Orange County, NY · Orange County
Notice of Intent to Construct, Enlarge, or Convert for Occupancy
Property owners or operators submit this notice to Orange County when proposing construction, enlargement, remodeling, or conversion of a regulated facility.
At a glance
- Issued by
- City of Orange County · Orange County, Orange County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- orangecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this notice to report a new facility, renovations, conversion to a regulated use, changes to systems serving a facility, or changes that may increase water use or sewage. The instructions say to return it to the Orange County Department of Health 30 days before the proposed work, or 15 days before for a temporary residence. The form asks for property, owner, operator, proposed work, and permit information.
Who needs it
Owners or operators proposing construction, enlargement, remodeling, conversion, or qualifying system changes at a regulated facility should submit this notice.
How to submit it
Return the completed notice to the Orange County Department of Health, 124 Main St., Goshen, N.Y. 10924. Submit it 30 days before proposed work, or 15 days before for a temporary residence.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the notice.
How to submit this form
- 1
Download the Notice
Download the Notice of Intent to Construct, Enlarge, or Convert for Occupancy.
- 2
Complete the Form
Enter the property, owner, operator, proposed work, and permit information requested.
- 3
Gather Supporting Materials
Indicate whether plans are attached; the instructions say the department may request further information, plans, or specifications.
- 4
Submit to the County
Return the notice to the Orange County Department of Health at 124 Main St., Goshen, N.Y. 10924, within the stated notice period.
Frequently asked questions
- Do I need a notary for the Notice of Intent to Construct, Enlarge, or Convert?
- No. This notice is signed and dated without a notary; the signer just signs and dates the notice.
- Who should file this notice?
- An owner or operator should file it when proposing a new facility, renovation, conversion to a regulated use, changes to a facility system, or changes that may increase water use or sewage.
- How do I submit the notice?
- Return it to the Orange County Department of Health, 124 Main St., Goshen, N.Y. 10924. The instructions call for 30 days’ notice before proposed work, or 15 days for a temporary residence.
- What information does the form request?
- It asks for the facility type and location, whether the work is new, renovation, or conversion, owner and operator details, a description of the proposal, and related permit or approval information.