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Home My WebLink About0882DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.32 -1 -12 BOX 10 ��ii .` I ��ii PUTNAM COUNTY HEALTH DEP (� _ -- DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEKAM DISPOSAL SYSTEM REPAIR OWNER'S NAME PHONE 174- ? y G f " SITE LOCATION V r Alleal fUv,4 „, MAILING ADDRESS J&P, G PERSON INTERVIEWED SST /dam+- - 0 k1rLr- POO Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE °'y % TYPE FAICILITYL'f'�2. PROPOSED INSTALLER J 1444 C°'�!� /4, PHONE . -V -evv2 'REGISTRATION #G. 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. q"— (Me,, -� ,': i 1� Kv�77`L cry �/ y1� 4rwd to?", jve 0"-Iw / )lwk o /-f-- 4. 4 V .�n TO i J c2,e"J. Lray l Ile v Proposal approved sal Disapproved Date Proposal approved with.the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or re rted ag t of owner agree to the above conditions. SIGNATURE TITLE 0 Ul"IZ DATE p� 111!': V&te (PCI'D); Yellow (in BI); Pink (Anl amt.) - - - — BRUCE R. FOLEY, R.S. Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 February 11, 1997 Scott & Yvette Bera Allen Drive Brewster, NY 10509 Re: Addition - Bera, Allen Dr. No increase in number of bedrooms (T) Patterson TM #25.32 -1 -12 Dear Mr. & Mrs. Bera: 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 February 11, 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 two 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. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Southeast. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WIVjP cc: BI (T) Southeast DEPARTMENT OF HEALTH Division 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 Re: Residence Tax Map Town Gentlemen: BRUCE R. FOLEY, R.S. Acting Public Health Director According to records maintained by the Town, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: �U� �' csJ�Fr�e t 3, 47 ASSESSORS RECORD: OTHER Building Inspector C106 /Ow i a C-/a5jFr BCOR®wn 12xIr OHM'S NAM SITE LOCATION. I II�S %y 0), / -3 -/If PHCNE, ) 74- VY-6r V-,C 2,,5-k 3 .2- Z MAILING ADDRESS 3,4',,O PERSON INTERVIEWED 5,. 71_�WI-94 0 tV&1:-xF PaM Complaint # Name & Relationship (i.e, owner,tenant, ;EF.-) cL DATE V-,vl TYPE FACILITY PROPOSED INSTALLER J_ ,izj PHCNE REGISTRATION # P. 4. V Proposal (include sketch locating all adjacent wells): NOTE: Repai , r must.be in same location •.0 saifie type, as original ,sewage ",disposal system. Different location may require gWnittA`bfproposal f rcm lf6ensed professional engineer or registered architect. q "d -7' Void, I,"( cp� t"'t Own[ IL 7, - f."61 Tip r '4r. rJZ J 4, ------------- d, it 71 OCT. Proposal approved= 1 Disapproved Inspector's Signature & rMosal amroved with the fbilowinq'', 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 camponents, tied to two fixed points d. System description (e.g., 1250 gal. concrete septic tank, ' drywells surrounded by one foot + gravel). e. Installer's name and number. %, (e.g.,house corners). three precast 61 diam. x 61 deep 3. System repair to be performed in accordance with the above proposal and conditions. as owner, or rerrted age,nt of owner agree to the above conditions. SIGNATURE TITLE 0 L4//L- DATE 6 PIE'S: `Cite MM Yellow (tn HE); Pink (AalicEknt) yw, CERTIFICATE OF OCCUPANCY AND COMPLIANCE i0A n of '"ork 05'. 'JIM ............. N2 858 1989 DATE ISSUED January 3, THIS IS TO CERTIFY THAT—! Raphaele.-.Can* tore ON THE PROPERTY OF Same r. LOCATED 'ON 45 Allen Drive HAS BEEN SUBSTANTIALLY BSTANTIALLY 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 sunroom on existing deck 11-28-88 Permit No. .1�4�.... Application No. ....... 20.6 ........... Building Permit Dated .............. SECTION 21 .... , .................... BLOCK .......3 .............. LOT ..... 1$ FEE $ 15.00 L7 BUILDING INSPECTOR .... ......__. _ ... BRUCE R. FOLEY, R.S. Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION = (RESIDENTIAL ONLY STREET :- Ailety (0 91 Ul TOWN UA,i°ASall' _ TX MAP # NAME :_ Do I�G� f PHONE �� ` 7 yl� ✓ PCHD PERMIT # / 7 MAILING ADDRESS VS A//&y , Veg le, Description of Addition Number of existing bedrooms_ Proposed number of 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 C' peck -for $100.00.-- 2. Sketch of existing floor plan (all living area including basement, if any) Non - professional drawing 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) IV lka"W L6 I K e -s"q 0x11 clusfa- L !X, lx'.f. Rooin ro F-/O a? PION &V w i 5TuaF ,. � e l rutnam County Department of Health iviaion of Pn ironmentaI Health 5ervicd, pproved as noted for confarme ^.ce with •I i ;plicahle Yru'_cs -t.C1 H =_e,. *.la_tiona of the -� hitnnaam C- cunt;; Hoaltt: r.-.; artc:at.ry A x c`8 3W �7�af -soy f LPL ' I Cff t ' I t ui N � F SA�� HEAt2T r:N U t2-,---H .. _--- pR•Y STI¢�M SEA �22.oi � m P�t2EA.5 4q� 425 S.>✓.+ � m ►� _ O.44.Co AG.t to C AIN LINK �ENc AeovE CdzoUNp C1`j) Pool. ` MSt o . N • coMC. 4.93 tR•4 N sm. 3� 0 only; w1t2� N s-roteY F'� �9 oti i M� 14.2E LONG. ENO Fes. ON LINE ce ntG . rLOOG GVP�2 �NC.te. L9 V Go G. 4- •05 N Z6' 14' ¢o,• W / 20.00 �_ ALLEN DK V E If,-, L Sulp-.-N/E1( of:= FleOPeKT* -( PI¢ErAg2 --V t;Ot2 3GOTT `(veT` m 15 EIQA t3� I t�1C> LOTS :541-7-34e4 INGWSIVE= n AS SHONf-J ON SIXTH MAP Of::; Ptr(-NAM I.�KE ", t =IL-ED MAP NO- A4gE, PILEl7 N1o.t2•'LO, 1931 S ITUATI: 1 N -M WW OF .PA"C SMO N f7LM4ANt GOQ, N •`f. 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