Cattaraugus County, NY · Cattaraugus County

No notary required

Application for a Permit to Operate

This application is for facility operators seeking a permit to operate a regulated establishment and is submitted to the local 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 collects facility, operator and owner details, operating schedules, and information about the establishment’s type and capacity. All applicants complete Sections A, B, G and H; other sections apply to specific operations, such as temporary food service, mobile food service, or vending machines. Return the signed application with the appropriate fee and required insurance or exemption documents at least 30 days before the expected opening date.

Who needs it

Operators of establishments covered by the application, including food services, camps, pools, mobile food services and other listed facility types, submit it to seek a permit.

How to submit it

Return the signed application and appropriate fee to the local health department that issues the permit at least 30 days before the expected opening date; the document provides no mailing address.

About notarization

This application is signed and dated without a notary; the signer completes the signature section and dates it.

How to submit this form

  1. 1

    Download the Application

    Download the Application for a Permit to Operate PDF.

  2. 2

    Complete the Required Sections

    Complete Sections A, B, G and H, plus any other sections that apply to your establishment.

  3. 3

    Gather Required Attachments

    Include the applicable workers’ compensation and disability insurance documents or certificate of exemption, along with any operation-specific lists required.

  4. 4

    Submit to the Health Department

    Return the signed application and appropriate fee to the local health department at least 30 days before the expected opening date.

Frequently asked questions

Who uses the Application for a Permit to Operate?
Operators of facilities listed on the application use it to seek a permit from the local health department.
What attachments may be required with the application?
Submit workers’ compensation and disability insurance documents or a certificate of exemption. Some facility types also require operation-specific lists or other documents described in the application.
Do I need a notary for the Application for a Permit to Operate?
No. The application has a signature and date section but no notary block; the signer signs and dates it.
How do I submit the Application for a Permit to Operate?
Return the signed application with the appropriate fee to the local health department that issues the permit at least 30 days before the expected opening date.

Need something notarized?

This Application for a Permit to Operate doesn’t need a notary, but if you have another Cattaraugus County form that does, a commissioned online notary can help.