Briarcliff Manor, NY · Westchester County
Request for Review Department of Public Works Form
Property owners use this form to request a Department of Public Works review of proposed work involving village sewer, street, sidewalk, or water requirements.
What this form is
The form requests a Department of Public Works determination for proposed work related to Chapters 168, 186, or 214. The property owner provides contact and property details, describes the work, and completes a checklist on the reverse side covering sewer, street, and water projects. The owner also signs consent for village staff or agents to enter the property for necessary investigations.
Who needs it
Property owners proposing work listed on the form’s sewer, street, or water checklist can use it to request a Department of Public Works determination.
How to submit it
Submit it to the Department of Public Works; check the city website for current contact details, since the form does not specify submission instructions.
About notarization
This document is signed and dated without a notary; the property owner signs the consent, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download The Form
Download the Public Works review request form.
- 2
Complete The Form
Enter the property owner’s contact details, property description, and statement of proposed work.
- 3
Complete The Checklist
On the reverse side, mark checklist items related to the proposed sewer, street, or water work.
- 4
Sign And Date
The property owner signs and dates the consent section.
- 5
Submit To The Department
Submit the form to the Department of Public Works; check the city website for current contact details.
Frequently asked questions
- What is the Public Works review request form for?
- It requests a Department of Public Works determination for proposed work related to sewer, streets and sidewalks, or water.
- Who completes the checklist?
- The applicant completes the checklist on the reverse side, marking the items related to the proposed work.
- Do I need a notary for the Public Works review request form?
- No. The property owner signs and dates the consent without a notary; the form lists no notarized attachment or sworn step.
- How do I submit the Public Works review request form?
- Submit it to the Department of Public Works. The form does not give submission instructions, so check the city website for current contact details.
Need something notarized?
This Request for Review Department of Public Works Form doesn’t need a notary — but if you have another Briarcliff Manor form that does, a commissioned online notary can help.