Pleasantville, NY · Westchester County
Street Opening/Excavation Permit Application
This application requests a Village of Pleasantville permit for work disturbing the Village right-of-way, and is filed by the applicant or an authorized representative.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this application to request permission to open or excavate a street or other area within the Village right-of-way. The Village Department of Public Works reviews the application, which asks for the work location and description, disturbance details, applicant information, insurance, and a Dig Safely Code 753 case number. The application instructions require notarization and two payments: a non-refundable application and inspection fee and a refundable escrow fee. The permit policy also describes work, restoration, and inspection requirements.
Who needs it
An applicant or authorized representative seeking Village permission to perform, or have performed, work that disturbs the Village of Pleasantville right-of-way needs this application.
Why it needs a notary
The application includes a New York State jurat; the applicant or duly appointed representative signs and swears to the application before the notary.
How to get this notarized
- 1
Download The Application
Download the Street Opening/Excavation Permit Application and review its instructions and attached permit policy.
- 2
Complete The Form
Enter the work location, purpose, surface and disturbance details, applicant information, and required permit identifiers.
- 3
Book An Online Notary
Arrange a remote notarization with a commissioned online notary before signing the jurat.
- 4
Sign On Video
Show identification and sign and swear to the application during the online notary session.
- 5
Submit To The Village
Send the notarized application with the required insurance documents, checks or other specified payments, and supporting plan or sketch to the Village.
Preview the form
The blank PDF straight from Pleasantville. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I notarize the Street Opening/Excavation Permit Application?
- Complete the application, then sign and swear to it before a commissioned online notary on a video session. Submit the notarized application and required attachments and payments to the Village.
- Do I need to bring insurance and fee information?
- The instructions require an attached certificate of liability/property damage insurance and workers’ compensation insurance, plus a $500 application and inspection fee and an escrow payment.
- Who must sign the application?
- The form may be signed by the applicant or a duly appointed representative authorized to apply for the permit. The signer swears that the application information is true to the best of their knowledge and belief.
- Can I use an online notary for this New York form?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c. Use a commissioned online notary, and confirm with the city, town or village if unsure.