PERMITS Guide For Building Permits - 956 KB PDF Building Permit - 60 KB PDF Inspection Procedures - 784 KB PDF Building Permit Application Worksheet - 120 KB PDF Code Inforcment Review Checklist - 40 KB PDF Application - Zoning Board Of Appeals - 76 KB PDF Application For A Use Variance - 20 KB PDF Application For An Area Variance - 20 KB PDF State - Long Environmental Assessment Form - 2MB PDF State - Short Environmental Assessment Form - 86 KB PDF Driveway Installation Application - 52 KB PDF HIGHWAY DEPT Highway/Building Review - 40 KB PDF Road Opening Permits - 44 KB PDF

Town of Jerusalem

APPLICATIONS/FORMS

This directory lists all of the Town of Jerusalem forms and permits that are currently available online. These forms are available for you to print and complete prior to arriving at the Town Hall office.

These forms are all PDF files. You will need Adobe Acrobat Reader to view them.

TOWN CLERK
Marriage License - 296 KB PDF
Record Of Marriage - 356 KB PDF
Birth Certificates - 432 KB PDF
Death Certificates - 228 KB PDF
Handicapped Parking Permits
Hunting/Fishing Licenses
Fireworks Display Permit Application - 260 KB PDF
Freedom Of Information - 428 KB PDF
Dog License
Jerusalem Town Code Article II. Dog Control - 464 KB PDF

BUILDING PERMITS
Guide For Building Permits - 956 KB PDF
Building Permit - 60 KB PDF
Inspection Procedures - 784 KB PDF
Building Permit Application Worksheet - 120 KB PDF
Code Inforcment Review Checklist - 40 KB PDF
Application - Zoning Board Of Appeals - 76 KB PDF
Application For A Use Variance - 20 KB PDF
Application For An Area Variance - 20 KB PDF
State - Long Environmental Assessment Form - 2MB PDF
State - Short Environmental Assessment Form - 86 KB PDF
Driveway Installation Application - 52 KB PDF

HIGHWAY DEPT
Highway/Building Review - 40 KB PDF
Road Opening Permits - 44 KB PDF