Madison County Department of Health, Environmental Health · department site →
Fees change often — always confirm the current amount with the department before you budget.
Madison County food-facility health permits run about $150–$250 annually, depending on size or sales volume. Confirm the exact amount with Madison County Department of Health, Environmental Health before you budget.
Confirm the authority for your exact address. Some cities run their own health division, and building, planning, fire, sewer/grease and business-license approvals are separate even when Madison County Department of Health, Environmental Health issues the health permit.
About 144 food & drinking establishments operate here, serving a population of about 66,921. (U.S. Census 2023 estimate; County Business Patterns 2022, NAICS 722)
Last verified: 2026-08-18 — we re-confirmed the serving authority, its contact, and that the fees below match the current published schedule. Fee schedules may carry an earlier effective date (shown per fee); local ordinances & amendments aren’t individually reviewed, so confirm current rules with the authority having jurisdiction.See something out of date? Report an update →
Restaurant / food-facility permit
Food Service Establishment Permit
$150-$250 (Low Risk $150 / Medium Risk $200 / High Risk $250
How inspection results are scored/posted here is pending verification — ask the department.
Food truck / mobile permit
Mobile Food Service
$160 (Mobile Food Service Unit) / $85 (Push Cart)
Revised 1/1/2024 permit fee schedule
How to apply
See the department site above.
Fees/payment and forms are on the department site; application steps vary by concept — see the checklist below.
How Madison County’s permit cost compares
At about $150/year, Madison County’s restaurant health permit is about the New York median ($150) and above the U.S. median ($125) — higher than about 66% of U.S. counties.
Ranked 16th-lowest of 31 New York counties by permit cost.
Comparison uses the lowest published annual restaurant-permit figure in each county; confirm your exact tier with the department.
Local food-service market
About 144 food & drinking establishments serve ~66,921 residents in Madison County — one per ~465 residents, sparser than the New York average (one per ~445).
U.S. Census 2023 population; County Business Patterns 2022 (NAICS 722).
Budget the permit stack
Start with ~$150 annual health permit.
Plus building, fire, and business-license fees that vary locally — use the cost calculators and the checklist below to budget the full stack.
Equipment your Madison County plan review will check
Health-department plan review looks for specific, code-compliant fixtures. Compare spec-filtered options, then confirm counts and sizes with your local requirements. See the full list in what equipment a commercial kitchen requires.
This is a typical sequence — confirm the exact sequence with your authority having jurisdiction.
Confirm whether Madison County or another local jurisdiction (city/district) handles your exact address.
Confirm zoning and permitted use.
Prepare your menu and scaled plans.
Include an equipment schedule with ANSI/NSF spec sheets.
Submit water-heater and hood documentation.
Pay plan-review fees.
Respond to plan-check corrections.
Obtain Environmental Health plan approval.
Obtain building, plumbing, mechanical and fire approvals.
Schedule rough-plumbing, pre-final and final health inspections.
Pay the operating-permit / application fees.
Receive approval before storing or preparing food.
Frequently asked questions
How much is a food permit in Madison County?
$150-$250 (Low Risk $150 / Medium Risk $200 / High Risk $250; Commissary same), effective 2014, revised 1/1/2024 These are annual health-permit fees, usually tiered by seating or size; confirm your exact category with the department.
Is plan review required in Madison County?
Yes — plan review is required before you build or remodel a food facility.
Do I need a commissary for a food truck in Madison County?
In most cases, yes — most mobile units must operate from an approved commissary; confirm exemptions with the department. Revised 1/1/2024 permit fee schedule
Who issues food permits in Madison County?
Food permits here are issued by Madison County Department of Health, Environmental Health. See the department site for current details.
Are city building and fire approvals separate?
Yes — building, plumbing, mechanical and fire approvals are always separate from the health permit and are often handled by different offices.
Published by Resultex Media Group LLC · Independent & vendor-neutral · Educational only, not legal or engineering advice · Last verified September 2026