Environmental Health Permits
Applies to Tattooists and Body Piercers
Required Documents:
Required documents must be submitted no later than 30 days prior to the intended date of operation.
- Completed paper renewal application with signatures of the applicant and the studio owner of a permitted facility or filled out online through the Schenectady County Citizen Engagement Portal.
- Blood Borne Pathogens Course Certificate – in class or online course – yearly
- CPR/First Aid Course Certificates, including Skills Session– every 2 years
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Two (2) 2"x2" passport photos with the following requirements:
- In color, white background
- Full front face, both ears, eyes open, neutral facial expression, normal street attire
- No teeth, mouth closed
- No hats or headgear
- No unusual facial expressions
- No head tilting
- No snapshots, mobile phone photos, or photo alterations of any kind
- No shadows
OR - Two copies of a driver's license photo taken within 3 years
- Permit Fee $185
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Body Artist/Piercer Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Applies to Tattooists and Body Piercers
Required Documents:
Required documents must be submitted no later than 30 days prior to the intended date of operation.
- Completed paper application with signatures of the applicant and the studio owner of a permitted facility or filled out online through the Schenectady County Citizen Engagement Portal.
- Blood Borne Pathogens Course Certificate – in class or online course – yearly
- CPR/First Aid Course Certificates, including Skills Session– every 2 years
- Skin Course Certificate – Save Each Life – Class held in Massachusetts, other course approvable by Schenectady County Public Health
- Evidence of experience – at least 1 year with documentation from another county or previous employer(s)
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Two (2) 2"x2" passport photos with the following requirements:
- In color, white background
- Full front face, both ears, eyes open, neutral facial expression, normal street attire
- No teeth, mouth closed
- No hats or headgear
- No unusual facial expressions
- No head tilting
- No snapshots, mobile phone photos, or photo alterations of any kind
- No shadows
OR - Two copies of a driver's license photo taken within 3 years
- Permit Fee $185
- Floor plan required for new facilities not yet permitted in Schenectady County. To scale drawing must be submitted for review and approval 30 days prior to intended date of operation along with a Plan Review Fee of $150.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Body Artist/Piercer Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Application
Applies to Tattooists and Body Piercers
The Schenectady County Sanitary Code Body Art Tattoo/Body Piercing Regulations effective October 12, 2021, allows body art practitioners to obtain a temporary permit to perform tattooing and body piercing within Schenectady County at one event lasting 14 days or less.
Required Documents:
Required documents must be submitted no later than 30 days prior to the intended date of operation.
- Completed paper application with signatures of the applicant and the event organizer or filled out online through the Schenectady County Citizen Engagement Portal.
- Blood Borne Pathogens Course Certificate – in class or online course
- CPR/First Aid Course Certificates – in class
- Skin Course Certificate – Save Each Life – Class held in Massachusetts
- Listing of experience
- Permanent place of employment including studio name and address, studio owner's name and phone number
- Number of years as an artist or body art permit or license issued under the jurisdiction of another political subdivision, state, or nation.
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Two (2) 2"x2" passport photos with the following requirements:
- In color, white background
- Full front face, both ears, eyes open, neutral facial expression, normal street attire
- No teeth, mouth closed
- No hats or headgear
- No unusual facial expressions
- No head tilting
- No snapshots, mobile phone photos, or photo alterations of any kind
- No shadows
OR - Two copies of a driver's license photo taken within 3 years
- Temporary permit fee of $100. The fee is waived for the body artists holding a valid Body Artist permit issued by Schenectady County Environmental Health Division.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Body Artist/Piercer Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents
Required documents must be submitted no later than 30 days prior to the intended date of operation.
- Completed paper renewal application signed and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Medical Waste Tracking Forms and Medical Waste Company Information
- Establishments with an autoclave: Name, make, model, and serial number of the autoclave
- Permit Fee $200
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Body Art Studio Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents
Required documents must be submitted no later than 30 days prior to the intended date of operation.
- Completed paper application, signed, and dated or filled out online through Schenectady County Citizen Engagement Portal.
- Completed Plan Review Fees Form, signed, and dated or filled out online through Schenectady County Citizen Engagement Portal.
- A copy of level DBA (Doing Business As)
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Medical Waste Tracking Forms and Medical Waste Company Information
- Establishments with an autoclave: Name, make, model, and serial number of the autoclave
- To scale Floor Plan submission at least 30 days prior to construction with a plan review fee of $150
- Permit Fee $200
First Submit A Plan Review
- Create an account for Schenectady County or log in with an existing account.
- Select Plan Review Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Submit Plan Review Apply Online Now
- Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Body Art Studio Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Paper Plan Review Form
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status]
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
Additional Required Documents: Food Service
- If your operation includes food service and you are not making any renovations in the kitchen (including changing equipment): A copy of a valid Schenectady County’s Food Worker’s Training certificate, ServSafe Food Protection Manager certificate, or similar food sanitation course acceptable to the Schenectady County Environmental Health Division. Click for more information or to take Schenectady County's Online Course.
- If your operation includes food service and you are making renovations in the kitchen, including adding, removing, or changing equipment, you must go through the Food Service Plan Review Process.
- If you operation includes a swimming pool, spa, or beach, additional required permit documents can be found online. Click for more information.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Campground Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Have you contacted Schenectady County Environmental Health Division and received approval to continue the application process? Please contact our office at (518) 386-2818 or PublicHealth@SchenectadyCountyny.gov.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status]
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- A copy of a legal DBA (doing business as) must be submitted for establishment owned by a private owner(s).
- Copies of corporation papers with a listing of the corporation officers must be submitted for facilities owned by a corporation or LLC.
Additional Required Documents: Food Service
- If your operation includes food service and you are not making any renovations in the kitchen (including changing equipment): A copy of a valid Schenectady County’s Food Worker’s Training certificate, ServSafe Food Protection Manager certificate, or similar food sanitation course acceptable to the Schenectady County Environmental Health Division.Click for more information or to take Schenectady County's Online Course.
- If your operation includes food service and you are making renovations in the kitchen, including adding, removing, or changing equipment, you must go through the Food Service Plan Review Process.
- If you operation includes a swimming pool, spa, or beach, additional required permit documents can be found online. Click for more information.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Campground Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
- If your operation includes a swimming pool, spa or beach – complete Swimming Pool Application.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
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Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status]
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Children's Camp Facility and Staff Description (DOH 367)
- Children's Camp Additional Staff Qualifications (DOH 367a)
- Form DOH 367 and 367a, provide an overview of the Children’s Camp operation. Please use data from previous season for camp capacity
- Children's Camp Safety Plan.
- New York State Sanitary Code Subpart 7-2, Children’s Camps, requires that children’s camp operators develop, review annually, update and implement a written safety plan. The plan must accurately describe the camp’s procedures for personnel, facility operation and maintenance, fire safety, medical, general and activity safety, staff training, and camper orientation. This will serve as the camp’s comprehensive operating plan and must address the specific conditions of the camp and its operations, as well as serve as a training and reference document for camp staff. Local rescue, police and fire personnel should be consulted when developing the camp’s safety plan.
- Additional Activity Plans may be required based on your operation:
- Complete list of Activity Plans can be found here: NYSDOH Children's Camps Activity-Specific Plans
- Children’s Camp Staff Documentation
- Directors Statement (DOH 2271)
- Camp Director’s Certified Statement Relative to the Conviction of a Crime
- Directors Statement (DOH 2271)
- Department of Social Services Central Clearance Form (LDSS 3370)
- Required of only the Camp Director and to be submitted to Schenectady County. Please do NOT forward these forms to the Department of Social Services
- Health Director
- License and certifications
- If Health Director will not be on-site a Designee is required.
- Health Director’s Designee License and certifications(if applicable)
- NYS Sex Offender Registry Search Procedures for Children's Camps
- Department of Social Services Central Clearance Form (LDSS 3370)
- Health Director
- List of Additional Staff DCJS Background Check
- Certifications
- Staff First Aid Certificates
- Staff CPR Certificates
- Camp Aquatics Director (if applicable)
- Staff Lifeguard Certificates (if applicable)
- Complete list of required certifications can be found here: NYS Children's Camps Staff Required Certifications
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Children's Camp Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Plan Review Documents- Must be submitted prior to construction or as a first step in the application process for establishments that have been closed for more than 6 months.
- Completed, signed and dated Plan Review Fees Form or filled out online through Schenectady County Citizen Engagement Portal
- Fee as listed in the Plan Review Fee Schedule.
- Plan Review items listed below. Please see the Restaurant Proposal Guide for details:
- Floor Plan with Title Block
- Specification List of Food Service Equipment
- Finish Schedule
- Ventilation Schedule
- Plumbing Schedule
- Description of Operation:
- Number of seats
- Estimated number of meals per day
- Approximate number of employees
- Menu
- Method of food service- single service articles or multi-use tableware
- Method of garbage storage and disposal
- Method of insect and rodent control
- All facilities with private water and/or private sewage must submit schematics of new or existing systems with food service plans.
- All applicable building, electrical and plumbing permits must be secured and satisfied, and zoning approval granted before issuance of a permit from this office.
Application Packet- to be submitted once the approval letter has been received
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee based on the seating capacity or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider. Click for more information or to take Schenectady County's Online Course.
- Menu
- A copy of a legal DBA (doing business as) must be submitted for a food service establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for food service facilities owned by a corporation or LLC.
First Submit A Plan Review
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Plan Review Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Then complete the application
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Food Service Permit Application
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Plan Review Application Download Printable Application
Food Establishment Permits are not transferable between owners. Any time a change of ownership occurs, even if there is just a change of the name of the corporation or LLC, the new owners must obtain a new permit to operate. The Legal operator must match the one printed on the permit.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee based on the seating capacity or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider.Click for more information or to take Schenectady County's Online Course.
- Menu
- A copy of a legal DBA (doing business as) must be submitted for a food service establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for food service facilities owned by a corporation or LLC.
- A signed, dated letter stating your intent to take over the food service establishment “making no structural changes, including adding, removing, or changing out equipment.” Include the establishment’s former name, new name, address, and new owner’s signature
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Food Service Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
If you have made any significant changes to your facility including changing out equipment or any construction affecting the kitchen/food preparation/food storage areas since your last application, you must go through the Plan Review Process. Please see New/Modified Food Services Establishments.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee based on the seating capacity or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider.Click for more information or to take Schenectady County's Online Course.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Food Service Establishment Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee based on the seating capacity or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider. Click for more information or to take Schenectady County's Online Course.
- Use of Commissary/Shared Kitchen Agreement Verification
- A copy of the Commissary’s current permit/license and most recent inspection if it is not licensed by Schenectady County Environmental Health Division.
- Menu
- List of events (including dates, hours, locations)
- A copy of a legal DBA (doing business as) must be submitted for a food service operation run by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for food service operation run by a corporation or LLC.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Catering Operation Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Application Download Printable Commissary Kitchen Verification
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee based on the seating capacity or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider. Click for more information or to take Schenectady County's Online Course.
- A copy of the Commissary’s current permit/license and most recent inspection if it is not licensed by Schenectady County Environmental Health Division.
- Use of Commissary/Shared Kitchen Agreement Verification.
- Menu
- List of events (including dates, hours, locations
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Catering Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Application Download Printable Commissary Kitchen Verification
You need a permit if you are preparing, handling, or serving food for the public. A Temporary Food Service is any operation where food is prepared and served to the public at a single event or celebration. A temporary food permit is meant for events with lower-risk foods that require minimal preparation or storage. Learn More
Required Documents:
- Completed paper application, signed, and dated or filled out online through Schenectady County Citizen Engagement Portal.
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Use of Commissary/Shared Kitchen Agreement Verification if applicable. A commissary is a rentable permitted commercial kitchen that adheres to local health and safety regulations where food service operators can prepare, and store food intended for consumption at another location. A commissary is where mobile units or pushcarts are serviced, cleaned, supplied, and maintained, and where the equipment, utensils, and facilities are serviced, cleaned, and sanitized
- A copy of the Commissary’s current permit/license and most recent inspection if it is not licensed by Schenectady County Environmental Health Division.
- Menu
- Payment or proof of exemption as listed below:
- Payment of $90 per vendor. Make a check payable to Schenectady County. Cash will be accepted if you apply in person.
- If fee exempt, submit proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status]
- If you are applying to participate at a charitable event and you are donating your profits to the charitable event/organization, you may request to have your fee waived by submitting an attestation indicating the charitable event and listing the charitable organization you are donating your profits to. The event organizer must also submit an attestation to our office.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Temporary Food Service Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Application Download Printable Commissary Kitchen Verification
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Required Documents:
Plan Review Checklist:
- Submit plans at least 30 days prior to construction, renovation, or initial operation
- Plan Review Fee Schedule completed and signed with contact information. Link to updated Plan Review Fee Schedule
- Applicable plan review fee. Checks should be made payable to Schenectady County. Link to updated Plan Review Fee Schedule
- All applicable motor vehicle, building, fire department, electrical and plumbing permits must be secured and satisfied before issuance of a permit from this office.
- Photos of the unit if already built, inside and outside
- Floor plan of mobile unit
- All plans must be drawn to scale (minimum ¼ inch = 1 ft.)
- Location of prefabricated and custom-built equipment
- Include title block
- Specification list of food service equipment
- All equipment must be NSF approved or equivalent (commercial type equipment)
- Finish schedule- listing materials used to finish the floor, base, walls, and ceiling
- Ventilation schedule- listing method of ventilation
- Plumbing schedule- listing or showing the location of hot and cold-water lines, vented drain lines, sewage lines, the source of the water supply, and the method of sewage disposal
- Description of operation:
- Estimated number of meals per day
- Approximate number of employees
- Menu
- Method of garbage storage and disposal
- Method of insect and rodent control
- Enough hot and cold food storage based on menu items
- Storage for toxic chemicals and vehicle maintenance items that is separate from food items
- Garbage containers separate from food storage
- Equipment and surfaces must be smooth and easily cleanable
- A 3 bay sink for ‘wash, rinse, and sanitize’ cleaning method
- Handwash sink with hot and cold water, soap, and paper towels
- Food prep sink with indirect drain if foods are not washed at the commissary
- Drying area for clean equipment and utensils
- A 40-gallon gravity fed fresh-water storage tank
- A wastewater tank that is 15% larger than the fresh-water storage tank (46 gallons if fresh-water tank is 40 gallons)
- Sanitary method of discharging wastewater tank to approved sanitary sewer
- Sufficient ventilation
- Permitted commissary to store the mobile unit and use for food preparation, food storage, and equipment cleaning, sanitizing, and drying
- The following notices/information are required to be posted. More information and other languages are available here:
- Food Allergen Notice
- All menus must include one of the following statements:
- This statement: "If you have a food allergy, please notify us." OR
- A statement that informs customers about allergen information for each prepared food item offered on the menu, such as “Allergen information for menu items is available. Ask an employee for details.”
- Employee Hand Washing Sticker
- First Aid for Choking
Application Checklist:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider. Click for more information or to take Schenectady County's Online Course.
- Use of Commissary/Shared Kitchen Agreement Verification if applicable. A commissary is a rentable permitted commercial kitchen that adheres to local health and safety regulations where food service operators can prepare, and store food intended for consumption at another location. A commissary is where mobile units or pushcarts are serviced, cleaned, supplied, and maintained, and where the equipment, utensils, and facilities are serviced, cleaned, and sanitized
- A copy of the Commissary’s current permit/license and most recent inspection if it is not licensed by Schenectady County Environmental Health Division.
- Menu
- List of events (including dates, hours, locations)
- A copy of a legal DBA (doing business as) must be submitted for a food service establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for food service facilities owned by a corporation or LLC.
Mobile Food Service permits issued are valid from date of approval to December 31st of each year.
Apply Online
First Submit A Plan Review
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Plan Review Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Then complete the application
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Mobile Food Service Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Plan Review Application Download Printable Application
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- At least one person from the food service establishment must possess a valid manager’s level food service training certificate. Schenectady County offers an online training course that is valid until NYS adopts the FDA Food Code. When the new code is adopted, a certificate must be obtained from an ANAB-CFP-accredited provider.Click for more information or to take Schenectady County's Online Course.
- Use of Commissary/Shared Kitchen Agreement Verification if applicable. A commissary is a rentable permitted commercial kitchen that adheres to local health and safety regulations where food service operators can prepare, and store food intended for consumption at another location. A commissary is where mobile units or pushcarts are serviced, cleaned, supplied, and maintained, and where the equipment, utensils, and facilities are serviced, cleaned, and sanitized
- A copy of the Commissary’s current permit/license and most recent inspection if it is not licensed by Schenectady County Environmental Health Division.
- Menu
- A route list with the locations at which your facility will be vending. Please include name(s) and address(es) of location(s)
- If you plan to vend food on an event-by-event basis, you must provide a list of events prior to operating
Apply Online
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Mobile Food Service Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
A mass gathering is an event likely to attract at least 5,000 people and last for at least 24 hours.
Please contact our office at (518) 386-2818 or PublicHealth@SchenectadyCountyny.gov.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Migrant Farmworker Housing Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
Yearly permits issued are valid from the date of approval to June 30th of each year.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Mobile Home Park Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- A copy of a legal DBA (doing business as) must be submitted for an establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for facilities owned by a corporation or LLC.
Yearly permits issued are valid from the date of approval to June 30th of each year.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Mobile Home Park Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
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Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Review your swimming pool safety plan. If your safety plan is up to date, submit a letter attesting to the fact that you have reviewed your plan, no changes have been made and you continue to operate under the plan that is on file. If changes have been made, please upload a new plan. Our office will hold you responsible for operating under the Safety Plan that is on file with our office. View Safety Plan Template
- Required certifications for your pool's level of supervision
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Swimming Pool Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Swimming pool safety plan. View Safety Plan Template
- Required certifications for your pool's level of supervision
- A copy of a legal DBA (doing business as) must be submitted for a swimming pool owned by a private owner(s).
- Copies of corporation papers with a listing of the corporation officers must be submitted for a swimming pool owned by a corporation or LLC.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Swimming Pool Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Plan Review documents (must be submitted prior to construction).
- Completed Plan Review Fee Schedule, signed, and dated or Plan Review Application filled out online through Schenectady County Citizen Engagement Portal.
- Fee as listed in the Plan Review Fee Schedule.
- Swimming pool plans
- A list of equipment, including specification sheets
Application Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- Swimming pool safety plan. View Safety Plan Template
- Required certifications for your pool's level of supervision
- A copy of a legal DBA (doing business as) must be submitted for a swimming pool owned by a private owner(s).
- Copies of corporation papers with a listing of the corporation officers must be submitted for a swimming pool owned by a corporation or LLC.
Apply Online
First Submit A Plan Review
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Plan Review Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Then complete the application
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Swimming Pool Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Application
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- If your operation offers food service:
- A copy of a valid Schenectady County’s Food Worker’s Training certificate, ServSafe Food Protection Manager certificate, or similar food sanitation course acceptable to the Schenectady County Environmental Health Division.Click for more information or to take Schenectady County's Online Course.
- If you have a swimming pool/spa:
- Review your swimming pool safety plan. If your safety plan is up to date, submit a letter attesting to the fact that you have reviewed your plan, no changes have been made and you continue to operate under the plan that is on file. If changes have been made, please upload a new plan. Our office will hold you responsible for operating under the Safety Plan that is on file with our office. View Safety Plan Template.
- Required certifications for your pool's level of supervision.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Temporary Residence Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- If your operation includes food service and you are not making any renovations in the kitchen (including changing equipment):
- A copy of a valid Schenectady County’s Food Worker’s Training certificate, ServSafe Food Protection Manager certificate, or similar food sanitation course acceptable to the Schenectady County Environmental Health Division.Click for more information or to take Schenectady County's Online Course.
- If you are making renovations in the kitchen (including changing equipment), you must go through the Food Service Establishment Plan Review Process. Learn more about the Food Service Plan Review Process
- If you have a swimming pool/spa:
- Swimming pool safety plan. View Safety Plan Template.
- Required certifications for your pool's level of supervision.
- A copy of a legal DBA (doing business as) must be submitted for an establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for facilities owned by a corporation or LLC.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account for Schenectady County or log in with an existing account.
- Select Temporary Residence Permit Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Non-Community Water Supply Permit.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Application
Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- A copy of a legal DBA (doing business as) must be submitted for an establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for facilities owned by a corporation or LLC.
- Additional documents might be needed if the water system has not been operating for an extended period of time or changes are being made
Apply Online
Complete the application online using the Schenectady County Citizen Engagement Portal.
- Create an account or log in with an existing account.
- Select Non-Community Water Supply Permit.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Required Plan Review documents
- Completed Plan Review Fee Schedule, signed, and dated or Plan Review Application filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee as listed in the Plan Review Fee Schedule.
- A completed Chlorination System application or Ultraviolet System Application.
- Site plan of the property (showing well, septic, building location, and property lines).
- Septic System details
- Well log (available from well driller)
- Well pump test data (available from PE)
- Water quality test results (See Sample Requirements for New Public Water System Well)
- Schematic of water system and proposed treatment
- Manufacturer’s specifications of proposed equipment
Application Required Documents:
- Completed paper application, signed, and dated or filled out online through the Schenectady County Citizen Engagement Portal.
- Appropriate fee or proof of exemption from payment [NYS form ST-119.1 and IRS letter granting 501 (c)(3) non-profit status].
- A completed Chlorination System Application or Ultraviolet System Application.
- Proof of Workers' Compensation Insurance (submit one from the list):
- Form C-105.2
- Form U-26.3
- Form SI-12
- Form GSI-105.2
- Proof of Disability Insurance (submit one from the list):
- Form DB-120.1
- Form DB-155
Contact your insurance agent for the proper form. If you do not maintain Workers Compensation Insurance and/or Disability Insurance Coverage, submit CE-200 Attestation of Exemption Certificate, signed and dated. View the Help Guide for Businesses or Help Guide for Not-For-Profit Organizations for instructions on how to obtain it.
- A copy of a legal DBA (doing business as) must be submitted for an establishment owned by a private owner(s)
- Copies of corporation papers with a listing of the corporation officers must be submitted for facilities owned by a corporation or LLC.
Non-community water permits issued are valid from the date of approval to December 31st of each year.
Apply Online
First Submit A Plan Review
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Plan Review Application.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Then complete the application
Complete the application using the Schenectady County Citizen Engagement Portal
- Create an account for Schenectady County or log in with an existing account.
- Select Non-Community Water Supply Permit.
- Complete the online application and upload the required documents.
- Pay by debit, credit card, or e-check.
Apply In Person or by Mail
Mail to or drop off at:
Schenectady County Public Health Services
Environmental Health Division
107 Nott Terrance, Suite 300
Schenectady, NY 12308
Make checks payable to the County of Schenectady. Partial Payments are not accepted.
Download Printable Plan Review Application Download Printable Application