Do I need a notary for this form?

No. The form asks the applicant to print and sign their name, but it has no notary block. Depending on the answers and building, additional diagrams or information may be required.

How do I submit this form?

Send it to the Village of Lake Grove Fire Marshals Office at Post Office Box 708, Lake Grove, NY 11755. The form also lists a fax number and email address.

What information does the form ask for?

It asks for business and billing details, operating hours, staffing, after-hours contacts, lock changes, and hazardous materials. Landlords of multiple-occupancy buildings must provide occupant information for each suite.

Do I need to include attachments?

A preplan diagram is required if the corresponding box is checked. If hazardous or flammable materials are used or stored, the form requires a Hazardous Material Inventory Statement.

Lake Grove, NY · Suffolk County

No notary required

Operating/Assembly Permit/Business Registration Form

This form collects business, billing, operating, contact, and safety information from Lake Grove businesses seeking an operating or assembly permit.

What this form is

The form collects a business’s address, billing details, hours, staffing, manager contacts, and information about locks and hazardous materials. It also asks landlords of multiple-occupancy buildings to provide occupant information for each suite, and requires a preplan diagram when the indicated box is checked. The form states that incomplete or illegible applications will not be issued a permit.

Who needs it

Lake Grove businesses seeking an operating or assembly permit, and landlords of multiple-occupancy buildings providing suite occupant information, use this form.

How to submit it

Send it to the Village of Lake Grove Fire Marshals Office, Post Office Box 708, Lake Grove, NY 11755. The form also lists a fax number and email address for the office.

About notarization

This form is signed without a notary; depending on the answers and building, it may also require a preplan diagram, hazardous material inventory statement, or tenant information.

How to submit this form

1
Download The Form
Download the Operating/Assembly Permit/Business Registration Form.
2
Complete The Sections
Legibly print or type the business, billing, operational, contact, and safety information requested.
3
Gather Required Information
Include a preplan diagram if indicated, a hazardous material inventory statement when applicable, and tenant information if you are a qualifying landlord.
4
Sign And Submit
Print and sign your name, then send the form to the Village of Lake Grove Fire Marshals Office using the contact details listed on the form.

Frequently asked questions

Do I need a notary for this form?: No. The form asks the applicant to print and sign their name, but it has no notary block. Depending on the answers and building, additional diagrams or information may be required.
How do I submit this form?: Send it to the Village of Lake Grove Fire Marshals Office at Post Office Box 708, Lake Grove, NY 11755. The form also lists a fax number and email address.
What information does the form ask for?: It asks for business and billing details, operating hours, staffing, after-hours contacts, lock changes, and hazardous materials. Landlords of multiple-occupancy buildings must provide occupant information for each suite.
Do I need to include attachments?: A preplan diagram is required if the corresponding box is checked. If hazardous or flammable materials are used or stored, the form requires a Hazardous Material Inventory Statement.

Need something notarized?

This Operating/Assembly Permit/Business Registration Form doesn’t need a notary — but if you have another Lake Grove form that does, a commissioned online notary can help.

Plumbing Affidavit