Do I need a notary for the Plan Review Fee Determination Schedule?

No. The operator or applicant signs and dates the certification. The document does not identify any sworn or notarized attachment.

What information does the fee schedule ask for?

It asks for the facility or project description, applicant mailing address, fee calculations and total, plus the operator or applicant’s signed certification.

Can I pay by credit card?

Yes. The form says to call (716) 701-3386 to pay by credit card and notes that a 2.5% convenience fee applies.

Cattaraugus County, NY · Cattaraugus County

No notary required

Plan Review Fee Determination Schedule

Cattaraugus County applicants use this form to calculate plan review fees for health-related projects and submit the signed schedule with supporting materials.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form helps applicants determine and calculate plan review fees for projects such as onsite sewage systems, food service establishments, public water supplies, and mass gatherings. Complete it when submitting a project for county health department plan review. It asks for the facility or project description, applicant mailing address, applicable fee calculations, total payment, and a signed certification.

Who needs it

Operators or applicants submitting a project for Cattaraugus County Health Department plan review should complete this fee schedule.

How to submit it

Mail the completed form with payment and appropriate applications, engineering drawings, or reports to the Health Department office, 1 Leo Moss Drive, Suite 4010, Olean, New York 14760-1154. For credit card payment, call (716) 701-3386; the form notes a 2.5% convenience fee.

About notarization

This schedule does not require notarization; the operator or applicant signs and dates the certification, with no sworn or notarized attachment identified.

How to submit this form

1
Download the Form
Download the Plan Review Fee Determination Schedule PDF.
2
Complete the Schedule
Enter the facility or project description, applicant mailing address, applicable fee calculations, and total.
3
Gather Supporting Materials
Include appropriate applications, engineering drawings, reports, and payment as applicable.
4
Sign and Mail
Sign and date the certification, then mail the form and materials to the Health Department office in Olean.

Frequently asked questions

Do I need a notary for the Plan Review Fee Determination Schedule?: No. The operator or applicant signs and dates the certification. The document does not identify any sworn or notarized attachment.
How do I submit the Plan Review Fee Determination Schedule?: Mail the form with payment and appropriate applications, engineering drawings, or reports to the Health Department office at 1 Leo Moss Drive, Suite 4010, Olean, New York 14760-1154.
What information does the fee schedule ask for?: It asks for the facility or project description, applicant mailing address, fee calculations and total, plus the operator or applicant’s signed certification.
Can I pay by credit card?: Yes. The form says to call (716) 701-3386 to pay by credit card and notes that a 2.5% convenience fee applies.

Need something notarized?

This Plan Review Fee Determination Schedule doesn’t need a notary, but if you have another Cattaraugus County form that does, a commissioned online notary can help.