Island Park, NY · Nassau County

Rental Permit Application

This four-page application and compliance affidavit are for property owners seeking a Village of Island Park rental permit for a dwelling.

Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The application collects the rental property's location, ownership and occupancy details, the requested inspection method, and supporting documents such as a deed, survey and floor plan. It also includes an affidavit stating that smoke and carbon monoxide detectors are installed and operational. Property owners submit the completed form and required materials to the Village of Island Park when applying for a rental permit; the form lists a $200 fee per unit.

Who needs it

Property owners seeking a Village of Island Park rental permit should complete the application and the included smoke and carbon monoxide detector compliance affidavit.

Why it needs a notary

The application has a sworn-to-before-me jurat, and the detector compliance affidavit also has a jurat; the property owner or owners sign before the notary.

How to get this notarized

  1. 1

    Download The Form

    Get the Rental Permit Application and review its application and detector compliance affidavit pages.

  2. 2

    Fill In The Application

    Enter the property, owner, agent, occupancy and inspection details, and gather the supporting documents listed on the form.

  3. 3

    Book An Online Notary

    Schedule a remote notarization for the application and detector compliance affidavit.

  4. 4

    Sign On Video

    Sign both jurat sections in the presence of the notary during your video session.

  5. 5

    Submit To The Village

    Submit the completed form, supporting materials and fee to the Village of Island Park.

Preview the form

The blank PDF straight from Island Park. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the rental permit application?
Fill in the rental, owner, agent, occupancy and inspection details, gather the listed supporting documents, and sign the application and detector affidavit before a notary.
Do I need to sign the application before a notary?
Yes. The application includes a sworn-to-before-me jurat, and the smoke and carbon monoxide detector affidavit also has a jurat. Sign both before the notary.
Can I use a commissioned online notary?
New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c. New York recognizes acts performed outside the state by an officer authorized where the act takes place under Real Property Law §299.
What documents and inspection materials should I submit?
The form lists a deed, tax bill, proof of residency, occupancy certificates, survey and floor plan, among other items. For an in-premises inspection, it calls for occupant permission; a CD-ROM or DVD option requires an affidavit explaining each picture.
What if I am unsure about the village's submission requirements?
The form lists required documents and inspection options, but contact the Village of Island Park about submission details; confirm with the city, town or village if unsure.

Ready to notarize your Rental Permit Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.