South Blooming Grove, NY · Orange County
Water & Sewer Lateral Permit Application
Property owners and contractors use this application to request a permit for water or sewer lateral work in the Village of South Blooming Grove.
What this form is
This application requests a permit for water or sewer lateral repairs or new service hookups, including work that requires opening a village street. It asks for the work location, owner and contractor details, insurance information, and the reason for opening the street. Applications must include a certificate of insurance; the form also lists a $1,000 work completion and restoration deposit.
Who needs it
Property owners or contractors planning water or sewer lateral repairs or new hookups in the Village of South Blooming Grove need this application.
How to submit it
The form lists Village of South Blooming Grove, P.O. Box 295, Blooming Grove, NY 10914. Include a certificate of insurance and the listed $1,000 work completion and restoration deposit.
About notarization
This application is signed without a notary; the owner or applicant signs to acknowledge the code obligations, and no notarized or sworn attachment is specified.
How to submit this form
- 1
Download The Application
Download the Water & Sewer Lateral Permit Application.
- 2
Complete The Application
Provide the work location, owner and contractor information, insurance details, and the reason for opening the village street.
- 3
Gather Required Insurance
Include a certificate of insurance in the approved form and amount required by the application.
- 4
Submit The Application
Send it to the Village address listed on the form with the listed work completion and restoration deposit.
Frequently asked questions
- Do I need a notary for the Water & Sewer Lateral Permit Application?
- No. The application is signed without a notary. The owner or applicant signs to acknowledge the code obligations, and no notarized or sworn attachment is specified.
- How do I submit the Water & Sewer Lateral Permit Application?
- The form lists Village of South Blooming Grove, P.O. Box 295, Blooming Grove, NY 10914. Include a certificate of insurance and the listed $1,000 work completion and restoration deposit.
- What information does the application ask for?
- It asks for the work location, owner and contractor contact information, insurance details, the reason for opening a village street, and inspection and permit information.
- Is an additional permit needed for work in the village curb or street?
- The form states that an additional permit is required if the work extends into the Village Curb or Street.
Need something notarized?
This Water & Sewer Lateral Permit Application doesn’t need a notary — but if you have another South Blooming Grove form that does, a commissioned online notary can help.