Coeymans, NY · Albany County
Sewer District Permit Application
Property owners and applicants use this application to request a Coeymans Hamlet Sewer District permit for connections, repairs, extensions, disconnections, or industrial work.
What this form is
The application requests a sewer district permit for work such as new residential or commercial connections, industrial permits, disconnections, minor repairs, and main extensions. It asks for owner and applicant contact details, the improvement address, permit type, work start date, and signatures. Applicants must provide insurance documents and drawings; an owner’s consent form is required when the applicant is not the property owner.
Who needs it
Property owners or applicants seeking a Coeymans Hamlet Sewer District permit for connections, repairs, extensions, disconnections, or industrial work need this application.
How to submit it
Payments must be made payable to the Town of Coeymans and submitted to the Town Clerk before work begins. The form lists the Building Department at 18 Russell Avenue, Ravena, New York 12143.
About notarization
This application is signed without a notary; the attached BP-1 affidavit states that it serves as an exemption once notarized.
How to submit this form
- 1
Download The Application
Download the Sewer District Permit Application PDF.
- 2
Complete The Application
Enter the permit type, owner and applicant details, improvement address, and anticipated work start date; sign the application.
- 3
Gather Required Attachments
Include insurance documents and drawings; include the owner’s consent form if the applicant is not the owner.
- 4
Submit To The Town
Make payment payable to the Town of Coeymans and submit it to the Town Clerk before work begins.
Frequently asked questions
- What work does the Sewer District Permit Application cover?
- The application lists new residential and commercial connections, industrial permits, disconnections, minor repairs, and main extensions.
- What should I include with my application?
- The form lists liability insurance, workers’ compensation insurance or an exemption form, drawings showing the work, and owner consent when the applicant is not the owner.
- Do I need a notary for the Sewer District Permit Application?
- No. The application is signed without a notary. Its attached BP-1 affidavit states that it serves as an exemption once notarized.
- How do I submit the Sewer District Permit Application?
- The form says payments must be payable to the Town of Coeymans and submitted to the Town Clerk before work begins. It lists the Building Department at 18 Russell Avenue, Ravena.