Who needs a Westbury Public Assembly License Application?

The document says an annual public assembly license is required for places where people gather, including restaurants, bars, clubs, concert halls, gyms, catering halls, and churches.

Do I need a notary for the Public Assembly License Application?

No. The application has an applicant signature and date field but no notary block. The document identifies no notarized or sworn attachment.

What happens after the application and fee are received?

A Building Department inspector will contact the applicant to schedule a required Building and Fire Codes compliance inspection. If approved after inspection, a Public Assembly License will be issued.

Westbury, NY · Nassau County

No notary required

Public Assembly License Application

This application is for Westbury establishments that gather people and need an annual public assembly license, including restaurants, bars, clubs, gyms, and churches.

What this form is

Westbury requires an annual public assembly license for places where people gather. The application asks for the property location, business type, occupancy limit, establishment name, and owner and manager contact information. Applicants mail the completed application with the fee based on occupancy; after receipt, a Building Department inspector will contact the applicant to schedule a Building and Fire Codes compliance inspection.

Who needs it

Owners or applicants for Westbury places where people gather, such as restaurants, bars, clubs, concert halls, gyms, catering halls, and churches, need this application.

How to submit it

Mail the application with the corresponding occupancy-based fee to the Village of Westbury Building Department, 235 Lincoln Place, Westbury, NY 11590.

About notarization

This application is signed and dated without a notary; the document identifies no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the Public Assembly License Application PDF.
2
Complete The Application
Enter the property location, business type, occupancy limit, establishment name, and owner and manager information; sign and date the application.
3
Gather The Fee
Include the fee based on occupancy: $50 for 0–100 people, $100 for 101–300, $150 for 301–500, or $250 for 501 or more.
4
Mail It To The Department
Mail the application and corresponding fee to the Village of Westbury Building Department, 235 Lincoln Place, Westbury, NY 11590.

Frequently asked questions

Who needs a Westbury Public Assembly License Application?: The document says an annual public assembly license is required for places where people gather, including restaurants, bars, clubs, concert halls, gyms, catering halls, and churches.
Do I need a notary for the Public Assembly License Application?: No. The application has an applicant signature and date field but no notary block. The document identifies no notarized or sworn attachment.
How do I submit the Public Assembly License Application?: Mail the completed application with the corresponding occupancy-based fee to the Village of Westbury Building Department, 235 Lincoln Place, Westbury, NY 11590.
What happens after the application and fee are received?: A Building Department inspector will contact the applicant to schedule a required Building and Fire Codes compliance inspection. If approved after inspection, a Public Assembly License will be issued.

Need something notarized?

This Public Assembly License Application doesn’t need a notary — but if you have another Westbury form that does, a commissioned online notary can help.