Pleasantville, NY · Westchester County

No notary required

Operating Permit Application

This application is for applicants seeking an operating permit for a building, activity, or use listed on the Village of Pleasantville form.

What this form is

Use this application to request an operating permit for activities or building uses listed on the form, including certain hazardous-material operations, large outdoor events, public assembly areas, and parking garages. It asks for the project address, applicant and property owner contact information, activity category, commercial use and occupancy classifications, and the applicant’s certification and signature. The Building Department checklist also lists possible permits, plans, certifications, and payment.

Who needs it

Applicants seeking an operating permit for a listed activity or building use in the Village of Pleasantville should complete this application.

How to submit it

The form names the Building Department at 80 Wheeler Avenue, Pleasantville, NY 10570. Its office-use section lists payment by check or cash; call the department at (914) 769-1926 for submission details.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Operating Permit Application PDF.

  2. 2

    Complete The Application

    Enter the project address and current applicant and property owner contact details, then select the applicable activity and use categories.

  3. 3

    Gather Listed Materials

    Review the office-use checklist for possible permits, plans, forms, certifications, and payment items.

  4. 4

    Contact The Building Department

    Contact the Building Department at 80 Wheeler Avenue or (914) 769-1926 for submission details.

Frequently asked questions

Do I need a notary for the Operating Permit Application?
No. This application is signed and dated without a notary, and the form lists no notarized or sworn attachment.
Who uses the Operating Permit Application?
Applicants seeking an operating permit for activities or building uses listed on the form, such as certain hazardous-material operations, large outdoor events, or parking garages.
What information does the application request?
It asks for the project address, applicant and property owner contact information, activity category, commercial use and occupancy classifications, and the applicant’s certification and signature.
How do I submit the Operating Permit Application?
The form names the Building Department at 80 Wheeler Avenue, Pleasantville, NY 10570. Call (914) 769-1926 for submission details; the office-use section lists check or cash payment.

Need something notarized?

This Operating Permit Application doesn’t need a notary — but if you have another Pleasantville form that does, a commissioned online notary can help.