TOWN OF BROOKHAVEN
OFFICE OF THE ASSESSOR
One Independence Hill, Farmingville, New York 11738
Phone: (631) 451-6300 Fax: (631) 451-6379
Edward P. Romaine, Supervisor
Richard P. DeBragga, Assessor
COMMERCIAL ASSESSMENT ESTIMATE
Name & Mailing Address Phone # _______________________________
Tax Map #:
_____________________________
Item #:
Physical Address: ______________________________
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Renovation
Demolition
Addition New Construction
PLEASE CHECK APPROPRIATE ITEM BELOW:
_____ _____ _____
PROVIDE CURRENT SURVEY AND/OR PLANS IF AVAILABLE
Please describe the project:
_____
______
_____
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_______________________________________________________________________________________________
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Does cost of construction include land?
Size of lot in acreage:
Estimated cost of construction:
If income producing, potential gross income:
Second floor square footage:
Basement (full, partial, slab, crawl):
Use of Basement:
Accessory structures (square footage & use):
Total square footage of building using outside dimensions:
First floor square footage:
__________
_________________________
_____
Addit
ional notes/features:
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This Assessment estimate will be completed and returned to you in approximately two weeks.
S
ignature ___________________________________
CURRENT ASSESSMENT NEW ASSESSMENT
Land _______________ Land ________________
Total _______________ Total ________________
ITEM #________________
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If there are any questions concerning the New Assessment please call the Assessor’s Office
between the hours of 9 am and 4:30 pm Monday through Friday.
THIS ESTIMATE IS SUBJECT TO FIELD VERIFICATION OF ALL DATA.
ESTIMATE GOOD FOR ONE YEAR FROM DATE OF ISSUE
Assesso
r: ___________________
Date of issue: ________________