Do I need a notary for this application?

No. This application is signed without a notary. The instructions list a notarized witness affidavit as one possible supporting proof.

What documents and fee are required?

The instructions list a certified tax search, original and current surveys, proof of current ownership, supporting evidence, one electronic copy of the application and documents, and a $250 processing fee.

How do I submit the application?

Submit one electronic copy with supporting documents to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777.

Port Jefferson, NY · Suffolk County

No notary required

Application for Certificate of Existing Use for Single-Family Residence Only

This application is for owners or applicants seeking a Certificate of Existing Use for a single-family residence that legally existed before the Village incorporated in 1963.

What this form is

The application requests a Certificate of Existing Use for a single-family residence with no records that legally existed before the Village incorporated in 1963. Applicants must provide proof of continuous, unaltered use and ownership, along with historical and current property documents. The form asks for applicant and property details, current buildings and uses, and an owner’s affidavit; an unpersuasive application may require a Zoning Board of Appeals application.

Who needs it

An owner or other applicant seeking a Certificate of Existing Use for a qualifying single-family residence in the Village should complete this application.

How to submit it

Submit one electronic copy of the application and supporting documents to the Building & Planning Department, 88 North Country Road, Port Jefferson, NY 11777. The instructions list a $250 processing fee.

About notarization

This application is signed without a notary; supporting proofs may include a notarized affidavit of a witness.

How to submit this form

1
Download the Application
Download the Certificate of Existing Use application for a single-family residence.
2
Complete the Form
Enter applicant and property information, describe the current buildings and uses, and sign and date the owner’s affidavit.
3
Gather Supporting Documents
Include the required tax search, surveys, proof of ownership, supporting evidence, and one electronic copy of the application and documents.
4
Submit to the Village
Submit the electronic copy and supporting documents to the Building & Planning Department with the listed $250 processing fee.

Frequently asked questions

Do I need a notary for this application?: No. This application is signed without a notary. The instructions list a notarized witness affidavit as one possible supporting proof.
Who can apply for a Certificate of Existing Use?: The application is for a single-family residence that legally existed before the Village incorporated in 1963. Applicants must provide proof of continuous, unaltered use.
What documents and fee are required?: The instructions list a certified tax search, original and current surveys, proof of current ownership, supporting evidence, one electronic copy of the application and documents, and a $250 processing fee.
How do I submit the application?: Submit one electronic copy with supporting documents to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777.

Need something notarized?

This Application for Certificate of Existing Use for Single-Family Residence Only doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.