Permit Applications

Applications

**Building, plumbing, tree, & street permit applications must be printed on legal sized paper as well as the Nassau County Dept. of Assessment form.** 

NOTE: Electronic copies of applications are required to be submitted for record keeping purposes. Only hard original copies will be reviewed by the Building Department. 

You may also pick up an application at Village Hall. We are located at 55 Manhasset Avenue, Manhasset, NY 11030.

Building Permit Application:

An original application on legal sized paper must be submitted. 

Note: All Building Permits must be accompanied by a Short Environmental Assessment Form.

Building Permit Application

Short Environmental Assessment Form

Amended Building Permit Application

Demolition Permit 

Plumbing Permit Application:

An original application on legal sized paper must be submitted. 

Includes: (Plumbing/HVAC/Septic & Drainage/Oil Tank/Generator)

Plumbing Permit Application

Nassau County Septic Program Information  –  Nelson & Pope Septic Replacement Presentation for the Village of Plandome Manor

For more information, please contact SepticReplace@nassaucountyny.gov or 516-364-5861.

Application for a Certificate of Occupancy & Completion:

Application for a Certificate of Occupancy

Application for a Certificate of Completion

Other Permit Application:

Landscaper Permit Application

Tree Permit Application 

Fence Permit Application

Street Opening Permit Application

Tent/Dumpster Permit Application

Filming Permit Application

Change of Contractor:

Change of Contractor Form

All permit applications need to be accompanied all contactors licenses and insurances :

• Valid Nassau County License or Town License (Town must be in the county of Nassau)
• General Liability Insurance Certificate (Accord Form)
  • The Village of Plandome Manor, 55 Manhasset Avenue, Manhasset, NY 11030 MUST BE LISTED AS THE Certificate Holder & Additionally Insured.
• Certificate of Worker’s Compensation Insurance (U-26.3 state form, issued by the NYS Insurance Fund)
  • The Village of Plandome Manor, 55 Manhasset Avenue, Manhasset, NY 11030 MUST BE LISTED AS THE Certificate Holder.
• Disability Insurance Certificate (DB-120.1 state form, issued by the NYS Workman’s Compensation Board)
  • The Village of Plandome Manor, 55 Manhasset Avenue, Manhasset, NY 11030 MUST BE LISTED AS THE Certificate Holder.

All above paperwork can emailed to clerk@plandomemanorny.gov

*** Please provide project address and homeowners name in email subject line ***