Orange County, NY · Orange County
Swimming Pool Permit Application
Orange County pool owners or operators use this application to request a permit for a new swimming pool facility and provide facility, operator, and insurance information.
At a glance
- Issued by
- City of Orange County · Orange County, Orange County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- orangecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application is for a new swimming pool facility, not a permit renewal. It asks for establishment details, pool type and capacity, owner and operator contacts, expected operating dates, and required insurance documentation. Applicants identify the legal operator and submit a safety plan; the form lists application and optional expedited-processing fees and explains that payment must accompany the application.
Who needs it
An owner or designated legal operator seeking a permit for a new swimming pool facility in Orange County should complete this application.
How to submit it
Submit the application with payment to the Orange County Department of Health at 124 Main Street, 3rd Floor, Goshen, NY 10924. Non-commercial or nonprofit applications and supporting documents may be emailed to [email protected]; commercial applications are not accepted by email.
About notarization
This application is signed and dated without a notary; the owner or authorized representative and operator sign where applicable.
How to submit this form
- 1
Download the Application
Download the Swimming Pool Permit Application for a new pool facility.
- 2
Complete the Application
Enter the establishment, pool, owner, and operator information, then provide the required signatures and dates.
- 3
Gather Required Documents
Include the required workers’ compensation and disability insurance documentation, any applicable exemption forms, and an approved safety plan.
- 4
Submit to the County
Send the application with payment to the Orange County Department of Health. Non-commercial or nonprofit applications and supporting documents may be emailed.
Frequently asked questions
- Do I need a notary for the Swimming Pool Permit Application?
- No. The application has signature and date lines but no notary block; the owner or authorized representative and operator sign where applicable.
- How do I submit the Swimming Pool Permit Application?
- Send it with payment to the Orange County Department of Health at 124 Main Street, 3rd Floor, Goshen, NY 10924. Non-commercial or nonprofit applications and supporting documents may be emailed; commercial applications are not accepted by email.
- What information does the application request?
- It requests facility and pool details, owner and operator contact information, operating dates, insurance documentation, and signatures. It also calls for a safety plan.
- Can I email a commercial application?
- No. The form states that commercial applications are not accepted through email and that applications are not accepted without payment.