Woodsburgh, NY · Nassau County

No notary required

Plumbing Application

The Village of Woodsburgh Plumbing Application is for property owners and licensed plumbers requesting approval for plumbing or gas work at a property.

What this form is

Use this application to request approval for plumbing or gas work, including installation, relocation, repair, removal, or maintenance. The Village says applications are reviewed only after all required documents and the application fee are submitted. The form asks for owner, property, and plumber information, the work description, and fixture counts; it requires owner and plumber signatures and dates.

Who needs it

Property owners and licensed plumbers use this application to request approval for plumbing or gas work in the Village of Woodsburgh.

How to submit it

Submit the completed application and required documents to the Village of Woodsburgh Building Department at 30 Piermont Ave, Hewlett, NY 11557, with the applicable fee; checks are payable to the Village.

About notarization

This document is signed and dated by the owner and plumber without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Village of Woodsburgh Plumbing Application PDF.

  2. 2

    Complete The Form

    Enter the owner, property, and plumber information, describe the work, and complete the fixture counts and signatures.

  3. 3

    Gather Required Documents

    Include the plumber’s qualifying town license, general liability insurance, workers’ compensation, and Plumber’s Competency Certificate.

  4. 4

    Submit To The Village

    Submit the application, required documents, and applicable fee to the Building Department at 30 Piermont Ave, Hewlett, NY 11557.

Frequently asked questions

Do I need a notary for the Woodsburgh Plumbing Application?
No. The form has spaces for the owner and plumber to sign and date, but it does not contain a notary block or require a notarized attachment.
How do I submit the Woodsburgh Plumbing Application?
Submit the completed application, required documents, and applicable fee to the Village of Woodsburgh Building Department at 30 Piermont Ave, Hewlett, NY 11557. Checks are payable to the Village.
What documents must accompany the application?
The form requires a completed and signed application. Plumbers must also submit a qualifying town license, general liability insurance, workers’ compensation, and a Plumber’s Competency Certificate.
What work does the application cover?
The form covers plumbing or gas work such as new installation, relocation, repair, removal, and maintenance. It asks applicants to describe the work and list fixture counts.

Need something notarized?

This Plumbing Application doesn’t need a notary — but if you have another Woodsburgh form that does, a commissioned online notary can help.