Suffolk County, NY · Suffolk County

No notary required

Non-Utility Highway Work Permit Application Package

This package lets property owners, applicants, and contractors apply to Suffolk County for a permit to perform non-utility work in a county highway right-of-way.

At a glance

Issued by
City of Suffolk County · Suffolk County, Suffolk County, New York
Notarization
Not required: file this form without a notary.
Official source
suffolkcountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this application for proposed work that modifies a Suffolk County highway right-of-way or involves property with county-road access or frontage. The package lists required supporting materials, including local 239-F approval paperwork, plans, trip-generation information, and insurance proof; a traffic impact study may be required for larger projects. The application requests owner and applicant contacts, project details, proposed work, trip information, and local permit-review contact details.

Who needs it

Property owners, applicants, and contractors proposing non-utility work in a Suffolk County highway right-of-way need to apply.

How to submit it

Return the form to Suffolk County DPW, Traffic and Permits, 335 Yaphank Ave, Yaphank, NY 11980, or email it to [email protected].

About notarization

This application is signed and dated without a notary; the package lists supporting documents, but does not say any must be notarized or sworn.

How to submit this form

  1. 1

    Download the Application

    Download the Non-Utility Highway Work Permit Application Package.

  2. 2

    Complete the Application

    Provide owner and applicant contact details, project information, proposed work, trip information, and the local permit-review contact.

  3. 3

    Gather Supporting Materials

    Include applicable 239-F documentation and plans, along with the other materials required by the package.

  4. 4

    Submit to Suffolk County

    Return the form to Suffolk County DPW, Traffic and Permits, by mail at the listed address or by email.

Frequently asked questions

Do I need a notary for the Non-Utility Highway Work Permit Application?
No. The application provides a signature and date line and does not require notarization. The package lists supporting documents but does not say any must be notarized or sworn.
How do I submit the Non-Utility Highway Work Permit Application?
Return the form to Suffolk County DPW, Traffic and Permits, at 335 Yaphank Ave, Yaphank, NY 11980, or email it to [email protected].
What supporting materials does the permit package list?
The requirements include local 239-F approval paperwork, plans, trip-generation information, and proof of general liability, workers’ compensation, and disability insurance. A traffic impact study may be required for larger projects.

Need something notarized?

This Non-Utility Highway Work Permit Application Package doesn’t need a notary, but if you have another Suffolk County form that does, a commissioned online notary can help.