Brewster, NY · Putnam County

No notary required

Permit Application for Installation or Alteration of Natural or Propane Gas

This application is for installation contractors seeking a Village of Brewster permit to install or alter natural or propane gas equipment.

What this form is

The application covers natural or propane gas installations or alterations and asks for contractor, property owner, job location, dwelling type, gas equipment, piping, and tank details. It also includes a gas test affidavit for the installer to certify a piping test and spaces for signatures and inspection results. The form lists permit fees by project type and fixture count.

Who needs it

Installation contractors completing natural or propane gas work in the Village of Brewster use this application to request a permit.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists permit fees based on tank installation, project type, and fixture count.

About notarization

This document is signed without a notary; the gas test affidavit asks the installer to certify the test and sign and date it.

How to submit this form

  1. 1

    Download The Application

    Download the permit application and gas test affidavit PDF.

  2. 2

    Complete The Application

    Enter the contractor, property, job, gas equipment, piping, and tank information requested.

  3. 3

    Complete The Gas Test Affidavit

    Have the installer complete the test certification and sign and date the affidavit.

  4. 4

    Submit To The Village

    Submit the completed document to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the natural or propane gas permit application?
No. This document is signed without a notary; the gas test affidavit asks the installer to certify the test and sign and date it.
How do I submit the gas permit application?
Submit it to the city department named on the form; check the city website for current contact details. The form lists permit fees based on tank installation, project type, and fixture count.
What information does the application request?
It asks for contractor and owner details, the job location, dwelling type, gas equipment, gas type, piping, and tank installation details.
What is the gas test affidavit for?
The affidavit provides space for the installer to certify that the header and gas piping were tested, and for installer and building inspector signatures.

Need something notarized?

This Permit Application for Installation or Alteration of Natural or Propane Gas doesn’t need a notary — but if you have another Brewster form that does, a commissioned online notary can help.