Town of Shelter Island
Shelter Island, New York
Building Department Forms & Applications

         Grandfathered Systems- Applications must be submitted in completion -pages 1-2 by homeowner
and page 3 by the Contractor- with a check for $250.00 made out to
Town of Shelter Island.
All cistern owners who previously got a permit in 2015 may renew with water receipts and the application (pages 1-2 and 3 filled out by contractor) with a check for $50.00 for 2016 and every year after. If you did not get a permit in 2015 you will pay a first time fee of $250.00. Any questions call 631-749-0772
  Please submit $100.00 check made out to Town of Shelter Island
 You must also submit your Liability Accord Certificate with the Town of Shelter Island
as the certificate holder and your Workman's Comp certificate if applicable. If you do not
have Workman's Comp. then you will need to submit an Exemption form-CE-200

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