Cattaraugus County, NY · Cattaraugus County

No notary required

Swimming Pool Permit to Operate Application

Swimming pool operators use this application to request a permit to operate from 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

This application requests a permit to operate a swimming pool and gathers facility, operator, ownership, operating schedule, and insurance information. Applicants must complete sections A, B, G, and H, attach the required workers’ compensation and disability insurance documentation, and return the application with the appropriate fee at least 30 days before the expected opening date. The county’s pool attachments also request safety-plan attestations and aquatic staff certification records.

Who needs it

Swimming pool operators seeking a permit from the Cattaraugus County Health Department need to complete this application and include the required pool attachments.

How to submit it

Return the completed application with the appropriate fee to the local health department that issues the permit at least 30 days before the expected opening date.

About notarization

This document is signed and dated without a notary; the pool safety-plan and staff forms also require signatures, but do not specify notarization.

How to submit this form

  1. 1

    Download the Application

    Download the permit application and the swimming pool attachments.

  2. 2

    Complete the Required Sections

    Complete sections A, B, G, and H, along with any other sections that apply to your facility.

  3. 3

    Gather Required Attachments

    Include the applicable insurance documentation and the swimming pool safety-plan and staff certification attachments.

  4. 4

    Submit to the Health Department

    Return the application with the appropriate fee to the local health department that issues the permit at least 30 days before opening.

Frequently asked questions

Do I need a notary for the Swimming Pool Permit to Operate Application?
No. The application and pool attachments require signatures and dates but do not specify notarization.
How do I submit the swimming pool permit application?
Return the completed application with the appropriate fee to the local health department that issues the permit at least 30 days before the expected opening date.
What attachments does the swimming pool application require?
The county’s notice says to submit Attachments A and B annually. Include current aquatic staff information, signatures, up-to-date training certificates, and copies of the certificates listed on Attachment B.

Need something notarized?

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