Fillable Town of Brookhaven Long Island LETTER OF CORRECTION (Town of Brookhaven)

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Town of Brookhaven Long Island LETTER OF CORRECTION (Town of Brookhaven)

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Town of Brookhaven
Long Island
Building Division
Beth Reilly, Esq., Commissioner
Tara McLaughlin, Deputy Commissioner
Angus Graham, Chief Building Inspector
One Independence Hill, Farmingville, NY 11738 • Phone 631-451-6333 • Fax 631-451-6341
LETTER OF CORRECTION REQUESTS FOR CERTIFICATES OF
OCCUPANCY, CERTIFICATES OF COMPLIANCE, CERTIFICATES OF
ZONING COMPLIANCE AND CERTIFICATES OF EXISTING USE
1. Submit a letter explaining the problem with the Certificate.
2. Copy of the certificate(s) in question and copies of all other certificates on the subject
property.
3. Copy of tax bill.
4. Submit a current survey. The survey must be complete, legible and to scale. Do not
reduce or enlarge the survey.
5. Photographs of all structures on property including structure in question. (photos of
all sides required)
6. Complete and sign the attached “Certificate of Structures” form.
7. Submit a check for the fee of $99.36 payable to the Town of Brookhaven.
STANDARD PROCESSING TIME IS APPROXIMATELY 4 – 6 WEEKS
www.brookhavenny.gov
Click on “View the Town Code”
1-2020
Town of Brookhaven
Long
Island
Certification of Structures 3-2019
Must be completed by the owner for: *
Suffolk County Tax Map Number: 0200 _______/ /
Item Number: _____________
*Suffolk County Tax Map Number and Item Number can be found
on your Tax Bill
Please check below all structures or improvements currently located on the property. In order to receive a Certificate
of
Occupancy or equivalent for the proposed work all structures and/or improvements must be certified by the
Town of
Brookhaven.
Office Use Only
Primary Structure (e.g. main house)
Detached Garage
Garage Conversion
Barn
Apartment
Swimming Pool/Hot Tub
Greenhouse
Finished Basement
Outside Basement Entrance
Fireplace(s)
Porches/Screened Porches
Wood Platforms/Ramps
Fence(s)
Gazebo(s) How many?
Shed(s) How many?
Deck
Addition
Modification
Other
Covenants or Restrictions such as
Clearing Limits or Natural Buffers
Sports Court
Outdoor BBQ area/Outdoor Kitchen
I do hereby certify that all statements made by me in this certification of structures are true and correct to the best of my
knowledge, information and belief, further, I understand that in the event that I have knowingly and willfully made any
false statements, I will be liable for punishment in accordance with all applicable laws and statutes.
Owner Name: (Print) Date:
Signature:
Physical Property Address:
Mailing Address, if different:
Phone Number:
Email Address:
Building Division www.brookhavenny.gov
One Independence Hill, Farmingville, NY 11738 · Phone 631-451-6333 · Fax 631-451-6341
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Town of Brookhaven Long Island LETTER OF CORRECTION (Town of Brookhaven)

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Completed 2 August 2020

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