What is the Temporary License Application for?

It requests temporary outdoor space or specified COVID-19 accommodations for businesses and places of worship, subject to Village review and approval.

What information and plans does the application request?

It asks for business and applicant details, certificate-of-occupancy status, and whether food or alcohol will be served. Required plans and insurance documentation depend on the accommodation.

How do I submit the Temporary License Application?

Return it to the office of the Village Clerk with required insurance documentation and plans. Pickup-window installation also requires review and approval from the Building Department.

Do I need a notary for the Temporary License Application?

No. The applicant signs the application; the document does not specify a notarized or sworn attachment.

Port Jefferson, NY · Suffolk County

No notary required

Temporary License Application

This application requests temporary use of outdoor space or approval for specified COVID-19 business accommodations in the Village of Port Jefferson.

What this form is

The application was for existing businesses and places of worship seeking temporary outdoor space or other COVID-19 accommodations, subject to Village review and approval. It asks for business and applicant details, whether the business has a certificate of occupancy, and whether food or alcohol will be served. Depending on the accommodation, applicants must provide plans and insurance documentation; the document states the license expired November 1, 2020.

Who needs it

Existing businesses and places of worship seeking the temporary accommodations described in this application would provide their business and applicant information.

How to submit it

Return the application to the office of the Village Clerk with required insurance documentation and plans. The document says pickup-window installation requires review and approval from the Building Department.

About notarization

This document is signed without a notary; the applicant signs the application, and the text does not specify a notarized or sworn attachment.

How to submit this form

1
Download The Application
Download the Temporary License Application PDF.
2
Complete Applicant Details
Provide the business and applicant information requested and answer the questions about the business.
3
Gather Required Documents
Provide the necessary insurance documentation and plans for the requested accommodation.
4
Return The Application
Return the application to the office of the Village Clerk; pickup-window installation requires Building Department review and approval.

Frequently asked questions

What is the Temporary License Application for?: It requests temporary outdoor space or specified COVID-19 accommodations for businesses and places of worship, subject to Village review and approval.
What information and plans does the application request?: It asks for business and applicant details, certificate-of-occupancy status, and whether food or alcohol will be served. Required plans and insurance documentation depend on the accommodation.
How do I submit the Temporary License Application?: Return it to the office of the Village Clerk with required insurance documentation and plans. Pickup-window installation also requires review and approval from the Building Department.
Do I need a notary for the Temporary License Application?: No. The applicant signs the application; the document does not specify a notarized or sworn attachment.

Need something notarized?

This Temporary License Application doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.