Pleasantville, NY · Westchester County

No notary required

Plumbing Permit Application

Pleasantville’s Plumbing Permit Application is for plumbers or property owners seeking approval for proposed residential or commercial plumbing work.

What this form is

Use this application to request a permit for proposed residential or commercial plumbing work in Pleasantville. It asks for the project address, plumber and owner contact details, work description, and a fixture list. The applicant certifies the information and signs and dates the form; one set of required documents must be submitted with it.

Who needs it

Plumbers or property owners proposing residential or commercial plumbing work in Pleasantville need this application.

How to submit it

Submit the application and one set of required documents to the Pleasantville Building Department, 80 Wheeler Avenue, Pleasantville, NY 10570. The form lists permit and inspection fees.

About notarization

This application is signed and dated without a notary; the applicant certifies the information, and the form does not identify any sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Pleasantville Plumbing Permit Application PDF.

  2. 2

    Complete The Application

    Provide the project address, plumber and owner contact information, proposed work details, and fixture list; then sign and date the certification.

  3. 3

    Gather Required Documents

    Prepare one set of all required documents to submit with the application.

  4. 4

    Submit To The Building Department

    Submit the application and documents to the Pleasantville Building Department at 80 Wheeler Avenue, Pleasantville, NY 10570.

Frequently asked questions

Do I need a notary for the Plumbing Permit Application?
No. The form has an applicant certification with a signature and date, but no notary block or notarized attachment is identified.
How do I submit the Plumbing Permit Application?
Submit the application with one set of required documents to the Pleasantville Building Department at 80 Wheeler Avenue, Pleasantville, NY 10570.
What information does the application ask for?
It asks for the project address, plumber and owner contact information, a description of the proposed work, and a fixture list.
Does the application list permit fees?
Yes. It lists fixture and additional inspection fees and says to see the attached form and fee schedule for the permit fee.

Need something notarized?

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