Pelham, NY · Westchester County

No notary required

Sidewalk Cafe Application

Food service establishments and retail businesses use this application to request a Village of Pelham permit for sidewalk cafe or sidewalk retail operations.

What this form is

The application requests a permit for a sidewalk cafe or sidewalk retail use in the Village of Pelham. Applicants provide business and contact information, signatures, and a drawing showing the proposed placement of furniture and other structures; the instructions also require furniture pictures, insurance, a signed hold harmless waiver, and a $250 check. Sidewalk cafes may operate from April 15 through November 30 with a permit.

Who needs it

Food service establishments and retail businesses seeking to operate a sidewalk cafe or sidewalk retail use in the Village of Pelham need to apply.

How to submit it

Email the application to [email protected] or return it to Village Hall Offices, 200 Fifth Avenue, during the listed business hours. Include the required drawings, pictures, insurance certificate, signed waiver, and $250 check payable to the Village of Pelham.

About notarization

This document is signed and dated without a notary; the application and hold harmless waiver require signatures, but the document does not say they must be notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Sidewalk Cafe Application and read the included instructions and Village code.

  2. 2

    Complete And Sign

    Fill in the business and applicant details, then sign and date the application.

  3. 3

    Gather Required Attachments

    Prepare measured placement drawings, furniture pictures, an insurance certificate, the signed hold harmless waiver, and a $250 check.

  4. 4

    Submit To The Village

    Email the application to [email protected] or return it to Village Hall Offices at 200 Fifth Avenue.

Frequently asked questions

Do I need a notary for the Sidewalk Cafe Application?
No. The application and hold harmless waiver call for signatures and dates, but the document does not require notarization.
How do I submit the Sidewalk Cafe Application?
Email it to [email protected] or return it to Village Hall Offices at 200 Fifth Avenue. Include the required supporting materials and $250 check.
What should I include with the application?
Include a drawing with measurements, pictures of the proposed furniture and structures, a current insurance certificate naming the Village as additionally insured, a signed hold harmless waiver, and a $250 check.
When may a sidewalk cafe operate?
The application instructions and Village code state that sidewalk cafes may operate from April 15 through November 30 with a permit.

Need something notarized?

This Sidewalk Cafe Application doesn’t need a notary — but if you have another Pelham form that does, a commissioned online notary can help.