Upper Brookville, NY · Nassau County
Street Opening Permit Application
This application requests permission to open a street or road for utility installation or other work in the Village of Upper Brookville.
What this form is
The Village of Upper Brookville uses this application to review requests to open a street or road, including work to install utilities. Applicants provide their contact information, job location, work purpose, proposed start and completion dates, and opening dimensions, and complete the diagram on page 2. The application also lists fees and deposits and insurance coverage requirements for obtaining the permit.
Who needs it
Applicants, property owners, contractors, or utilities requesting permission to open a Village street or road for work need 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 application is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Street Opening Permit Application PDF.
- 2
Complete The Application
Fill in applicant and contractor details, job location, work purpose, dates, and opening dimensions. Complete the diagram on page 2.
- 3
Gather Insurance Documents
Provide evidence of the required insurance coverages, including certificates and endorsements described in the application.
- 4
Submit To The Village
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Street Opening Permit Application for?
- It requests permission to open a street or road for work, such as installing utilities, and collects job location, work details, dates, and opening dimensions.
- Who needs to complete this application?
- Applicants requesting permission to open a Village street or road for work complete the application. It provides spaces for applicant or owner and contractor information.
- Do I need a notary for the Street Opening Permit Application?
- No. The application is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the Street Opening Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Street Opening Permit Application doesn’t need a notary — but if you have another Upper Brookville form that does, a commissioned online notary can help.