Pleasantville, NY · Westchester County
Site Operations Application
This application is for applicants seeking permission to conduct site operations or place materials, equipment, or temporary facilities in the Village of Pleasantville right-of-way.
What this form is
The application describes proposed work and site operations in the Village, including activities in the Village right-of-way and the requested dates and times. Applicants provide project, contact, and property information and submit a site plan sketch and required documents. The form also outlines insurance, indemnification, and restoration requirements before work begins.
Who needs it
Applicants proposing site operations or placing materials, vehicles, equipment, signs, or barriers in the Village right-of-way need this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; it also requires a Certificate of Insurance and completion of a Village indemnification form.
How to submit this form
- 1
Download The Application
Download the Site Operations Application PDF.
- 2
Complete The Application
Provide project and contact information, describe the work, identify requested operations, and sign and date the certification.
- 3
Gather Required Documents
Include one set of required documents and a site plan sketch; the form also requires insurance documentation and a Village indemnification form.
- 4
Submit To The Village
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Site Operations Application used for?
- It describes proposed site work and activities, including requests to place materials, vehicles, equipment, signs, or barriers in the Village right-of-way.
- What documents must accompany the application?
- The form calls for one set of required documents and a site plan sketch showing streets, the building site, work zone, sidewalks, hydrants, parking areas, and street signage.
- Do I need a notary for the Site Operations Application?
- No. The application is signed and dated without a notary; it also requires a Certificate of Insurance and completion of a Village indemnification form.
- How do I submit the Site Operations Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Site Operations Application doesn’t need a notary — but if you have another Pleasantville form that does, a commissioned online notary can help.