Pelham, NY · Westchester County
Application for Plumbing Permit
The Application for Plumbing Permit is filed by a licensed plumber to request approval for plumbing work at a property in the Village of Pelham.
What this form is
The Village of Pelham Building Department application requests a plumbing permit for work at a listed property. It records the owner, property identifiers, work description, fixture totals, project type, and plumbing connections, and includes a licensed plumber's certification and signature. Use it to apply for plumbing work; the form lists permit, certificate-of-compliance, and connection fees.
Who needs it
A licensed plumber requesting a permit for plumbing work at a property in the Village of Pelham needs this application.
How to submit it
Submit the completed application to the Village of Pelham Building Department, 200 5th Avenue, Pelham, New York 10803. The form lists fees of $100 for the first three fixtures, $25 per additional fixture, $100 for a Certificate of Compliance, and $50 per connection.
About notarization
This application is signed and dated by the licensed plumber without a notary; the document does not identify a notarized attachment or sworn step.
How to submit this form
- 1
Download The Application
Download the Application for Plumbing Permit PDF.
- 2
Complete The Application
Enter the property and owner details, describe the work, record fixture totals and connections, and provide the licensed plumber's information.
- 3
Review Fees And Sign
Review the fees listed on the form. The licensed plumber prints their name and address, then signs and dates the application.
- 4
Submit To The Building Department
Submit the application to the Village of Pelham Building Department at 200 5th Avenue, Pelham, New York 10803.
Frequently asked questions
- Do I need a notary for the plumbing permit application?
- No. The licensed plumber signs and dates this application without a notary, and the document does not identify a notarized attachment or sworn step.
- How do I submit the plumbing permit application?
- Submit it to the Village of Pelham Building Department at 200 5th Avenue, Pelham, New York 10803.
- Who completes the plumbing permit application?
- A licensed plumber completes and signs the application. It asks for the property address and identifiers, owner, work description, fixture totals, and connection details.
- What fees are listed on the application?
- The form lists $100 for the first three fixtures, $25 for each additional fixture, $100 for a Certificate of Compliance, and $50 per connection.
Need something notarized?
This Application for Plumbing Permit doesn’t need a notary — but if you have another Pelham form that does, a commissioned online notary can help.