Do I need a notary for the Land Disturbance Permit Application?

No. The form asks the homeowner or applicant to sign and date it; it does not include a notary block.

What information does the application request?

It asks for applicant and contractor contact details, project location and tax lot number, a project description, and the area to be disturbed.

What plot-plan materials are required?

The form calls for three copies. The plan should show the property and area of disturbance and erosion control measures; requirements also depend on whether the project needs a building permit.

Montebello, NY · Rockland County

No notary required

Land Disturbance Permit Application

Montebello property owners and applicants use this application to request a permit for land disturbance and provide project, contractor, and site information.

What this form is

The application requests a permit for land disturbance and asks for applicant and contractor contact details, the project location, tax lot number, a project description, and the area to be disturbed. It includes a plot-plan checklist and instructions for submitting three copies of the plan, with requirements that vary depending on whether the project also needs a building permit.

Who needs it

A homeowner or applicant planning land disturbance in Montebello can use this application to provide project details and the required plot-plan materials.

How to submit it

Submit three copies of the plot plan to the Village of Montebello Building & Zoning Department, One Montebello Road, Suffern, N.Y. 10901. The form lists a $200 minimum fee and a $1,000 minimum engineering escrow.

About notarization

This application is signed and dated without a notary; the form asks the homeowner or applicant to sign and provide an address and tax lot number.

How to submit this form

1
Download The Application
Download the Land Disturbance Permit Application PDF.
2
Complete The Application
Provide applicant, project location, contractor, and project description details, including the area to be disturbed.
3
Prepare Plot-Plan Copies
Submit three copies of the plot plan showing the required property, disturbance, and erosion-control details.
4
Submit To The Department
Submit the application materials to the Village of Montebello Building & Zoning Department at the address on the form.

Frequently asked questions

Do I need a notary for the Land Disturbance Permit Application?: No. The form asks the homeowner or applicant to sign and date it; it does not include a notary block.
How do I submit the Land Disturbance Permit Application?: Submit three copies of the plot plan to the Village of Montebello Building & Zoning Department at One Montebello Road, Suffern, N.Y. 10901.
What information does the application request?: It asks for applicant and contractor contact details, project location and tax lot number, a project description, and the area to be disturbed.
What plot-plan materials are required?: The form calls for three copies. The plan should show the property and area of disturbance and erosion control measures; requirements also depend on whether the project needs a building permit.

Need something notarized?

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