Kensington, NY · Nassau County

No notary required

Assessment Form

This residential property assessment form collects building permit and construction details for applicants submitting information to the Department of Assessment.

What this form is

This form records residential property and building permit details, including the property location, construction type, estimated cost, proposed work, and plumbing fixtures. It also asks about items such as a new certificate of occupancy, a variance, and whether a survey is enclosed. The form identifies the Department of Assessment as the recipient and says a separate application is required for each building.

Who needs it

Applicants providing residential property and building permit information to the Department of Assessment should complete this form.

How to submit it

The form lists the Department of Assessment, Nassau County, at 240 Old Country Road, Mineola, NY 11501. It says to call 516-571-1500 for information about grouping or apportioning lots.

About notarization

This document is signed without a notary; the applicant or contact person signs and prints their name, and the form mentions no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Assessment Form.

  2. 2

    Complete The Form

    Fill in the property, permit, construction, and applicant details requested; print clearly in the work description.

  3. 3

    Gather Any Attachments

    Indicate whether a survey is enclosed and provide any other information requested by the form.

  4. 4

    Submit To The Department

    Submit the form to the Department of Assessment at 240 Old Country Road, Mineola, NY 11501.

Frequently asked questions

Do I need a notary for the Assessment Form?
No. The applicant or contact person signs and prints their name; the form does not mention a notarized or sworn attachment.
How do I submit the Assessment Form?
The form lists the Department of Assessment, Nassau County, at 240 Old Country Road, Mineola, NY 11501.
What information does the Assessment Form ask for?
It asks for property and permit details, estimated construction cost, a description of the work, construction type, plumbing fixtures, and other project information.
Do I need a separate form for each building?
Yes. The form states that a separate application shall be made for each building.

Need something notarized?

This Assessment Form doesn’t need a notary — but if you have another Kensington form that does, a commissioned online notary can help.