Kensington, NY · Nassau County

Rental Occupancy Permit Application

This application requests a rental occupancy permit for a dwelling in Kensington and is submitted by the property owner with required documents to the Village of Kensington Building Department.

Standard form~15 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 owner and managing agent details, rental property information, planned occupancy, lease dates, and tenant names. Kensington requires applicants to submit it in duplicate with original signatures where required, a $250 non-refundable fee, and either a valid Certificate of Occupancy or Certificate of Existing Use. The Building Department reviews the submission before scheduling an inspection; a permit is issued when all requirements are satisfied.

Who needs it

A property owner applying for or renewing a rental occupancy permit for a Kensington dwelling should complete this form and provide the required documents.

Why it needs a notary

The form has a sworn-to jurat: the owner signs the application and swears to its accuracy before a notary public.

How to get this notarized

  1. 1

    Download the Application

    Get the Kensington Rental Occupancy Permit Application from the Village.

  2. 2

    Fill Out the Form

    Complete the owner, agent, property, lease, and tenant sections, and gather the required certificate.

  3. 3

    Book an Online Notary

    Arrange a remote notarization for the owner’s sworn signature.

  4. 4

    Sign on Video

    Sign and swear to the application before the commissioned online notary.

  5. 5

    Submit to the Village

    Send or bring two copies, required documents, and the application fee to the Village of Kensington.

Preview the form

The blank PDF straight from Kensington. 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 submit the rental permit application?
Mail or bring the completed application and required documents to the Village of Kensington at 2 Nassau Drive, Great Neck. The form says to submit two copies with original signatures where required.
Do I need to sign the application before a notary?
Yes. The application includes a sworn-to jurat and a notary public signature line, so the owner signs and swears to the information before a notary.
Can I sign this form with a commissioned online notary?
New York authorizes remote online notarization by its own notaries under Executive Law §135-c, effective in 2023. Ask the Village whether it will accept the remotely notarized application.
What documents and fee does the application require?
The form calls for a non-refundable $250 application fee and either a valid Certificate of Occupancy or Certificate of Existing Use. Contact the Village about any additional required documents.
What if I am unsure about the Village’s submission requirements?
The application says to mail or bring it to the Village of Kensington. Confirm with the city, town or village if unsure about current submission or document requirements.

Rental Occupancy Permit Application in other New York cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Rental Occupancy Permit Application?

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