What information does the commercial referral application request?

It requests property section, block, lot, and address details; owner and representative contact information; and a description of the project’s scope of work.

How do I submit the commercial referral application?

Email the application, submission checklist, and plan sets to 239f@nassaucountyny.gov. Hand deliver or mail fees with a copy of the form to the NCDPW Permits Office in Westbury.

What fees are listed on the application?

The form lists a $1,500 initial submission fee, a 0.75% approval fee for construction costs above $250,000, a possible $740 resubmittal fee, and a $750 change-in-use fee when applicable.

Bayville, NY · Nassau County

No notary required

Commercial Municipal Referral of Application

This commercial municipal referral application gathers property, owner, representative, and project details for a commercial project submitted for Nassau County review.

What this form is

Use this form to refer a commercial application for Nassau County review. It requests property identification, owner and authorized project representative contact details, and a scope-of-work description. The form lists submission fees and says applications, the submission checklist, and plan sets must be emailed to the County; fees must be delivered or mailed with a copy of the form before the reviewed plan set is released.

Who needs it

A municipality referring a commercial application, with an authorized project representative serving as the County’s single point of contact, needs this form.

How to submit it

Email the application, 239f submission checklist, and plan sets to [email protected]. Hand deliver or mail fees with a copy of the form to NCDPW Permits Office, Room 102, 1194 Prospect Ave, Westbury, NY 11590.

About notarization

This document is signed without a notary; its municipal-use section includes a signature and date, and no notarized attachment is identified.

How to submit this form

1
Download The Application
Download the commercial municipal referral application PDF.
2
Complete The Project Details
Enter the property, owner, authorized representative, and scope-of-work information requested on the form.
3
Gather Submission Materials
Prepare the 239f submission checklist and plan sets; include fees as listed on the application.
4
Submit To Nassau County
Email the application, checklist, and plan sets to [email protected]; deliver or mail fees with a copy of the form to the listed NCDPW office.

Frequently asked questions

What information does the commercial referral application request?: It requests property section, block, lot, and address details; owner and representative contact information; and a description of the project’s scope of work.
How do I submit the commercial referral application?: Email the application, submission checklist, and plan sets to [email protected]. Hand deliver or mail fees with a copy of the form to the NCDPW Permits Office in Westbury.
Do I need a notary for the commercial referral application?: No. This document is signed without a notary; its municipal-use section includes a signature and date, and no notarized attachment is identified.
What fees are listed on the application?: The form lists a $1,500 initial submission fee, a 0.75% approval fee for construction costs above $250,000, a possible $740 resubmittal fee, and a $750 change-in-use fee when applicable.

Need something notarized?

This Commercial Municipal Referral of Application doesn’t need a notary — but if you have another Bayville form that does, a commissioned online notary can help.