Chautauqua County, NY · Chautauqua County

No notary required

R.O.W. Work Permit

This permit application is for property owners, businesses, contractors, and municipalities requesting authorization for work within a Chautauqua County road right-of-way.

At a glance

Issued by
City of Chautauqua County · Chautauqua County, Chautauqua County, New York
Notarization
Not required: file this form without a notary.
Official source
chautauquacountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this application to request a permit for work within a county road right-of-way, including driveway work, underground or aerial occupancy, and signs. It asks for the applicant’s contact information, highway name and route number, and a description of the proposed work. Submit plans with the application; the permit terms also require notice of the work’s starting and completion dates.

Who needs it

Property owners, businesses, contractors, and municipalities planning work within a Chautauqua County road right-of-way should use this application.

How to submit it

The form names the Chautauqua County Department of Public Facilities at 454 North Work Street, Falconer, NY 14733. Submit plans with the application; make checks payable to the Director of Finance.

About notarization

This document is signed and dated by the applicant without a notary; the form calls for plans and insurance documentation, but does not state they must be notarized.

How to submit this form

  1. 1

    Download the Permit

    Download the R.O.W. Work Permit to request authorization for work within a Chautauqua County road right-of-way.

  2. 2

    Complete the Application

    Enter the permittee’s contact information, highway name and route number, and description of the proposed work; then sign and date the application.

  3. 3

    Gather Required Documents

    Include plans for the proposed work. Review the permit terms for insurance documentation requirements that apply to the work.

  4. 4

    Submit to the County

    Submit the application and plans to the Department of Public Facilities at the address named on the form. Make any check payable to the Director of Finance.

Frequently asked questions

Do I need a notary for the R.O.W. Work Permit?
No. The applicant signs and dates this permit without a notary. The form requests plans and, depending on the work, insurance documentation, but does not say these attachments must be notarized.
How do I submit the R.O.W. Work Permit?
The form identifies the Chautauqua County Department of Public Facilities at 454 North Work Street, Falconer, NY 14733. Include plans with the application; checks are payable to the Director of Finance.
What information does the permit application ask for?
It asks for the permittee’s name and contact details, the highway name and county road or route number, and a description of the proposed work.
What attachments does the application mention?
Plans for the proposed work must be submitted with the application. The terms also describe insurance documentation requirements for certain types of work.

Need something notarized?

This R.O.W. Work Permit doesn’t need a notary, but if you have another Chautauqua County form that does, a commissioned online notary can help.