[Town of Babylon] PD - RENTAL NEW APPLICATION

NEW RENTAL PERMIT APPLICATION

TOWN OF BABYLON
Planning & Development Rental Division
200 East Sunrise Hwy,
Lindenhurst, NY 11757
Ph.# (631) 957-4434 | Email: ksollicito@townofbabylonny.gov

CLICK HERE FOR RENTAL PERMIT REQUIREMENTS
BEFORE PROCEEDING

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COLLECT THE FOLLOWING DOCUMENTS IN DIGITAL FORMAT

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Deed

Floor plan

(professionally drawn example)

Identification

Tax Bill

Rental Board Conditions of Approval

Signed & notarized

Survey

I ACKNOWLEDGE

That I have read the General Procedure and Rental Requirements Rules of the Town of Babylon

DEED

A copy of the recorded deed showing the liber and page numbers.

Upload Deed

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FLOOR PLANS

Floor plans of the ENTIRE dwelling including the basement, apartment building, Multiple Residence (MR), Senior Citizen Multiple Residence (SCMR), hotel or motel. Label all rooms and include the dimensions of each room. Include measurements (height and width) for all doors and windows. Show location of all smoke detectors. For two family and multiple family dwellings, provide separate floor plans for all units and label each floor plan with the unit number. A floor plan must be provided for each style unit in apartment buildings, multiple residence (MR) or senior citizen multiple residence (SCMR).

Upload Floor Plans

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SURVEY

A current survey of the property showing all structures on site; Including, dwelling, building(s), additions, garages, decks, sheds, pool, etc. The survey must be accurate and legible.

Upload Survey

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IDENTIFICATION

Identification must be a government issued picture ID with home address, such as a driver’s license.

Upload Identification

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RENTAL BOARD CONDITIONS OF APPROVAL FORM

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Upload Rental Board Conditions of Approval

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FEE SCHEDULE

SINGLE FAMILY DWELLING: $200.00

TWO FAMILY DWELLING (owner occupied): $200.00

TWO FAMILY DWELLING (non-owner occupied): $250.00

MULTIPLE FAMILY DWELLING: $200.00 for the first unit in each building plus $50.00 for each additional unit.

Apartment Building, Multiple Residence, Senior Sitizen Multiple Residence, Motel, Hotel - call Rental Division for amount due (631) 957-4434

SIGN POSTING FEE: $15.00 per sign

ADDITIONAL FEES MAY APPLY

Re-Inspection charge - $100.00

The Town reserves the right to conduct re-inspection upon request.

WHAT YOU SHOULD KNOW

Regular property maintenance is required. It protects property values and improves the appearance of our neighborhoods. Please maintain your rental property as if you live there. Unless regular maintenance and repairs are made, the public health, safety and general welfare, as well as the property values of our communities, will be substantially depreciated. It is your responsibility to maintain your rental property to the specifications of the ICC Property Maintenance Code; 2020 New York State Edition.

FAILURE TO MAINTAIN PROPERTY MAY RESULT IN REVOCATION OF PERMIT 
OR ISSUANCE OF SUMMONSES

PROPERTY OWNER'S INFORMATION

Company / Corporation Name:

Owner's Mailing Address

Address or Location

Owner's Phone Number

Owner's Email

Does the owner reside in Suffolk County?

YES

RENTAL PERMIT - LOCAL AGENT CONTACT SHEET

If the owner or authorized agent of a dwelling unit resides or has his principal place of business located outside the County of Suffolk, he/she is required to designate an agent who resides in the County of Suffolk for general contact purposes and for the service of process of any notices set forth within the Town Code, Section 153, Article 1 or for the service of process of violation of this article. Failure to provide the name and address of a local agent shall be deemed a violation of this article.

Local Agent's Phone Number

Local Agent's Email

RENTAL PROPERTY INFORMATION

Rental Property Address

Address or Location

Is your property on the corner of two streets?

Who is filling out this form?

Owner

Representative

REPRESENTATIVE'S INFORMATION

Representative's Company / Corporation Name:

Representative's Phone Number

Representative's Email

PAYMENT INFORMATION

TYPE OF RENTAL UNIT :

SINGLE FAMILY DWELLING

TWO FAMILY OWNER OCCUPIED

TWO FAMILY NON-OWNER OCCUPIED

MULTIPLE FAMILY DWELLING

HOW MANY BUILDINGS

TOTAL NUMBER OF RENTAL UNITS (IN ALL BUILDINGS)

TOTAL COST: (additional 3% processing fee will apply at submission)

I (We) herby affirm the following to be TRUE:

There are NO existing Town of Babylon Code or New York State Uniform Fire Prevention and Building Code violations at the subject premises.

AGREE

There are NO existing safety or health violations at the subject premises.

AGREE

I (we) do not have any knowledge of complaints from tenants or others regarding any existing code, safety or health violations at the subject premises.

AGREE

The statements checked on this application, together with the documents, survey and plan(s) on file are true and accurate for the subject premises.

AGREE

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree, and it is my intent, to sign this document by Seamless Docs electronic signature software and by electronically submitting this document to the Town of Babylon Department of Planning and Development. I understand that my signing and submitting this document is the legal equivalent of having placed my handwritten signature on the submitted document and this attestation. I understand and agree that by electronically signing and submitting this document I am affirming to the truth of the information contained therein.

Receipt

You will be provided with a Receipt upon submission.