Coxsackie, NY · Greene County
Street/Highway Excavation Permit Application
Contractors or property owners use this application to request a Village of Coxsackie permit for an excavation in a street or highway.
What this form is
This application is for street or highway excavations in the Village of Coxsackie. It asks for contractor and property owner contact details, the opening’s location and purpose, its size, fee payment information, signatures, a Prevailing Rate Case number, and a certificate of insurance attachment.
Who needs it
A contractor or property owner seeking a permit for a street or highway excavation uses 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 without a notary; the contractor and homeowner sign and date the application.
How to submit this form
- 1
Download The Application
Download the Street/Highway Excavation Permit Application PDF.
- 2
Complete The Application
Enter the contractor and property owner details, excavation location and purpose, opening size, and fee payment information.
- 3
Gather The Attachment
Attach the certificate of insurance and provide the Prevailing Rate Case number.
- 4
Sign And Submit
The contractor and homeowner sign and date the application. Submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Street/Highway Excavation Permit Application?
- No. The application asks the contractor and homeowner to sign and date it; it does not include a notary block.
- How do I submit the Street/Highway Excavation Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It requests contractor and property owner contact details, the excavation location and purpose, opening dimensions, fee payment information, signatures, and a Prevailing Rate Case number.
- Does the application list a fee or attachment?
- The form lists a $15.00 fee and includes a space to indicate whether the owner or contractor paid it. It also says a certificate of insurance is attached.
Need something notarized?
This Street/Highway Excavation Permit Application doesn’t need a notary — but if you have another Coxsackie form that does, a commissioned online notary can help.