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HomeMy WebLinkAbout0790DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -1 -99 BOX 9 00790 iQ s f; SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health John and Laura Monaco 22 Bradley Drive Patterson, New York 12563 Dear Mr. & Mrs. Monaco: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New. York 10509 April 10,-2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health �f Re: Addition — Monaco, A -22 -06 & P -5 -06 No Increase in Number of Bedrooms 22 Bradley Drive I have received and reviewed the revised 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 6, 2006. The 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. 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. The upstairs room entitled computer room must be reconstructed as noted on the above referenced approved proposed plan. 6. This 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 Patterson. 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) 27 &6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 r b If you have any questions, please contact me at (845) 278 -6130, ext. 2261. GDR:cj cc:. Building Inspector, (T) Patterson Sincerely, �47 Gene D. Reed Senior Engineering Aide b' SHERLITA, AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 / ADDITION APPLICATION RESIDENTIAL ONLY STREET Ve TOWN T iI TAX MAP# x? V- / cR7f -- / NAME- o-6 1110444 O PHONE 0- a75'- 66 PCHD# Z.!5-9/i Ce 7 91y V1 f- 0Ya3 MAILING / 1 4 - Z. Z arc ADDRESS o2,2- �Gt �a? ,rfT -QiL %I`� jD� DESCRIPTION OF ADDITION _ NUMBER OF EXISTING BEDROOMS 7 PROPOSED # OF BEDROOMS (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, Brewster, NY 10509, Phone: (845) 278 -6130. /1. Certified check or money order for $100.00. p 2. Sketches of existing floor plan (drawn to scale, all living area including basement) O 3. Two sets of proposed floor plan (drawn to scale - with name, street-and tax'map #) *Non - professional sketches are acceptable p 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 L 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 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI County Executive Re:r- Lkw?+ 4,146 o (Owner's Name) Tax Map #: Address: Town:7�1RS Year Built: 117,r4 According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: Z/ This information has been obtained from: Certificate of Occupancy: Other: /`7 /o s� i & - Building ldspector Date i 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health John & Laura Monaco 22 Bradley Drive Patterson, New York 12563 Dear Mr. & Mrs. Monaco: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive February 7, 2006 Re: Addition — 22 Bradley Drive (T) Patterson, TM# 24. -1 -99 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The room on the second floor titled computer room appears to have changed from the original existing floor plan, (i.e., open area with railing open to below). Per our conversation on February 6, 2006, you stated that the original half high wall was constructed to a full height wall. This room is now considered a potential bedroom. 2. The room on the second floor titled exercise room is considered by this Department to be a potential bedroom. 3. 'The room on the third floor titled `his' office cannot be approved by this Department. Current building code requires a sprinkler system or fire escape for 'a third floor to be considered habitable space. Please contact your local building inspector for further details. 4. The legal bedroom count for the dwelling is 4. The potential bedroom count of your proposed addition is 6. 5. The addition of potential bedrooms requires this Department's approval of a revised septic system plan from a professional engineer.. Please revise the proposed floor plan to reflect no more than 4 potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meting present code requirements. If you have any questions, please contact me at your convenience. GDR:cj. Sincerely, 3�� 0. Gene D. Reed Senior Engineering Aide 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 (843) 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 John & Laura Monaco 22 Bradley Drive Patterson, New York 12563 Dear Mr. & Mrs. Monaco: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 February 7, 2006 Re: Addition — 22 Bradley Drive (T) Patterson, TM# 24.4-99 ROBERT J. BONDI County Executive I have received and reviewed the plans for the proposed addition to the above - mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The room on the second floor titled computer room appears to have changed from the original existing floor plan, (i.e., open area with railing open to below). Per our conversation on February 6, 2006, you stated that the original half high wall was constructed to a full height wall. This room is now considered a potential bedroom. 2. The room on the second floor titled exercise room is considered by this Department to be a potential bedroom. 3. The room on the third floor titled `his' office cannot be approved by this Department. Current building code requires a sprinkler system or fire escape for 'a third floor to be considered habitable space. Please contact your local building inspector for further details. 4. The legal bedroom count for the dwelling is 4. The potential bedroom count of your proposed addition is 6. 5. The addition of potential bedrooms requires this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than 4 potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meting present code requirements. If you have any questions, please contact me at your convenience. GDR:cj Sincerely, Gene D. Reed Senior Engineering Aide 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 k2 e, g� h w N t nd 2L - 50,00' ".0o' G L - 25.9'7' p .. lo• a.2� 5�� - 1'75 00' i9 Y p121Vr.-o Os ' :OMpANY, LEY TVIWIAE, 1.1'G' PT222566 5L y Or FROMM MINE ■ John R.-& Laura A. Monaco- 22 Bradley Drive Brewster, NY 10509 Mr. Robert Morris Department of Health 1 Geneva Rd. Brewster, NY 10509 Dear Mr. Morris, Attached you will find our application for our proposed home addition. We are asking to add an additional 1,164 sq ft of new construction and add a third garage (12' x 24') onto our existing two car garage. On the°fast floor we plan on expanding our mud room relocating the entrance from this room into the kitchen. We plan on expanding our kitchen to include a walk in pantry, extra cabinets, counter space, a larger refrigerator, and extra dishwasher. We plan on making a small playroom off of the kitchen and adjacent to this room a new full bathroom. On the second floor we are reconfiguring rooms so as to utilize the space more efficiently and again add more bathrooms. First we will be reducing the size of the existing master bathroom and reconfiguring adjacent bedroom to include a walk in closet and use the new bathroom as a private bath. On the backside of the home we will be adding storage with an entrance going through the hallway bathroom. We will be expanding our existing laundry room, by reducing the size of our existing master bedroom and making this room a exercise room and a new full bathroom with an entrance from laundry room and exercise room. Attached to the exercise room will be our - -- new-master bedroom which will be over our garage which-will include a new master bathroom and walk in closets. We plan on walk up stairs into both attic area's and hope to utilize space above new master bedroom as an office for myself. The contractors that I have lined up so far are as follows: Excavator: James Gagliardi Carpentry: Michael D`Octavio Plumbing & Heating: RWS Plumbing (Steve D'Octavio) With four daughters the oldest of which is eleven I am in desperate need of bathrooms. Add my son to the mix and now I need more space for cooking, washing dishes, washing clothes, and storage. We tried looking for larger homes but could find nothing that offers what we have. We love our home, our development and our community. We look forward to your favorable response. Sincerely; . Monaco anuary 23, 2006 I CERTIFICATE OF OCCUPdNICY AND CuMPLIANCE Sahm A 'afftrot.m, �KEfn '�Ork N2 ..2.i83 19 96 DATE ISSUED - --A49u-A-t_29L THIS IS TO CERTIFY THAT ON THE PROPERTY OF Same LOCATED ON Mad.teif VAive 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- Singfe Fanny 9weUinq with wood peck 0 Building Permit Dated Permit ApplicationNo . ....... !.645 ......... 'VECTION ....... 14 .............. BLOCK ......... ............ LOT ............ 9.9 FFE. $ 13.00. BUILDING INSPECTOR r --" YD %6 , 1 r e � 7�L 3 5k ;�� Z c tI t I± li �o� 61114'*�. t�mle -r-2001,- ,�a P: MUM C luprff M?Mff OF RTALM ftiidgw&qe;Alie Car" 14J. I'll"S12 � Prove Pea�olt r_ 77 ter, r .1z"V I V'W_ or ♦ump Tai r zz&l 2�z at am ■ Daft -of Pirlmlosts Apj0jQVd­'.' Molft'Adikiiin "A- jZ16 T.. XemoA✓K K/?, s0 batp,-Subdivision'.Ap2roNrea i Pee. Enclosed .. �Aniint' Bodift _11;d AAA1140111 Only D"M 3 volume NM"W of SO&MM& vail■ MiF G P:D RM NotMeWook Reclobed When FM Is completed TO* AM sepwaft sowainiiiire Sitifta, to 'loafte sook g� To be: oeaaattaeted by 2> AdtL cue wa- suippir.. Fd6dc s ib Foos Adifteiie 42' �__pdvaft Siw*, DOW by =222 Addt=s Olihair Itejo.1dkelideaft hat I am wholly 80 cation of the prdpatied system(i); 1) that the separat 'dl4ul I fopresenut �i::Cornplate spon�bli for.the'di% end 10 0 sews" m above described will " constructed as shown,cin the approved amendment there t' 0 and in accordance with the standards. rules a7M reouGlIons .7 a *n;m .County Dopikmint of' Health. and I that on,iorhOM'ictn4hereof i.;.-dertlf icisti'of Coristruition Combilince". satisfactory to the C6mmlsslansir of H"Ithwill be'"initted' to the and a written Ouaiin,te'e: wit I I bo',iu'r'n'i'9'i4d'tho owner, his jujcilsioors; heirs or a u-ignis by the buildeir, that mid builder will PIKO •In good operatiniii condition any .part ':'of -mid saw I' ' It:' system iuiihl this Oat W of two Immediately following the dito of the Issu- ance d spow 0, the approval of the Certificate •of Construction CpTP!i4ince f' in original SyStOT'' or thereto; 2) that the drilled wail described above ules and r 1 5 .,that mid well wilibi.-Insiii �ih'- idi es—Wronsof the Putnam will bottkaftd,ai shown oj,thli'p�" Plan and no* �th the rds.' County Gi i6ent of Health. Data Signed AA^, P.E. R.A. 'Address =4464=E= a-r— .010-20 License No--'Z;Lp L � �c V APPROVED FOR COkSTRUCTION'. This Mpoowl expires two years from the date issued unless construction. of the building .has boon undertaken and Is revocable for cause or may be amended or.modiflad when considered necessary by the Commissioner• of Health. Any change or alteration of construction "Quires a new Permit. Aimrovoil for Alsposal of domestic innita its water supply on . ly. Rev. 10/88 Oat. Title DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL Pl<-71 PCHD PERMIT # WELL LOCATION Street Address o Village City Tax Grid Number WELL OWNER Same- Mailing Address O ,•Private O Public USE OF WELL ICIDL primary "12" - secondary ,® RESIDENTIAL D BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify, p AMOUNT OF USE YIELD SOUGHT gpm /# ❑ REPLACE EXISTING SUPPLY ANEW SUPPLY NEW DWELLING)- PEOPLE SERVED /EST. OF DAILY USAGE, 06 8a1 [3 TEST/ OBSERVATION 13 ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING A loll WELL TYPE DRILLED DRIVEN ODUG 13GRAVEL OOTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL -IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ,?>G LM Lot No. -Zd WATER WELL CONTRACTOR: Name '�', Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: ,MA TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED'. ,QON SEPARATE SHEET (date) t ( nature) 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 thirt, (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 on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise cont mate surface or groundwater. Date of Issue: 19, �- Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller r JE'iC.Jr'x'N,A,� CO�CJNZ'X" �LP,A.k�T��I�i'x' Off' I`-3C3E.A.x..T'�3C APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL.SYSTEH 1. Name and Addr2s.s of Applicant: &OsO - 14110;, 7-5 L !ice RAC 2. Name of Project: Prvnosec( SS_2S 3.._•_Location ®/V /C: _ : 4.' Project Engineer: AJM((ACJ i,����ls �'r P� 5. Address: 1/6�ti �cl b'rrws�r. t License Number: Phone: =' `7(9)' a %� 6. TYOe of Project: -' ✓ Private /Residential Food.Service - ....Commercial , Apartments Institutional Hobile Home Park Office Building. Realty.Subdivision• Other (specify) 7. Is this project subject•to State Environmental - Quality Review (SEQR)? Type Status (Check One) Type I.. Exempt ✓ Type II. Unlisted. 8. Is a Draft Env ironmental.Impact Statement (DE,IS) required? ...:......... No 9,. His DEIS been completed and found acceptable by Lead Agency? ..,........ N�fl 10,.. Name of Lead Agency ti. Is this project in an area under the cont.r.ol,of-local planning, zoning, or other officials, ordinances? ......... ............................... No 12: If so, have plans been.submitted to such: authorities ?.. ...........:....... %V�i 13 Has preliminary approval been* 'granted by such authorities? 1 /14 Date Granted: — 14. Type of Sewage Disposal; System Discharge,..... Surface Water, ✓ Ground waters 15. If surface water discharge, what is the stream class designation ?........ N :6. Waters index number (surface) N�q ;7, Is project located near a public water supply system? .................. No S. If yes, name or water supply Distance to water supply 4. Is project site near a public sewage collection or disposal system ?..... 0- Name of sewage system Distance to sewage system 1 . Date observed: i -'=2 -q 23. Name of Health Inspector: �. Project design flow (gallons per day) ..................................... �= 6. 2. 25. Is State Pollutant Discharge Elimination System•(SPDES) Permit required... : J 26. Has SPDES Application been'submitted to local DEC Office ?.................. .27: Is any portion of this project located within a designated Town or State wetland ? .................... .......................... 28. Wetland ID Number ........................................................ /V /,4 29. -Is Wetland Permit -required? . ............................... /y v Has application been made to Town or Local DEC Office? 30. Does project require a DEC Stream Disturbance Permit? ................... NO 31. Is or was project site used for agricultural activity involving application of pesticide$_ to orchards or other. crops, solid or hazardous waste disposal; landfilling, sludge application or industrial activity? ........ YES'or NO /` d 32. Is project located-within 1;000,feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge.d;isposal site or any other potential known•sou.r.ce of contamination? .....'.........YES or NO D DESCRIBE: 33. Is there a local master plan or file•with the Town or Village? 34. Are community water, sewer facilities planned to be developed within 15 years? ./"/.o 35. Are any sewage disposal areas in excess of 15- slope? 36. Tax Hap ID Number. Sy- / 9� 37. Approved Plans are.' to''be: returned to: .........:...... • Applicant engineer If the application is signed by a person other than the applicant shown in Item.1, the. application must be-accompanied by•a Letter of Authorization Failure to comply with this provision may be grounds for the rejection of any sub,•nission. I hereby affirm, under penalty of perjury;• that information provided on this form is true to the best of my knowledge and be 1 ief. Fa Ise statements made herein are punishable as a Class A Hisdaneanor pursuant to Section 210.45 of the Pena 1 Law. ;IGNATURES .& OFFICIAL TITLES: Z e,,,• 61 � (AILING ADDRESS: J`' '*IAM CCUNTY DEPARTdTT OF REALTY DIVI: A' OF ENVIRUZENIAL RE7-= SEIRV'.,, .3 DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Address 05,6',iA rat 64 /(� iPO. Pm o ,(Ilr Al Located at (Street) IV,,, 2Z 3 r' Cn 1 R0, Sec.. Zvi Block / Lot (indicate nearest cross street) Municipality /�/� TT �i pal � ty Watershed 9 5 3 4 5 Nc7TES: 1. Tests to be` repeated at same depth•until approximately equal soil rates are obtained .at each percolation test hole. All data to' be suhmitUd for review. 2. Depth m_a.surE2rnents to be made from top of hole. ,rev. 9/85 I SOIL PERCOLATICN TEST DATA RDWIRED TO BE SUEMI= WITS APPLICATICNS Date of Pre - Shaking 712 7 ; Date of Percolation Test ' HOLE NU�BM C1OC'R TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate ._ Start -Stop Min. Start Stop Drop In Min /In Drop Inches . Inches Inches 2 9 5 3 4 5 Nc7TES: 1. Tests to be` repeated at same depth•until approximately equal soil rates are obtained .at each percolation test hole. All data to' be suhmitUd for review. 2. Depth m_a.surE2rnents to be made from top of hole. ,rev. 9/85 I TEST PIT DATr RD�UIRED TO BE SUEMITTED WITH T" ^LICATION DESC J-1 )N OF SOILS ENCOUN EMM IN TES. JLES DEPTH HOLE NO. /-I HOLE NO. HOLE NO. C G.L. • 11• 12' 13' 14' Tdasa�� z7\ /GvgM ,5 4 AIZ? Y l o 4 fi- w/ GR�VZY �cG h .4 T -o I G n/4 V,6� T.cXC. INDICATE LEVEL AT WHICH GROUNDRATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED !v1,,4 DEEP HOLE OBSERVATIONS MADE BY • C' i'- , .! C ; ='C c: _ DATE • 7/? ��6`( DESIGN Soil Rate Used 7 Min/1" Drop: S.D. Usable Area Provided SDL`c; No. of Bedrooms ` Septic Tank Capacity 125-o gals . Type C o irC - Absorption Area Provided By. L.F. x 24" width trench "N F E Other ao Name �,9v� fi�'T �,� /. ; : t/r lJ',',( /ASS ACS ? C Signat Address SEAL it �o A L00 5;b ./ THIS SPACE FOR USE BY HEALTH DEPAR2,IFNI ONLY: Soil Rate Approved sq.ft /gal. Checked by Date 2' s,c7>/ /� ql�•� 3' SA AI P V -1,)4M 4' V-// Cr y, /1 V f: 5' , 7' AID 8' 9' 10' • 11• 12' 13' 14' Tdasa�� z7\ /GvgM ,5 4 AIZ? Y l o 4 fi- w/ GR�VZY �cG h .4 T -o I G n/4 V,6� T.cXC. INDICATE LEVEL AT WHICH GROUNDRATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED !v1,,4 DEEP HOLE OBSERVATIONS MADE BY • C' i'- , .! C ; ='C c: _ DATE • 7/? ��6`( DESIGN Soil Rate Used 7 Min/1" Drop: S.D. Usable Area Provided SDL`c; No. of Bedrooms ` Septic Tank Capacity 125-o gals . Type C o irC - Absorption Area Provided By. L.F. x 24" width trench "N F E Other ao Name �,9v� fi�'T �,� /. ; : t/r lJ',',( /ASS ACS ? C Signat Address SEAL it �o A L00 5;b ./ THIS SPACE FOR USE BY HEALTH DEPAR2,IFNI ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PU' COUNTY DEPARTMENT OF HT iH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Jr 19, Re: Property of Located at ._APICI✓4. (T)'�-j�� Section Block Lot Subdivision of It 1-14 t5 Subdv. Lot Filed-Map # Zro2. Date Gentlemen: F This letter is to authorize C,H0LI S, ,rfz i a duly licensed professional engineer or registered architect (Indicate) to apply for a..Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or- regulat -ions , as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the. construction of said system -or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. /0 F �•� CO Countersij* d 561:4 �' R. A. �A_ Very truly yours, I; Signed Owner of Property Address vi fz��, Telephone Address Toz,•n / .21 00 2-7� Tel ephone LAURENT ENGINEERING ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road r- - Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. (914)278 6108 - (FAQ 278 -2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS February 13, 1996 Mr. William Hedges Putnam County Health Department 4 Geneva Road Brewster, NY 1.0509 RE: Individual SSDS Lot #20 Big Elm Subdivision Bradley Drive Patterson, N.Y. Dear Bill: Enclosed are the following: 1. Four (4) prints of Drawing SS -20 "Proposed SSDS - Lot 20 ", dated 2- 13 -96. 2. Four (4) prints of Drawing SF -20 "Preliminary Design for Placement of Fill Only ", dated 2- 13 -96. 3. "Application For Approval of Plans For a Wastewater Disposal System ". 4. "Construction Permit for Sewage Disposal System ", dated 2- 13 -96. 5. "Application to Construct a Water Well ", dated 2- 13 -96. C_ 6. "Design Data Sheet ". 7. "Letter of Authorization ", dated 5- 17 -95. 8. Two (2) copies of Residence Floor Plan(s), for 'Bedroom Count Only ". 9. Money order in the amount of $300.00, review fee. We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichols, ., P.E. HWN:bd 88044 -20 cc: Mr. R. Alan w /enc. } PUTNAM cour TY HEALTH DEPT j r ? Z 4 6 4r -:t c eneva Road 278 &130 f1 °Brewster NY 10509 �� Date�� 1 r r i 1 ti i Sum The, Of .Dollars $ r. t Fora . l ❑Cash p CheckM O ❑Credit Cartl , r B , Y BRUCE R FOLEY Public Health Director It� LORETTA MOLINARI RN., M.S.N. j�, Y04 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 (845) 278 - 6014 Fax (845) 278 - 6.648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 October 29, 2001 John & Laura Monaco 22 Bradley Dr. Patterson NY 12563 Re: Addition- Monaco- 22 Bradley Dr. No Increases in Number.of Bedrooms (T) Patterson Tax 4,24 +9.9 Dear: Mr. & Mrs. Monaco: I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been appraved.as p:er-plaiis bearing. the approval stamp form this Department dated October 26, 2001 Th& 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 systein, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water, saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the respdnsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly, William Hedges--` .. WH :kg Senior Public Health Sanitarian cc: BI BRUCE R. FOLEY. •.S Acting Public Health Dire: :;, DEPARTMENT OF HEALTH Division Of Environmental Health Services­­ 4 -Geneva Road, Brewster, New York 10509 (91►) 278-6130 PKPOSE.D ADDITION APPLICATION = (KSIDEW IAL ONLY MIN TX MP JQA" +j P -'ONE PCH01 PER41T Tr. nn MAI L NG- AOOR ECSS Description of•Addition Number of existing bedrooms Proposed number of bedrooms from Certificate of Occupancy or Certifica.tiqn-J.19m Building Inspector .­-Any addition which 'is considered a bet1root-.1 requires fornial-.appeoval of plats (Construction Permit) - prepared by a Professional Engineer-or Registered, Archi tect in'a-t-cordance with-applicable sections of the Putnin County Sanitary Code. Please submit this form and the following to PUTMM CCUNTY HEALTH DECN-FITM2,1417, 4 G-,NEVA :ROAD,"- -B.MC)IST8R) W 10509, Phone 278-6136 Vii t h the folloytilig fnfor'm­at*i'8r,. 1. Certified Ch-r&-for $100.-00. 2. Sketch of, existing. floor pl an (all living area -including basement-j--if any), Non-professional drawing is acceptable., 3,,•.-Sketch of proposed floor 'olan Non'.* professional drawing is acceptable. 4. Copy- of survey showing wall and septic location, to the best of your kno-4idge. Include date of installation if known. Include all wells and.septic systems within 200 feet of property line. Any questions pleas-6--contact this office. 5. C6py*0'_f Ci-Ftificatib of Occupancy from Ta?m or Certification -f from Building Department of legal bedroom count of dwelling. OFF-ICE USE- Oxizents and/or conditions application August 1995 9 July 1.3 ' 1 BRUCE R. FOLEY. R.S. � i TIPY Acting Public Health Director W DEPARTMENT OF HEALTH _DivisiQn ; Of Environmental Health Services 4 Geneva' Road, Brewster, New York 10509 �..........: . - - -- ... (914) 278 - 6130..... _.. Putnam County Dept. of Health 4 Geneva Road Brewster; NY 10509 90 NA ,..Re: _.. _... Residence :.....:. . Tax Map Z-4' Town FMTC-"raH Gentlemen: According to records maintained by the Town, the above noted, dwelling IS NOT in: compliance_%.Vith To%,�n code and the total number of bedrooms on record - >.s .. This i onnation has, been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: _. OTHER Building inspector aj +` � f '. "' ',�* <S ".r'_c �'r . lrq � f { „ �r v ,Y \� •�. i. -,'`1 ��.� ti�� �t`+� - � � tl, c} � 'i � �• � �; may' °t� < 't �' F t ' = PUTNskM COUNTYDEPARTMENT OF HEALTH ' @ 3 6 1)ivlabn of I�vlronmental Health Services, Crmel, N Y 1051 "' t de' eer Mas Provl Peemit �\ Jn r �a ,' n, v t P i U" d ' ` 1 �// . /e..'.J,O• /V 1 TE OF CONSTRUCTION :.COMPLIA_ NCE FORISEWAGE`DISPOSAL SYSTEM < ' r ti s ,✓ N Town or YWage Located ?it f I V�/ Ta: Map¢ BlocicLot, Owner /�ppllcani • e , : Formerly'' � • Sandlvislon Sabdy Lot N , �1 l Date Pein It Waded 3 2 / ✓ � � Sepa4* Sewerage System ballt by' //�%i l'cK C Ac T rc� AdderST� K=- IV Consisting of , I Z 0 Gandn Septic Tank and jWater'Sdpply: Pdbltc Snpp� From Addeeas f or: Private Sapply'DrWed by Address ' 4 Has Eoelon'Coutrol Been Completed4R sauansB,TYpe • �, � �. Namber of Bedrooms : ,t ;Garbage ta0 Ins .;? Has Grinder Been edY Otw Hegtilrementa I certify thaE:the Byetem(s) es liated,.aerving the above`pzemiaearvere cons ted essentially as shown oe plan oP•`the completed work (.copies of which are attached) 'and in accordance with ttie standards rules and r 1 ions in ac rd with the led,? an;' the pe it iseued',by the 'Putnam County DeparLment,Of Health ; r? !Date, ` 4 Certifies! Address m Lidnw No: 'Any person occupying•prernlas saved byJthe above sY linty shall promptly take wch actbn as may be neoassary to awn tM_eo"111"\.of any`un�anitary 'mI 'tondltions resgltinq from: such usaoa ",9PProvalyoi the,sipante hwen4a ryslem, shall became nullrand void atao! a' a ow',. ;'anitary imWei Moons avallabI and; the approval_ of ythizprivats •water suvoly shill bacoma null and_ void when a pu01k ;watw .iupply' baooinos walNbN. Sueh ipplovila are wbl ~fo m {flatlon or Many when fn the Judgment : of the tommlislonar of M uc ifea MiCatbn or cM_nYa I s MC/as�YrY. ..fir— Date r 0 PUraw cwm-z DEPARTKEi11' • OF HEALZni DIVISION OF EWIR0NLMNTAL JIFALTH SERVICES RCO Owner or Purchaser of Building Section Block Lot PO ss Building Constructed by 0/, 2A `% .DR V Location - Street Municipality Res ve'r-'Orl1-2. Building Type Subdivision Name'.' Subdivision Lot � GUARAI= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has -been constructed as shoran on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of. the. Putnam County Department of Health, and ,hereby guarantee to the owner, his successors, heirs or assigns, to place'in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate -of Construction. -- Compliance" for the sewage disposal system, 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 c the ocupant.of the building utilizing the system, The undersigned further agrees to accept as' conclusive the determination of the Director of the Division of Environmental 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*: day of 19/ . 8055 Ricer, vYC c.• Genera.[ Contractor (Owner) - Signature Corporation Name (if Corp.) Address y rev. 9/85 ink Signature Title Corporation Name UV Corp.) _� WELL'COMPLETTON. REPORT DEPARTMENT OF HEALTH Uj.v1.6.6ti Of 'Enviroinmecital Health— Services POTNAM COUNTY DEPARTMENT OF HEALTH Office Uae Only WATER © CLEAR WELL LOCATION STREET AWAES.5 � A O WNt �. TAX GRID HUMdER:, "�` -1 v HARONES. WELL OWNER �aeaess: n ® PSIVATE• HAyF . SS fCt +� rct wr ,C� �F'ttcc� iti E7, D ❑ PUBLIC ANALYSIS ATTACHECI? [D-.-,ES ONO USE OF WELL (W RESIOENF IAL O PUBLIC SUPPLY ❑ .AIR /COND. /HEAT PUMP 0 ABANDONED TYPE I • primary 2 - secondary Ij BUSINESS CD FARM Q TEST/ OBSERVATION. O OTHER (specify) ❑ INDUSTI,AL O. INSTITUTIONAL O STAND -BY O YIELC SOU(I -IT gpm, /N0, PEOPLE SERVED' / EST. OF DAILY USAGE ., o L) gal. MOUNT OF USE [JREPL.At: FX11 ;TINE SUPPLY C1 TEST /OBSERVA'T'ION ❑ADDITIONAL SUPPLY tu.W (NEW I)WELLING) [DEEPEN EXISTING WELL REASON FOR DRILLING DEPTH QATA WE, DEP'H. __ C�S� ft. STATIC WATER LEVEL ft. DATE MEASURED �� DRILLING O ROTAR`' Q1 COMPRESSED AIR PERCUSSION O DUG EQUIPMENT O WELL POINT ❑ CABLE PERCUSSION) D OTHER (specify): WELL. TYPE O SCREEN,:: 1] OPEN END CASING OPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH tL MATERIALS: It STEEL . O PLASTIC 0 OTHER CASING LENGTH F::L0V.1 GRADE _ aO f1. JOINTS: ❑WELDED fa THREADED OOTHER SEAL: CEMENT GROUT 0 8ENTONiTE POTHER DETAILS oIAMEfE -. '— _� �" in. _.. WEIGHT P: ;R FOOT Ib. /)t. DRIVE SHOE U YES ONO I LINER: DYES (ONO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (It) . DEM TO SCREEN (it) DEVELOPED? 1111T 0 YES ONO _ _ SECOND KOURS GRAVEL PACK ❑ YES _ No ',RAVtL SIZE: OIAMETER OF PACK ... _ in. _......_..........._ . TOP DEPTH ..., -- -IL . BOTTOM DER N ft- 1etailed um in WELL YIELD TEST P P 9 METHOD: 0 PUMPED its were done is in- INLCOMPRE5SEO AIR ' •mati��,� aicached? O BAILED ID OTHER ; :. _ YES, O NO 'WELL LOG' 11 more detailed formation descriptions or slave analyses are available, please attach. DEPTH CIF. SURfAGE It It witer ee�r, il' well oh- a- maer to FflaµAnaN oEsCnlvTtOn .Doe WELL DF.M It. RATION Mr-, min. ORAWFOwN h �. YIELD fpm, . - �unice �— WATER © CLEAR TEMP. QUAUTI 0 CLOUDY HARONES. © COLORED ANALYZE[ ?. CIYIS ONO ANALYSIS ATTACHECI? [D-.-,ES ONO PUMP INFORMATION TYPE MAKER MODEL .__. VOi ' AGE --- NP STORAGE TANK; TYPE CAPACITY WELL GRILLER NAME Anom S r`� a �'S�_ STGPIATURE �k a- I �� CERTIFICATE OF LABORATORY ANALYSIS LAB ID NUMBER: CLIENT: SAMPLING LOCATION COLLECTED BY: DATE COLLECTED: DATE RECEIVED: DATE OF REPORT: 96 -5813 Ross Alan 25 Byram Lake Rd Armonk NY 10504 Powder room tap: Lot 20, Big Elm Subdivision, Brewster NY R. Alan 08/05/96 TIME COLLECTED: 1:43 PM 08/05/96 08/08/96 ANALYTE RESULT* UNITS MAX CNTMT LEVEL ** METHOD ANALYZED Total Coliform Absent Must be "Absent" SM18(9223) 08/05/96 E. Coli Absent Must be "Absent" SM18(9223) 08/05/96 This sample, as- submitted to i4ie laboratory, and as compared to the New York State limits for drinking water quality for the tests performed, was: ACCEPTABLE. _ NOT ACCEPTABLE. s Maryann Fasa&, Assistant Laboratory Director NYS ELAP #11218 CT Lab Approval #PH -0171 * Underlined results are unacceptable according to health department and /or US EPA codes. ** Maximum Contaminant Level (maximum permissible concentration allowed by health department and /or US EPA codes). 618 Clock Tower Commons, Brewster, NY 10509 -9241 / 914- 278 -7600 / Fax 914- 278 -7754 / E -mail: NoAmLabs ®aol.com G mom 1'(tvf? �17s Alp 1 � 4 > r�d•1�o',�n - 1 . ^ 1 \ x.90_ m hl M-lk Y�I' 1 �X►yr. wow Arro l8 �cI�T. wew All .PES /rJE/VG E :' I ; ' ;.3 Via' • •,19 •. 1 • - � ��' � 3� k 28 go ; poi _ .._ G.� h 28 � �� ` ., :I � -. • ., 2 as � 8 `�JtJHG�IDN � • ~rte �t '> t w r �.• w,.• .®..�.