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Home My WebLink About2969DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17 -2 -22 BOX 25 0 111 6 11 oil i BE IN r F i �4� q b I� , 02969 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Internal Use PERMIT # U L°'J/ Repair Permit issued in last 5 years Li ot in Watershed✓✓✓ ❑ / Repair within Boyd's Comers, W. Branch or Croton Falls Res. ❑ Repair within 200 ft. of a watercourse or DEC- mauoed wetland ❑ Joint Review SITE LOCATION & Lw TOWN pVfi1a,,t VJ24gy TM # eza.1'7 -2 - �2 OWNER'S NAME /'% PHONE # -W-- S-26 - 6l S MAILING ADDRESS IA- APPLICANT I-ta g" as' t g o,4 (o H.�� * Name & Relationship (i.e., owner, tenant, contractor) DATE i un f I t FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER �e�µa,►oQi Sa,f Gm„�S¢, PHONE # 214- 93,g2p ADDRESS QEGISTRATION /LICENSE # Proposal (include a separate sketch locating the house, property tines, 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 of the repairs., , , a r 1 I, as owner,agree tpf`ie conditions std on this form SIGNATURE TITLE DATE (owner) _ 'I, these tid in'stailer,'a ree'to ciim l Wit'n the" �onditions'of this ermit for these tic 5 9te`m're • air P 9 P�Y P P Y' P SIGNATURE TITLE l7WAAek- DATE Jy / O (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 U5E ONLY Proposal Approved Q Proposal Denied ❑ ,4,,, r), Q�,Z .7 ZZ X9 Insp ctor's Signature & Title Datd Expiration Date ,Repair proposal is in compliance with applicable codes Yes 0 No COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 AS BUILT D'RAWING L) Cxrw4,A C_k► 4�6 )DOC) �wo 6EP .i On6'l d do Son Construction, Inc. Date.- o Caf-olyn Dr. Cortla n-dt -Mahor 10567 (-)14_) 1736-9010 A 2.6YL .i On6'l d do Son Construction, Inc. Date.- o Caf-olyn Dr. Cortla n-dt -Mahor 10567 (-)14_) 1736-9010 W „ . I .. :tea.. - :� T� �•� {+..: '�c .o+.i n.n•r. +:. =..' ,�� t�'y��•�'++,r��,�1 k a ';F�!,t„ .�' 'ate.• -'. �'.: t � �L. 1• d$ Y ........... k 8 4 a �) 1 B _ t� -. _ �... ._ .. - - .._._.,.. ��f �` .. �� ♦ WSJ �'. _ ' - - h � { ��'r�`n' < __ . • ,n Re � � ,,1 �5� is a, 'v�"Yh'�✓,?''4$•M ,� {.q L a 7 ti i� G � t �•F`�v3', S ��c� ,`�tt ` � kc � Q�4' '�s � � f r Jun.18 09 09:35a Leonardi & Son Const. 1-914-736-9311 p.3 SITE LOCATION OWNER'S NAME MAILING ADDRESS APPLICANT L � Z Lee --- TOW N �� t yl CUaw,� UC�� TM # - �e f Czy� es� �r3 Yl�` �j��Di^VVICR Yl PHONE # T trvz r,J i A C:- n rt t/- n K C (- .r• r r C L i n yl Name ✓3< Relationship (i.e., owner, tenant contractor) ` DA -E 3 u to P-- (`]., (Jti C/ FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER _�E3lLCcs'`�i�� 5{" PHONE # ADDRESS r ! REGISTRATION /LICENSE # CC'- 5 (�� F/f 736- Qo 1 O Proposal (include a separate sketch locating the house, property lanes, 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 of the repair 1, as owner,agree to th onditions stated or th orm _ SIGNATURE L/ TITLE Q%Zf[fli� DATE (owner) I, .he septic installer, agree to comply with con ' ions of this permit for, the septic system repair 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 ti-ke 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 backfilied until authorization to do so has beeri obtained from the Department. INTERNAL USE ONLY Proposal Approved ❑ Proposal Denied. ❑ inspector's Signature & Title Date Expiration Date ,Repair proposal is in compliance with applicable codes Yes O No ❑ COPIES: PCHD; Owner; installer PC -RP 99ML Rev. 2107 »sTy i W LL LI F o a loJ "S ra f 0 r 1p P ¢ u bro ✓ N R7M 4' ; kqptz 44 o ' UNCAS WA w HUDSON VIEW CT MM ITY n 0 0 i 7 Ir r � � � � ' +t4�lr• r r 9iL9�� '90 i G� O O I �• > � tP r S< 3 m o� n a 20 ,' r� �sca - or j IA r J 7 0 Pss moo e o Oq J O 9s�nN� o A .� o U ip ir m z A O t r L No FMn G0R�V" v *%orPJ eys •JQJSI ! O O� WAY Bi v ' �Ur RD IN q 10 9iL9�� '90 i G� O O I �• > � tP r S< 3 m o� n a 20 ,' r� �sca - or j IA r J 7 0 Pss moo e o Oq J O 9s�nN� o A .� o U ip ir m z A O t r L Jun 18 09 09:35a Leonardi & Son Const. 1 -914 -736 -9311 133 SITE LOCATION OWNER'S NAME MAILING ADDRESS APPLICANT l.X--C 12- L Q& —fit }:, TOWN �,rttic xu ) . TM # (P.?: r '7 iJir f Czyt a� 1i�2 v1��f.�OrNrt,Ge r� PHONE # T 12 ', Name & Relationship {i.e., owner, tenant,fontractorj DA -E 3 17 (Jti Ci FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER Leo ,--dl �- C--01- y�5{- PHONE # �j' /� % C; S'g mik ADDRESS LcLroi �yrf(urSl� <'(�leE RcGISTRATION /LICENSE # Flq � �'.- 9° 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 o 'the repair. I rz. n ow C6 eW�ao k e 'd CaC 7 1, as owner,agree to th onditions stated on thw orm %1yyC.'✓ SIGNATURE G/ TITLE ��f�i�. DATE (owner) I, :he septic installer, agree to comply with co�o&ns of this permit for the. septic system repair 'S'IG' IGNATURE TITLE (,vim /r' DATE (installer)- a / 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 t&p number b. Loca;;ort of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phorne 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 ❑ Proposal Denied ❑ Inspector's Signature & Title Date Expiration Date ,Repair ro osal is in compliance with applicable codes Yes ❑ No ❑ COPIES: PCHD; Owner; installer PC -RP 99NIL Rev. 2/07 21 .-A -9 Jun 18 09 09:35a Leonardi & Son Const. 1- 914736 -9311 p.3 SITE LOCATION TOWN —P ot&CA )) TM # bo?. I � —2 —o,? o � OWNER'S NAME lJirrtzy�eU UL2VlG iJ`(,pY`rv�ce� HONE # MAILING ADDRESS 17= LgZ&, APPLICANT 1. e o yqz r�j�(. c r �.:Q LC u Name & Relationship {i.e., owner, tenant,t`ntractori- DATE ��a^e� i7� t'iy�% FACILITY TYPE S V.-s PCHDCOMPLAINT!# --�! PROPOSED INSTALLER PHONE # ?90 3 5-5 T ajol ADDRESS cGISTRATION A ICENSE # /_ y� F/q -736 - Qo ( O 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 of the repair. -0-0 19a 44' av I, as owner,agree to SIGNATURE �C�/�� (/�,�� TITLE Q,Z�f[pit,- DATE a1, (owner) . I, :he septic installer, agree mply with con - ions of this permit for the septic system repair c n ,:1.. /c�%�' -yyr = r!•Y� „w'J�,�• C.Tr �.y�'._.::.ir.i�.' /! (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. Loca,;on 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 repairs 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 ❑ Proposal Denied ❑ Inspector's Signature & Title Date Expiration Date Re air proposal is in compliance with applicable codes Yes ❑ No ❑ COPIES: PCHD; Owner; installer PC -RP 99ML Rev. 2107 Jun 18 09 09:34a Leonard! & Son Const. 1-914-736-9311 p.2 WeAl � j 1- �c�Us� f�� . .. .. ...... o rc py, t,ue, U) ILY Q_P 0 CLVI Cl-� F SHERLiTA AMLER; MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Date: 0 ovo o� DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 FAX COVER SHEET To: TZ&,. / c-T From: Gene D. Reed utnam County Department of Health For your information For your review ROBERT J. BONDI County Executive jl ROBERT MORRIS, PE Director of Environmental Health Fax #: 5 iZ-4( -- S1? e96 No. Pages: z (including cover sheet) Please respond Attached as requested . .._.A3: discussed P .. - . Ylease call Notes/Messages 1--1,6e_7> r--5i1A..) G,7/Gz 3,F ptii Jew 7/l 10� In the event of transmission /reception difficulties please contact this office at (845) 278 -6130, ext. 2261 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 T _ ,'. .�. L' l♦ V��LT ^'�.��:�3' =��it...•FO.�t-� - ✓,. a. ... __w �v. -�+2 r.w Public Health Director DEPARTMENT OF BEALTH 1 Geneva Road Brewster, New York 10509 Environinental Health (914)278-6130 Fax (914) 278-7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 March 1, 1999 Fred & Katherine Dyckman 12 Lee Ct. Putnam Valley.. NY 10579 Dear Mr. & Mrs. Dyckman: Associate Public Health Director Director of Patient - Services Re: Addition- Dyckman- Lee Ct.. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 62.17;),-22 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 March 1. 1999 The addition is approved with the following conditions. _ 1 The total number of bedrooms must remain at h e without prior approval_ -_._..__., -_ _.._. �.._-- ,-- tiu5�cieliai•tnierit�" __.__ ......._. ..._. ._.__ .. 2. The area of the existing sewage disposal system, and its expansion 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 Putnam Valley . If you have any questions, please contact me at your convenience. Ve ry y trul i , William Hedges WH:kg Senior Public Health Sanitarian CC:BI . T.. r..� -. • T - rr.Y6:•� � aeT.'�ev \ . T - s FI; ".tCF•� -r.. p...p u.t^ -ri . �- � .:� �. • t PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMATION Name of Project �. (c� �- (T)(V) TM# Year of Construction Size of Parcel SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. L- 7Hilly ❑Rolling OS"teep Slope 115entle Slope ❑Flat 2. ❑Evidence of wetland ❑Low area subject to flooding ❑Bodies of water ❑Drainage ditches Wock outcrop 3. Property lines evident? --u °4 Watei cour"sfs -x sst on; of adjacent to "parce'l 5. Existing individual wells within 200ft of the existing SSTS? ❑ ❑ SECTION C. EXISTING SUBSURFACE SE`VAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level l Gentle Slope ❑Steep slope B. ❑Well drained LLModerately well drained []Somewhat poorly drained ❑Poorly drained C. Area available for SSTS(Priimary & Reserve) ❑.( Extremely limited omewhat limited ❑Adequate ft x ft 1 nYES Lam" � ❑ ZT 5. Existing individual wells within 200ft of the existing SSTS? ❑ ❑ SECTION C. EXISTING SUBSURFACE SE`VAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level l Gentle Slope ❑Steep slope B. ❑Well drained LLModerately well drained []Somewhat poorly drained ❑Poorly drained C. Area available for SSTS(Priimary & Reserve) ❑.( Extremely limited omewhat limited ❑Adequate ft x ft �+mo•4Y.a �.r h�.a. r. 'f^. .. •a:' <C+ �,+r .Kra.o x. a.'<f�fG^ st.taFF <.-.. : .t'.U'. DEPARTNMNT OF B EAL,TH Division of Environmental health Services 4 Geneva Road Brewster, New York 10509' Tel. (914) 278--6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) -0,j Public Health Director 12 -�op t / C�crz l/ 2 — -2 STREET TOWN TX MAP # � � � .� ✓ �---� a ter, , .p ? � __ NAME PHONE a -3 PCHD # MAILING ADDRESS 12— 4 _ DESCRIPTION OF ADDITION 11.5IWI-7 NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEIDROO (FROM CERT. 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 County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 - 6130. or 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Feb S .,v S -e mac- /G ) lo PNODUCT2014 (Stro sheets) 2061(Padded) ®®bx, GmWr Nlese.01 /71. To Order PHONE TOLL FREE 140O.I& 0 y JOB THUNDERBIRD CONSTRUCTORS, INC. SHEET NO. OF 143 Woodworth Avenue CALCULATED BY DATE YONKERS, NEW YORK 10701 CHECKED BY- _PATE..�;_.� SCALE { FSOW2*i pQhVm%)M&l (PWW ®®ft..ftM. MM01471.Tofti PMMuMEl -MZ -M k)FIIEArH V "J's I'T " t: I f -1-OUSE PLANS AP-PillAICE'l,"ll roll C-4- Signature — *--- Tj; 11' e to :c �.'.,� I rj71117ir Ali I !. r. I °vision of Sanitation. Futureo�..,o�.o....�o. Bathrooms...... ,a00 O O O 0 9 0. O O p 0 O O 0 4 O 0 O O O 0 bage 'grinder — 50/ thair space......... liquid depth.......... partition............ �0 3d ...........min. -b when .............9Qt .0'a -.%cked by.. ... 0. 0 . . 0 0 0 . ' I jottom area in trenches provided..... o ...... '•I' . M 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 e ' .. � .._. .-.. - -, .-ii -- ; .. .. rte• -s' -.... -. .. .. .. .,. -.� -� � ... ._.- ... _ .. �.. ...r .. .. � -. .. .� .: .. .. .. -. .. _. VALLEY Date .:... .,.;,. ,., rt•- tra:r+•.,- �...,,rer- r•r,rr•:,�z, rR.i.. =,- .�aao-�7!"s ?.nnn 1tt•r"'7ri t4i.'. is'.:u A Ft C ; iDate 6/26/84 is TOWN OF Pl1.TNAM :VALLEY' No8'4- 7484 PERM1 Rzone District' -� T RECORD . cont•'d i!Applfcattonq ts, hereby "made ,for. '' revel Permit Work to start ' Description mnPwal of riarmif-''7Q d7dd addlt:.7.0n 'Location of 'Premises- Street `or. Road Lee AVe. >' .'IM''52 -2 -3 r SEC. <'' 'BLOCK L'OT 'FRONTAGE Depth Rear ACRES (other description) :or number ofd square feet' ,SL'BC€V €SiON 'JaUIE A74 TM 52- Q T red& atherincg byckman, Fod ,2 �}/2.3�7. _.._. r._.. Lee Ave- it ADDL TT Z9__ _.� -•- 2B J ..gyp- •'SSYr9_ /.�.,_...� 17� FOOT: Fo -t ll ...,a.iru . pij �F:,v, d% ?� "Nl•' 3. '#• i;6" 7ruip , a 5 .:V. `ut. ^y" f ..5 i t .4 '.!: t 1 f'u '�,Ft ,S.df`3;u..;.lr 'r,6:.;1: i3r Ira r,.F,J o.-,a:•i :Ls' ' f8. iM{,,` ..rl, tt;�,r( +{`t. 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F4 �uiy7 �•t ;.t•,l�•�: i��",:rr t +� 7tjl�N vt'p ii�){ ,.�i� 'j 1 r . ;r' i t,.1..t. •t,�;y,. t7 k 1?;,,t +r ,• :{ tg.,, 44t2v. 1 r a acf r,ir Std R r �f ty i y�i t` � �� i-,�i, f •�'�,!r, �� ' ��., �� ! +��. r; 4� „S .:L !{.1� _ � , Cpe�ficate of;Occupancy No�A'�� I,i 6651'r� I! i :A hcation' *To ............................ 79 7 F 1� { ;�„Nli Ur; '!C�{ t �, L 1 h ", i Y r `�y.. pP - +,:.', �;1 3, I�] ,0 ;�Gocahoii=iof `�l?reintses I,ee ��ernt :... ... ` �} A �!yyhr it .ry ..ti,'r 'i,i+ , F... ..... ... .. .. ,��'• r v Kstherine 1%rcl,man: of T,ee Avenue 1tL��2= FuGnam �ir�].].ey, iV. �: { tit, k 3� .,, . ,.. ...................... ............................... hlVing.. ...: . rl,• iteretofore, filed an application :for, a lku�lding; {permit''pursuant to 'the' Zoning Ordinance; Sanitary �� {Code and then Laws' in effect m • the ;Town of:;Putnam.Nalley Putnam 'County, NQw York ' having`',, ; i ' p d +the re%tyNd;�fee ,therefor .and ahe undersigned,:having by personal inspection ascertained :that the�,apphcant las subsequently. `proceeded .with the,'erection or improvement of the proposed ;.struc- ' l`r : { ture ``m`- complianee with the.. requirementi;of the laws ; as aforementioned and' that. the:. said' :work. , 2 IA6 rr'ra�nd f tmaterls meta every ;requirement of the lawn as aforementioned and that , the premises ' have be }f ully4i, completed. and,�are „ready for Eoccupancy,pursuant 'to, .the pmvisions.;of3j,law;�;Now; ish certificate of,�occupancy dsv ere by,;Stssued.;. nder:,the seal of the;::Town;!;of iPutriam 2 rc�y t t t Valley fins day 1of , 19...... r r•P .: {, itil try,. i fi•.y t -i14 4 ;5'..; 'ti unlesslsigned in mk by;a duly authorized agent , TOWN ''OF' UTNAM ,.VALE YN.. ;,YORK. 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I „' t !j in {, 41 Qit:i i t jt s1 , -�Fl: t,yi {i' c9•� z4'9 �,,ry N cla {�.�t, ! , r "�' {�, r, !l I ,t:,,;,.' t "' 2 ' tM VALLEY Date .:... .,.;,. ,., rt•- tra:r+•.,- �...,,rer- r•r,rr•:,�z, rR.i.. =,- .�aao-�7!"s ?.nnn 1tt•r"'7ri t4i.'. is'.:u A Ft C iDate 6/26/84 is TOWN OF Pl1.TNAM :VALLEY' No8'4- 7484 PERM1 Rzone District' -� T RECORD . cont•'d i!Applfcattonq ts, hereby "made ,for. '' revel Permit Work to start ' Description mnPwal of riarmif-''7Q d7dd addlt:.7.0n 'Location of 'Premises- Street `or. Road Lee AVe. >' .'IM''52 -2 -3 r SEC. <'' 'BLOCK L'OT 'FRONTAGE Depth Rear ACRES (other description) :or number ofd square feet' ,SL'BC€V €SiON 'JaUIE A74 TM 52- Q T red& atherincg byckman, Fod ,2 �}/2.3�7. _.._. r._.. Lee Ave- it ADDL TT Z9__ _.� -•- 2B J ..gyp- •'SSYr9_ /.�.,_...� 17� FOOT: Fo -t ll ...,a.iru . pij �F:,v, d% ?� "Nl•' 3. 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F4 �uiy7 �•t ;.t•,l�•�: i��",:rr t +� 7tjl�N vt'p ii�){ ,.�i� 'j 1 r . ;r' i t,.1..t. •t,�;y,. t7 k 1?;,,t +r ,• :{ tg.,, 44t2v. 1 r a acf r,ir Std R r �f ty i y�i t` � �� i-,�i, f •�'�,!r, �� ' ��., �� ! +��. r; 4� „S .:L !{.1� _ � , Cpe�ficate of;Occupancy No�A'�� I,i 6651'r� I! i :A hcation' *To ............................ 79 7 F 1� { ;�„Nli Ur; '!C�{ t �, L 1 h ", i Y r `�y.. pP - +,:.', �;1 3, I�] ,0 ;�Gocahoii=iof `�l?reintses I,ee ��ernt :... ... ` �} A �!yyhr it .ry ..ti,'r 'i,i+ , F... ..... ... .. .. ,��'• r v Kstherine 1%rcl,man: of T,ee Avenue 1tL��2= FuGnam �ir�].].ey, iV. �: { tit, k 3� .,, . ,.. ...................... ............................... hlVing.. ...: . rl,• iteretofore, filed an application :for, a lku�lding; {permit''pursuant to 'the' Zoning Ordinance; Sanitary �� {Code and then Laws' in effect m • the ;Town of:;Putnam.Nalley Putnam 'County, NQw York ' having`',, ; i ' p d +the re%tyNd;�fee ,therefor .and ahe undersigned,:having by personal inspection ascertained :that the�,apphcant las subsequently. `proceeded .with the,'erection or improvement of the proposed ;.struc- ' l`r : { ture ``m`- complianee with the.. requirementi;of the laws ; as aforementioned and' that. the:. said' :work. , 2 IA6 rr'ra�nd f tmaterls meta every ;requirement of the lawn as aforementioned and that , the premises ' have be }f ully4i, completed. and,�are „ready for Eoccupancy,pursuant 'to, .the pmvisions.;of3j,law;�;Now; ish certificate of,�occupancy dsv ere by,;Stssued.;. nder:,the seal of the;::Town;!;of iPutriam 2 rc�y t t t Valley fins day 1of , 19...... r r•P .: {, itil try,. i fi•.y t -i14 4 ;5'..; 'ti unlesslsigned in mk by;a duly authorized agent , TOWN ''OF' UTNAM ,.VALE YN.. ;,YORK. I. 't�le'sseal.°01't$e :Town ” it m g,z r r ;., � of Puma Valleyti, rs ,,; ,, r ' � "�,1 .,, ,.�: it• , r� �, € , , , ,,.'. .�.j%fi'. �d:,,}•. i'" 1 vtk ''k1.'ili:yNl'i�' '1`�. ,y t'R1a: iyj w 'S;...� r - 'r { ,. r.•t #,»i , t.. rii, t, t , , i..,. I n{ . ��. : 4 !i`� : � a+t `.i,s. ��Fv ' ��,d . t,�i' iy tG' !�I n 1 n. ."! p:df�, ' • F7 ,. r , :;17i1 <1r >; �::; l:i ' .:ht�'' •p • ,4 tl rdv,d {,,, .. j.�t �I' ,,4j�t „'1 f,j .I y'�i -! :i=: 7. ?.. ,,, i�. ,� q "�t ,r.'1`,fAi, h'[I t t'. '} ,. {q., :.,i.n �q�t1 ,t..l C'r""�"`:,`.• '.a -, ,..,.' , '•,at „. ttG -. ,y. {: p 1f;, '%it•4 tr( gt� }"i k?u ):e, .; lrf. �t y{? }z r ,I:dir �y1?1 I,I. 't. a. •'eu ti +a.w” lkr!.I..:I,,;r•,t. , I a �a, j ++6�, ;1;�;tt�T ? {S r� ;p,,., ,rl3rl,, �� 3Y 5. •�r,Ae #1y it � f d;t rF'fil\�'�;kr ,�'•rt. ,y �, ;;, i( '!'1` 't m n�q„ ,! �?'S at ,i, .l 'i.�t ; t I i7 { r.`. { . r r [[1 , z G t t; � r` t } t, it �� / � rlt 1 t, � f - .✓ ..,r ., /� , ii' ts, (. I „' t !j in {, 41 Qit:i i t jt s1 , -�Fl: t,yi {i' c9•� z4'9 �,,ry N cla {�.�t, ! , r "�' {�, r, !l I ,t:,,;,.' ♦ D Mahopac Sanitation Septic, Inc. 485 Kennicut Hill Rd. Mahopac, NY 10541... 9 i 4 -628 -4526 PC - Lic. 41 BILL TO Mr. Fred Dyckman 12 Lee Court Putnam Valley, New York 10579 Invoice 4/16/98 5984 JOB NAME/ LOCATION 12 Lee Court Putnam Valley, New York 10579 P.O. NO. TERMS Due on receipt DESCRIPTION QTY RATE AMOUNT Septic tank cleaning - 1000 gallons Pre /Cast tank. 195.00' 195.00T Putnam Sales 'fax - 7.25% 14.14 All work is complete! Total $209.14 A P.PL Foyw•p 10 h Lo7- 22- N oi[. F C ✓s c✓t { -DH -/ CL �9 • ..> ,. ., -, �_ — 0. r-!. •�� b ✓. 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