Rental Registration Application Form

ADVERTISEMENT

TOWN OF PATTERSON
Approve
Yes/No
Initial
Date
CODE ENFORCEMENT OFFICE
Need
PUTNAM COUNTY
Information
P.O. Box 470
Review by
Bldg. Insp.
Patterson, NY 12563
Review by
Zoning
Tel (845)878-6319
NICK LAMBERTI
Fax (845)878-2019
Director of Codes Enforcement
Rental Registration Application
Registration of ALL residential rental dwelling units is required in accordance with the Patterson Town
Code. Registration of a residential rental dwelling unit does not establish legality of the dwelling unit. In
order to establish legality, you may be required to apply to the Zoning Board of Appeals and/or the Putnam
County Department of Health for compliance and approval.
Type of Application (check one) New________ Renewal_________
(include copy of previous permit or approval)
Application Number:______________
Date:____________
Tax Map #:______________________________
Property Owner:__________________________Address
: _______________________________________
(mailing)
Property Location
_____________________________________________________________________
(911 address)
Address of Property Owner:______________________________________________________________________
(if different from above)
Telephone Number:_____________________________________________________________________________
(of property Owner)
A survey or site plan of the premises showing all buildings, structures, walks, drives and other physical features of
the premises and the number, location and access of existing and proposed on-site vehicle parking facilities
If the rental is a condominium unit, please provide a scale drawing of the floor plan, in lieu of a survey or site plan,
per Section §129-5 E of the Patterson Town Code.
Name of Managing agent/Operator name:___________________________________________________________
Address:____________________________________________ Telephone number:__________________________
Description of Structure
Building Type: Multi-family
_____Single family or condominium_____Accessory Apartment_____
(3 or more units)
Describe dwelling to be used/occupied for rental. Please include the number of dwelling units (If it is a main
residence and one apartment, it would be two units) and the number of persons intended to occupy the premises.
A floor plan showing the number of rooms in the existing dwelling and in each existing or proposed dwelling unit is
required. This drawing must include dimensions of each room, means of ingress and egress, smoke detectors,
number of persons intended to occupy and/or are presently occupying each dwelling unit.
_____________________________________________________________________________________________
_____________________________________________________________________________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2