"Application for Automotive License (New or Renewal)" - Village of Amityville, New York

Application for Automotive License (New or Renewal) is a legal document that was released by the Village Clerk's Office - Village of Amityville, New York - a government authority operating within New York. The form may be used strictly within Village of Amityville.

Form Details:

  • The latest edition currently provided by the Village Clerk's Office - Village of Amityville, New York;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Village Clerk's Office - Village of Amityville, New York.

ADVERTISEMENT
ADVERTISEMENT

Download "Application for Automotive License (New or Renewal)" - Village of Amityville, New York

Download PDF

Fill PDF online

Rate (4.4 / 5) 20 votes
Page background image
Village of Amityville
Code Enforcement___________
21 Ireland Place, Amityville, NY 11701
PD______________
Phone: (631) 264-6000 Fax: (631) 598-0363
Application for: AUTOMOTIVE LICENSE (NEW OR RENEWAL)
(Section 107-5 thru 107-9 of the Village Code)
st
License effective from September 1st to August 31
Fee:
$225
Receipt No:___________
SCTM # 101-____________
_____New _____Renewal
Date paid: ____________
Business Name: _____________________________ Located at: _______________________Amityville, NY
Applicant’s Name: ___________________________ Phone no.: _____________ Date of Birth: __________
Applicant is Owner: ___Tenant: ___ Applicant’s Address if different from above: ______________________
* Attach copy of Driver’s License to application *
___________________________________________
Pursuant to Article II, Section 107-5 thru 107-9 of the Code of Ordinances of the Village of Amityville, the
undersigned hereby makes application to conduct the business of:
___ Auto Collision Works
___ Public Garage
___ Automotive sales – New and/or Used
___ Gasoline Filling Station
BUSINESS LICENSE REQUIREMENT
You must attach copies of all valid Suffolk County, New York State and Federal licenses for the above
automotive businesses evidencing you are authorized to conduct such in the Village of Amityville.
Applicant represents that Section 107-7 of said Article, referring to “Wheel Stops” and “Lighting”, have been
(or will be) complied with in accordance with said Article, knowing that the Village of Amityville will rely on
the truth of these representations in the event said license is issued.
Please be advised that this application must contain the date of installation as well as the date of last inspection
of any underground tanks: ___________________________________________________________________.
The applicant further understands that the Village may make a physical inspection of the premises.
Date of Application: __________________
Signature: ____________________________________
FOR AUTOMOTIVE SALES ONLY
Applicant to supply six (6) copies of the following:
• Surveys or site plans of the lot showing quantity and location of parking spaces provided.
Village of Amityville
Code Enforcement___________
21 Ireland Place, Amityville, NY 11701
PD______________
Phone: (631) 264-6000 Fax: (631) 598-0363
Application for: AUTOMOTIVE LICENSE (NEW OR RENEWAL)
(Section 107-5 thru 107-9 of the Village Code)
st
License effective from September 1st to August 31
Fee:
$225
Receipt No:___________
SCTM # 101-____________
_____New _____Renewal
Date paid: ____________
Business Name: _____________________________ Located at: _______________________Amityville, NY
Applicant’s Name: ___________________________ Phone no.: _____________ Date of Birth: __________
Applicant is Owner: ___Tenant: ___ Applicant’s Address if different from above: ______________________
* Attach copy of Driver’s License to application *
___________________________________________
Pursuant to Article II, Section 107-5 thru 107-9 of the Code of Ordinances of the Village of Amityville, the
undersigned hereby makes application to conduct the business of:
___ Auto Collision Works
___ Public Garage
___ Automotive sales – New and/or Used
___ Gasoline Filling Station
BUSINESS LICENSE REQUIREMENT
You must attach copies of all valid Suffolk County, New York State and Federal licenses for the above
automotive businesses evidencing you are authorized to conduct such in the Village of Amityville.
Applicant represents that Section 107-7 of said Article, referring to “Wheel Stops” and “Lighting”, have been
(or will be) complied with in accordance with said Article, knowing that the Village of Amityville will rely on
the truth of these representations in the event said license is issued.
Please be advised that this application must contain the date of installation as well as the date of last inspection
of any underground tanks: ___________________________________________________________________.
The applicant further understands that the Village may make a physical inspection of the premises.
Date of Application: __________________
Signature: ____________________________________
FOR AUTOMOTIVE SALES ONLY
Applicant to supply six (6) copies of the following:
• Surveys or site plans of the lot showing quantity and location of parking spaces provided.
===============================================================================
FOR VILLAGE USE ONLY
Based on inspection of the premises by the Building Inspector on ___________, by _________________, the
following action is recommended:
______ Approve
______ Disapprove
______ Approve with the following stipulations:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Based on inspection of the premises by the Fire Marshal on ___________, by _________________, the
following action is recommended:
______ Approve
______ Disapprove
______ Approve with the following stipulations:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Based on investigation by Police Department on ___________, by _________________, the following action is
recommended:
______ Approve
______ Disapprove
______ Approve with the following stipulations:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Copy of Driver’s License Attached: _____. At the Board of Trustees meeting held on ________________, the
application was:
______ Approved
______ Disapproved
______ Approved with the following stipulations:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
License number issued:________ on___________.
Page of 2