TOWN OF BROOKHAVEN
OFFICE OF THE ASSESSOR
One Independence Hill, Farmingville, New York 11738
Phone: (631) 451-6300 Fax: (631) 451-6379
E
dward P. Romaine, Supervisor
Richard P. DeBragga, Assessor
ASSESSMENT ESTIMATE For A New House
NAME & ADDRESS TAX MAP # _____________________
ITEM #______________________________ _________________________
PHONE # ______________________________ _______________________
PHYSICAL ADDRESS______________________________ _______________
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Provide current survey and/or plans if available.
Additional Finished Area:
Second Floor
Breakdown: First Floor:
(Colonial, Ranch, Contemporary, Cape, High
Ranch, Split Level)
Total Square footage of house using outside dimensions
Please Describe New Home:
Style of Home________________
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______________
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Square Footage of Garage:Garage: Story Height:
Basement (Full, Crawl, Partial, Slab):
Additional Unfinished Area: __________
_____________
_______ ____________
Number of Kitchens:_Number of Bathrooms: _______ ___________
Square Footage:Detached Garage: Story Height
Sheds: sq foot
Decks: sq footPorches: sq foot
Central Air Conditioning (yes/no)
If yes, how many? __Fireplace (yes/no):__________ _______
_________
________ _________
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__________ _________
Market Value of Home:
Does cost of construction include land?:
Estimated cost of construction:
Size of lot (in acres):_______________
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_____
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Signature