Most jobs start with a camera inspection through a cleanout to find the break, sag, or root mass and measure how far out it is. From there, the plumber may suggest cleaning, a spot repair, a lining, or replacing the line, depending on the pipe and the damage.
Repairs generally need a permit through Kingston's Building, Inspections & Zoning department, whose plumbing inspectors sign off on the work. A new connection to town sewer also involves the Sewer Commission, and septic system repairs go through the Board of Health, so ask the plumber which offices your job touches.
Expect some digging if the line can't be lined, and ask how the plumber will restore the lawn, driveway, or walkway afterward.