Perry, NY · Wyoming County
Road Work Permit Application
The Town of Perry road work permit application is for applicants seeking approval to perform work on or across a town road.
What this form is
This application requests a permit for work on or across a Town of Perry road. It asks for the applicant’s and contractor’s contact information, a description and sketch of the proposed work, and the road location. Applicants must attach proof of liability insurance; if approved, they agree to the listed project responsibilities.
Who needs it
Applicants planning work on or across a Town of Perry road should complete this application and attach proof of liability insurance.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This permit application is signed without a notary; the applicant signs and provides a title, printed name, and phone number.
How to submit this form
- 1
Download The Application
Download the Town of Perry Road Work Permit Application PDF.
- 2
Complete The Application
Provide applicant and contractor details, explain the work, identify the road location, and sign.
- 3
Attach Insurance Proof
Attach the contractor’s proof of liability insurance and a sketch of the proposed work.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Road Work Permit Application for?
- It requests a Town of Perry permit for proposed work on or across a town road and asks for the work location, scope, and a sketch.
- What attachment is required?
- The application says the contractor must attach proof of liability insurance.
- Do I need a notary for the Road Work Permit Application?
- No. The applicant signs without a notary and provides a title, printed name, and phone number.
- How do I submit the Road Work Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
