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HomeMy WebLinkAbout0918DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.40 -1 -3 BOX 10 NN in 610 19 91 1 NNIN IN: ;� . ' 16 S � , , 1 ■ ■ 0'� ' , f . �i .� ra , ❑. 2 SITE LOCATION OWNER'S NAME MAILING ADDRE APPLICANT PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Internal Use Repair Permit issued in last 5 years Repair within Boyd's Comers, W. Branch or Croton Falls Res. Repair within 200 ft. of a watercourse or DEC - mapped wetland 174:1 ill ItC1 U Not in Watershed VDelegated ❑ Joint Review 1 Ace- TOWN ;�0,16J`5Tf r- TM # rt u- /I le-- PHONE# Mr- r avd D r bkQ '2r , A- L Name & Relationship (i.e., owner, DATE ' ." QR FACILITY TYP j, w LP Fe I PCHD COMPLAINT # PROPOSED INSTALLER PHONE # ADDRESS 610 �I �' 47m e-S REGISTRATION /LICENSE # I 1063 Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent oft the repai .-. , I, as owner,agree to the conditions stated on this form SIGNATURE 674tk�Sy��- TITLE ("i"�ntt'.`� DATE (owner) If .­1 _ iu-u mpl'y with the - conditions -of this permit for the septic systemn- repair --- -- — - - - - - --- - i '� e 1f SIGNATURE � TITLE DATE (installer) Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Er Proposal Denied ❑ E 's Signature & Title Date Expiration Date o osal is in compliance with applicable codes Yes O N COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 D U Not in Watershed VDelegated ❑ Joint Review 1 Ace- TOWN ;�0,16J`5Tf r- TM # rt u- /I le-- PHONE# Mr- r avd D r bkQ '2r , A- L Name & Relationship (i.e., owner, DATE ' ." QR FACILITY TYP j, w LP Fe I PCHD COMPLAINT # PROPOSED INSTALLER PHONE # ADDRESS 610 �I �' 47m e-S REGISTRATION /LICENSE # I 1063 Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent oft the repai .-. , I, as owner,agree to the conditions stated on this form SIGNATURE 674tk�Sy��- TITLE ("i"�ntt'.`� DATE (owner) If .­1 _ iu-u mpl'y with the - conditions -of this permit for the septic systemn- repair --- -- — - - - - - --- - i '� e 1f SIGNATURE � TITLE DATE (installer) Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Er Proposal Denied ❑ E 's Signature & Title Date Expiration Date o osal is in compliance with applicable codes Yes O N COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 u P TN404 COUNTY DER�RT-IVLENTT OF HE_A LTH DIVISION OF EN-VIRONMENT4L.I- IMALLTI-I S.ERVIC.ES DESIGN DATA SHEET - SUBSURFACE SEU'AGE TREATMENT SYSTEM Owner: Mik 2 Address*: Located at ,street,:`�(,�"� TM # Section: _Block_ Lot Municipality: Watershed: SOIL PERCOLATION TEST DATA Witnessed by: " .1 Date of Pre - soaking: r `i _;' Date of Percolation Test- ;`,1 'r't> 7 I Floie:lVo. __.L i Run.No, `Stop I Time - - - - Sta _- Elapse � _ Tim (min.) i Depth. to waster from m I _ ound ' race u (inches) Start - Stop! ` water ,PerRcoalgae t- io- - n -I ` level -dro F ff in inches . ! . miniinch I j i i La I i i vo, r 3- In C",1 93 1: 2 I 3 7. "7 2 4 I 1 I ! ! 2 ! I I 1 3 { ! ! ! 4 2 I _ i 1 3 ! ( I ! 1 ! 4 I I �. 3 i 4 ?votes: 1. Tests to be repeated at same depth until apprommatei v eoua rm coiatior. -aces are obtained a: each percolation as.- hole. (" :. < 1 min for 1 -30 miniinc :: < rMT Lpi' -bi: rninlinch.i. ill data c! be submitted !or review. — _. Depth measurements to be made from mr. of nnip ! t -, - - -- - - - -- - - - - -- - -- - - -- _._. - - -t -y - - -- fir•- �.. •..,..._ ----------- ["mot a •` f _ ._ -- - . o ' _ ... •. � 333""" if S x j f � i , Dec 8 2009 16:37 N. U1 ��sr o {+Ar New York City Department. of Environmental Protection Ak AN 0 SUB, URFACE SEWAGE TREATMENT SYSTEM REPAIR DETERMINATION pursuant to the *thority'granted under: Article 111 of the New York State Public Health Law; Rules and Regulations For The Protection From Contamination, Degradation and Pollution Of The New York City Water Supply and Its Sources, 15 RCNY Section 18 -38 (or Chapter 18); and 10 NYCRR Appendix 75 -A Wastewater Treatment Standards - Individual Household Systems; Putnam jCounty Septic Repair Program Plan , March 2005. DEP Project# _'� PCHD Repair# 3 i-L —6 Site Location: �� l�t�vr %�.,( �v, &LOLaste T.M.# o? r- It ? Reaspxa for Join Drainage Basin. Name of Owner _ Owner's Addre Drainage Basin Installer - General Descril Review. ' of WC[Wetland_ . Repeat Repair in 5 Yrs. ov 64 vvl 2 -1 -, Project Site: n of Sewage System Repair: Dates of Site Inspections and Soils Tests: Approved I * nco rmplete. _ r Delegated "Denied *Required jSozls est er Repa z Sketch ,7Wetlands el SI 1� Other Determinati de by: l2- d Engine'ezing ljlvi4ion bate MEMORY TRANSMISSION REPORT TIME TEL NUMBER NAME FILE NUMBER 734 DATE DEC -07 11:25AM TO 82784865 DOCUMENT PAGES 001 START TIME DEC -O7 11:25AM END TIME : DEC -07 11:26AM SENT PAGES 001 STATUS OK DEC_. -07 -2009 11:26AM 8452787921 ENVIRONMENTAL HEALTH FILE NUMBER 734 * ** SUCCESSFUL TX NOT ICE * ** O PUTNAM COUNTY HEALTH DEPARTMENT d fa1VIS10N OF ENVIRONMENTAL HEALTH SERVICES ED Flepetr Wfthin 13vytlb Corrvers, w. 9ranryt or Croton Fails Ras. I LJ jam[ Ropalr Perm- towed Iry I� 8 years Ftepalg wtMln 200 ft_ of a wexercoursa or DM=- tapped v ttand CZI a Q Not in W eterene"I Dalegated Joint iie�w - S1TE LOCATIe7N 4A 6C. TOWN TM # .�Ftal —F- OWNER'S NAME r � PHONE #a MAILING A6LaRE S G i Cater ?1" /i� Y� APPLICANT [` tea. ►Varna & Ftalaili —hip Cl–.. owner, tenant, rrv-aoto y Fe---. OCl TYP I PCHa COMPLAINT N rFACILIJTY PROPOSED INS -r^l I ER /j�y'�yLL+rLS PHONE 0 �Hy`� �J�jr".P —�+J REGISTRATION /LICENSE W._ - ..._.._.�G7 ,.. .._. ,. _.- .--... -_.�„ _ Proposal (Include a separate alcatch Iocatlng the h property IInBS�, all adjacent wa11s within 200 feet of repair and time lotaation of exlstlng and proposed system) ' NOTE: The Department may of proposal from licensed professional depending on the frequire ^submittal natyrp£9-J BM7nt_ _ of �'f® va[ZCt�.l J a� ! /l1lJ Cam' , of A 1. as owner,agraa to the conditions /stated on this form sinNATURE � /�i TITLE �•j e- LATE I o ' 3` (owner) J. the septic Installei afire tooc�c// m ply with the conditions of this permit for the [septic system repair SIQNATUFRE TITLE er'LSc'y (in: slier.) Proo00101 aooromvad with the fnllowlnu conditions- t _ Procurement of any Town Permit. if appllrabla. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair. In de.Iplioate showing: M. Owner's trams, Site Street Name, Town and Tax Map number b- Location of Installed components tied to two fired points a System dascrlptlon (e.g., 1230 gal_ Concrete septic tank, etc_) d- Installers" name and phone number 3. System repair to be perforrtted in accordance with Vie above proposal and conditlons 4. the proposed ssTS repair Is consldared a beat IN dasign and there is no guarantee to ma duratlon at which the oompletad SST$ repair will function. S. No completed work is to ba bacldillad until authortzatlon to do so has been obtained from the Oapartment- tHTERNAL tJBE ONLY Proposal Approved 0 Proposal Oeniad 0 Inspector's Signatura 8a Tina Data Expiration Clate Repair proposal is in compliance with applicabla codes vas O No M COPIES: PCHCf: Owner: Inatalter PC -RP 99ML Ray. a/Oy ME W I .sr.rE LOCATION�.. OWNER.'&NAME' PUTNAWCOUNTY,HEALTH DEPARTMENT DIIUISION OF ENVIRONMENTAL HEALTH SERVICES Internal Use Only Repair Permit issued in last -5 years '-.Rpparrwfthin',BoO!s.Cd rp erz,W.,",13ranch:or Croton Falls Res. 7. �,r within.200 ft. of amatercourswor-DEC- mapped wetland tA, i 7 "TOWN.& >j, STe i (,."6t in Watershed Delegated :Joint Review MAILING ADDRESS - r— V114 CAAW _'_1UT. /UU )" H APPLICANT shame a ... k R4 ldtionship (.e. tenant INT LA _4 Oct. t—V rr DATE FACILITY PCHD COMP MCI? PROPOSED :INSTALLER PHONE# �60 A REGISTRATION /LICENSE # 10(93 ADDRESS (I qc.q...p,4sqpa dte sketch Iocattng ttht' ft, Gu. s el property lines, all adjacent wells within :200 fieetiof repair and the tacation of extt3ting 4n- apro-posetsystern) NOTE: Tf�e 6parrnon t.tray ,T6qUjre:sU b fitttEl: of. proposal from licensed professional depending: on Ahe ne, e.,Pepai his 1, "a,s::,own.t%r;qgrpe tothe,,.666dl.i.i,-n,"66d, on this form SIGNATURE 6ZIt TITLE "!J - A) er DATE (owner) C A:Q0 is-permit--for-th ­repair- septic-installe 01110M Ils IT' ie septic. syste MW TITLE DATE 1.2t- zr Wt Yi. Proposal aQ�roved witta'the 116Wifi h diti6fis: -ch., 2. �Su'b,mission,6filibtjift,,t.-e'pai'r.akJ tilb"' septic 'system installer within 30 days of the repair, in duplicate showing: the 6Wwand Tax MA p - number a. Ow6 nattier Site' b.'Lacdfibncf' installer) ,components two fixed; po in t s -C.=-Syttem-deschobon-(e.-g.,—i250-gal-�-Concrete-seofic tank,-etc.) d. Insiallem',hame andphonenumber " 3. System repair .tq,be performed :1ri�.0ce-W!th_'.tfie -above proposal and conditions 4. The 1'pr'q0osed:8ST-S -repair is 66nsideredacbestfit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No-completed* 0ek is to be bac,kiled until authofUstion to do so has been obtained frcim%the Department. 'INTERNALUSE ONLY ProposAl Approved Proposal Denied 0 O Insoidtoes Sionature & Title AL, Ile Date Expinktion'bate is in compliance with Yes COPIES: -PCHD; Owner; Installer PC-RP 99ML Rev. 2/07 14-n.lig .F., (,."6t in Watershed Delegated :Joint Review MAILING ADDRESS - r— V114 CAAW _'_1UT. /UU )" H APPLICANT shame a ... k R4 ldtionship (.e. tenant INT LA _4 Oct. t—V rr DATE FACILITY PCHD COMP MCI? PROPOSED :INSTALLER PHONE# �60 A REGISTRATION /LICENSE # 10(93 ADDRESS (I qc.q...p,4sqpa dte sketch Iocattng ttht' ft, Gu. s el property lines, all adjacent wells within :200 fieetiof repair and the tacation of extt3ting 4n- apro-posetsystern) NOTE: Tf�e 6parrnon t.tray ,T6qUjre:sU b fitttEl: of. proposal from licensed professional depending: on Ahe ne, e.,Pepai his 1, "a,s::,own.t%r;qgrpe tothe,,.666dl.i.i,-n,"66d, on this form SIGNATURE 6ZIt TITLE "!J - A) er DATE (owner) C A:Q0 is-permit--for-th ­repair- septic-installe 01110M Ils IT' ie septic. syste MW TITLE DATE 1.2t- zr Wt Yi. Proposal aQ�roved witta'the 116Wifi h diti6fis: -ch., 2. �Su'b,mission,6filibtjift,,t.-e'pai'r.akJ tilb"' septic 'system installer within 30 days of the repair, in duplicate showing: the 6Wwand Tax MA p - number a. Ow6 nattier Site' b.'Lacdfibncf' installer) ,components two fixed; po in t s -C.=-Syttem-deschobon-(e.-g.,—i250-gal-�-Concrete-seofic tank,-etc.) d. Insiallem',hame andphonenumber " 3. System repair .tq,be performed :1ri�.0ce-W!th_'.tfie -above proposal and conditions 4. The 1'pr'q0osed:8ST-S -repair is 66nsideredacbestfit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No-completed* 0ek is to be bac,kiled until authofUstion to do so has been obtained frcim%the Department. 'INTERNALUSE ONLY ProposAl Approved Proposal Denied 0 O Insoidtoes Sionature & Title AL, Ile Date Expinktion'bate is in compliance with Yes COPIES: -PCHD; Owner; Installer PC-RP 99ML Rev. 2/07 77=77 RTUMENT Of HEALTH IRO DIVISION OF)EN1- _N71TE.S-T_-kL HEALTH SERVICES DESIGN DATA-SHEET — SUBSURFACE SEIVAGE TREATMENT SYSTEM YST-_-N4 Owner. 1vte -ze;- Address: Located at i.streec,1. TAY! # Section: Block— Lot Municipality: Watershed; SOIL PERCOLATION TEST DATA Witnessed b [ P., oeb"_ Date of Pre - soaking: Date o'lPercolation Test: w Mile* No. Riin No. T 'Time Start — S Elapse Time Depth to water from ground surface (inches) Start -Stop I I - Water Percola' i leve.1 d-rop Rat- . ' I in inches . miniinch Eli I 1 VV' 0 --l-6361 3 1... -p? 7 1 T. 4 I.e- 41'-- 99-7 3 3 0 31 3 4 5 3 4 —3 4 Notes: i. -eae�atad a-... san, -! dE!�A- unti]. avrmx7.=ae;-,-- -_Qua� - T!tsts cc b_ otcoiation at�s art obzain_­c a, tacn Dt-,colacior. -.5S7 ho'i--. fi.z­ < I inir, 107 -Y' mini' < = nui, fo- ail data c; be subMiUeC 107 2 i. 3 4 3 4 Notes: i. -eae�atad a-... san, -! dE!�A- unti]. avrmx7.=ae;-,-- -_Qua� - T!tsts cc b_ otcoiation at�s art obzain_­c a, tacn Dt-,colacior. -.5S7 ho'i--. fi.z­ < I inir, 107 -Y' mini' < = nui, fo- ail data c; be subMiUeC 107 ................. S MOOL to . - t MEMORY TRANSMISSION REPORT TIME. :..AEC- 1.1- 2009._12:27PM - -- -- - - - - - - TEL NUMBER 8452787921 NAME ENVIRONMENTAL HEALTH FILE NUMBER 830 DATE DEC -11 12:26PM TO 819147730343 DOCUMENT PAGES 003 START TIME DEC -11 12:26PM END TIME. DEC -11 12:27PM SENT PAGES 003 STATUS, OK FILE NUMBER 830 * ** SUCCESSFUL TX NOT ICE ** 'PUTNAM COUNTY HEAL'Tli DEPARTMENT E VIS1taN OF ENVIRONMENTAL i- iEALfH SERVJCE8 a Repair Pemnl[ woycre in raft s years LJ ftot in watarst•ed � Repair w[thin Baya's Gemara. W. 13rarfol, or Croton Frnls Ras_ Delegated - -- 0 RapaM wfthln 200 ft of a wate�arr=e or PEC-rrrapped wetiane. I] Joint Ftyrwow SITE LOCATION pl.A _( 'S— TOWN• 1P -a�7S '�- TM w OWNER'S 'NAME T RH C>N E WreVS = MAI1.-INC3.AMORE APPLICANT r Name 8. RalalfonshiP p.e.. owner. r�nan PATE — �- ©�i FACILITY - r- ep/F /� .�: PCHO COMPLAINT 0 PROPOSEO'iNSTsf/�t >=R / � /7`r �A -�'LS� PHONE w ��~ i��'� 6 l a - °-- . ^.L.*.G•. °. °SS--'� -- Jr••s4c .r.!�!,.cfS 01 4, ..REGISTRIaTION %LICENSE IA . J . 6T.- - j?j'onosa! •(lnolude a separate .isketch.locating ilea holsse. prtaperty lines, all adjacent wells wtth9n 204 v feat ovf-ropatir snd tlra loCaUcxn ai a slating aind proposod system) - NOT_E: m..ftenapartmant: may raquire suhmitml of proposal from Iloansed professional depending an the 7w, ,exignt of a repel = o.a ff _ ..r; 7L2. 10 =N Az_; F � !a 1, as ownar.agraeetto me oonditlons-ssttatad on this form ,. SIGNATURE C�t� TITLF-= cal�^j ey QA'TE � yZ' 3- - (owne� I, tha saptlo installs agra to m`ply wit" tna aondittons of thts permit fa ma septic system r epair $IC3IVP.TIfR E'_ `� - -'TITLE 4 PATH fo2� �J' (Jnstallary _ _ �.ral�p'as+i avo 1'^red Mfittt tha'Tatlrawlnn cdrSHitiorts: 1. 'Procurennent of any Town Pannit, mappNcable. 2- SuAmisslon of as:tmnt repair sicetch by the saptic system Installer within 3o days of the repair, in duplieata showing: a. Ownertn name. Site Street Name, Town and Tax Map number b. L.oc$don of installed oamponertts tied to two fixed points -c. System •description (o:g_:-t260�aL Concrete t;aptic tank. ats") d. Inatnuera• mama and phone number S. System repair to be performed In accordance with the above proposal and conditions a. The proposed SSTS repair is oonsldarad n best fit design and there is no guarantee to the duration at which the oomplatad SSTS repair wilt tun -tlon. °r. No comp) ®tad worst is to b0 baohflltod until authorizafian to do so t.afs basn obtained from U'fa Department %ffTEiiliA _ USE ONLY Proposal Approved Proposal Clenied 0 /�-�! tr.arf eYrr.r'ea Irrr�atr rra B. Title .�_... tea✓ mate Expi dc ti on eta - COPIES: PCHD: Owner: Installer PC -RP 99ML - Rev. 2/07 if P-e-r M1 7 m *F- -) C Li 1-,4,1 1 --Z rY � el ,f , ,r P071 i o 00 11oi ll,,,j k, 4 q yo Pipe- - BRUCE R FOLEY - Public Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 May 2, 2001 Jorge Meza 396 Haviland Dr. Patterson NY 12563 Re: Addition- Meza - Haviland Dr. No Increases in Number of Bedrooms (T) Patterson Tax # 25.40 -1 -3 Dear Mr. Meza: I have received and - reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this. Department dated April 27, 2001 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three without prior approval by this department. 2.. The.area of the existing sewage disposal system, and its ex ansion area must be maintained - - -- --- 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. _ Any other permits or variances required are the responsibility of the applicant and the jurisdiction - of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML :kg Public Health Technician cc: BI(T) e } BRUCE R. FOLEY, R.S. Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION - (RESIDENTIAL ONLY / Pee STREET: .9b 11ael !R x'16! i' • TOWN_ TX MAP # Lg\j J =� W09A — ; —(a;?- // NAME: TO/26Cr M CzA PHONE, ZA-0LIJ • )PCHD PERMIT # -� MAILING ADDRESS ��� 6/1 � e4✓ TOORZenre'/ .t✓Y / ?i 3 Description of Addition Number of existing bedrooms _� Proposed number of bedrooms from Certificate of Occupancy or Certification from Building Inspector Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in.accordance with applicable sections of the - Putnam. County. Sanitary Code. Please submit this form'and the following to PUTNAM.000NTY,HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. . 1 . Certified Check, for--V GO -00. 2. Sketch of existing floor plan (all living area including basement, if any) Non - professional drawing is acceptable. 3. Sketch of proposed floor plan. Non professional drawing is acceptable. 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy from Town or Certification from Building 5 o11,4 �n Department of legal bedroom count of dwelling. r a T h Q y i d r� OFFICE USE (� a Comments and /or conditions el 4 •- 'P . DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: BRUCE R. FOLEY• R.S. Acting Public Health Director Re: Resid ce Tax Map Town According to records maintained by the Town, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: G'01 OTHER��G IAA �uilding Inspector 08/24/1992 15:58 2129441237 1 . PAGE 04 CLR r/ .C-1 co To 4. q' N ,•r,�� s r�t.� C T Co,g;?A AReMISCS .sHokvtv NEB' . Div a trtA/0 G o r•S . .g8 7cf rNRu s see /NC U.S/ ✓ir A s %rvowtv div, r'.s /X rN MAP of f00 0v~ Lr4Kfi7 " Fig, Eo AN rHg" Pt/ THA M COUN 1' C.0 L' ~'4j 00C COMIC 4GV A4,444, eC, AS A*A +' sV r / 4 JP 0. AA A v. 9_ ®j'4 rvA ro' f.4v -rNo- W/V le #OA 7"r,64 Pur'/VAM co4llvr New Yopft' SCALD: /•.�00 � Vim/ .. �.��• ON opt rC► iS "v.7: 08/24/1992 15:58 2129441237 x Q on) it said m.p or copies bear the impreflncd the appears hcreon ", T T 3d ;pie : �M, r X�t ion ��v . t s �. .1i. Q5 •!r3 ' �. 00AMf3 8 719 Hovs� PC N 0$ •13 1A -N• 114E'RR Y ROA D NOT ON✓S/CAtLY OPEN RV4vlO i PpiPAR40 OY SUNNILY ASSOCIATES LANG SUAVEYOR9 f000surfloGg ROAD NOUT r 117 PAGE 03 te r. �• .. r.� v v v v r .. i a ` ? <OUND