Roslyn Harbor, NY · Nassau County

No notary required

Dumpster and Storage Pod Permit

This application requests a 30-day permit for a dumpster or storage container and is completed by the property owner or applicant.

What this form is

Use this application to request a permit for a dumpster or storage container in Roslyn Harbor. The form states that the permit is for a 30-day period and lists a $50 fee payable to the Inc. Village of Roslyn Harbor. It asks for owner, applicant, supplier, location, activity, container size, license, and use dates, and includes an insurance certificate and indemnification agreement.

Who needs it

Property owners or applicants seeking a 30-day permit for a dumpster or storage container need to complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the application and indemnification agreement call for signatures and dates, and the insurance certificate is included.

How to submit this form

  1. 1

    Download The Application

    Download the Dumpster and Storage Pod Permit application PDF.

  2. 2

    Complete The Application

    Enter the requested owner, applicant, supplier, container, activity, and use-date information.

  3. 3

    Gather The Included Documents

    Review the included certificate of liability insurance and indemnification agreement.

  4. 4

    Submit To The City

    Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Dumpster and Storage Pod Permit?
No. The application and indemnification agreement have signature and date lines but no notary block. The insurance certificate is included with the document.
How do I submit the Dumpster and Storage Pod Permit?
The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
What does the permit application ask for?
It asks for owner and applicant details, supplier information, the container location and size, the activity requiring it, a license number, and the planned use dates.
What fee and permit period does the form list?
The application lists a $50 permit fee payable to the Inc. Village of Roslyn Harbor and states that the permit is for a 30-day period.

Need something notarized?

This Dumpster and Storage Pod Permit doesn’t need a notary — but if you have another Roslyn Harbor form that does, a commissioned online notary can help.