Apartment Registration

Town of Brookhaven

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Town of Brookhaven Apartment Registration

Please enter your e-mail address

Applicant E-mail Address:*

Please enter today's date.

DATE OF APPLICATION:*

Select Date

Please enter the File Number from your letter.

TOB FILE NUMBER:*

Please enter the name of the building owner.

NAME OF BUILDING OWNER:*

Please enter a value for the field ADDRESS OF BUILDING OWNER.

ADDRESS OF BUILDING OWNER:*

Please enter the phone number of the building owner.

BUILDING OWNER PHONE NUMBER:*

Please enter the street address of the premise.

STREET ADDRESS OF PREMISE:*

Please enter the city of the premise.

CITY OF PREMISES:*

Please enter a vathe zip code of the premise

ZIP CODE OF PREMISE:*

Please enter the district section of your Suffolk County Tax Map Number

District:*

Please enter the section of your SCTM #

SECTION:*

Please enter the block of your SCTM #

Block:

Please enter a value for the field Lot.

LOT:*

Are there fire hydrants on the property?

FIRE HYDRANTS OF PROPERTY:

Are there fire sprinklers on the property?

FIRE SPRINKLERS:

Please enter a value for the field Fire Alarm System.

Fire Alarm System:

Please enter a value for the field Number of Buildings.

Number of Buildings:*

Please enter a value for the field Number of Units.

Number of Units:*

Please enter a value for the field Is there a clubhouse.

Is There a Clubhouse:

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