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83.12 -3 -2
BOX 30
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03835
1 <7) n PUTNAM COUNTY HEALTH DEPARTMENT. Etat�
° DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR
N internal Use Only PERMIT
❑ Repair Permit issued In last 5 years ITWot in Watershed
❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. a Delegated
❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review
SITE LOCATION �� �? ' � TOWN, i1,y��AMV L L L F-�
OWNER'S NAME PHONE# 472 9- 319,V
MAILING ADDRESS ( ;f Le AA-4 019 N RJ? I :�.V a (l1 44A Ti T L, "'- r I Ag
APPLICANT O u 14f-P ((2-&C f," A ' 1
Name & Relationship (i.e., owner, tenant, cxtfitractor)
DATE FACILITY TYPE PCHD COMPLAINT #
PROPOSED INSTALLER tw T FS f
raft -D �C'��T .% PHONE # sY �;S' e'aG. 39 i
ADDRESS V , .A-7�� AL -r- k, �`.L� REGISTRATION /LICENSE # /)
c�^S"? r
Pro sal (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 ang_extent of the repair.
I, as owner,agr t the conditions stated on this form
SIGNATURE TITLE 0 r<V :jY gr\ DATES Z z
(owner)
I, the septic ins Iler, agree to comply with. the conditions of this permit for the septic system repair
SIGNATUR • - i% --ik � TITLE a r r—hN t. DATE
EMggjW 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, to 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 backfl ed until authorization to do so has been obtained from the Department.
INTERNAL USE ONLY
Proposal Approved Proposal Denied ❑
drpector's SlIg nat ire & Title Date" ratio ate
[Repair proposal is in compliance with applicable codes Yes No ❑
COPIES: PCHD; Owner; Installer
PC -RP 99ML Rev, 2/07
L�
DEPARTMENT OF HEALTH
bivlsion of Environme„tal Health _Services
4 Geneva Road
Brewster, New York 10509
W. (9 11) 279 .6130 Fax (914) 278 - 7921
BRUCE R. FOLEY
Public Health Director
NO qd
..••• r :rr • • r M•
6t
STREET -O aKDNJ __Ql7 TOWN V TX MAP # 3P _ 3
NAME S Yh 1-T-H PHONE_ PCIID # a
MAII,II�'Cr ADDRESS / � 2(� f� �i3 ii k A� -0 V
DESCRIPTION OF ADDITION P_ 'AJC10SI;D P(gkw � F1021' DA ��'►
N.UNBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS„+ ,
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM 8UILDMIG INSPECTOR)
*Any addition which is considered a bedroom requires formal approval of plans (Construction
Permit) prepared by a Professional Enaineer_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.,
$ rewster, NY 10509, Phone 27$ -6130,
1. Certified check or money order for $100.00
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.
QFF1C.'E USE
Comments
a
BRUCE R. FOLEY
Public. .Health Director:__.,
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
November 13, 1998
Patrick Smith
61 Floradan Road
Putnam Valley, NY 10579
Re: Addition - Smith, Floradan Road
No Increase in Number of Bedrooms
(T) Putnam Valley, 83.12 -3 -2
Dear Mr. Smith:
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 latest revision date of
November 12, 1998 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
-- J -1. The total number of bedrooms must remain at two without prior approval by this
-
_... area Fof the'exisling 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.
Approval is granted for sewage disposal only. 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.
W e 1y yours,
Bruce R. oley
Public He th Director
ML /jp
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Application No...... ..........
APPLICATION FOR BUILDING PERMIT
_ Plan.
" TOWN OF PUTNAM VALLEY : Zoning District.:
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� 11 1
NAME of.Owner_::!1_!i N.!F.l ....Y�1...4.R.6.R 6 -R •-=-= - - -P.. 0....__._PU.-_ I A.!h... V .. t . �. ........
M
LOCATION: of Premises: Street or Road.._______._ F �nQ.t P-_9-N...._..... ...............................................
Block' No ................................. Lots No .................................. Side of Street - - - -- . o u r H.----- - - - - --
';LAND
Number. of Acres ....... .............................or —Number of Square Feet ....................... ._...........
i
In feet show: Frontage._.........4A ....... .. ...... Depth....._.._..../00 ...._... Rear ... ........
! Other d es cription ----------------•-----•------._.._...._..------•---•-•---•-----•-.._...-----•-•-•-------•-•---------
BUILDING: to. nearest foot show: Overall width ....... 3-y....... Depth ........ X_Y-..... Height ...... fl........
':Kind of foundation:_ ..... M.A.Ao.0.1i ........ ° :::.:... .....Type of building ...............................................
�r Show size and use of each room; together with window area ........ ................ I ......... I.................
J SEWAGE: Type ......... ......So- O_-_•____Size of Septic Tank..; ......... o - °..... gallons.................. - •_.__......
i�.
p Lineal feet of 'field drainage ..... ..............................: :.Size of dry wells ............................
:Building permit issued and fee paid ...............•--......------------ •- •- ••-- ••---- -• -• -- ---•-•- •-- •-- •._..........- •- •- • - -• - -•
:Fee paid for Certificate of Occupancy - -•- •-•--------------------------•-•-------•------_....------ ..........-- •- •----- • -:..•
` Occupancy Inspection made ......................:
i; • -- ••----------------------- •-- -- •- ••- •......- •-- -- ......_
Certificate of Occupancy issued .... ... ........ ... .
.--- • -• - - --
-� SI
NA I' ,RE of Applicant_ -.__.. � .....P. 0......._
RECEIVED ..............:....... ..... .194_ _
UNLESS ',THIS APPLICATION IS ACCOMPANIED BY A COPY . OF . A SURVEYOR'S MAP AND COMPLETE
.. PLANS AND SPECIFICATIONS, . ALLw INFORMATION REQUIRED BY THE ZONING ORDINANCE AND SAN -
'' -ITARY CODE. MUST- BE =SHOWN :BELOW'•OR ON THE REVERSE SIDE. OF THIS APPLICATION.
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Rider* which,rray be vised;With Standard- BTU'F0im 8041, rev. 11/78
SCHEDULE A
(Description of Prerpises)
All that certain plot, piece or parcel,of land, with the buildings and improvements thereon erected, situate,
lying and being in the Town o f Pu. t n am Valley, Putnam Co u n t y , New York,
bcing wore part "icularly:'bouttded a•n¢ described a� foltaws:
BEGINNING at a point on the southerly side of Floradan
Road at a point to be.deterntined by commencing to measure from
the large Rock at the northeast corner of'premsles formerly
owned by Daniel M.' Rader and- located - at . or; near Oscawans Brook;
and
RIMING THENCE In a northwesterly direction along
the boundary line of the lands formerly owned by Florence
Schwartz and adjoining-the Burchetta.property 1067 feet;
'IRENCE at right angles in a southwesterly direction
a distance of 140 feet; said:point also being distant 100.00
feet westerly along Floradan`.Road from theWesterly side of
Violet Street'at the northwesterly corner:..of.ladns now or
formerly of Flohr;
RIMING THENCE along said lands of Flohr South 230
22' West 100.00 feet;
RUNNING THENCE North 66° 38' West 60.00 feet to lands
now or•formerly of Tenenbaum;
RLM I IVY THINE -a -i -o n-g —t-h e s eme North 230 2 2 ' East 100.00
- f-e- e-r—t -o � i l o r n d a n Road;
RU NING:THENCE -al- ongt"; the: same-_Sbirt-h-66 38 East .60.00 p-
fcet.:.c -a- the vp'oint °of 'BEGINNING.
BEING the'same premises conveyed by Daniel M. Rader,
by deed dated September 3rd, :1952, and recorded September 4,
1952 In Liber 415 ep 299," in the office of the Clerk of Putnam
County, State of New York.
8
THOMAS SCUCCIMARRA :
THENCE along
22' .West - I. n o
RaNld i rv�i
-
One Souih Dlwslon Street .
s '
P:O Box` 72
�ti < : _
Peekskill,Jgeib York 10566
r `
THENCE along
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_91443976'05 0
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00
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oW1 ME
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,
U01
- Z;Standard NN.B.7 %U: Form 8602 -2DM — Bargain and Sale Decd with Covenants against Grantors Am— Individual or Corpusatiun. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD 81 USED BY LAWYERS ONLY
xa
THIS INDENTURE, made the t _day of , nineteen hundred and .n i n e t y
BETWEEN
SAMUEL S. REISMAN and CELIA REISMAN, his wife, both
residing at .61 F l o r a d a n Road, .P.u.t n am. Va 1. 1 - - -_ flew— Yo- r.k._...._-
1 1!
paity.gf the`first part, and.
JAN 2 3 ;c91.
S`PATRICK' SM17,H, residing at 7 Contitutiorl Drj'ive,
Cold Spring, New York
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being in the Town o f Pu t n am Va 1 1 ey, , Pu t n am Co u n t y, New Yo r k ,
being more particularly bounded and described as follows:
BEGINNING at a point on the southerly side of Floradan
Road at a point to be determined by commencing to measure from
the large Rock at the northeast corner of premises formerly
owned by Daniel M. Rader a.n- d- 1_o- c- a- t- e'd —a -t o- r— n- e- a- r— Os-c -awa n�k ;
RUNNING THENCE in a nor thwes t -er -1 y._d i rec t i on- .a j.:ong:
t .he.hounda,ty=- 1fne- 'of- t•h -e•- lands -formerly ' owned by Florence Schwartz
and adjoining the Burchetta property 1067 feet;
THENCE at right angles in a southwesterly direction
a distance of 140 feet, said point also being distant 100.00
feet westerly along Floradan Road from the westerly side of
Violet Street at the northwesterly corner of lands now or formerly
of Flohr;
RUNNING
THENCE along
22' .West - I. n o
RaNld i rv�i
Y1�L1VC..L__- iYG_a__c,ar_
now or formerly of
Tenenbaum;
RUNNING
THENCE along
feet to Floradan Road;
RUNNING
THENCE along
f BEGINNING
said lands of Flohr South 23°
the same North 23° 22' East 100.00
the same South 66° 38' East 60.00
feet to the point o
Together with the right of ingress and egress, in
coinrrion with others over Floradan Road to and from the nearest
public road. remises as conveyed to
BEING AND INTENDED to be the same p d from Esther
Sar_-cuel S. .Reisman and Celia Reorded,7 /12 /72einytheePutnam County.
Sandelman dated 7/5/72 and rec
Clerk's Office in Liber 702 cp 490.
TOGETHER with all right, ribed and premises ses toy the center lines thereof the with the appurtenances
roads abutting the above describe p
ights of the par
r, ty of the first part in and to said premises; TO HAVE AND T
_. _. .,art- the heirs or successors and assigns of
372800 PUTNAM VALLEY
61 FLORADAN ROAD
OWNER & MAILING INFO —
SMITH PATRICK J
7 CONSTITUTION DR
COLD SPRING NY 10516
NYSRPS ASSESSMENT INQUIRY DATE : 11/06/98
SCHOOL PUTNAM VALLEY ROLL SEC TAXABLE
PRCLS 210 1 FAMILY RES TOTAL RES SITE 1
kL, com, S11
ACCT NO. 181510
MISC ASSESSMENT DATA
RS - SS ** CURRENT ** RES PERCENT
1 LAND 20,600 ** TAXABLE **
BANK TOTAL 102,300 COUNTY 102,300
C040200 ** PRIOR ** TOWN 102,300
LAND 20,600 SCHOOL 102,300
TOTAL 102,300
— DIMENSIONS
FRONT 60.00 BOOK 1111
DEPTH 100.00 PAGE 00084
EXEMPTIONS
SALES INFORMATION
SALE DATE 12/01/90 SALE PRICE 109,000
PR OWNER REISMAN SAMUEL S &
SPECIAL DISTRICTS
CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE
IFDO14
TOTAL EXEMPTIONS 0
F1 =NEXT PARCEL
F6 =G0 TO INVENTORY
RPS075S1
SUBJECT
372800 PUTNAM VALLEY
SMITH PATRICK J
61 FLORADAN ROAD
TOTAL SPECIAL DISTRICTS 1 —J
F3 =NEXT EXEMPT /SPEC F4 =PREV EXEMPT/SPEC
F9 =G0 TO XREF F10= RETURN_TO'MENU
11:26:0.8
RESIDENTIAL SITE
83.12 -3 -2
PARCEL PRPCLS 210
TOTAL
TOTAL
RES SITE 01
PRICE 109,000 VALID
PROPERTYaCLASS 1 FAMILY RES
ZONING R1
SEWER PRIVATE
WATER PRIVATE
UTILITIES ELECTRIC
NEIGHBORHOOD 83302
INQUIRY
1 FAMILY RES
RES SITES 1
COM SITES 0
DATE: 11/06/98
ROLL SEC TAXABLE
LAND 20,600
TOTAL 102,300
RESIDENCE
BLDG. STYLE COTTAGE
YEAR BUILT
1950
EXTWALL MAT COMPOSITION...,
:STORIES ... _
1.0
GRADE,_,: -: AVERAGE ,
AREi�;S
HEAT TYPE HOT WTR /STM
1ST
STORY:
834
NO. OF FIREPLACES
2ND
STORY:
NO. OF BATHROOMS 1.0
1/2
STORY:
NO. OF BEDROOMS 2
3/4
STORY:
ATT. GAR. CAPACITY
FIN
BASMT:
BAS. GAR. CAPACITY
TOTAL
SFLA:
834
TYPE SIZE1 SIZE2 QUAN TYPE FRNT DPTH ACRES SQR FT
01 PORCH,COVER 156 1 01 PRIME SITE 60 100
TOTAL IMPROVEMENT ITEMS 1 TOTAL LAND ITEMS 1
F1 =MORE ITEMS F6 =ASMNT INQUIRY F10 =G0 TO MENU
F4 =NEXT RES SITE ON FILE F9 =G0 TO XREF
RPS075S2 11:26:11
Date 19 ..... TOWN OF PUTNAM VALLEY Application
f j APPLICATION FOR BUILDING PERMIT. Zone District . �....... .
Application is hereby made to erect (alter) ...I. alq .. .................. :.Work to start 40'r ... .
Building ...... - :r� .- .'..... ........ .... ..... ... .
Location of Premises — Street or Road :... '.: . (e��. .
SEC.......... BLOCK ........... LO I: 1 : .... FRONTAGE Depth j00 :... Rear.
ACRES (other description) or number of. square (feet ........... /' ....` ......... .
�.. .. I` ... .... <. ................
OWNER to �"!•.� ... ` ....ADDRESS tl".' ":l/* ..........
I - D' fJB 'Idi
I
1
� ILK
i
j
Imenslon o ui ng
Width Deptb Stories
i2
.3 F" Q;QrC
X X X
X X
Type foundations ...
Size & use each ......... ... .
Room with window area ...........
.... ... ........ .
Sewerage type "7 � ... ...... .
Size of septic tank .'�'.�:.. .
Lineal Ft. Drainage .. %f %...........
Size of dry wells ......... .. .
Additional informatio • ........
_..... /`V 111W •- . .. .ZA r bier -•
I: ... ..... .......................... ........ ....
This application must be accompanied by copy of�surnge ors mop and complete plans, specification, and all information
required -:by - .Zonin Ordinance and Sanitary Code when requested by inspector.
�} 1 i
I, ......... .. .���` .. I . .. the applicant do hereby.certify that the above statements are
true to my knowledg -and belief.
Fee f17 -r ..r .................... Signature.of Applicant .:....�.. ..... /..... ........ .
USE
CONRTRIICTION
ROOFING
LAND
1 FAMILY
'WOOD
WOOD`SHINGLE .
PAVED
2 FAMILY
STEEL
SB. SHINGLL
DIRT
LOO CABIN
BRICK
TILE I
OILED
BUNGALOW
CONCRETE
METAL'
SWAMP
APARTMENT
-STONE
I
I
!
BROOK
STORE
FNDTNS. -
I
I
INTERIOR ; I
LAKE F.':
]STORE
& APT. =
STONE
ROOMS `
DAMS '
STORE & OFFICE
`^ _.
CONCRETE
APT. ROOMS I
SW. POOLS
OFFICE
BLOCKS
APT.
TEN. COURTS
GAS STATION
BRICK
ATTIC ',OPEN
GARAGE
PIERS
t" ` FINISHED
OTHER BLDOS.
EXT. WALLS
PORCHES
BARNS
BASEMENT
=WOOD
% . FRONT
SHACKS
PART
BRICK
% SIDH `'
COTTAGES
FULL
-
BRICK VAN.
% REAR
BUNGALOWS
CEMENT FLOOR'
LOG
% ENCL. !
ELECTRIC
FINISHED
''•
SHINGLE
I
PHONE
GARAGE B. IN.
--
COMP.
�
I
FURNACE
FIELD STONE
-
Imenslon o ui ng
Width Deptb Stories
i2
.3 F" Q;QrC
X X X
X X
Type foundations ...
Size & use each ......... ... .
Room with window area ...........
.... ... ........ .
Sewerage type "7 � ... ...... .
Size of septic tank .'�'.�:.. .
Lineal Ft. Drainage .. %f %...........
Size of dry wells ......... .. .
Additional informatio • ........
_..... /`V 111W •- . .. .ZA r bier -•
I: ... ..... .......................... ........ ....
This application must be accompanied by copy of�surnge ors mop and complete plans, specification, and all information
required -:by - .Zonin Ordinance and Sanitary Code when requested by inspector.
�} 1 i
I, ......... .. .���` .. I . .. the applicant do hereby.certify that the above statements are
true to my knowledg -and belief.
Fee f17 -r ..r .................... Signature.of Applicant .:....�.. ..... /..... ........ .
I
PUTNAM COUN'T'Y HEALTH DEPARTKW
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
� 225 -0310.
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
OWNER'S NAME ,Sih i PHONE
SITE I=TION / �l iQ�i9� R1� ��rN• l yi9 //i Al 1/ TO
ray -s-a� -3 /sy
MAILING ADDRESS S'fi� 1-5 A �� ' /
PERSON INTERVIEWED 1V141X2 PCHD Complaint #
Name & Relationship (i.e, owner tenant, etc.)
DATER y! - TYPE FACILITY
PROPOSED INSTALLER ,'�, /,--' PRONE 5-Ay - 3, 5
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 from licensed professional engineer or
registered architect.
Proposal approved Proposal Disapproved
Date
Voposal 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, reported agent of owner agree to the above conditions.
SIGNATURE — TITLE e l•L�G�- DATE S �i�y �`�.
JM: Waite (FAD); Yellcow M-kin SI); Fink (19pptio3nt)
AW JifC,-
Proposal approved Proposal Disapproved
Date
Voposal 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, reported agent of owner agree to the above conditions.
SIGNATURE — TITLE e l•L�G�- DATE S �i�y �`�.
JM: Waite (FAD); Yellcow M-kin SI); Fink (19pptio3nt)
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVUDAL ADDITION/REPAIR FORM
SECTION A: GENERAL INFORMATION
Name of Project �, ��� °`` (T)(V)
Year of Construction
V_TM#
Size of Parcel
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. Offilly Molling ateep Slope 06entle Slope ❑Flat
2. ❑Evidence of wetland ❑Low area subject to flooding ❑Bodies of water
❑Drainage ditches ❑Rock outcrop
= NO
—4. LVater, courses exist ors; or adjacent-to-parcel:_ ~ ..__w _ .❑ _ .......:.. ; ly'
5. Existing individual wells within 200ft of the existing SSTS? ❑
SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS)
1. Physical character of existing SSTS area.
i"
A. ❑Level Gentle Slope ❑Steep slope
B. L7Well drained ❑Moderately well drained
❑Somewhat poorly drained ❑Poorly drained
C. Area available for SSTS. (6/sol'm'ewhat rimary & Reserve)
❑Extremely limited limited ❑Adequate ft x ft
D. 'INSPECTION Date _� f i Z�� Inspector.
ONO evidence of failure ®Evidence of failure
'AMR
of seasonal failure
-----=--------------------
--=--=-------------- 7 -------------------------------- =------
:---
(Indicate North) p
✓ 2 In i_ o Lt J V
y HOUSE
D�
(1) Indicate location of SSTS
A. Size and type of septic tank gallons
®Metal OConcrete OPlastic
B. Type of absorption area
l— Fields ft - --2 —Pits 3 -fillies fI.
(2) Indicate setbacks; °front street, backyard, and side yard dirriensions'
(3) Show location of well
(4) Show location of driveway
(5) Note physical features (steep slopes, rock outcrops, streams /wetlands)
SECTION E._. EXISTING WATER SUPPLY
WS CiShared well ClIndividual. well
[]Drilled ❑Dug . OCasing above ground
REPAIRS ONLY: Status:
As Built Inspection Required: As Built Submitted:
As Built Inspection Done: Inspector:
(addrep)
SALES INFORMATION SECTION
DATE (MMbDYY) SALE PRICE TYPE VALID
LAND BREAKDOWN SECTION
LAND FRONT FEET DEPTH ACRES j SQUARE FEET
TYPE-
0 t✓ / o o
wn! w INFLU-
TYP ME ENCE %
i
.I
CARD NO. Of
PROPERTY Q
O I CLASS Z
LAND CODES
t>•
Z
4 GAS & ELECTRIC }
L
4 COMMERCIAL
L
� GC
O r.°L
1 1' rr, j
i"1'e
J CD
CY>Cp
C4 cn
j
II PRIMARY
06 PASTURE
02 SECONDARY
07 VAOOLANO
EA3100 REV 2/91. NEW YORK STATE
DIVISION OF EQUALIZATION AND ASSESSMENT
RESIDENTIAL, FARM AND VACANT LAND PROPERTY RECORD CARD
AUDIT CONTROL CODES I
04 RESIDUAL
SWIS /SBL /CD
j 2$00 8 3.12�3—Z
05 TILLABLE
L
ACTIVITY
N = NONE L = LISTED
M = MEASURED ONLY
01 -04
SITE INFORMATION SECTION
SHAPE
(09)
SITE
NUMBER
CNTY- PUT'lAM. TOWN. TWN— PUTNAA VALLEY
SWIS TAX MAP NUMBER CO
3 fie 30J :83.12-3 -2 LK
OWNER PROP CLASS HC
S41.TN.PATRICK.4 210
LOCATION NQ LOCATION SCHOOL DIST
61 F L 0 R A O A N ROAD 3 7 2 8 0 3
SALE PRICE SALE DATE LOT SIZE
- 6U. U U X `, 113 0. 0 1C
TN•
ENTRY
1= INTERIOR INSPECTION
2 = INTERIOR REFUSAL
3 = TOTAL REFUSAL
4= ESTIMATE
5 = NO ENTRY
01)
N.EIGHWRHOOD CODE
5
VIEW
(13)
ZDNING CODE
6
SeWER 1 NONE 2 PRIVATE
1
3 COMM/ PUBLIC
SOURCE
1 = OWNER 4 = OTHER
2 = RELATIVE 5 = NOAH
3- TENANT 6- ASSESSOR
DATA
WATER 1 NONE 2 PRIVATE
f
3 COMM/ PUBLIC
IFfIUTIES 1 NONE 2 GAS
3 ELECTRIC
SITE DESIRABILITY 1 INFERIOR 2 TYPICAL
4
3 SUPERIOR
SALES INFORMATION CODES
1 RURAL 2 SUBURBAN
3 URBAN
SALE TYPE
1 = LAND ONLY
2 - BLDG. ONLY
3 = LAND & BLDG.
hyIGHBORH000 RATING
i BELOW AVERAGE
2 AVERAGE
3 ABOVE AVERAGE
fTAD TYPE 1 NONE 2 UNIMPROVED
3 IMPROVED
LA BEL
CORRECTfaN AREA
SWIS
TAX
MAP •
OWNER
FROP
CLASS
l�
r
lOL
SCH
ms
LOT
SIZE
VALID
0 = INVALID SALE
i = VALID SALE
AUDIT CONTROL SECTION
QUALITY CONTROL REVIEWER
S
f
DATE
I �
NOTES:
/-O
��
J,L, ,,i/ c L S
L
L
'_l
q a cL.. v Q
-
C.'• i = it a /
7
REJECT CODE i"
ASSISTANCE CODE
e _ SIGNATURE BELOW DOES NOT MEAN CONTENTS VERIFIED,
ONLY.THAT DATA WAS COLLECTED IN YOUR PRESENCE
SIGNATURE J DATE
COLLECTOR -
DATE (MMDOYY)
TIME
ACTIVITY
ENTRY
SOURCE
00. =�
r.z 3o g
Gpi�
2-
SALES INFORMATION SECTION
DATE (MMbDYY) SALE PRICE TYPE VALID
LAND BREAKDOWN SECTION
LAND FRONT FEET DEPTH ACRES j SQUARE FEET
TYPE-
0 t✓ / o o
wn! w INFLU-
TYP ME ENCE %
i
.I
CARD NO. Of
PROPERTY Q
O I CLASS Z
LAND CODES
t>•
Z
4 GAS & ELECTRIC }
L
4 COMMERCIAL
L
� GC
O r.°L
1 1' rr, j
i"1'e
J CD
CY>Cp
C4 cn
II ORCHARD
12 HEAR
13 VINEYARD
14 WETLAND
15 LEASED LAND
SOIL RATING
LAND TYPES
II PRIMARY
06 PASTURE
02 SECONDARY
07 VAOOLANO
03 UNDEVELOPED
08 WASTELAND
04 RESIDUAL
09 MUCK
05 TILLABLE
10 WATERFRONT
II ORCHARD
12 HEAR
13 VINEYARD
14 WETLAND
15 LEASED LAND
SOIL RATING
INFLUENCE COOL
P POOR (05)
O1 - 10
1
TOPOGRAPHY
N. NORMAL (06)
O1 - 10
2
LOCATION
G GOOD (07)
01 -04
3
SHAPE
(09)
01 -04
4
RESTRICTED USE
01)
01- 10.
5
VIEW
(13)
01 - 10
6
WETNESS 7 OTHER
WATERFRONT TYPE
I POND 3 LAKE
2 RIVER 4 CANAL
5 OCEAN
R NAY
RESIDENTIAL BUILDING SECTION
IILDING STYLE
I RANCH 07 MANSION 13 BUNGALOW
t RAISED RANCH 08 OLD STYLE 14 OTHER
I SPLIT LEVEL 09 COTTAGE 15 TOWN HOUSE
1 CAPE C00 10 ROW
i COLONIAL 11 LOG CABIN
3 CONTEMPORARY 12 DUPLEX D
SWIS /SBL /CD I
MAP #
STRUCTURE CODES I
i
-i -. -- — -�- - -- - - -- -- --
-- - --. -- - - -I-- —
—
GARAGES
RGI ATT 1 STORY
RG2 ATT T' /v STORY
RG3 ATT 2 STORY ±.
RG4 DET 1 STORY
R65 OET 1'h STOR Y
FIGS DET 2 STORY
--
- -
-- - - -z-- - -- 1- — - -
- -• -- - -- -- - - -- - -- -
CRY HEIGHT
/0
_ -- -- — _ - _ - - -- -- " - -- -_-
1 —
-
- - -_ -_ - - -- -- - °- --
(TERKIR WALL MATERIAL
I WOOD 05 CONCRETE
2 BRICK 06 STUCCO
3 ALUMINUM/VINYL Ol STONE
4 COMPOSITION
_ _ -- --
--r--
- - -
- -- - ---t- — --
- - - -- I -- —__
- -- -- ;--•' - -• ----
��'
POOLS
LS 1 STEEL VINYL
LS2 FIBERGLASS
Ls3 PO UflED CONCRETE
LS4 GUNITE
LS5 . ABOVE GROUND
BARNS
FBI I STORY DAIRY I
F82 1'h STORY DAIRY
F03 2 STORY DAIRY
FB4 1 STORY GEN
FB5 1'h STORY GEN
FB6 2 STORY GEN i•
FB7 POLE
FBB MORSE
;
-- -V —' i -
— — — - -- — - - -- - -- - - --- — f -
` �- — - - -- - -- --
EAR BUILT
9 S O
UMBER OF KITCHENS
UMBER OF BATHS I O
T
-
r--
— FLL �jL -- - - —• --
— ` -� -
UMBER OF BEDROOMS
'L
—' - - — --
` �� -� I
- - -- -- - - -
�' `
_
REPLACE
-
EAT TYPE 1 NO CENTRAL 2 HOT AM
3 HOT WATER /STEAM 4 ELECTRIC
22
7
-
_ —
-�.;- — -- - - - - --
- -
— ...- -= -- -- - -- - - -- -! - -- - - -
--
- -`- — - -
-
- -- -- -- --
-
-----
-- - --- - - =- -- -- -- -
UEL TYPE 1 NONE 2 GAS 3 ELECTRIC 4 OIL
5 WOOD 6 SOLAR 7 COAL
MISCELLANEOUS
RCI. CARPORT t
GH2 GREENHOUSE
TCI TENNIS COURT
'
ENTRAL AIR- - BLANK = NO - I = YES
--'---------------=-------------------=-----
- --
- --
-- -- —
---- -._..._...- ---__.._---- ---
- -- -- - --
ASEMENT TYPE m. ..1 PIER /SLAB 2 CRAWL
3 PARTIAL 4 FULL
�yI
I
i CANOPIES
CP5 ROOF ONLY
CPB WITH SLAB
CPT SLAB /SCREEN
SHEDS
FCI MACHINE
FC2 ALUMINUM
FC3 GALVANIZED
FC4 BAKED ENAMEL
- -- - -- --
— - -- - -- - -- -
--
-
ASEMENT GARAGE CAPACITY
-
— -- --- —
--
- -- - -. -- —
- - -- -
3-
-
- -- - -- -
ONDRION 1 POOH 2 FAIR 3 NORMAL
4 GOOD 5 EXCELLENT
6 — - - ---� —
IRADE A EXCELLENT. B GOOD C AVERAGE
D ECONOMY E MINIMUM
r
V
. -
TRADE ADJUSTMENT
-- —
-
A
-- - -- --
MOBILE HOME
RM5 MOBILE HOME
MH1 MOBILE HOME BASEMENT '•
MH2 MOBILE HOME ROOF
MH6 MOBILE HOME 7X12 ROOM'
MH7 MOBILE HOME 7X24 ROOM
MH8 MOBILE HOME TIP -OUT RM'
MH9 MOBILE HOME WOOD ADOQN
ITTACHED GARAGE CAPACITY
-_ w -
_ ' _
\ry_ _
\ .
-
TRCH TYPE
AREA
- - -{
-
RESIDENTIAL BUILDING AREA SECTION
:IRST STORY AREA -
p 3
PORCH TYPES
BPI OPEN.
RP2 COVERED
RP3 SCREENED
flP4 ENCLOSED
RP5 UPPER OPEN
I '. RPS UPPER COVERED ;
RP7 UPPER:SCREENEO
RP8 UPPER ENCLOSED !
-
-
SECOND STORY AREA
l 1 ! Till i i i
i l l i i i i i
4DOTTIDNAL STORY AREA
s
IALF STORY AREA. -
IMPROVEMENT SECTION:
i
THREE QUARTER STORY AREA
STRUC CD
MC
DIMENSION I
DIMENSION 2
QUANTITY
GR
CD
'at YEAR BUILT
FINISHED AREA OVER GARAGE
IMPROVEMENT CODES
G
3
g r
FINISHED ATTIC AREA -
MEASURE CODE
1 QUANTITY 3 SQUARE FEET
2 DIMENSIONS 4 DOLLARS
. ,
FINISHED BASEMENT AREA
1
UNFINISHED HALF STORY FLOOR AREA
GRADE
A EXCELLENT D ECONOMY
8 GOOD E MINIMUM
C.AVERAGE
UNFINISHED THREE QUARTER STORY AREA
UNFINISHED FULL FLOOR AREA
CONDITION
I POOR 4 GO@D -
2 FAIR 5 EXCELLENT
3 NORMAL!.
j
SQUARE FOUT OF WING AREA
S3
FINISHED RECREATION ROOM AREA
ti44