Cattaraugus County, NY · Cattaraugus County
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
Download the Application
Download the Application for a Permit to Operate PDF.
- 2
Complete the Required 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 or certificate of exemption, along with any operation-specific lists required.
- 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.
