Russell Gardens, NY · Nassau County

No notary required

Miscellaneous Permit Application

This application requests a miscellaneous permit from the Village of Russell Gardens for proposed work and is completed by the property owner and contractor.

What this form is

Use this application to request a Village of Russell Gardens permit for miscellaneous work, subject to approval of a detailed statement. It asks for the date, owner’s name and contact details, work description and location, estimated cost, fee, and contractor information; the contractor must provide insurance certificates and a license copy.

Who needs it

Property owners seeking a miscellaneous permit for work in Russell Gardens must complete the application and provide the requested contractor information.

How to submit it

Submit the application to the Village of Russell Gardens, 6 Tain Drive, Great Neck, NY 11021. The form also lists a phone number and fax number.

About notarization

This application is signed and dated without a notary; the contractor must attach insurance certificates and a license copy, with no sworn attachment stated.

How to submit this form

  1. 1

    Download The Application

    Download the Russell Gardens Miscellaneous Permit Application PDF.

  2. 2

    Complete The Application

    Enter the date, owner and contractor details, work description, estimated cost, and fee; show the work location on the back.

  3. 3

    Gather Contractor Documents

    Attach the contractor’s workers’ compensation, disability, and liability insurance certificates and license copy.

  4. 4

    Submit To The Village

    Submit the application to the Village of Russell Gardens at 6 Tain Drive, Great Neck, NY 11021.

Frequently asked questions

What is the Russell Gardens Miscellaneous Permit Application for?
It requests a Village permit for miscellaneous work and collects details about the owner, proposed work, estimated cost, fee, and contractor.
Who must provide documents with the application?
The contractor must submit copies of workers’ compensation, disability, and liability insurance certificates, along with a copy of the contractor’s license.
Do I need a notary for the Russell Gardens Miscellaneous Permit Application?
No. The application is signed and dated without a notary. The contractor must attach insurance certificates and a license copy; the form does not state that these must be sworn.
How do I submit the Russell Gardens Miscellaneous Permit Application?
Submit it to the Village of Russell Gardens at 6 Tain Drive, Great Neck, NY 11021. The form also lists the Village’s phone and fax numbers.

Need something notarized?

This Miscellaneous Permit Application doesn’t need a notary — but if you have another Russell Gardens form that does, a commissioned online notary can help.