Jay, NY · Essex County

No notary required

Application for New Connection to Public Water System

Homeowners or contractors use this application to request a new connection to the Town of Jay’s public water system.

What this form is

This application requests a new connection to the Town of Jay’s public water system and records the applicant, site, tax map, and contractor details. It also sets out connection policies, including scheduling, installation responsibilities, and payment before work begins. For taps larger than one inch, the application requires a letter from an accredited engineer or stamped plans explaining the need.

Who needs it

Homeowners or contractors seeking a new connection to a public water main in the Town of Jay should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the applicant agrees to the listed terms and conditions by signing.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Jay application for a new public water connection.

  2. 2

    Complete The Applicant Details

    Enter the applicant, site, tax map, and contractor information requested on the form.

  3. 3

    Gather Required Engineering Documents

    For taps larger than one inch and up to two inches, include an engineer’s letter or stamped plans detailing the necessity.

  4. 4

    Submit The Application

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the public water connection application?
No. The applicant signs and dates the form without a notary to agree to its terms and conditions.
How do I submit the water connection application?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the application request?
It asks for the applicant’s name, site address, contact number, tax map number, and contractor’s name and contact number.
Are additional documents required for larger taps?
For taps larger than one inch and up to two inches, the form requires a letter from an accredited engineer or stamped plans detailing the necessity.

Need something notarized?

This Application for New Connection to Public Water System doesn’t need a notary — but if you have another Jay form that does, a commissioned online notary can help.