Cattaraugus County, NY · Cattaraugus County
Application for a Permit to Operate
This application is for operators seeking a permit to operate a facility regulated by the Cattaraugus County Health Department.
At a glance
- Issued by
- City of Cattaraugus County · Cattaraugus County, Cattaraugus County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- cattco.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application requests a permit to operate a facility, with sections for facility details, ownership and operations, plus required workers’ compensation and disability insurance documentation. Applicants must complete sections A, B, G and H, and return the application with the appropriate fee at least 30 days before the expected opening date. Some facility types require additional information or attachments.
Who needs it
Operators of facilities listed on the application, including food services, camps, pools and mobile food establishments, should complete and submit it.
How to submit it
Return the completed application with the appropriate fee at least 30 days before the expected opening date to the local health department that issues the permit; check the county website for current contact details.
About notarization
This document is signed and dated without a notary; the signer also submits the applicable workers’ compensation and disability insurance documentation or an exemption form.
How to submit this form
- 1
Download the Application
Download the Application for a Permit to Operate.
- 2
Complete Applicable Sections
Complete sections A, B, G and H, plus any other sections that apply to your establishment.
- 3
Gather Required Attachments
Include the applicable workers’ compensation and disability insurance documents; add any facility-specific lists or forms required by the application.
- 4
Return the Application
Submit it with the appropriate fee to the local health department that issues the permit at least 30 days before the expected opening date.
Frequently asked questions
- Do I need a notary for the Application for a Permit to Operate?
- No. The application calls for a signature and date, not notarization. Applicants must also submit applicable workers’ compensation and disability insurance documentation or an exemption form.
- How do I submit the permit application?
- Return the completed application with the appropriate fee to the local health department that issues the permit. The form says to submit it at least 30 days before the expected opening date.
- Which sections must every applicant complete?
- All applicants must complete sections A, B, G and H. Other sections apply to specific facility types, such as temporary food services, mobile food establishments and vending machines.