Southampton, NY · Suffolk County
Road Excavation and Repair Permit Application
This application requests a Village of Southampton permit for road excavation and repair work and is completed by the applicant responsible for the project.
What this form is
Use this application to request a road excavation permit from the Village of Southampton Department of Public Works. It asks for applicant and property-owner details, work location and description, proposed dates and schedule, estimated cost, insurance information, and security. The form says work cannot begin until the Superintendent of Public Works issues a permit, and requires 48 hours’ notice before work starts.
Who needs it
Applicants seeking permission to excavate and repair a road in the Village of Southampton need to complete this application.
How to submit it
Apply to the Superintendent of Public Works at the Department of Public Works, 102 Willow Street, Southampton, New York 11968. The form lists a $250 basic application fee plus $1.25 per linear foot.
About notarization
This application is signed and dated without a notary; attach the plot plan, other necessary permits or licenses, and insurance copy, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download The Application
Download the Road Excavation and Repair Permit Application PDF.
- 2
Complete The Application
Provide applicant and owner details, work location and description, proposed dates, schedule, cost, insurance, and security information.
- 3
Gather Attachments
Attach the plot plan, other necessary permits or licenses, and a copy of insurance coverage.
- 4
Submit To Public Works
Apply to the Superintendent of Public Works at 102 Willow Street, Southampton, New York 11968.
Frequently asked questions
- Do I need a notary for the Road Excavation and Repair Permit Application?
- No. The application is signed and dated without a notary. It asks for a plot plan, other necessary permits or licenses, and an insurance copy, but specifies no notarized or sworn attachment.
- How do I submit the Road Excavation and Repair Permit Application?
- Apply to the Superintendent of Public Works at the Department of Public Works, 102 Willow Street, Southampton, New York 11968. The form lists a $250 basic application fee plus $1.25 per linear foot.
- What attachments does the application request?
- Attach a plot plan showing the proposed excavation and its relationship to adjoining properties or public areas, other necessary permits or licenses, and a copy of insurance coverage.
- Can work start as soon as I submit the application?
- No. The form says work covered by the application cannot begin before the Superintendent of Public Works issues the permit. It also requires 48 hours’ notice before work starts.
Need something notarized?
This Road Excavation and Repair Permit Application doesn’t need a notary — but if you have another Southampton form that does, a commissioned online notary can help.