Perry, NY · Wyoming County

No notary required

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. 1

    Download The Application

    Download the Town of Perry Road Work Permit Application PDF.

  2. 2

    Complete The Application

    Provide applicant and contractor details, explain the work, identify the road location, and sign.

  3. 3

    Attach Insurance Proof

    Attach the contractor’s proof of liability insurance and a sketch of the proposed work.

  4. 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.

Need something notarized?

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