
Quired by the Permit-Issuing Official prior to commencement of any such construction, enlargement or conversion. DOH-154 (4/04) Page 2 of 2 .
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How to fill out the NY DOH-154 online
The NY DOH-154 is an important form for notifying the New York State Department of Health about the intention to construct, enlarge, or convert a facility. This guide provides clear and supportive instructions for users at all experience levels on how to accurately complete this form online.
Follow the steps to successfully complete the NY DOH-154 form
- Click the ‘Get Form’ button to access the form and open it in your chosen editor.
- Begin by entering the proposed facility name in the appropriate field. If there is an existing facility, include the current facility name as well.
- Specify the property type by selecting one from the provided options such as food service establishment, agricultural fairground, or others listed.
- Indicate whether this is a new construction, renovation, or conversion.
- Attach any plans if required by selecting 'Yes' or 'No' in response to whether plans are attached.
- Provide a detailed location description, including road or street names, building numbers, and distances from well-known points for clarity.
- Fill in the name, address, and phone number of the owner and operator of the facility.
- In the section provided, describe the proposed activities and modifications in detail. Use additional sheets if necessary to ensure clarity.
- List any existing permits or approvals related to the proposed construction, enlargement, or conversion.
- Complete the contact information for the local code enforcement officer, including name, address, and phone number.
- Provide a signature, title, and date as the owner, and include relevant mailing address information.
- Once the form is completed, save your changes, and choose to download, print, or share the form as needed.
Take the next step towards fulfilling your construction goals by completing the NY DOH-154 online today.
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