Town of Cortlandt, NY

April 25, 2017
4:24 AM

Forms & Downloads  
Print this page Print this page Email this page Email this page

  Jump to section

All forms require Adobe Reader 

Code Enforcement (Building) Division
    Code Enforcement (Building) Applications
Here you will find all downloadable applications for our Code Enforcement (aka Building) Division including building permits.
          Application for Solar Permit
          Climate Geographic Design Criteria
          Alarm permit
          Building Permit Application
You can download and print a PDF of the Town of Cortlandt Building Permit Application and Instructions. However, you MUST bring this completed permit application to Town Hall and meet with the Code Enforcement Division Staff when submitting a building permit application. Please call (914) 734-1010 for questions. Please NOTE: All single family and two family building applications are required to schedule a "pre- application" meeting with the Town of Cortlandt staff before filing for a Building Permit. Please call 734-1010 to schedule a pre-application meeting.
          Demolition Checklist
This checklist is required for any demolition permits in the Town.
          Electrical permit
Please note as of July 2009 NYS Board of Fire Underwriters will not be accepting new applications. In addition, October 2009 they will be going out of business.
          Escrow Agreement
This agreement is required to ensure that proper ground cover is in place after a building permit is issued. The sum to accompany the escrow agreement is $1,000. Said money to be held in Trust & Agency Account until such time as the Department of Technical Services is satisfied that the ground cover in connection with a building permit issed.
          Gas Piping Certification
          Generator Permit Application Packet
          Licensed Plumber’s Certification
This form is necessary for any building permit application that involves plumbing work. Please remember to print the "building permit application" and the "building permit information".
          Prior to Zoning Letters
This document explains the requirements of the Code Enforcement Division of the Department of Technical Services when issuing "Prior to Zoning Letters".
          Proxy Statement
          Retroactive Building Permit Info Sheet
This is information regarding application for a Retroactive Building Permit (Legalize existing construction). Please remember to print "building permit application" as well.
          Revised building permit appl
This form shall be submitted with plans for revised drawings for changes made to an approved Building Permit.
          Supporting Deposition
          Tree Removal Checklist
          Zoning Board of Appeals Application
This is the application form for bringing a case before the Zoning Board of Appeals. Applicants are strongly encouraged to call 734-1010 prior to submission of this application.
          Zoning Board of Appeals Information Sheet
This document is the information sheet for any application before the Zoning Board of Appeals. Please note that you must meet with a Zoning Official prior to submission. Please contact Ken Hoch at 734-1010 for more details.
    Payroll Forms
          W4 Employee’s Withholding Allowance Certificate
    Vendor Forms
          W9 Request for Taxpayer ID Number & Certification
All vendors must complete this form and submit it to the Comptroller’s Office prior to receiving payment from the Town.
Cortlandt Community Coalition
    Community Coalition
          2016 Year in Review Part 1
          2016 Year in Review Part 2
          Hidden Mischief Flyer
Would you know what to look for if you suspected your teen of using drugs or alcohol?
          Prevention Placemat
Highway Division
    Highway Forms
Road Opening Forms from our Highway Division
          Road Opening Permit Application
Use this form for Road Opening Permits - Application should be submitted to the Department of Environmental Services located at 167 Roa Hook Road. Please contact 737-0100 for more information.
Homeland Security
    Emergency Planning Guide
          Westchester Booklet
          Westchester MAP
Office of the Aging
    Office of the Aging
          Senior Snow Removal Application
          Student Snow Removal Application
Planning Division
    Planning Applications
          Planning Board Applications
    Planning Dept Reports
          2016 Sustainable Master Plan
          Verplanck Waterfront Master Plan
          Historical Roads Study
          Open Space Report
          Sign Design Manual
Recreation & Conservation Department
    Recreation Brochure & Forms
          Adult Activty & Pre-School/Youth Activity Registration
          Advisory Board Members and Terms
          Dog Park Registration
          Employee Job Application for Recreation & Conservation Dept.
          Fall Boys Youth Soccer Registration 2017
          Fall Girls Youth Soccer Registration 2017
          Family Fun Day Volunteer Flyer 2017
          ID Season Pass and Hollowbrook Sticker Form
          Town of Cortlandt Community Boat Launch Rules and Regulations
          Town of Cortlandt Summer 2017 Recreation Brochure
          Town of Cortlandt Travel Soccer Registration Form 2017/2018
          Town of Cortlandt Winter/ Spring 2017 Recreation Brochure
          Travel Youth Football 2017
Sanitation Division
          DES Residential Special Services Request Form
Various forms including the annual report
          2011 Annual Report
          2009 Annual Report
Cortlandt's 2009 Annual Report
          2010 Annual Report
2010 Annual Report
          SWMP Appendix A Map
          SWMP Appendix B
          SWMP Appendix C Various MM6
Town Clerk
    Town Clerks Forms
          Dog License Application
This application can be filled out and either Mailed or dropped off at the Town Clerk's office. More information 914-734-1020
          FOIL Request
This document can be filled out and either emailed, regularly mailed or dropped off in person at the Town Clerks' office. Contact 914-734-1020 for more information.
          Handicapped Parking Permit
This application MUST be dropped off at the Town Clerk's office along with the appropriate supporting documentation at 1 Heady Street, Cortlandt Manor, NY. More information (914) 734-1020
          Marriage License Worksheet
Please note this document can be printed at home BUT MUST BE DELIVERED IN PERSON to the Town Clerk's office 1 Heady St. Cortlandt Manor. More information (914) 734-1020
          Parade Permit Application
This can either be mailed or dropped off at the Town Clerk's office, 1 Heady St,Cortlandt Manor NY. More information (914) 734-1020
Town Supervisor
    VA Form Letter
          VA Form Letter (PDF)
          VA Form Letter (Word Document)
Water & Sewer Division
    Sewer Forms
This is the location for all Sewer forms including application, specification details and pavement replacement detail. NOTE: No work will be authorized to commence UNTIL an application has been made to our DES-Highway Division for a "Road Opening Permit". The approved "Road Opening Permit" MUST accompany any sewer application.
          Sewer Application Form
Use this form when applying for Sewer Service for RESIDENTIAL and COMMERCIAL uses. The following forms must also be printed with this form: A. Sewer Information Sheet - Page 1 B. Sewer Information Sheet - Page 2 C. Sewer Service Connection Detail D. Sewer Service Trench Detail E. Sewer Service Cleanout Detail F. Pavement Replacement Detail
          Sewer Application Information 2nd Page
This Page 2 of Information must be printed to accompany Sewer Application Form
          Sewer Application Information Page 1
Must be printed to accompany Sewer Application Form.
          Sewer Pavement Restoration Detail
This drawing shows the requirements for pavement restoration after sewer service has been installed. IMPORTANT: Applicants MUST provide a copy of the Town of Cortlandt DES - Highway Division approved "Road Opening Permit" before any work to restore pavement can commence.
          Sewer Service Cleanout Detail
Drawing showing sewer service cleanout detail. PLEASE NOTE: Only specicified GPK fittings will be accepted - no substitutes. Please print this form with sewer service application form. Questions - contact Steve Ferreira at 734-1026.
          Sewer Service Connection Detail
Sewer connection detail drawing. Please print out with Sewer Service application form. Questions - contact Steve Ferreira at 734-1026.
          Sewer Service Trench Detail
Drawing showing sewer service trench detail. Please print this out with sewer service application. Questions - contact Steve Ferreira at 734-1026.
    Water Forms
All forms for Water Service, Water Main Extensions and associated informational data. Please NOTE: An applicant MAY BE required to first obtain a "Road Opening Permit" from DES-Highway. Please contact Steve Ferreira at 734-1026 for more information.
          Application for Residential Water Service
Use this application when applying for RESIDENTIAL water service. Application must be submitted to Town of Cortlandt Dept. of Environmental Services - Water Division - 167 Roa Hook Road, Cortlandt Manor, NY. Fee MUST accompany application. Please NOTE: User must also print out "Water Tap Specifications". If your home is over 100 feet off the road, you will also need to print "Meter Pit Specifications". If you have questions, contact Steve Ferreira at 734-1026
          Water Meter Pit Detail
If your home is more than 100 feet off the Town road, then you must print this form to accompany the Water Service Application. Any questions, contact Steve Ferreira at 734-1026.
          Water Tap Specifications
This form MUST be printed with the Water Service Application form. Any Questions please contact Steve Ferreira at 734-1026.
Youth Center
    Youth Center
          2017 Fifth Grade Fun Club Packet
          Birthday Parties at the Youth Center
          Pre-School and Youth Registration Form
This form is to be completed entirely when registering for a fee based program at the Town of Cortlandt Youth Center.
          Rock Wall Waiver
          Youth Center Registration Packet Grades 6th-12th

Powered by Cit-e-Net