Putnam Valley, NY · Putnam County

No notary required

Permit Application for Installation or Alteration of Natural or Propane Gas Installation

Gas installers use this application to request a permit for installing or altering a natural or propane gas system in Putnam Valley.

What this form is

This application requests a permit for installation or alteration of a natural or propane gas installation. It asks for contractor and owner details, the job location, expected completion date, appliances in the gas system, and whether piping is underground or above ground; the installer certifies that the work will follow applicable codes.

Who needs it

A gas installer seeking a permit for natural or propane gas installation or alteration in Putnam Valley should complete this application.

How to submit it

The form lists the Town of Putnam Valley at 265 Oscawana Lake Road, Putnam Valley, NY 10579. It includes permit-fee information and fields for office receipt and payment records.

About notarization

This application is signed and dated without a notary; the gas installer signs the code-compliance certification.

How to submit this form

  1. 1

    Download The Application

    Download the natural or propane gas permit application PDF.

  2. 2

    Complete The Application

    Enter contractor, owner, job-location, completion-date, appliance, and piping information.

  3. 3

    Sign And Date

    Have the gas installer sign and date the code-compliance certification.

  4. 4

    Submit To The Town

    Submit the application to the Town of Putnam Valley at the address listed on the form.

Frequently asked questions

Do I need a notary for the Putnam Valley gas permit application?
No. The installer signs and dates the code-compliance certification; the application does not require notarization.
How do I submit the gas permit application?
The form lists the Town of Putnam Valley at 265 Oscawana Lake Road, Putnam Valley, NY 10579.
What information does the application request?
It asks for contractor and owner information, job location, expected completion date, appliances in the gas system, and piping installation type.

Need something notarized?

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