Loading...
HomeMy WebLinkAbout0919DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.40 -1 -4 BOX 10 I,y7. ■ 1 7 , 1, 1 � �.; ti ' 00919 SITE •.. i TM# MAILING ADDRESS S-✓�.Q PERSON INTERVIEWED PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE �`� TYPE FACILITY PROPOSED INSTALLER PHONE v �•;' � i J� k� Pro (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. 4 Or F76- 77 's 1"k 161/ue ture & Title Elf, Proposal aDOroved 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 d. System description (e.g., 1250 gali concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. Date (e.g.,house corners). three precast 6' diem. x 6' deep 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of owner agree to the above conditions. SIGNATURE ` TITLE DATE MW: % to (PAD): Ye]1ov (kkin BE); Pink (Anila3nt) BRUCE R. FOLEY Public Health Director Helene Summo 400 Haviland Dr. Patterson, NY Dear Ms. Sammo: DEPARTMENT :OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services 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 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 July 18, 2002 Re: Addition- Sammo- 400 Haviland Dr.' No Increases in Number of Bedrooms (T) Patterson Tax # 25.40 -1 -4 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated July 17, 2002. The 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 oftfie esting sewage dispos al 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 Patterson. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges WH:kg Senior Public Health Sanitarian cc: BI yl LOT 3875 S85 ° WOW E 86.39' 11.2'=- ---�,� r r ! DRIVEWAY h!p 2 Sty, Fro a Ow f81T1 of aq a S1oExaLK RATIO 1 O ! O ' • 'o r 0 i V 0 1C �.... tj s Ap1ss N 85' I' 04` W 7 9.. 7 4'i COT 38 78 R LOT NUM13ERS ARE AS SHOWN ON Z" LA N T1TLED �SIXTH MAP Of MEy. OF OUTMAN LAKE' AND FILED ABEL. A. c,'�A�a�1°LC �� AS iAAP No. 149 —E RSON !� TY �° os9'toi 95 ••12 PUTNAM COt)N' CDEPAR'�t�I' 2 . HOUSE PLANS APPRO QED F:?F B ROOM COUNT QNW; �. BEDROOMS LOT 3875 DRIVEWAY / 7• P� WG. . \ {81TI pf an SroEWALK / P T10 V tio i 134 N850 3' 00" W 79,791 f a'"{x 1.P SET ! 4. UNE - COT 38T8 r ' R. LOT NUMBERS ARE A$ SHOwN ON -ILAN TfTLED SIXTH MAP 00 EOf�JYF�, OF 3UTRAN LAKE' AND FrLED IABEL A. cs'�S►�"'r «_ro.s iAAP No. laS —E RSON TY S)EI)Rm , =Co ;gop RN Laym; E-t-1; .7 1 i 1 Lor 3875 1 I ! 1Fp S 85013' 00" E I86. 39' 1 ca so0m o I cm m D O '« DRIVEWAY w!P 2 Sty. Frain& Dwg. tetTl ! h O CD { P No D sv 3876__ ^' C 3977 sloeraLlc ts. z -� \ O Z�nc e ?I � f_ a c to i« � Is- - 20- I�S4 F °o: N 85' V00 W 79..79- sET r On t t Lt ME LOr 3878 I r SCALE: I'= IO' LOT NUMBERS ARE AS SHOWN SURVEY FOR ON ZL.AN TITLED SIXTH MAP of NFy. OF 31UTNAN LAKE" AND FILED t y AS MAP No. 149 -E EDWARD H. 8 MABEL A. yt'Qp�LDL i SMITH ,t TOWN OF PATTERSON PUTNAM COUNTY tAdD NEW YORK 'AUG 17, 19P.5 sd -12 GILL i� - a a pl� v Q n 3 !L w A ---- I HEREBY CERTIFY TO --- o TIMELY TITLE COMPANY o 0 co THIS SURVEY IS ACCURATE AND CORRECT BY: GERALD L.LYNN WAPPINGER FALLS.H7 N, tare ---- .. Et LAWRENCE DRIVE i rr. r Z 0 N In t.n Ul G G 3 !L w A ---- I HEREBY CERTIFY TO --- o TIMELY TITLE COMPANY o 0 co THIS SURVEY IS ACCURATE AND CORRECT BY: GERALD L.LYNN WAPPINGER FALLS.H7 N, tare ---- .. P i i ^b DEPAR 11 Iti i OF HEALTH DIVWon of Environmental Health Services 4 Genava Road Brewstar, New York 10509 Tel. (914) 278.6130 Fax (914) 278 - 7911 BRUCE R. FOLEY Puh"C Haaltir PRODOSEI, ADDITION 6PPLICATIONN 1. �►1� • • r • e -,f • ��1/f MAY � • ! r r . NL4MLN(a ADDRESS DESGRI"TiO�:` OF P.DDiTION NUMBER OF EMST1NG BEl)ROQNA5-,,2-- PR0P0 ED # CF BEDRO0XS<D QOM CERT. of GC: UFA,1Cle OR CL-;RTIFiCAT -10`+ MOM BGILOLNG ItiSPECTOR) *Any '; edition which is cons derod a bedroom requires formal approval of plain (Construction Perritit) prepa:ltd by a Frcf= ssional Engineer or Registered Architect in accordance with applieab: sections of the Pumar,i County Sanitary Code. Please Submit this ferr:: ar.d tha fo:lowing to Put= Coun*y Health D17-pt., 4 Gereva Rd., Bmwster, 'NY" 10509, Phone 2717S -F130. - Certified check or money order for S100,00 Sketches of existing floor plan (drawn to scale, all living area including basement) " Non - professional skerc'n=s are accept =1010 3. Two sef�; of proposed floor plan (d aw71 to scare, with name, street, and "X. r-.---.p T) * lion- ptofcssionai sketches are acceptable 4. Copy of s aryq sAhowing well and septic location, to the best of your k ►owledge. Incl,.lde date of installation if kno, n. Label all wells and septic systems within 200 feet of the propel lire. Contact this office wit any questions. 5. Copy of Cer►. of Occupancy $ern Town or Certification fra_r! Building Dept. with legal bedroom court of dweIlingg. QF i :E C:ornmel:s F:b 93 DEPARTMENT OF HEALTH Division . Of Environmental Health Services Cer,eva' Road, Brewster, New York 10509 (914) 278 -6130 Puts; Courty Dept. of Healy; 4 Genova Load Brewster, NY 105C9 C :endmen: BRUCE R._FOLEY. N c Aeting PUNIa Neaith Dire•tap /' &I Rcsi�len /"' Tax Map Acce►aing to records maintained by the Tows, tl c above noted &Mtling iS in compiian", N114jth code and thte total number of bedrooms on record is This info=, ation ,gas beer, obtailed from: CERTIFICATE Or OCCUPANCY: ASSESSORS RECORD: 0_11'HER Building ins; May 16, 2002 RE: Survey of Property C�- -errs cnr� �1� -v�,•� L�r l To Whom It May Concern: Helene and Rocco Summo has my permission to have my property Surveyed at 400 Haviland Dr Patterson, NY 12563. Sincer ly, Luis Rodriguez