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Home My WebLink About2972DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17 -2 -29 BOX 25 02972 W7 In 9 go 1 F ; tail;�� f IN T- :1 LrI .41 . „ IN 02972 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health �~ LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive 'ROBERT MORRIS, P Director of Environment f ADDITION APPLICATION RESIDENTIAL ONLY STREET (0 LEE /Qy�y� TOWN &QCj TAX MAP# 0. IN-2 NAME 0010 Aiena PHONE V'C'S_ 2-M Z,6 " PCHD # oy MAILING ADDRESS vel)u DESCRIPTION OF ADDITION--"D I -900 X 12 (2-ND n4li —) NUMBER OF EXISTING BEDROOMS -3 ' PROPOSED # OF BEDROOMS p inerew ) (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTO J "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., 1 Geneva Rd, Certified check or money order for $100.00. Sketches of existing floor plan (drawn to scale, all living area including basement) Two sets of proposed floor plan (drawn to scale with name, street and tax map #) *Non- professional sketches are acceptable Copy of survey showing well and septic locations 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. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS \ 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 r SHERLITA AMLER, MD, MS, FAAP Commissioner of Health .. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Craig Glenn 6 Lee Avenue Putnam Valley, NY 10579 o Dear Mr. Glenn: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 April 22, 2009 Re: Addition- A- 049 -09 No Increase in Number of Bedrooms 6 Lee- Avenue (T) Putnam Valley, T.M. # 62.17 -2 -29 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 from this Department dated April 21, 2009. 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 expansion area must be maintained. 3.• Al nblmhing.fixtur., r:.ust ru arp�:, I with water savir�Q devices, i.e.; zest_ lovT Mush toilets, restrictors for shower heads and faucets etc.. 4. The approval is for the proposed changes only.. This approval does not validate any construction shown as existing that has'not obtained proper approvals 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 (845) 278 -6130, ext. 2261. Sincerely, 4 :&, • Gene D. Reed Senior Engineering Aide GDR:kly cc: BI, (T) Putnam Valley 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 - ... .. . .. _ .. r SHERLITA AMLER, [MD, MS, FAAP _ LORETTA MOLINARI, RN, MSN Associate Commissioner of Health. DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J.. BONDI,.. _... _. Town Legal Bedroom Count Re: Ora 4eo Owner's Name) Tax Map #: 62.17 -2 -29 Address: 6 -bee Avenue Town: P t Valley Year Built: According to records maintained by the Town, the above noted dwelling, is XX in compliance with Town Code. is not in compliance with Town Code. T e Legal - Bedroom Count is: T a 3 This information has been obtained from: Certificate of Occupancy: — CQ#2097 -17.2 Other: Bldg. Dept. and Assessor's Offt:e ^Records 3/30/09 Assist.Building Inspector , John W. Allen Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 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 CERTIFICATE OF OCCUPANCY. 2nm- 1.72 ?4 a yp!24 itinn? - PERAHT NO: 2006 -365 TAX MAP #: 00/62.17 -2 -29 LOCATION: 6 LEE AVENUE ISSUED TO : GLENN CRAIG GLENN SAMANTHA 6 LEE AVE PUTNAM VALLEY, NY 10579 Tus ce rtificate covers the construction of: ADDITION /ALTERATION - ADDITION TO KITCHEN (10' X 12') AND DECD (14' X 34) The applicant having heretofore filed an application for a building permit pursuant to the Town Code, Sanitary Code, the Uniform Building & Fire Code and the Laws in effect in the Town of Putnam Valley, Putnam County, NY, having paid the required fee therefor and the undersigned having by :....personal_ inspeolon ascertained, that impre .vement cif _th.° proposed _ tractwe _..... . is in compliance with the requirements of the. laws as aforementioned; that the said work and materials meet every requirement of the laws as aforementioned and that the prerpises have now been fully completed and are ready for occupancy pursuant to the provisions of law. Now, therefore, the Certificate of Occupancy is hereby issued under the seal of the Town of Putnam Valley. + �iir•�' 7f Y� �''{�+� +t��i '♦ a � l �ti ,�; t � q k +*�k,r t�y �:� Mt �' �' ' i d '". •' t + � � '� + ti��t k 1 i.:t. � 7" s�i•� �" � .�F��'`�� j"!+i �*t #- U .'L l1/v}•��/3/� Ss �..�]'y',,tl+y�• -c: -. ° � T �,.'� /A1 �r.•Y V 4 ,tt•"'t TAO ?OJU J� /—t. �t , ��+-. - . _ .�.�.�. `'�'. , j -'h • . El R (r.��i• -�'•F !!'V:.�.?l:G�•ii�r4 fA �Aa. V�� T, 4. ,rD •. YO'� �:•a+9C�+•'O.h; ... � .- s ,.Cf'.'i��+.�.'lr. YSl�Y'.^'2 •A:'3.. � ��C,. i�w fu•, q..•. qty •S•. qv. �'Sj Y' } � � ;�� a'3.' d'i� � tY�t ry.;.� -. �: ri � r �ti;'�:::•; ::. ..J TY7 ,�.tt 111. `i ba...Y }i, � 44 $ Ki +rb.- c...t lR •i j- � , ' �,r,a, : �.. pF PUTNAM VALLEY 6936. s:• r� �,s — �TOWN� � :, 4A No r .. , ?:.i . � .... .;.I .. � '. .:... ...c- .'u...:.e..•.. Mn .kni• :tl •NS >k . � � a•J :i_:.'tL + . iii fl •�°- VL '`+.. Description — Location of Premises— Street or Road. Ave. `"I 52 -1 -2 SEC. BLOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION, NAME TEL. Craig Glenn OWNER UPANCY • Garage. No..:.' H- 5703.. i�2 —.29. _e a To Hof Putnam Vallee .Putnam 'Countq; New York, Having =t•` u.�r Y.... e� erefor ; and bttie un` ersigned haftn by Personal inspection. ascertainedtfia>�'. + bsequently proceededith , the ' erection.• or . improvement of the -proposed . Amd- �itli ?•the requirements of:afie` laws ' as. , aforementioned .and what. Ahe .said ;,work.. :, very regwrement..of tho' laws'_:as aforementioned and that ,the: premises..have: Meted and;are,rlead %r ,occupancy #ursuant to: the provisions of `Uw, Now, Irate :of occu »cy ereby, issued under the clay of �•: ", , , Y. . :.. 19 9�. ,, : . ... ..... . _o a Town ' of 'Putnam inAnk by i duly authorized' ''went ofAe Tows ''of Putnam'"" Va11ey. _TOWN OF P f�VAI.I.$Y,:: W;'Y R; ,~ B ..... �oea 'to V9 acdez IP J. w �' ' , 19 t I - lylsv,.,:,t , =R= L ::cation is hereby_ made. for TOWN OF PU I NAM VHLLC T r r.' k N® V-5783 Permit Work to start -�� on of Premises— Street or Road�LC!w BLOCK LOT B sk 2 FRONTAGE Depth Rear (other description) or number of square feet IVISION R ADDRESS 'Ile' USE CONST. ROOFING LAND Family Wood Wood Shingle Paved Family Steel Asb. Shingle Dirt og Cabin Brick Tile Oiled ungalow Concrete Metal Swamp %lpartment Stone Or• Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools Offico Blocks Apt. Ten. Courts Gas Station Brick Attic Open Garage, Piers Attic Finished OTHER ,BLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X Front IShacks Part Brick X Side I Cottages Full Brick Van. X Rear Bungalows Cement:Floor Log X Encl. Electric Finished Shingle MISC. Phone Garage B. In Comp. Plot Plan Furnace. Field Stone Driveway TEL.' Dimension of Building Width Depth Stories Type Foundation (".4w,�i? l 9.J n SLl�s Size &Use Each !e6 Room with Window Area Sewerage Type "- Size of Septic Tank Lineal Ft Drainage Size of Dry Wells Plumbing Description r Well Description ditlonal- Information [.r ,� - is application must be accompanied by a copy bfVun►eyor's map - and "comple'ce•ptblis sOecii catiuna aiod 811Y ��- the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. e $ !0. OP Building Estimated Total Livable Area Cost $ a¢�Q e $ Sanitary Date Zoning Board Approval i $ Plumbing $ Well uy Or• YY� «•P1� J• }i�.. f t irl. L. h uy . 1. seta �� ,? ......, �9 . 6 : z:_ TOWN "OF ;p M,V UTNAy ALLE ` Zone Di RI, stncf T _ `l6 � 3 7 Nb 3 P E RM -ia�... y't'i u !I �l _ APpltcatio� js hereby made: for?F f.. ',• taw {�} y.1�', i.J- f,i'"; h 1i:.3 r'r .. .. 2 ^..raA .. e.s!•rs�ed., -.. .«. % - :VG'S ,�3 �:� �L-e'� Y�►�'+V: 7( r._ .iiJ Y Date.,:_ /:.2.y. :.. 9. .7.7 ..':.•;_ T.r•r:: .a TOW 4 "F`PUTNAM VALLY N ?7 -3854 • >,,5 .:.............. P . ,.,X. F, D° Y` TOWN. OF. PU.TNAM- VALLEY ate .. :`a.��•, Zone Di — PERMIT RECORD � N°-1 -4321 Application is hereby made for ...................... ...... ............. ............................... ............'............Permit Work to start ....... . ......................... 3. 7. . "Descti�tion ....................... ............ :: ....................................................................................................... ............................... Location of Premises — Street or Road - ... ' . ... ............................................................:.......... ............................... SC ............................ BLOCK ........................... LOT,:.........;...::..;..: FRONTAGE..:.....;.... ...:........:.................: Depth ........................... Rear ........................... ACRES: description) or number of square eet ....% .......:....:..........:..............................................._.......................................:...:........... ............................... Description ........ ........ AdditionalInformation ........................................................................................._....................................................................................................... ............................... This application must be accompanied by a copy of surveyors map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requefted :by inspector. Estimated Fee 5 .......... i.O k.0..( TM_ Building Total Livable Area-.: ................. : ........................ Cost $ �. ..... ............................... Sanitary Date Zoning Board Approval .................... ............................... ............................... 5 ..... ............................... Plumbing 5 ........................ I........... Well Y• YY•` f• 1' �YY•` 6. Y• �; i•` f, Y• �, Y1YY•` C. Y• YY•` GY• YY• YY• Y, Y• YY• Y. J'•` C, Y•` f. Y•` fY•' GY•` fY•`f. Y�` LYCLY• YY•` fY• YY• YY•` LY• �C, Y•`f Y• Y?' 1Y., Y• YY•`f Y• YY•` fY• Y, Y• YY•` LY• YY•' i' Y•` GY• YY• YY• YY•` CY• YYCC.S�YI'•YY•Y1�`f,Y•Y,Y•YY•'f 1�G COPY FOR BUILDING DEPARTMENT. THIS COPY OF • 4 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS 4, 7,_4.,l0VZ , 17 -RE 10, T19NIS-i1gT,� 4; U,. PLANS WST BE SUBMITTED TO THE PCDOH FOR APPROV 06C �4 SI NATURE & 4ITLE DATE 2. V. pom oLID ..Q� T PUTNAM COUNTY DEfRTNTENT OF HEALTH N"T, BEDROOMS QU T ALL S S-EQUENT REVISION/At TEIIATIONS TO THESE E' I L PLAN MUST BE SUBMITTED TO. THE PCDOH FOR APP+ROAL + I SIG & TITLE DAT k-A E74en '..94OA4 JtT to Lte A-V(r PUTS IAM VAW-EYN-4 10571 (#toL # 11-2.-l9) 61 L "-Al I " PPLOPOSED 2.40 F Look.. PLAhJ CA L-V- X00 zq D .• p OtAVOk JCV Ff 0,1 p-z- BA'5CM C'N T Lo W Ul Ll S-TOR-AOC SPA<.f-. ( o PC-/V) 6LEMVo EA15rIY6� BA5414E,4T-FLOOK PLA4 I i J. .STVDN( RAC N/Ay STI►R5 L LIV,IV4 A-OOM NKII '100 is l Od xql) L&P... .4vE.NUF,' PupyAm v.4uvf, Ary ios- 71 W-1-7-7-2. LEN N I:X1.5T)jVG IST PI 06P. Pl,.A N A a mi .6 . 0 I V �1�S�rE � T d- L-015e-r - BAT14 zoom NX91 14ALL-WAY -----4 F 3 Q LEZ t4VE POTNAM VAUE"ll AlY YOS; 7-41 ( L o Ex l-5T/N4'!'4D'FLwK AIN 3 Q LEZ t4VE POTNAM VAUE"ll AlY YOS; 7-41 ( L o Ex l-5T/N4'!'4D'FLwK SHERLITA AMLER, MD; MS, FAAP Commissioner of Health ' Liiiir 7 "1'A MC LI ARI; RN I' IS Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Craig Glenn 6 Lee Avenue Putnam Valley, New York 10579 Dear Mr. Glenn: May 5, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition Approval, Glenn, A- 120 -06 No Increase in Number of Bedrooms 6 Lee Avenue (T) Putnam Valley, TM# 62.17 -2 -29 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 from this Department dated May 4, 2006. 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 expansion area, must be malntalnCU. _. _ 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. 4. The approval is for the proposed changes only. This approval does not validate any. construction shown as existing that has not obtained proper approvals. 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. Very truly yours, Mike Luke Public Health Sanitarian ML:cj cc: B.I. (T) Putnam Valley 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health "LOk TA 1VI6LINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT 1 BONDI County Executive ADIDITION APPLICATION IBESEDENTIAL ONLY STREET (l/ ZEC AVE- TOWN O l TAX MAN o, 17 ^2'2ci i NAME C 1C �� 1 J1 PHONE g'y5 2s q 2c,64 PCH D# ead " MrArLING ADDRESS Pu FnrAv*- 1l l� �( 1 0.57 DESCRIPTION OF % //� � 1 t ADDITION �Po TI Ai l!(/ x i,Z. 464Y'34 a Rio NUMBER OF EXISTING BEIDROOMS__3 PRl POSED # OF BEDROOMS -W) (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., 1 Geneva Rd,._..,__ ..- ...._'-s' �.. _.. - r:y��Y�r 3 i •f' �Y _:..` :" 5 Q ��P n ws!- �Yl >.S_I c�, i l-1, -- +� .._ - -..ti -:- ... _ �.� -,> ev _ --•-, -..,...-:....s--w- 1. - Certified) check or money order for $100.00. 2. - Sketches of existing floor plan (drawn to scale, all living area including basement) 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 locations 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. (Aoo ^ 4 Ilc,n s) 5. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 O Lu -Z "T ENTOFNEAUR PUTNAM COUNTY 01, AR 4 ;Ui HOUSE PLANS B Dd f ':UQitvis Signature & TWs. e, Date 4 " �ZyXI2�) IS016L jz A5 CM ONJ T BP6CMENT 6'01iih ceilfn'v I (op- (lot 51� El- C5 -PAIMTITIdAl XT-s- A Fi A/0 TIV60K, V&�. -f AN 10 47,q C0 2.11- Z -zi) �LEN/V%F:00 r /Pp-opnsF-D b r r- U TN A M 00 h T 0 E PA RTNI E N T OF HEALTH PRO POSE 10RIE4NS APPS D ADD I T 10?4 2 LI MA & L Signature & Title rite Ki tCkeo Spxiq STVV,� 5 RAIL L V4,4y xq,) STAR5 P�oa'\4 RX10 DIN IN 4 �Roor,A to' x 15*4') Lc-a. A-vEwu pu"rfvAm, VA. (44t 7- 2-2 L E: - N N 10 FLOO, P, IS PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APP-;-'T,--:.D FCI ,� B E D R 0 0 N,11 G"U' T Ll i %� I S/ - � . _ ate- P� s ! & Title Date .y K- I 7C. H+E PQ - A-N P P" posab APO i TIoAj NO '5pAa UPSTAig,-S .(39 12'} Fg.4>&l 7 Pc>;Zf,-� No up-s Al2;.s L EZ A-VE PVIW,� m N Y 10 St 7 ria 'EP (ORCAJ) LU'Z V) VC5 PAX LA um MT W14TF -A ,QK5.., 0 ? --1--or -------- ---- 4 - . I I ------------ LENIV: FLOO R, PLM, - PDAS LM EIlq T 60 ► L EN UF, Pu TIVAM VARY) MY I0 9 ( 2.)7•Z -2 (�LENNq FLOOR, PLAN - I" F LOOK -A tEt sr A FoAj7PO 14 i NO 5PA-C P, UP$7,4d J26 (.B'q X6 } eo LEZ IW 6' ti7�1 + `'' �- � AID' /OS Co2a 1 Z. -2-J) LEN Iq It 00,2.� LA-Iq - 2 y L 2�{ ^t O zq -A 1 (Z�-IX12'} w ^� 7 V1 Mgt 71W, IIL99 //q too- 6A5CME-/VT oaf CS 001YT) 0 LA uwmf I ,fm " (opt N) 6 TO RAO C ILA 47E 1-2 If m.( no SC, A zz . i.. I Z>,r t-�-R- -PL-A Q L w uE, pu -rNAm VAU.F J) LIEN N FLoo R- PLAN - 15"- F L00 K p '11Z tj rL- 071_ 74 �f E IQ AN P P" PO A4>i) IT' No SpA"- ups-fAMs BATIM11M �i^+ BEDROOM ) �;� X10 � x 7' j , A5TE P- 7 N xcl .7 17, xZ01.) ...... . ..... 0 Ul - st C xs � 3 C to' 15) C. L-015ET LOSE'r < 9.5 K ) ,C3x�a.. vv a FR-oAj PO P-4,14 NO �p�� a i�� °) ....... . ..... It eo LEZ AVE PvTAI^M V,4"z-.r, Nylos pq (02. N r7 4 SHERLITA AMLE1R, MD, MS, FAAP LORETI'A MOLIINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: GLENN Tax Map #: 62.17 -2 -29 Address: 6 Lee Avenue Town: Putnam Valle Year Built: 1921 (Owner's Name) According to records maintained by the Town, the above noted dwelling, is XX in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: 3 This information has been obtained from: Certificate of Occupancy: County Executive Oth . Department and Assessor's Records Assist.Building Inspector , John W. Allen Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 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 -.9 '(t u9'- r' • .G- .nR.aoYM —ice•. BRUCE R. FOLEY Public Health Director .,. C. --;: �..i .v a.. u9•:w •.., : ,t�u:�r=�a - w.•��•.. ..i,�n..r., ..... _. it DEPARTMENT OF HEALTH 1 Geneva. Road Brewster, New York 10509 LORETTA MOLINARI ILK, M.S.N. Associate Public Health Director Director of Patient.. Services 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) 278 -6082 Fax (845) 278 - 6648, ADDITION APPLICATION (RESIDENTIAL ONLY STREET TOWN rvyW "i V# )t TX MAP# 6 A -1 Z, A • 'P. 1i NAME - 1 -C--.WAI PHONE k (' 5 4$11 PCHD# -p MAILING ADDRESS.�rn�, DESCRIPTION OF ADDITION_, NUMBER OF EXISTING BEDROOMS ,3 PROPOSED # OF.BEDROOMS .3 (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 Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY' 10509, Phone 278 -6130. Certified check or money order for $100.00.. " 2. Sketches of existin g oor plan drawn to scale al ' g p ( 1 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 Comments Feb98 ° Khouseguidelines 3RUCE R. FOLEY lublic Health Director Y LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services .DEPARTNENT OF-BEALTH 1 Geneva Road Brewster, New York 10509 Environmental. Health (945) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558. WIC (945) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278.6014 Preschool (845) 278-6082 • Fax (845) 278 - 6649 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: ��'�`'A1 11 Residence Tax Map .19 Town 1 According to records. maintained by the Town, the above noted dwelling 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:, OTHERS Building Inspector BFhouseguidelines 'F EY Public Health Director �. .. .... � .rry��. is g:_ „a:�• •a �..:.. a...r,.. : `= ,1._r....,.... w.... o «.. 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 October 22, 2002 Craig Glenn 6 Lee Ave. Putnam Valley, NY 10579 Re: Addition - Glenn, 6 Lee Ave.. No Increases in Number of Bedrooms (T)Putnam Valley, TM #62.17 -2 -29 Dear Mr. & Mrs. Glenn: 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 from this Department dated October 21, 2002 . The addition is approved with the following conditions: 1. The total number of bedrooms must remain at-thLee without prior approval ._.�...._.._...... , . �� ..,7i`C'��:1jarT.!71f:flf,� `. ..«_....< .. - -� - . _ ,x._.. _ .:.,•�.,.�.. -- --= ^c� -•n ._.., ._. .. .. ,... ..,, r 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucet's, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valle If you have any questions, please contact me at your convenience. Very truly yours, William Hedges WH:lm Senior Public Health Sanitarian cc: BI T.M.' . # NO. OF ROOMS � BEDROOMS F'I aUU S: Dash Garbage xi�adeg (50& increase Bathroans % Laundry 0ther Tank Material C3�C r�G Tank Capacity -.. Description of Tields or its_y i �S Distribution boxes needed Usuable area on premises Well drained usuable area MUST be provided before approval is issued. --A-. - cm,Tc:ri- IS R _TrM ^ and must ,show all pertinent .features, north point, property lines, exisiing sttuc�azie*s o 3a:iv w zys, "%„e zr : o l- qas a te ^.,.: t.mater - - codrses, ills, springs, dry wells or chains for roof .or area drainages DImam BSI sucH F£ATmEs m OQNDP?m PLAINS FOit Awaam DR u= OF S5QGE DISPOSAL AREA - all details of workable sewage system. DATE SUaMITPFA a ors ( ) CONUUkCTM If Corporation, give title BZ S 5/82 S � �S Jr Ir d. too"" AAO �'- PUTNAM COUNTr DEPARTMENT OF H , . $(}U5E PLANS APPROVED FOR �� •- �"'"'� BEDROOM. COUNT ONLY;, v .e BEDROOMS Signature & Title - - at* 4 f 4 r .0 - , /Vk C',� p�R 17 2- 1 11.7 1 W wo : tu 1 *14, - I 15,& PMWM COMM DUARTMEn Op -mm PLANS APPROVED FOR BEDROOM COUNT ONLyg signature & �Titan .,__, .. . . -I �a6 PUTNAM COUNTY DEPARTMENT OF HEALTH J sa DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT ; . -,, _� -" •_ .T•c 7- ' >u'T'T -. i.:..a s511a ^n:r ... :•.i1.; - I. - o.: NT: Tct location of well with distances to at least two permanght.landyharks to be provided on a separate sheet/plan. Well Driller's Name`-�7�• �� c" Address:�� . Signature: Date: 71f Y d White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 (/ w V. .. w-�-.: a... �:......:....... ,� Td) lima 4 _ Map Block Lot(s) Well Owner: Name: A dress: A&V� ao_�- 6 10 5'2 q Use of Well: 1- primary 2- secondary >< Residential Public Supply Air cond/heat p p Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing J", Open hole in bedrock _ Other Casing Details Total length 9ft. Length below grade ��v �t. Diameter in. Weight per foot / Ib /ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded XThreaded _ Other Seal: Cement grout _ Bentonite Other Drive shoe:. Yes No Liner _ Yes VGNo Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test _ Bailed _ Pumped x Compressed Air Hours 2t Yield /o gpm Depth Data Measure from land surface - static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 2 -._ �,. _ _ ... =• . If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type3 Capacity � L Depth O Mode1�S'o5= /3 A-z-4 Voltage 2-30 HP ply Tank Typqf&—Zs o . Volume Date /Wel Completed :O / d l Putnam County Certification No. Date of Report � y1 6 1 Well Driller (signature) - NT: Tct location of well with distances to at least two permanght.landyharks to be provided on a separate sheet/plan. Well Driller's Name`-�7�• �� c" Address:�� . Signature: Date: 71f Y d White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 YML ENVIRONMENTAL SERVICES 321 Kear Street . Ynrktown Heioht N.Y. 10598 -- - - Albert H. Padovani, Director LAB #: 32.104921 CLIENT #: 13542 NON STAT PROC PAGE 1 ------------- m --------- m ------------ --------��~ CRAIG, GLENN DATE/TIME TAKEN: 07/12/01 12:001::' 152 BARGER ST. DATE/TIME REC'D: 07/12/01 12c50P PUTNAM VALLEY, NY 10579 REPORT DATE: 07/17/01 PHONE: (914)-528-1491 SAMPLING SITE: 6 LEE AVE SAMPLE TYPE..: POTA8LE : PUT EY, NY, 10579 PRE VES: NONE COL'D 8Y: SARAH ANDERSON TEMPERATURE..: < 4C NOTES...: KIT TAP COLIFORM METH: MF ~~~~~~~~°~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 07/12/01 MF T. COLIFORM ABSENT /100 ML ABSENT -' 1008 COMMENTS: BACT THESE RESULTS INDICATE THAT THE WAT� WAS NOT> OF A SATISFACTORY SANITARY QUALITY ACCORD IN THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: Albert-91 Padovani,,/M.T.(ASCP) Director ELAP# 10323 6 1 1 • 1 I 17 -3. If the water supply is from a drilled. j�vell: a. Satisfactory results of a watei".!'. analysis, for the parameters in Table I below, conducted and reported b a NYSDOH approved laboratory under the "Environmental Laboratory'Approval Program (FLAP)." • � - -� J 1V 1 V `.7J is 1 is 6 1 1 • 1 I 17 -3. If the water supply is from a drilled. j�vell: a. Satisfactory results of a watei".!'. analysis, for the parameters in Table I below, conducted and reported b a NYSDOH approved laboratory under the "Environmental Laboratory'Approval Program (FLAP)." • � - -� J 1V 1 V `.7J is 1 Public Health Director -�'. c.�+ %m;.. a=a: ^tc:.,i'�. ♦. +.:e`P::.7i°:.�iv�.,`?•`il i.'j`ii�Y:v.l��. a"m.��. :• 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 April 26, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Mr. Graig Glen 6 Lee Avenue Putnam Valley, New York 10579 Re: Well Permit Application for Glen 6 Lee Avenue, (T) Putnam Valley Dear Mr. Glen: This Department has approved the well permit for your well at the above referenced address.. Please be advised that if site conditions and/or site plans change and/or are revised, thereby compromising the minimum required separation distances, siting approval of the wells must be re- approved by this Department. The above well to be drilled will be required to be sampled for the parameters listed in Table 2 of €l ,. %eiin Fk; T Pry J SP2:._ All necessary Town permits for the installation of the well are required to be issued prior to well construction. Should you have any questions, please feel free to contact the writer at ext. 2157. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj enc. Table 2 Water quality analysis PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION. TO CONSTRUCT A WATER' �:�:c.se a...._.:Rbv^v �.: ;3 T�:.-•�:;:.N O^i;.0�ir_- •-- .�.n-^�R�e•w4a ...... please print or type Well Location: Street Address: ToymNillage Tax Grid # Ave- j ze4'" Map W, Block / 1 Lot(s) .2 Well Owner: Name: Address: Use of Well: _ Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage gal. Reason for 1,,- Replace Existing Supply Test/Observation Additional Supply Drilling :/ New Supply (nom) Deepen Existing Well Detailed Reason �. �> W W eV .�t O0 i Q, for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No _p-1 Is well located in a realty subdivision? ...................................... ............................... Yes No r/' Name of subdivision '— Lot No. Water Well Contractor: 61 ,Z e,,,) Address:/ S )� 4A2L4, ST PX, eu b t o Is Public Water Supply available to site? .................................. ............................... Yes No Name .of Public Water Supply: Town/Village Distance to property from nearest water main: A)OA) e Proposed well location & sources of contamination to be provided on separate sheet/plan. D b : A; art i PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well asset forth above, is granted under provisions of Article .10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contarninate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well dri er a ifie y Putnam County. Date of Issue 4[26-IC)t Permit Issijing Official: Date of Expiratio Z o^34 Title: owae Permit is Non - Transfer ble copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; O W"'0' Fi 1 LA, t9z JIpWAe Orange copy - Well dr' er 00 4__JV 4 3 13 AC. 2 0 . lo 0 46.0 ;n 43•.7I �, P 184.16 8.0 4, 9 0 �. 4 9 102.24 } 1:26 AC r ' ' ' / ro o i wti• q , 2.44 q,' ad� ti � , ,r 1 k 0 In Y 1 0:0 A.C. -� g AC ^' 1 - 142.27 °QD rn $ - :� . tee•,•.. .� ,:_r• .. Q' .- * �`..�'......_. :__ �.,,..r\I.. 13 .rn 21 sk 4 V j6 •� to ''� m� ; �', � � �' 6 0 68 33 ,� _ :RRTJC,:F ,;R _Ff r`LEY- Public Health -Director n ~ - • ; DEPARTMENT OF HEALTH : �. ',^`.•i'1'n °'.i:YLLilv''iitl°1 1(.1V.� 1'�1.J.N' -v - Associate Public Health Director Director of Patient. Services 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 April 16, 2001 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 Mr. Craig Glenn 6 Lee Avenue PutnamValley, New York 10579 Re: Application to Drill a Well 6 Lee Avenue TM# 62.17 -2 -29, (T) Putnam-Valley Dear Mr. Glenn: This office has received and reviewed the application for the above mentioned well. We would like to offer the following comments for your consideration: Prior to further review, the following is required: 1. Submission of an accurate site plan showing location of proposed well, existing well, existing septic (location), adjacent-septics and wells within 200'0" of the property and any other sources of possible contamination within 200' -0" of the property. Submission of _ - ,�- :° � �;a.r'�aF:.(covy_a�tu•,:�ec;; rC9ltr��lTl�re- r►Pra,l..._...__ .'�.._.......__.. ..._ 2. Site plan to include dimensions to accurately locate well. A site inspection of this property was conducted on April 5, 2001. 3. Submission of a current "completed" application to drill a water well. (Enclosed). This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj Enc. WP -97 Application Form 99' . . . . . . . . . . . . . . . . . . . . . Iz CA CA 0 z 44 C--h 4C) ov 9z"I cm c 91 ...6 cq Ak. 6, 100, g� �(�g `1 °a =�� .L�... -101 CA ov. 96-117k WA Public Health Director LORMA - MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 /,F Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 '� I February 27, 2001, Nursing Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Mr. Craig Glenn 6 Lee Avenue PutnamValley, New York 10579 Re: Application to Drill a Well 6 Lee Avenue TM# 62.17 -2 -29, (T) Putnam Valley Dear Mr. Glenn: This office has received and reviewed the application for the above mentioned well. We would like to offer the following comments for your consideration. Prior to further review, the. following is required: Submission of a site plan showing location of proposed well, existing well, existing septic (location), adjacent septics and wells within 200'0" of the property and any other - - sources of noscibl.e contamiD.ation.witbiT.1 200' -0 ". of the property. l: Subiiiiss oii "of adjacent property owiiers'(Neighbor Notifications) including tax map number. 3. Submission of a current "completed" application to drill a water well. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. ABS:cj cc: Mr. Norman Anderson enc. Well Permit packet WP -97 Application Form Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer U e SL .. ..................................................................................................................... ............................... TWO SLNSET RIDGE, CAR I]EL, N.Y. 10512 April 8, 2001. Dear Mr. Stiebeling, I am writing to you on behalf of my mother, Priscilla Simpson. She owns a vacant lot in the vicinity of Mr. Craig Glenn's proposed new well. We are concerned about the location of this proposed well. It is my understanding that no septic fields will be permitted within a 100 foot radius of this well. It appears from the map which was included with the neighbor notification letter that this would prevent us from using more than half the area of our lot for our own septic fields should we decide to build or sell the property for development at some future date. Would you please check on the exact location of the proposed well and also on the location of Mr. Glenn's own septic fields as well as neighboring wells and septic fields to see if an alternate well site could be found which would be less restrictive on our future use of this land. I would appreciate your advice on this situation and assume I will hear from you prior to the issuance of a well construction permit. Sincerely, Sue impson d . . . I Approved by resol Board of the Towi this day subject to all req 1 of said resolution • modification or 'rt aj'approved, shall vc Chairman 7 "t The undersigned c ;'hereon state that ;'this map', its coat Signed this ,,.Craig & . Janet Glen °.16 Lee Avenue ;:Putnam Valley, Ne 2,. David G. & Joan 1 42 Sunset Hill Rol Putnam Valley, Ne LejT LINE CI SITUATE WN OF PU ej f, S7 \BE' i .. � i F H�•rE' �. y�'�. f BO 00 ry ( `1- �y Y``ivft C a3c� 1 p ' NOW OR FORMERLY 49 Z ' mN ;.. - JACK 8 SUE GAUMET 06 ' - wo 99.18' 'W CNAM UNK FET+CE m r 9.3 w,ul 4 4 v {' W CO STONE N39'36'Y., / YASONRI tr , t0 (JI' IN . 9.58:( Yplvr S. ANN M. HALL )RMERLY MICHAEL 8 . SS 0.00' N34. 5'W 65.00' 0 N34'55'W 60.00' N1RE FENCE 0.`:fW ON LINE i ;�. 2ND UpOfL ppp1I 1 O i 0.47E. POST h -.. yl N b�..t... -.. -._ ..... `. - : i 1 I w U �� f o¢ LOT AREA 1.101 ACRES, i QQ N My - 3 ' p V) h (�q .6'W. ON UNE 0.9Wf \ \ // N F POST & RAIL FENCE REHAINS OF POST Q RAIL FENCE ______---- __ —___- S34'S5 E r GRAVEL �____ _ — — o-------- T - - - - -- — — 347.15' RR TIE &GRAVEL STEPS _— �. - - - - -- LEE ' COURT ,�.✓�s"- v'-�i.•..�'^-r`/ I•�` -,a'�5...' -'F,^' ��t't, •'t �'." \ • No 'if �, i- 1 � ,� AoDIT�al oust. _ y ICATTONS HEREON ARE VALID l 31 X. I ,; TO"AL AREi4 1 -.57 : ACRES E AP AND COPIES THEREOF 1D MAP OR COPIES BEAR THE SEAL OF THE SURVEYOR J�C,.PWTiiIAM�VA�lrEr!!Y��?T NATURE APPEARS HEREON. :. _r- r __ Approved by resol Board of the Towi this day subject to all req 1 of said resolution • modification or 'rt aj'approved, shall vc Chairman 7 "t The undersigned c ;'hereon state that ;'this map', its coat Signed this ,,.Craig & . Janet Glen °.16 Lee Avenue ;:Putnam Valley, Ne 2,. David G. & Joan 1 42 Sunset Hill Rol Putnam Valley, Ne LejT LINE CI SITUATE WN OF PU ej f, Y MICHAEL S. & ANN M. HALL 555'05' W 10.00'- TIE & GRAVEL STEPS) LEE FICA77ONS HEREON ARE VALID NAP AND COPIES THEREOF AID MAP OR COPIES BEAR THE I SEAL OF THE SURVEYOR NATURE APPEARS HEREON. S /�8F NOW IOR FORMERLY JACK & SUE GRUMET N N34. 5'W 65.00' WIRE FENCE ON LINE LOT AREA 1.101 ACRE ,t c � J, ST N , aPy�� X68 4pproved by resolu * oard of the Town n :his __ _ - day c s�o0 i' "` F subject to all requ SAN' q -;f said resolution. 41. f '' "m modification or re, (b 49 ~ �MFRA L�"^ uv approved, shall voi Ln 46 ' i$ 5�'•^ P0 -0: g N)Ln �' • mry � V "' _ Chairman 99.18' 4 • O LINK TENCE M '34 cNN WALL COR. m WALL f ON LINE STONE wASpNR' LO O t 6 N39.36'WL AME Iry ED 9.56 i 1L �Ae undersigned o ,.;j; -��° �� u hereon state that . 1i ;:his map, its cont elcK 1Signed this �IoXIZ) I ; raig. &Janet Glel u I m o� 'A T, g \ 8 Lee Avenue 32. ' t .-Putnam Valley, Ne � � -off \\ £\i' $ I v i• \\ Q t4. 'David G. & Joan 1 IT, � T "� cam° 3 142 Sunset Hill Ra N �IPutnam Valley, Nc S-0 <s RE.—S OF POST d RAIL FENCE r---- GRAVEL --------- - -4 - -- g -- - --- --- - -- DRIVE 347.15' -- - - - - - -- ( COURT Hot �c)E D��K 1, F [�62.17 IT— TOTAL AREA 1.570 ACRES r. ?9 } LOT LINE C1 SITUATI TOWN N ' of U' ®e B-F-GkaARA *?*-19 OR IO \-O. 4-E. POST @ LU LU � O o m z F c I se cc x U 3 �n P (ry .6W. ON L POST k RAIL FENCE TIE & GRAVEL STEPS) LEE FICA77ONS HEREON ARE VALID NAP AND COPIES THEREOF AID MAP OR COPIES BEAR THE I SEAL OF THE SURVEYOR NATURE APPEARS HEREON. S /�8F NOW IOR FORMERLY JACK & SUE GRUMET N N34. 5'W 65.00' WIRE FENCE ON LINE LOT AREA 1.101 ACRE ,t c � J, ST N , aPy�� X68 4pproved by resolu * oard of the Town n :his __ _ - day c s�o0 i' "` F subject to all requ SAN' q -;f said resolution. 41. f '' "m modification or re, (b 49 ~ �MFRA L�"^ uv approved, shall voi Ln 46 ' i$ 5�'•^ P0 -0: g N)Ln �' • mry � V "' _ Chairman 99.18' 4 • O LINK TENCE M '34 cNN WALL COR. m WALL f ON LINE STONE wASpNR' LO O t 6 N39.36'WL AME Iry ED 9.56 i 1L �Ae undersigned o ,.;j; -��° �� u hereon state that . 1i ;:his map, its cont elcK 1Signed this �IoXIZ) I ; raig. &Janet Glel u I m o� 'A T, g \ 8 Lee Avenue 32. ' t .-Putnam Valley, Ne � � -off \\ £\i' $ I v i• \\ Q t4. 'David G. & Joan 1 IT, � T "� cam° 3 142 Sunset Hill Ra N �IPutnam Valley, Nc S-0 <s RE.—S OF POST d RAIL FENCE r---- GRAVEL --------- - -4 - -- g -- - --- --- - -- DRIVE 347.15' -- - - - - - -- ( COURT Hot �c)E D��K 1, F [�62.17 IT— TOTAL AREA 1.570 ACRES r. ?9 } LOT LINE C1 SITUATI TOWN N ' of U' ®e B-F-GkaARA *?*-19 OR -,4 P oP 'lei if Ise-5-5 W /6. 9/; d; 4 —/A taruam voun!?',Deparzmem or non-LTe 0 jivision of Environwntal Health Serviosh approved as notedi'tor oonformanoe with Put*appl:k cable ft�gulations of the Coun . Ui qtsmature A -TItla: _P3. 7-4 0/ CG SCAle I ie"Wlyc'. 406 1 A � - — 1-7 , v Jvv. -- c op et -/ Woec K . A Ilk o taruam voun!?',Deparzmem or non-LTe 0 jivision of Environwntal Health Serviosh approved as notedi'tor oonformanoe with Put*appl:k cable ft�gulations of the Coun . Ui qtsmature A -TItla: _P3. 7-4 0/ CG SCAle I ie"Wlyc'. 406 1 A � - — 1-7 , c op et -/ Woec K . A Ilk taruam voun!?',Deparzmem or non-LTe 0 jivision of Environwntal Health Serviosh approved as notedi'tor oonformanoe with Put*appl:k cable ft�gulations of the Coun . Ui qtsmature A -TItla: _P3. 7-4 0/ CG SCAle I ie"Wlyc'. 406 1 A � - — 1-7 , c op et -/ Woec K . Ilk 5.52 , _qo v� �Nof�r, .pf bq. `; EJ \)SLL 01 01 f y 7 R• i j:. 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Street, Apt No, or PO BoAo- C So Jise p- I ............................. . .............................................. 4- r-3 ........................... C3 iN State, . .... ............................................ C3 citypa os;'/ q-- . �O - ? PS Form 3800, May �200 &�4 ' ' lf� 1 0 See Reverse for Instructions PS Form 3800, May 2000 _ 11/,P&� See Roverso for Instructions Ln -0 ij M C3 NY' 11. BRQ6QKkYYN1 122 C3 Postage $ 0.34 r3 ft-r�rtified Fee RE 1.90 :nk Retain ere 0 CTnfteept M cc End rsffjo&# .6 r.3 N Restricted frk: jKk (Endorsement ReqvVeMY G Total Postage & Fees 3.74 0 --0 Sent T A +Ckzu- ?t F, or P C3 Apt, N Box No C3 ...... 1&6 ........................................................................ 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