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HomeMy WebLinkAbout0737DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -1 -14 BOX 8 00737 Ii J �i 16 �4, A I. 1, I r 1 r A0 i 00737 ER A, -.41 -.,.PTIFII M. t .J Locate , Vwrle OWne SejjMrMe-* S6Ward"i S, 'Consigh SUPPIY:.,`�,-,!-Lz=; 1, Has Y, Any ltlon , s r I esu It'In avallable amf),i —!LubOct ..to* m . .* od t --R, Date 7� copies !ii i%ied by the Ma ff", W, "1"66, M-05 ova ImbM.K.su-ChDAPProva Is are .,"Pp Y4,.j TM6 A 1°1, I . Buckingham,Development Ltd. owner or Purchaser of Building RuckinghaW De:•elopment'"td. Building Constructed by .Route 164 Location Street Patterson Municipality Subdivision Lot �,,.� 2 .story ;Colonial. , Building Type GUARANM OF SUBSURFACE. SEWAGE DISPOSAL. NSTEM I represent that`I am wholly and completely responsible for the location, wctldnanship, material, construction and dra,inage:of the .sewage disposal system serving.the,above described property,. and that it has been const-ucted:as shown. on the approved plan ore-approved amendment.-.thereto, andcin•accordance with the standards, rules and regulations of the Putnam Couri : Department of Health, and hereby guarantee to the 'owner, his successors, heirs bt `assigns, to place . in' good operating condition any part of said system constructed by me wh'i:ch fails to operate fora period of two years immediately following..- the date of . approval of.-the Certificate of - Construction Compliance" �, for. the sewage disposal`: systan, or any repairs made by me. to such system, except -where the failure to operate. properly is caused by the willful or negligent act of the occupant of thd*,building utilizing the - system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of ..'the .Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful.or negligent act of the occupant, of the building utilizing the system.. Dated this 22nd day of .June 19 88 Signre Ti `es. eral ntractor (Owner) — Signature Buckingham Development Ltd. Corporation Name (if Corp.) Cerlic.h Ccns*_r.uction, Inc. Corporation Name (if Corp.) P. Q. Box 3.7 7;, B r e w s r e r,' NY ess 1.05n9 Peaceable Hill Rd., Brewster, NY 10509 Address rev. 9/85 mk Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Height's, N. Y. 10598 (914)245.3203 Director: Albert H. Padovani M. T. (ASCP) r3U C(C n �vY1. �'. Ld- "�. LABORATORY REPORT ON-THE-QUALITY OF WATER LAB y CA.066042 Date Taken: Time: 1('2C Date Rc.'d: - 1 Time.: 40s ?n Date Reported: DEC..1 tS 1987. Collected By: Re'ferre'd By: Sample Location: Phone W - Phone y Sample Type: Repeat Test? (check one) INORGANIC NON- METALS (mg /L) MICROBIOLOGICAL (CFU /1'OOmL) _ Acidity- GENERAL BACTERIA Alkalinity Chloride Standard..Plate.Count Deterge.nts, MBAS (CFU /l:OmL') .Hardness, Total Nitrogen, Ammonia MEMBRANE FILTRATION TECHNIQUE„ Nitrogen, Nitrate _ Phosphate, Total Total Coliform Sulfate Sulfide Fecal Coliform Sulfite METALS-(mg /L) Copper _ Iron _ Lead. _ Ma'nganese _ Mercury Sodium Zinc MISCELLANEOUS PH (units) - Color (units) Odor (TON) Turbidity (NTU) Fecal Streptococcus MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index _ Fecal Coliform Index* KEY FOR TERMINOLOGY N/A = Not Applicable LT = .Less Than (<) GT = Greater Than (>) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR = Non - reactive REMARKS/COMMENTS (For Lab Use) Y;Potable Non- potable STP INF STP EFF Other: Sample Status: (check each) Outgoing HN.03 HCl H2SO4 . NaOH ZnOAc — Na2S203 Other: Incoming LE 4 °C GT 4°C� _ PH LE 2 pH -GE 9 _ _ pH GE 12 Other: 'THESE RESULTS INDICATE THAT THE WATER SAMPLE WADS) (WASN'T)'(N /A) OF A SATISFACTORY SANITARY, QUALITY ACCORDL.NG TO,T E N YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE E OF COLLECTIO THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID.) (DIDN'.T) (N/ MING EET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK STA WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. A.. % `/ - ..- - w - •- lbert-H. Padovani, M.T. ASCP), Director 2 /86(Rvsd7 /87)RWE �I FINAL SITE INSPECTION Date —` / Inspected bye . • ;CATION /'A ... CwMM a G �o �' `I�1 OR .SUBDIVISION hOT YES NC! C•ENI'S 9EWP= -- DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of placement .2:1 barrier . '� LGTH af=H. Ul AVG. DPTH . c. Natural soil not stripped d. Stone, brush, etc. greater than 15' from SDS area_ e. 100 ft.. from watt course /wetlands. II. SrP& --E MISPOSAL SYSTEM a. Sentic tank size - 1,000. 1,250 . b. Sentic tank installed level C. 10' minimum from foundation X d. No. 90° bends, cleanout within 10 ft. of 45° bend e. DISTRIBUTION BOX 1. AU outlets at same elevation - water tested 2. Protected be?cw frost 3. Minimun 2 ft. original soil between box and trenche f. JUNCTION BCX = rocerly set � 5- 1. Le_*iath r�uired - �� �G Length installed2- 2. Distance to watercourse measure. ft. 3. Installer according to plan 4. Distance c`hte_r to center 5. Slone of tench acceptable 1/16 - 1/32 " /foot. 6. 10 feet fran prcperty line - 20 feet - fcurdaticns 7. Depth of t_ anc1 < 30 inches f rcm surface 8. Rcan alit,.qed for e_�nsion, 50% 9.'Size of gravel 3/4 - 1 " diameter 10. Depth of travel in trench 12" min;rm,m 11. Pirz ends car ed h. PLC OR DOSE SYSTEms 1. Size of pLmp chamber 2. Overflow tank 3. Alarm, vis-aal /audio 4. Pump easily accessible manhole to grade, 5. First box baffled 6. cle witnessed by Health Denartme_*it estimated flcw r cycle IV. HOUSE, . a. Hcuse located per approved plans. • b. Number of bedrooms V. WELL a. Well located as per approved plans b. Distance fran SDS area measured ft. C. Casing 18" above grade. d. Surface drainage around well acceptable. VI. OVEqA.LL fniOREMA.Si IP a. Bcxes properly grouted b. AL pipes Bally backfiiled c. Ali pipes fiuslh with inside of box d. Badkfi.11 material contains stones < 4" in diameter e. =fain drain installed according to plan f. C:rtain drain cutfall protected & dir. to exis t.watercours 9. Fcoting drains discharge. awav from SDS area h. Surface water 2mtection adeauate i. •'_osion control provided on slopes greater than 15 %. _ i Rr •.i ~.=�_. ' Y` JELL_•COMb'LETION HEPOnV► -,. DEPARTMENT OF HEALTH r _ Division Of Environmental Health Services _ - PUTNAM LOUNTY' DEPART MENT OF HEALTH WELL LOCATION SIRE.(AOUItESS: IOvr111v0.LAGErCIIT IAXCiaoMLMM Route 164 (Lot 10 ) Patterson N•Y WELL OVINER rlAr.lE :. AUURESS: Bucki.n ham Dev. Cor . C Jerry. Weisman Brewster ( PJIVA i E ❑Y- U.ELIC USE OF-WELL 1 primary . 4^r-m4a; t RESIDENTIAL O PUBLIC SUPPLY O AMC0 O FARM l0. /NEAT PUMP 0' ABANDONED O BUSINESS I.D./HEAT O 0. TNER (specify) O INDUSTRIAL O INSTITUTIONAL O STAND -BY p 010UNr OP USE YIELD SOUGHT- __2Q_ gpm. /NO. PEOPLE SERVED / EST. OF DAILY,USAGc' _ gal. REASON FOR . ORILLING . " ill NEW SUPPLY = O PROVIDE ADDITIONAL SUPPLY N 0 flEPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL ' DEPTH DATA WELL DEPTH 180 (1 STATIC WATER LEVEL 20' it. DATE MEASURED 9- 26 -86 .:'GRILLING .EQUIPII1ENT O ROTARY 3 COMPRESSED AIR PERCUSSION 0 DUG O WELL POINT O CABLE PERCUSSION 0 OTHER (specilft WELL TYPE O SCREENED O OPEN END CASINQ O OPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH 23 IL MATERIALS: • IN STEEL O PLASTIC O OTHEi. CASING DETAILS LEI`IGTH.BELOW GRADE 21 it. JOINTS: X WELDED 0 THREADED CI OTHEa DIAMETER 6 in. SEAL: 94 CEMENT GROUT. OBENTONITE 00THER WEIGHT PER FOOT _.___:17 Ib. /it. DRIVE SHOE AN YES ONO I LINER: O YES 0 NO " SCR EEN DETAILS DIA?dETER (in) • SLOT SIZE LENGTH (11) OEPTII TO SCREEN (it) _ 'DEVELOPED? FIRS T o YES 0, NO HOURS SECOND GRAVEL -PACK O YES - O NO GRAVEL SIZE: 01MAETER OF PACK in. TOP DEPTH ft: BOTTOM DEPTH It. II detailed um in WELL YIELD TEST p P 9 MET H00: O PUMPED I tests were done is in- O COMPRESSED AIR ; formation attached? O BAILED O OTHER ; YES ❑ NO OG II more delailed lormation,descriptions or sieve analyses I are available, please attach. LSUIRFACE eear_ ing Weil Oia- I(�eur FOIUJAn0N OESUIF TI0tr cot WELL DEPTH DURATION It. hr, min. ' DRAWOOINN It. YIELD 9Cn1• surlace SEE ATTACHED. I • I •a• I . WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? O YES ONO ... STORAGE .TANK: •TYPE _. CAPACITY ..GAL. WELL URILLER IIAME a cAn a Vic Inc Thomas W. Falcigno, Pr"- _._. - -- AUOnESS _ RE / WaDDinners Fall.s.• NY PUMP 11IF011MATION TYPE CAPACITY MAKER DEPTH unnci vnirec� ►,P FALCON WELL.SERVICE, INC. Mitchell Hollow.Road P:O. Box 1547 Windham,.NY 12496 Wappingers Falls, NY 12590 (518) 734 -3987 (914) 266 -7305 wpT:i. i.nr. THICKNESS FORMATIONS PENETRATED. DEPTH. Type. of well Water, 12'.: Overburden 12 Quartz Drilling Method. Hammer 168' Blue stone Depth 9f well 180 ft. Granite Limestone 180' Yield 20 gpm• Static Level 20 ft.` Storage 160 ft. Storage 240 gals. Use:. X' primary secondary X private public Well Casing Diameter 6 inches Total length 23 ft. Below grade 21 ft. Type 17 1b, steel Joints: X welded threaded Sealed with cement /grout Drive shoe: X yes no Comments: Drilling completed .9126186 Well driller Thomas W. Falciano, Pres. DEPARTtitENT ` OF LTH Division Of. Environmental HOaAh ..Services TWO COUNTY CENTER - CARMEL, 'N.Y.-.10512 : (914) 225-3641 _ APPLICATION TO CONSTRUCT A WATER.WELL IS WELL SITE .SUBJECT TO FLOODING? _ YES, NO IF WELL IS LOCATED 1N A KtPLU_1S JUDul V J:J1V" LP_r1L Vr JUb. U1v151UN : [04e v � LOT NO _ /Q . WATER WELL CONTRACTOR: Name `y/cvw loci /Seiv,�e Address: is 790 IS.PUBLIC.WATER-SUPPLY AVAILABLE TO SITE: _ YES. ✓ NO NAME OF ' PUBLIC • WATER SUPPLY: TOViNi /V /C: DISTANCE TO PROPERTY FROM NEAREST WATER-..MAIN .LOCATION SKETCH & SOURCES-.OF CONTMIINATION:' j (date) a (signature) PERMIT TO. CONSTRUCT A WATER WELL. This permit.to construct one water well as•set forth above is granted under the.provisions of Subpart 5 -2 of.Part 5 o the New York State Sanitary Code, and provided that within-thirty (30) days of the completion of.water well construction, the applicant 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 attached to.this permit. 3. Submit a Well Completion Report qqi a form provided by the Putnam County Health.Departm t. Date of Issue: _ • ermit :.Iss in 1icia1 �r.rmi4 c I.. 'SELL LOCATION Rr /b • 4;r7e , � - . / . %s "-'� NAME.., AOORESS: ❑ PSIVATE WELL OWNER �,� IPTdd l�.1/, u .377 ❑ PUBLIC USE OF WELL REST NTIAL ❑ _UBLIC.SUPPL ❑ AIRICONO. /BEAT PUMP ❑ ABANOOI`IEO 1 - primary 0 BUSINESS ❑ FARM ❑ TESTIOBSERVATION ❑OTHER (specify) 2 - secondary Q INDUSTRIAL ❑ INSTITUTIONAL ❑ STANO -BY ❑ 'MOUNT OF USE YIELD SOUGHT Sf gpm. /NO. PEOPLE SERVED 3 / EST. OF DAILY USAGE ' -boa.. 021. REASON FOR NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY . ❑ TEST /OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DRILLED DRIVEN DUG GRAVEL OTHER WN I TYPE IS WELL SITE .SUBJECT TO FLOODING? _ YES, NO IF WELL IS LOCATED 1N A KtPLU_1S JUDul V J:J1V" LP_r1L Vr JUb. U1v151UN : [04e v � LOT NO _ /Q . WATER WELL CONTRACTOR: Name `y/cvw loci /Seiv,�e Address: is 790 IS.PUBLIC.WATER-SUPPLY AVAILABLE TO SITE: _ YES. ✓ NO NAME OF ' PUBLIC • WATER SUPPLY: TOViNi /V /C: DISTANCE TO PROPERTY FROM NEAREST WATER-..MAIN .LOCATION SKETCH & SOURCES-.OF CONTMIINATION:' j (date) a (signature) PERMIT TO. CONSTRUCT A WATER WELL. This permit.to construct one water well as•set forth above is granted under the.provisions of Subpart 5 -2 of.Part 5 o the New York State Sanitary Code, and provided that within-thirty (30) days of the completion of.water well construction, the applicant 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 attached to.this permit. 3. Submit a Well Completion Report qqi a form provided by the Putnam County Health.Departm t. Date of Issue: _ • ermit :.Iss in 1icia1 �r.rmi4 c I.. i rd. :.�.... A�'Sb"'.:ii S}ttrY'.'.. _. �« l�.. s:;: �:,.. Sro. .....:�•S:�P'lv.�'::.iioii:::a: . DEPARTMENT 'OF HEALTH Division Of Environmental H 'eti , Services TWO COUNTY CENTER - _CARMEL, N.Y..* i0512 (914)'225-3641 APPLICATION`TO.CONSTRUCT AWATER WELL WELL LOCATION STREO AUNESS. .. T R. id y IUWN /VILLA . J 11Y IAX ViU NUMBER, �arTe , ti : w, T.4x . /gig /s "- y • d /0 . WELL OWNER NAME . nn , � • UUC1�' N !'n dboKss. ,Qe✓ n►e ✓? CaI JP� a� .. R,D ax �3 �7 a Pgly ;Tc 0 PUoUC USE OF•WELL I B'RESIgNTIAL 0 _UBLIC SUPPL D AIR /CONO.7HEAT PUMP O ABANOONED 1 - primary D BUSINESS :. 0 FARM D TESTGOBSERVATION . O OTHER (specify) 2 - secondary. D INDUSTRIAL D INSTITUTIONAL 0 STAND -BY D. MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVEO .3 - 1, EST. OF DAILY USAGE gal. REASON FOR Ef NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY:. 0 TEST /OBSERVATION- . DRILLING 'D aEPLACE EXISTING SUPPLY - O DEEPEN EXISTING WELL. WELL TYPE; DRILLED • -DRIVEN DUG , ❑ ❑ .' ❑ .:GRAVEL ❑OTHER .IS WELL, :SITE SUBJECT TO FLOODING? _ 'YES NO IF., WELL IS LOCATED' IN A REALTY SUBDIVISION, NAME OF SUBDIVISION•: sT� Te LOT NO-: /0 WATER WELL CONTRACTOR: :Name Fq /caro dfle/ / Address:../�p. - - -- / A/5e %S y /02cf -y0 IS' PUBLIC WATER'SUPPLY AVAILABLE TO SITE:. YES INO NAME OF PUBLIC -WATER- SUPPLY: TOFv -N/V/C DISTANCE TO PROPERTY FROM NEAREST WATER-.MAIN .•LOCATION SKETCH & SOURCES OF CONTAMINATION• (date) (signature) PERMIT TO.CONSTRUCT A WATER WELL This permit to construct one water well •as •set forth above is granted under the provisions of 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 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 attached to this permit. 3.' Submit a Well Completion. Report' a form provided by the Putnam•County Health Departm & . Date of Issue: 19, _ ermi Iss in ficial ' Putnam County Ilepartment of .Fleal th- Division.o.f Environmental Sanitation AFFIDAVIT - CORPORATE CUNER APPLICATION FOR PERI-11 T .APPLICATION SUBMITTED -TO PUTNAM COUNTY }HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for. Construction ,permit for separate sewage system_ — — _ I, Jerry. Weissman, V. Pres.. 'represent that I am an officer or employee of the corporat ion.. and am authorized to act for — — — — — - --- --- name of.corporation)— having Offices at Rt. 22, P..O. Box 377 — - Brewster, N.Y. 10509. Whose officers' are - - - -- — — — — — -- - -- President — Robert. Fregosi (Name.`nd Address)` — — — — — Jerry Weissman Vice- Pre sident . . — — — — — — — — -- — — — — - - - - - -- (Name and. Address) Secretary — — _ (Name and Address) -Treasurer , - -- (Name and Address) — — — -- . — and that I am and. will be individually responsible'for any or all a.ets of the corporation with respect..to.the apgrova ' e.sted and all: sub sequent acts relating thereto. Shorn to before me this %''' day Sig _ of 19_� T'tle — -- — — —=4- — — Notary Public DEBRA L. DeBETTA Notary Public, State of New York No.4822461 Qualified In Putnam County / Commission Expires "'1401 -- .- . .. . -._.a _..... ,* c -Corpo F3 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL. SYSTEM . FILE NO... Address Z2 .�— aT�1 -= � 1&Z-M9. Located at (Street) 16A- Sec, 1 Block 4 Lot 1 O (Udica e nearest cross street) Municipality �o�- ,- c -�o,.� Watershed M7�1_ 1 oa�7 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME rte-- PERCOLATION 4-�C PERCOLATION Run _ Eiapse Depth to ..Water:. .. water i,evel.... . No. Time From'Ground Surf ace 'in Inches Soil Rate..., Start -Stop Min. Start_ Stop Drop in Min. /in drop Inches Inches. Inches 1 1 0 1... 2 1 3 0 - an . Be) 2 I Q 30 C30....... 5 0 56 Z1., ZL �... Z 1 O' 2 4 y 5 c� D 3C7- 1 l g -, l 2 k, Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. s TEST PIT.DATA REQUIRED TO,BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES' DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. n.� 6 Af 12" _ 18" ' 2411 V J G 66" 72 of 78,►, 8 4 if INDICATE- LEVEL AT WHICH- • GROUND WATER M ENCOUNTERID INDICATE-LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED. TESTS MADE BY . Date ..... - _ .......,_. DESIGN Soil Rate Used Z, O MirVl "Drop : S D. Usable Area Provided FD ©O it: No..of Bedrooms 4 Septic Tank Capacity 1 Gabs` Raf Absorption :.Area Pry ed. By L.F..x24 " Pei i00 J rl.. /I �'1 -� , . . Tom: - .r -T►.�, /' _ , , _ c T �i •c �..v, -� i �,' �,•_ s .. r � �. if Address �' K: Z �, ' sEAL THIS. SPACE FOR USE BY HEALTH DEPARTMENT ONLY: tssio�a Soil Rate Approved Sq. Ft /Gal. Checked by DEPARTMENT OF HEALTH Division Of 'Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 November 24, 1997 Thomas & Ruth McGoldrick Route 164 Patterson, N.Y. 12563 Dear Mr. & Mrs. McGoldrick: BRUCE R. FOLEY, R.S. Acting Public Health Director Re: Addition - Goldrick Route 164 No increase in number of bedrooms (T) Patterson Tax # 15.4 -25 I have received and reviewed the plans for the proposed addition to the above mentioned residence. The Conversion of the existing garage into two offices is not considered living area by this department. Future conversion of these offices to living space, will require approval by this..department. The proposal for the addition has been approved as per plans bearing the latest revision date of November 25,1997 and this Department's approval stamp. Based.on .the information.submitted,.the above mentioned addition is approved with the following conditions: 1. -The total number of bedrooms must remain at Four without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. _ 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 Patterson. If you have any questions, please contact me at your convenience. WH /kg cc:BI ( Patterson) Very truly William Hedges Sr. Public Health Sanitarian 1, �� PUTI AM OUN A1, -MMER �- O- ��a s�YaRoad 14j 278510*'` [�� �° r RL n�'C' �-»P"`a- �3�'°���:��- �'��" xxM Received of LL aj � / a ri _ ' � ;'.• , �� ....i�¢�„ �`i. � ��^- ,�"`' -.. _. �"i"`""'�� -� -z.� ^i .y.» £ "ia ,-�'y %��'., .M �,ra•�}` ��'fi. M4� ,— �T "' arf. ' ` �'d•`sorl'x-''"'' ' "^ s - .�--,� � �- .-r N':F � � ..a:3^. -,.- -� ;�"'- `��t�^T� z�"'� ',�,'� c � ` f ,�Six^.5'�_w .-..X ` � mss` /� �"�iK--- '"��`'r -'' fi-� } ��2�-'�""� . y.., -,w.- ,���.� �u� .�' //�' -* �-- �wd'(�''�zc��,�_ ��TI'�F,• t,�.,,� ' L +'t .,,s.s`�''N""'"�°�.^�'w�"'a � �-m "1k�F_ C� „�����+•,� -^� ,�.tu. �, a 4r+ .a-�r *+,.. x-. ; .ec.: � .. ��i2�0 [j Cretlit Card �. � ��"��''Gash"� n _-�,. "-�� �•� -,�� ��,,,.,- *�.,.,..,F —�' �zr".,sx.,�.�- .,”` -�:- :tom -��- � . -. L..�.,, � , -�.� -r � � A. I's ..�2 rah eah'�'"�Y � j� �.6 Yr � n ! . ♦..�. �. I DEPARTMENT OF HEALTH -V/ BRUCE R. FOLEY, R.S. Acting Public Health .Directoi Division Of Environmental. Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION - (RESIDENTIAL'ONLY STREET:_ �e TOWN �✓ TX MAP #. NAM %ifi•/ PHONE �� -701 %� PCHD PERMIT #}� / 76 MAILING AD RESS AARV _ �" ✓. ✓Y 1&.*e- Description of A dition ' Number of existing bedrooms from Certificate of Occupancy or Certification from Building Inspector Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4.GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. 1. Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Non - professional drawin.g.,is acceptable. 3. Sketch of proposed floor plan. Non professional drawing is acceptable. 4. Copy of survey showing well and septic location, to the best of your. knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy-of Certificate•of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions application August 1995 July 1996 (Revised) 1 .9 FOLEY. R:S. AclrnO '!antic Health Director DEPARTMENT 'OF HEALTH t Division Of Environmental. Health Services 4 Geneva Road, .Brewster, New_ York 10509 1.�.46 (914) 2M`6130 PROPOSE .AMIXON 'QppLICATICN (RESIDENTZL L , w STREET. LAC. T TX MAP e tViN �i / PHONE f <s� %B PCHD PE-MIT , #_ MAILING AD4ESS. M A _ /Y yd Desoription'of A dition Ap �R r/�+c. Number of existing bedrooms '.Proposed."hc�at>ar of 'bedrooms:.i from Certificate : of Occupancy or . .Certification from 8uilding1nspector Any addition which is considered a bedroom requ.ire.s formal approval :of:pians (Construction Permit) prepared -by a Professional .Engineer or Registered.Architect- in accordance with th applicable sections of the .Putnam County Sani t ty..'E>00w . Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, W 10509-, Phone.218-6130 with. the foi.lowirig.1 information. 1. Certified Check. for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Nan- professional drawing is.acceptable. 3. Sketch of proposed floor plan:. Nonprofessional drawing is acceptable. 4. Copy of survey showing well and septic location, to the best of-y'our knowledge. Include date of installation if known: Include all wells and septic systems within 200 feet of property .lire.; .Any questions please contact this office: 5. Copy of Certificate of Occupancy from Town or: Certification from Suilding Department of legal bedroom count of dwelling. Comments and /or conditions application August 1995 July 1996 (Revised) DEPARTMENT OF HEALTH Division Of Envlron►nierital Heilth Services 4 Geneva Road, Bre%4ster,,New .' yqrk -10509 (914) 278--.6136, Putnam County Dept. of Health 4 Geneva Road Bre%Nster' MY 10509 BRUC.9 TL FOLEY, P.S. A C tiq PubliC H9111th Director Re.. Resiide# /* Tax Man 6� To` M Gentlemen: According to records maintai-ned by the Town, the above noted dwelling IS is in compliance with Town vn cod6 and the total number of bedrooms on record..'. is This informatimi has been obtained from: CERTIFICATE OF OCCUPANCY:. ASSESSORS 'RECORD: OTH'5R Pilding Inspector THIS IS TO CERTIFY THAT ME SCR'A ,E DISPOSAL Snam vc -As COM MUC1•ED AS WWATED ON TI 15 RIAA AND T1:AT THE 3YSTEm 11'AS 1xSPECTED BY mr- BEiORE IT WAS CO\'1RCD CIML. TiHE SYYMM W.iS CO.NMUCTED IN' ACCO:tDA\CE \C-IT'rl ALL ME RUES AND.. REGULATIO \s OF THE PUTNAM COLN- Y • W IIIFPART..kM-, ' OF HLiLTH . - ISO l4+ - ruca" wuncy meyarumnz .or. - Ilvisiaa of ZnviroamenW Health Servio GJ dm- ��(jA • Crj - vyroved an noted for conformance With -jj};J 1.1�i' pylioaDla Holes and Regulations of the 'utnam • County Ha Deyartmeat. Fir of i'1Zlyw.t.C`CS G - � moo- Ua. FT - "- o a Tr.w v � �aRx Sust:•tak '6't `� L Sa.►a t9, %s e8 l �- �{ 110 CG Box } l 003t.s 4 ^ \Od - 15-4 -Po N \ L� P MICM C TowIJ of • ' �'r • � coo ,�� � ; G 1. A. R.-& T. McGoldrick proposed new two car garage layout 0 0 ,,,II�IIIIII a o IIIIIIIIII�� ��IIIIIIIIII o 4 IIIIIIII�I�, --- -- ------- - - - - -- - - - - -; -------- - ------- - - - - -- -------- T J �' U CERTIFICATE OF OCCUPANCY AND COMPLIANCE N_ 1.9 88 DATE ISSUED July 7, THIS IS TO _ CERTIFY THAT Buckingham Development LTD. ON THE PROPERTY OF Same LOCATED. ON Rt . 164 HAS BEEN SUBSTANTIALLY, CONSTRUCTED TO THE REQUIREMENTS. OF THE BUILDING CODE, ZONING ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY BE OCCUPIED AND_ USED AS One Familv Dwelling with deck Building Permit Dated ..9: x-86... Permit No.. .$.56... Application No. ......1:5.x.......... SECTION . BLOCK ..........4............ LOT........ . FEE $ 15.00 BUILDING INSPECTOR UA 10/03/1997 14:12 9148782233 MCGOLDRICK8MCGOLDRIC PAGE 03 Je IL QUA ��• �' J\. III• � � q � N in to im w ci da d U O P4 Ll %�j .... ... - - - L— o W � • f.. zzt . �F, t it • 1 _ to 10, '��� i � LPNtIQq «oT1t1� J ^ Al (' J7 10/03/1997 14:12 9148782233' 01 ;� 0 1 ,� PAGE 02 ;; '' LL N MCGOLDRICK&MCGOLDRIC PAGE 02 ;; '' Apr � � .' � ., t' •' = a (� � `7 AL:= �r e go o o d x r its �!! • b �= 3 L 7 RT L g 0 ARM in -, o s C ! � 0� • a R. & T. McGoldrick existing two car garage layout J 0 0 -- - ----------------- - - -- - -- -- ------------------ - - -; Anl� I I I I I 1 I 1 I I I 1 I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I 1 I I I I 1 1 I I I I I I I I I I I I I I I I I I I 1 1 I I i I I I I I I 1 I I 1 I I I i 1 I I I I I I I I I I I . R.-& T. McGoldrick PROPOSED GARAGE RENOVATION INTO HOME - OFFICE 1' V lj� { G; �.s6^ = J -137 - 1.003 09 ��'S • Ar3zr3l 4o, ,j wo" 9 o �' r � •, � e'25 00 • L q1scO•'. 564 °5l= lc/'L�/ � �. ' I • 33 �T I CA Sve.V�Y� :OF: peoP�eTY RQ+EPAe%L7 Fot? 'I JLJL1l- SJJ60n/iedoU RA—r .OF c.0uu7V- y- 441c -L .E'VrA ES, F.IC Ems, H.d�O *3 L/coL FIIFA .8•ZZ SJ"I —U.- ►rU TOW U OF PA"i'T OSOAJ PV'TiIJ M :GO .IJY S GA L-. 1 "� 5 0' S f J�4C3 /Z .5,19810 SEV'i•EnA�g�: I`'r. 198v_,(isv.J. JUNE '...251 .1985; FIfVAL f 4`-ro.aEz' or T Y' - -rm4c- :E�McAmoue? iurA Am-r- WeeE.cOL1..,6416U1[Vi -nM-i t 11i�JRl I LFP N.TF Y JnIl,•M Arf�mn► I' :�jl•, i+, b.. ,A•. r WA -T 4 % r. r ii j'• l .1 , .v r ..l,i .='Jlw IJAr` - ;.'A •. JI/V Ar.—i I a Rio- Sk. • � art �. �" *��4 ],��"�vl'� O to < v F-7 jF,7 i� ir LJC3-140 r, LlAL_ 5L).S[5j✓i6i0Aj Rl A-r OF CAOUA-J7V-Y HILL ESTorEg FIC ED M.Gd ZICnZ PIL-F-� 6•ZZ'6b 57-r 2J14TE I/Lj TOW OF P.Al`1 V-,SOU PLrrLL4.H C.O..U.Y A LE "--- 504 , - C-cz:-m C> . -r� f?,xet4L-j& JUNE 251 1988. /FINAL/ WA6, PIZES>A� IL! A4CIOVDAJ- E 1Y1`14 -tD 71,4S AMP V7 A �JIOLXIIAW CC SE,::--n OQ-416- 7WE-. EE:KpgrI LiGb. e, fiCf-= PIZAC710E r-bV- LA)JC> -r2os Cr -1 N QE\41 %ATE- eDU Ctj 4Do.PTEi> Ott -T44F- LEkJ qOZV- --rATF- AAP"7� Anc*j of LAkj. UQDeM--0C:)L)UC> IC AkjV Pec(�,.,xouL L4k-a> Sue ,,A�-..*Atc> cE--nncA-rtcAj-,7 Lbn- 514c)UQ. ALL ceeTIPtic etnrs-IA7 4EP.E[x1 'AW-1- 12,L4.J MILV - -TrD l)AE-'PEZfX>J P--C- '4WW 74E AV-C-- VAJ-ir-> POO -TIAV7 &W, Aj-10 c-,opvP-4> AA-e\IE�Y 15 FIEF-PAZED AILID Ckl W6 Ef--WAL• M 114F- IIIIEZEcc CQ& (17 J?Air-> AAAP (=k-- cc-ie--'7 7TIl-E- COAkPAX114 AJ-LC> LE) QCXQ6 kkk�SRTU 00 LK91EJ�:> eEA7- -rUF- 04P2F-=A1� SEAL CPM44E "EIZE01,.l. CEIMPKAnCILY7 AZE ILIM -CZA41`.I eAB LF- -1U APPEAZ6 Ar>r>rnoL.AL -tLkffrrrt.-mc*.J'7.cP- siasEm-E-Lm cQwEEV7. W-zEA=*j 11'4-5 L-(C- kiC 4OeD-7 Q 1% UO n� f5LEk1S7F-V-. QF-\Ld 140e-V- " THIS IS IU :13 l' T4AT T1 I@ SEWAGE DISPOSAL, SYS7 UM WAS EONTRUC ED. AS .INOICATED ON THIS PLAN AND THAT THE aYSTr ..WAS tINSPECTED BY ME BEFO" IT WAS COVLRED•OVER• MM SYSTEM WAS CONSTRUCTED IN ACCORDANCE IkITH ALL ME RULES AND- REGULATIONS OF THE PUTNADL COUNTY IiDp.A.�{op1S UMPARTMENT OF HEALTH. 1 . euznam uounmy vepar >i eua Vi n ilvision of Environmental Health Servio . ipproved as noted for conformanoe with wwme, C1�-` yA�.t % applicable Rules and Regulations of the aK i4c:, U,J PT l 'utnam County Health Department. .:7/7 �(/aq v-� �Ol �lh+i.11N�• lenw f s m�4lc � io +,e . Vzw (q41. Ma�sv � 52" �'1'a►tK G�► TAP L-%,4. V:r of -M(q .uZ`4s OVA\ I ` �e3f 1�t7 l t� 'moo a ' y 1, 003 44;W6 �Q . � oo Fccc FM 1� 21fo2 , �T �b�o '� - 1sj- �}- 'Pc�5�►o ��►G sal O b co i a o I . zb Gw 1Z.-C . .