Millbrook, NY · Dutchess County

No notary required

Permit Application for Water and Sewer Hook-Up

Millbrook applicants use this application to request approval for a water or sewer connection and provide project and licensed plumber information.

What this form is

The Village of Millbrook uses this application for water and sewer connections. It asks for applicant and project details, whether the project is new construction, and the licensed plumber’s information. Applicants must follow the listed connection procedures and pay applicable fees before work can proceed; the form also provides spaces for permit decisions, fee records, inspection, and bond return.

Who needs it

Applicants seeking a connection to Village water or sewer must complete the application and follow its listed procedures.

How to submit it

Hand deliver the completed form and fees to 35 Merritt Ave, Millbrook, or mail them to PO Box 349, Millbrook, NY 12545. Questions can be emailed to [email protected].

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant signs and dates the form.

How to submit this form

  1. 1

    Download The Application

    Download the Village of Millbrook water and sewer hook-up permit application.

  2. 2

    Complete The Form

    Enter applicant and project details, provide the licensed plumber’s information, and sign and date the application.

  3. 3

    Prepare Fees

    Review the listed connection fees and separate bond requirements; make checks payable to the Village of Millbrook.

  4. 4

    Submit To The Village

    Hand deliver the completed form and fees to 35 Merritt Ave, or mail them to PO Box 349, Millbrook, NY 12545.

Frequently asked questions

Do I need a notary for the Millbrook water and sewer hook-up application?
No. The application has signature and date fields but no notary block or notarized attachment; the applicant signs and dates the form.
How do I submit the Millbrook water and sewer hook-up application?
Hand deliver the completed application and fees to 35 Merritt Ave, Millbrook, or mail them to PO Box 349, Millbrook, NY 12545. Questions can be emailed to [email protected].
What information does the application ask for?
It requests applicant contact and address information, the project location, whether construction is new, prior Building Department appearance, and the licensed plumber’s name, license number, and telephone number.
What fees and bond does the application describe?
The document lists a $500 fee for each water connection and $500 for each sewer connection, plus a separate $500 bond for each connection. It says applicable fees must be paid before work can proceed.

Need something notarized?

This Permit Application for Water and Sewer Hook-Up doesn’t need a notary — but if you have another Millbrook form that does, a commissioned online notary can help.