Patterson, NY · Putnam County

No notary required

Blasting Permit Application

Property owners or their authorized applicants use this application to request a Town of Patterson permit for blasting work.

What this form is

The Town of Patterson application collects property, owner, contractor, and project details for a blasting permit request. It asks whether explosives will be stored on site and requires a copy of the contractor’s liability certificate. The form says neighbors and the Police Department must be notified 24 hours before blasting begins; non-owner applicants must attach an affidavit authorizing them to act for the owner.

Who needs it

Property owners planning blasting work, or applicants authorized to act for them, use this application to request a permit.

How to submit it

The form identifies the Code Enforcement Office at 1142 Route 311, P.O. Box 470, Patterson, NY 12563, and lists [email protected]. It shows a $275 fee due.

About notarization

This application is signed and dated without a notary; non-owner applicants must attach an affidavit authorizing them to act for the property owner.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Patterson Blasting Permit Application PDF.

  2. 2

    Complete The Application

    Enter the property, owner, contractor, and project details, then sign and date the applicant certification.

  3. 3

    Gather Required Attachments

    Attach a copy of the liability certificate. Non-owner applicants must also attach an affidavit authorizing them to act for the owner.

  4. 4

    Submit To The Code Enforcement Office

    Use the Code Enforcement Office address or email listed on the form; the form shows a $275 fee due.

Frequently asked questions

Do I need a notary for the Blasting Permit Application?
No. The application is signed and dated without a notary. If someone other than the property owner applies, attach an affidavit authorizing them to act for the owner.
How do I submit the Blasting Permit Application?
The form lists the Code Enforcement Office at 1142 Route 311, P.O. Box 470, Patterson, NY 12563, and [email protected].
What attachment does the application require?
The contractor’s liability certificate must be attached. If someone other than the property owner signs as the applicant, an affidavit granting permission to act for the owner is also required.
When must neighbors and the Police Department be notified?
The form says neighbors and the Police Department must be notified 24 hours before blasting starts.

Need something notarized?

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