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631- 589 -8100
62.72 -1 -17
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03107
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03107
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
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SITE LOCATION 0 Yr 1yg C6 Izo A 1) TM # 7,,) — j 1 %
OWNER'S NAME S �p gig. �5 1� ld r�i r ►-t E L e yi S PHONE # _ -D
MAILING ADDRESS L L r
APPLICANT -"t v,4 P .17 G R.A Al �r_ %.
Name & Relationship (Lb., owner, tenant, contractor
DATE -3 f d FACILITY TYPE S. PCHD COMPLAINT #
PROPOSED INSTALLER f W C isAQ se,f PHONE# S' 92
:9 -Ry'iy tt
ADDRESS VA Lk_- V NJ, REGISTRATION /LICENSE #
fws, 2�
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 trenches)
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location and proposed pump systems will require submittal of proposal from licensed professional
engineer or registered architect.
9 C� 849 S C IF L -"rte i,l 4-k A-v v
L ka:Ai4tt2 £cr3 4Df Sf. _ i4Rff,°M,t__. -
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I, / owner, or re orted agent f owner as ow 0 r agree to the conditions stated on this form
SIGNATU
TITLE j46 r�ttf
Proposal approved with the following conditions:
rocurement of any Town Permit, if applicable.
2 Su mission of as built repair sketch in duplicate showing:
Owner's name
L,,1-`bSite Street Name, Town and Tax Map number
c. Location of installed components tied to two fixed points
d. System description (e.g., 1250 gal. Concrete septic tank, etc.)
e. Installers' name and phone number
3. System repair to be performed in ac ance with the
above proposal and condition
Prop al :Approved Proposal Denied,_, {�
Ins actor's Signature & Title Date
COPIES: White (PCHD); Yellow (Town BI); Pink (Installer), Orange (Applicant)
PC -RP 99ML
Rev. 8/05
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SHERLITA AML,ER, MD, MS, FAAP
Commissioner of Health .
-aaV^. rtl.eo W�'wY� +(.v..x c•r..e�er',�.nvaC•aWv�u�j r, �.wN ••q:.v.
L/ORETTA MOL,INARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
May 9, 2006
Joe & Jeannine Lewis
19 Seneca Rd.
Putnam Valley, NY 10579
R ®BERT J. BONDI
�^uns .p:✓•}. d.._K'.t� M �.�,....a+.�AC,x: t- ..•a.,r[. Tel' =a.'0
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition Approval, A- 134 -06
Lewis, 19 Seneca Rd.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #62.72 -1 -17
Dear Mr. & Mrs. Lewis
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 3, 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
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 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.
ML: Im
cc: BI (T)Putnam Valley
Sincerely,'
Michael Luke
Public Health Sanitarian
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
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
BERT'J:.BONDI
..(7- my Executive
DEPARTMENT ' OF HEALTH
1 Geneva Road, Brewster, New York 10509
o a
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ADDITION APPLICATION RESIDENTIAL ONLY
STREET 19 5efjeCO, TOWN ft 1 h116 TAX MAP#
NAME .1('X_' -t ��C !(1+(11 X14 . 1 S PHONE(14J) 29 q_ I PCHD #��
MAILING
ADDRESS
DESCRIPTION OF
ADDITION " 2 n4 A oor mm; n
Oqn.v
NUMBER OF EXISTING BEDROOMS 2— PROPOSED # OF BEDROOMS 2-
(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.
__.Y1 . -e ce s»brnit.this,.form.and:the following to Putnam. County Health..DPnt.,.1 Geneva Rd.._
Brewstdr, NY T`G509; N06 (845) 279 =5130. _. .� .. _.._____... �
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.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS �J
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
JP
SHERLIT AMLEF,,-K% M, FAAP
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
Re: Lew ► -S (Owner's Name)
Tax Map #: P+
Address:'
Town:– 04 4 KS
Year Built: jq42—
According,to records maintained by the Town, the above noted dwelling,
is V in compliance with Town Code.
is not in compliance with Town Code.
The Legal Bedroom Cdunt is:
This information has been obtained from:
Certificate of Occupancy:
Other: --151kq lUao-t- QAg-
Building Inspector 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
County Executive
PUTNAM COUN'T'Y HEALTH DEPARTMENT
DIVISION OF ENVIRQ*MNTAL HEALTH SERVICES
ca>..T!°- a 'TiL.,lr�•— �i:i.L�/ >. z.tr.Orver..• cw�•.x.aTo v:wC'y .`q.1Sa`...- v.nb... >.ro. .n:.T t'a.e?dl..
PROPOSAL FOR SE7nAGE DISPOSAL SYSTEM REPAIR
OWNII2' S NAME %% %� if l.r .Z 0 r! %' PHONE
SITE LOCATION
MAILING ADDRESS
PERSON INTERVIEWID PCHD Canplaint #
Name & Relationship (i.e, owner,tenant, etc.) ./
DATE' f TYPE FACILITY
PROPOSED INSTALLER PHONE
proposal (include sketch locating all adjacent wells):
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location may require submittal of proposal fran licensed professional engineer or
registered architect.
Proposal approved _i` Proposal Disapproved
Inspector's Signature itle
Proposal approved with the following conditions:
1. Procurement of any Town-permit, if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name.
b. Site Street Name, Town and Tax Map number.
c. Location of installed components tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner, or reported agent of owner agree to the above conditions.
SIGNA y /ri U l TITLE DATE
CM: V&te (PAD); )W1c w (fin ED; Pink (ki l a3nt)
e
184(,57881 10 1 �•.111' vl-`lpeclal 09 33 31 a.m. 0b-08-2006 3/3
CRAWLSEACE
-(EXISTING) cu
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LAUNDRY RM.
UP "7-:
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BOILER RM.
(EXISTING) 11 . I (EXISTIGAR AGE NG)
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OIL TANK RM.
(EXISTING)
EXISTING BASEMENT PLAN
NEW ADDITION FOR:
JOSEPH & JEANNINE LEWIS
19 SENECA ROAD
PUTNAM VALLEY, N.Y. 10579
5/8/06 Ah LOM W. HOFFMANN
'WA R C F T T E C T
MAY-8-2006 HON 1-21s;:I-: TEL:*e45-278-7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 3
SHERLITA AML,ER, MD, MS, FAAP
Commissioner of Health
L.ORETTA MOL INARI, RN, MSN
Associate Commissioner of Health
ROBERT J. 'BONDI W
_ Countyzxecutive
+...r:arp , .�w � .v.«.,- a•..ae.r...wa- . ^Ta__.' ..�. - r, ..... ...- .....c �..., r� ee
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
Joe Lewis
19 Seneca Rd.
Putnam Valley, NY 10579
Dear Mr. Lewis:
May 4, 2006
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition Incomplete, A- 134 -06
Lewis, 19 Seneca Rd.
(T)Putnam Valley, TM #62.72 -1 -17
Based on the information submitted, the above - mentioned addition cannot be approved
for the following reasons:
1. The basement floor plan was not submitted with the application. (Non-
. _ �. .-. ,.�...� -.; _'.. - .'� 1 \... .. .._ .. —' -_•- -: -°. _. ._�_._....x- _...._ �... .. _..... ..—, v ...�Y.-
_.__ .,..... _ , _,,..- ,:.._,. .---. _.:. Yi�ioS�a' vtiut 'uiuvi-i3�8'uiG"-aVG�Y�1t3'Y��. .•.p •.. `V .
If you have any questions, please contact me at your convenience.
Sincerely,
ML: lm Michael Luke
Public Health Sanitarian
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
Du 1497PGO 163
Un
A s eels &ad. s sn aowwr ayasw wantef's am - um. of oarp.: single stwr
CONSULT WIM LAWFM MM MONG TNIS t11STtuMM -THIS WM M Wf !MOULD it UM n LAWYM 01KY
_ ---:A -IMM MUMnM dc on December 1.7, 199
fl BfrWEM ANNA AZZARO CANZONERI, residing at 26 Seneca Road, Putnam Valley.
NN York 10579
1'
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party of die first part, and JOSEPH LEWIS, JR. , and JEANNINE L. LEWIS. husband and
wife, both residing at 1016 65th Street, Brooklyn, New York 11234
party of the eeermd part,
VM74 e.S ETH. that the party of the first part. in consideration of Ten Dollars and other valuable comMerarion
paid by the parry of the sand pan. don hereby draft and reksse tano the party et the seems part. the heir or snccc aors
and assists of die party of do second pat forever.
ALL that certain plot. piece or parcel of land. with the buildings and inrprovemenp thcrem erected. ,haste. lying
and being in the
SEE "SCREDOLE A" ANNEXED HERETO AND ?FADE A PART HEREOF.
TOGETHEII with all right, title and interest if any, of the par q of die first art in and to any sums and
reeds abutting the above described premises to the center lines eeoh TOGETHER with the appurtenances
and a0 the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD
the premises herein granted unto the party of the second part. the heirs or successors and assigns of the party of
the aeeond part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby
the said premises have been encumbered in any way whatever, execpptt as aforesaid
AND the party of The first pare in compliance with Section 13 of the Lien Law, covenant& that the party of the first
part will receive the eomtderation for this conveyance and wiU'hold the right to receive such consideration as a
trust fund to be applied first for the purpose of paying the cwt of the improveasent and will apply the same first to
The payment of the eat of the improvement before using any part of the total of the same far any other purpose.
The word "party" shall he construed as if it read "parties whenever the sense of this indenture so requires.
IN WMUSS WHEREOF, the party of The first part has duly executed this deed The day and year first above
written.
IN eafSS1fC6 aF-
ANNA AZ7AROV&VZOM1
Amara NEW Vomt ataltr VM 2"
Ste 0fNewYYark, CMMty oP WESTCUESM ss.:
On December 17. 1999 before me, the mod,
personally appeared ANRA AZZARO CANZONERI
� Fina io ma'o' ptovoii'to wt`s `o`o ilea oasts of satin •_'
factory evidcooe to be the iudividuat(s) whom names) is (are)
subscribed to the within instrument and acknowledged to the
that hchhehhey executed the same in hisl1terhheir
capmiy(iesX and that by hiAwAhek sigoature(s) on the
htstnivent, the individiW(s). cr the pessaa upon behalf of
which the itdividual( acted, executed the intarutnem
David Prost
wry Public, State Of Mev York
NO. 0903593 .
Qualified in trestchastor county
Commission 8xpiron 8/29/2001
On before one. the undemigncd,
p—ally appeared
pctsonaDy knows to tote cc prated to me oo the bash of satis-
facWy evident to be the individuhd(s) whose nm*s) is (are)
subscribed to the within instrument and acknowledged to the
that helshelthey executed the same in hisAtwltheir
capedq(iesX and that by hisltterAiheir signature(s) on the
instrument, the individhrat(s), or the person upon behalf of
which the individual(s) acted, executed the instrument.
(s({aaa.e aidgQGr� of iwdi... ..a�.Klmo.led�saw��
Maradet aM t6dr 111eeb
TtrL¢ No. &PP- 10196 (9910- 1511343 )
ANNA AZZARO CANZONERI
Acmlow 1'R'UYY'i'Tt"U.`sa°'�
State Of County of ss.:
On before ine. the undersigned.
Personally appeared
personally known to me or proved to me ca the basis of smis-
factory evithntaE to be the individual(s) whose naroe(s) is tact)
subscribed to die within instrurnem and acknowledged to the
that hefMWtbey executed the same in his/her /their
capacity(ks). ad that by hidbedtheir signature(s) on the
instrum M, the iadividual(s), or the person uptm behalf of
which the imlivulual(s) aped, executed the instrument, sad
that such individual made such appearance before the undrr-
signed in
(burn d7 orps$cfirds6bihddtw aedsmae arcamayaralbrr place arhw+l-
rdsrwvar m#rw)
(rlgaacsm Gad okr aJiadbldwl mhg adasnnrdarsaw)
sBcrwm 62.72 62.72
BLOCK 1 1
LAYr 6 L7
MUM MUMMOMR OF PUTNAM
TOWN OF PUTNAIt VALLEY
TO
JOSEPH N. LEWIS. JR., and JEANLBINE
L. LEWIS HUSBAND AND WIFE RRTURK BY klmn. YO:
rm r . ' i Y: ciir LO� -._.
a a shuonrrnbntsurancotompmny ?,7rk l:ir: lr, iltniding
sa o At Jan P -Pk Square
r ?ggASkdl, Now vork ]0556
(9it) /39.8293
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PMAM COUNTY RECORDING AND ENDOR$Emm PAGE
MUS PADS FORMS PART OF THE INMUM &M
RxCORD & RBTIIBN TO$
(Name, Address, 6 zip)
Kenneth Pregno Agency
Park Circle Building
Peekskill, NY 10566
TYPE OR PRINT IN BLACK IMK UHL)
Anna Azzaro Conzoneri
to
Joseph and Jeannine
Lewis
DO NOT WRITS BELOW THIS LING
INSTRUMffiNT TIP ffi t DUD ✓ MORT WX SAT ASMT OTHER
Y
RCD FBE �S
STAT CHG� i
REC MGM -�
CROSS REF
CERT /COPY
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CONSIDERATION $(�
TP -S84 ( x )
( $5.00
REAL ESTATE
,�1. S . Ems► t )
TIM M TAx ; $25.00
I rimm emilf 1
ff-m-9mm TAX
MT% AMOUNT
TOTAL TAX
SERIAL NUMBER
AFFIDAVIT FILED t )
133
RESERVE FOR TIME STAif
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PUTNAM COUNTY CLERIN S OFFICE
..' ,
PUTlN x toDNTY C>.ffitIC.
190RTfd1 fDEED 3M DISTRICTS t
TOIiIN OF CARMEL
TOWN OF RENT
TOWN OF PATTERSON
TOM OF PHILIPSTOWN
TOM OF PUTNAM VALLEY
TOWN OF SOUTHEAST
UINAPPORTIONED
COMMERCIAL /VACANT LAND
B i - 2 FAMILY
C UNDER 000
D CREDIT$UNION /PERSONAL MTG
E 3 - 6 UNITS
N EXEMPT
BK 1497PGO 165
AM that certain plot, piece or parcel of land, situate, lying and being in the Town of Putnam Valley,
County of Putnarn and State of New York known and designated as a portion of Lot No. 73 and all
of Lot No, 103 as shown on a certain map entitled, "Modified lap No. 2 of Abele park, ®scawane
][.Ake, Putnam County, New Yorlr" and filed in the wee of the Putnwn County Clerk on August 25,
1926 as Asap No. 6B formerly 6E.
Said lot and portion of lot when taken together are more particularly bounded and described as
follows:
BEGINANNO at the point of intersection of the southwesterly line of Seneca Road and the division
fine between Lots 73 and 74 as shown on the aforesaid filed map;
RUNNING thence along said southwesterly line of Seneca Road, South 52 degrees 04' East 45.00
feet to a point still on the southwesterly line of Seneca Road;
RUNNING thence through Lot 73 as shown on the aforesaid filed map and along the northwesterly
line of lands now or formerly of GabarL South 37 degrees 56 West 100.00 feet to a point on the
division line between ]Lots 73 and 103 as shown on the aforesaid filed map;
RUNNING thence along the same and continuing along the fine of lands now or formerly Gabad,
South 52 degrees 04' East 5.00 feet to a point on the division line between Lots 103 and 104 as
shown on the aforesaid filed map;
RUNNING thence along same and continoing along the line of lands now or formerly Gabari, South
37 degrees 56 West 100.00 feet to a point on the northeasterly line of Shawnee Road;
RUNNING thence along same North 52 degrees 04' West 50.00 feet to a point on the division line
between Lots 102 and 103 as shown on the aforesaid filed map;
t>ierictr along sage and siodg tlie'soinilaeabr1y liira of 191& =4 or forrnerly'of
l andesberg and continuing along the division line between Lots Nos 74 and 103 and the southeasterly
line of lands now or formerly CarkwA North 37 degrees 56` East 200.00 feet to the point and place
of BEOWNING:
BEING the same premises described in deed dated March 28, 1989 and recorded on Larch 28, 1989
at Libor 1056, cp'90 and also being the same premises described in a deed! dated December 16, 1988
and recorded December 28, 1988 in Liber 1042, cp 152.
CL.
(2 FORMER BEDROOMS)
REF
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LIVING ROOM
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DINING ARE
(EXIST.)
PROPOSED FIRST FLOOR. PLAN
PROPOSED SECOND FLOOR PLAN
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PUTNAIAI COUNTY D D" PIT OF HEALTH
HOUSE PLANS
8 E D R 0 0 M C. 0t t
7
?-igw. �&Tine bite
IORQPOSEZ� -Sr:CQNr;) FLOOR PLAN
NEW Al:V71ON FOR:
JOSEPH 4 JEANNINE LEA 15
l� SENECA ROAr:)
PU7NAM VALLE'r-, Nl%r 105-701
BEDROOM COUNT 70 REMAIN
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I LOCATION MAP Scaw 1' -1000' I
fbsreukn any os /nd'cated
(Attu -&dd a/terotlon or oubwon to o saney map
bearfny o Lkierwed Load Swvoyws seal is o No abbn of
Sechbm 7= S "W%i 7 2 of MO New /br* Sh7le
LbLcati m Low.
a* cga4s from Me oapha/ of f*Ir xrrey mor*ed w/M
an an *a of Me knd Nowbws's embau d sea/ aM9
be aavavebrad to be w /id &W cw"mm
Me broth" of anobrgmund trr{omomawft or
a/aooeAments Aare04 h any avArf ore not c'er~ or
sft n
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/ RJcflad a .brdon Lf'. Me s/wmpf wM made 66 mlga da MrRdy QG11t&
Met Mrs swwy veto conpbted m Apn7' 74, 2W17 and thb mop was
completed on A lil 7$ 2Wd -
d * Aa e*jj' certMed Mot fhb survey was p�Iw h attnvetrnce wIM fha
an'sthrg'Statdads of Ffwb?.e for /mw sawys C'*'g1ed by tM
New Yak State Asvoaotlw of ~mssraid Land ;5L.mrps'wv
ce/tih'mb'ow htd&~ hereon Shots rwr ordy to Me persons for wham the
awwY IS praparett and on the& beho/f to the bhc owrtaany, go`emmenta/
aymmy amd krMdq ksbadh" 6Med hem.. and ,fo Me armor of Me
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SURVEY / "SKETCH PLAN" OF
ot� PROPERTY PREPARED FOR
JOSEPH & JEANNINE LEWIS JR.
19 SENECA RD.
IN THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY, NEW YORK
Scale: 1 "= 30. 25, 2006
Baug o Pofbia, of Lot 7J atd aA of lot IW as shown w o
map mb &ed U6r d Lbp Atz 7 of Abe* park Qsmwam
LoArq AMrian Lbrm y.. Mrw Yost: Fled h IM Pormm Cb V
CYer* on Aug. 2.; ls2B as Ibp /AZ b'B fm mrly b'L
Reserved for Ai nW B—id Ure
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REQUIRED
EXISTING
Min AC.
3 Acres
0.218 Acres
Building
Area
30 OOs ft.
9 SOOs ff.
Frontage
200
_
45-
Front
50
10.93 _
Rear
50
30.72_]
LI Side
40
7.36 ;.�
Rt Side
40
10.54 r
•1
SURVEY / "SKETCH PLAN" OF
ot� PROPERTY PREPARED FOR
JOSEPH & JEANNINE LEWIS JR.
19 SENECA RD.
IN THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY, NEW YORK
Scale: 1 "= 30. 25, 2006
Baug o Pofbia, of Lot 7J atd aA of lot IW as shown w o
map mb &ed U6r d Lbp Atz 7 of Abe* park Qsmwam
LoArq AMrian Lbrm y.. Mrw Yost: Fled h IM Pormm Cb V
CYer* on Aug. 2.; ls2B as Ibp /AZ b'B fm mrly b'L
Reserved for Ai nW B—id Ure
n
o'
�i.
L
cry.
L Lj
as
o,. E
i
a }a'
v .
Ct
4
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