Lake Grove, NY · Suffolk County

No notary required

Operating/Assembly Permit/Business Registration Form

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

What this form is

The form provides the Fire Marshal’s Office with business and billing details, operating hours, employee information, and after-hours contacts. Businesses also answer questions about changed locks and hazardous materials; depending on their answers or occupancy, they may need to submit a hazardous material inventory statement, preplan diagram, or tenant list. The form states that incomplete or illegible information can prevent permit issuance and lead to closure.

Who needs it

Lake Grove businesses applying for an operating or assembly permit should complete the form, and landlords of multi-occupancy buildings must provide tenant information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details and any current submission instructions.

About notarization

This form is signed without a notary; it asks the applicant to print and sign their name, and states no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Operating/Assembly Permit/Business Registration Form.

  2. 2

    Complete The Form

    Legibly print or type the business, billing, operational, contact, and safety information requested.

  3. 3

    Gather Required Attachments

    Provide a preplan diagram if section 7 applies, a hazardous material inventory statement if required, and tenant information if you are a landlord of a multiple-occupancy building.

  4. 4

    Submit To The Department

    Submit the completed form to the department named on the form; check the city website for current contact details and instructions.

Frequently asked questions

Do I need a notary for the Operating/Assembly Permit/Business Registration Form?
No. The form asks the applicant to print and sign their name; it does not state that a notary or a notarized attachment is required.
How do I submit the Operating/Assembly Permit/Business Registration Form?
Submit it to the department named on the form. Check the Lake Grove website for current contact details and submission instructions.
What attachments might be required with this form?
A preplan diagram is required if the box in section 7 is checked. If hazardous or flammable materials are used or stored, complete and return a Hazardous Material Inventory Statement.
Who must provide a tenant list?
A landlord of a multiple-occupancy building must provide occupant information for each suite.

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.