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631- 589 -8100
25.40 -1 -35
BOX 10
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BRUCE R. POLEY
Public Health Director
LORETTA MOLINARI R.N., M.S.N.
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 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
November 30, 2001
Sean & Patti Bishop
16 Allen Drive
Patterson, NY 12563
Re: Addition: Bishop, Allen Drive
(T) Patterson TM #25.40 -1 -35
Dear Mr. Bishop:
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 from this Department dated November 30, 2001. 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 of the existing sewage disposal system, and its expansion area; m»st b?
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,
Michael Luke
Public Health Technician
ML /jp
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BRUCE R.. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster New York 10509
LO_ RETTA 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 NVIC (845) 278 - 6678 Fax (8 45) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET �'� aLLe.,,� D r TOWN P� - eP5p =%) TX MAPF 5- y0 S 3,0 _ 13
NAME S&xv t ®44,' 8'S6P PHONE YS' -�7y'- g3ao Pc�ID -30
MAILING ADDRESS 6 ALLY.,) Pi- P4- A.�f_�o,J
DESCRIPTION OF,ADDITION yU_ s
NLiV1BER OF EXISTING BEDROOMS c')— PROPOSED 9 OF BEDROOMS
(FROMI 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.
- - - Pleas suuia this- form and thu foliowing io Putnam County health Dept., 4 Geneva Road, Brewster, NY
10509, Phone 278 -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.
Two sets of proposed floor plan (drawn to scale, with name; street, and-tax-map 4) - -- - -- -
*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.
OFFICE USE
Comments
Feb98
BFhouseguidelines
I
BRUCE R. : ,FOLEY.
Public Health Director
LORETTA MOLINARI D.N., M.S.N.
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 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: le
Residence
Tax Map o2)
Town r%-l�G�✓
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS Q
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:
ASSESSORS RECORD:
OTHER
&�Z/ /l�.e
B ding Inspector d4
BFhouseguidelines
gnl (sign
Address �!• ., - �.....tf: '! '�/C?..... (�_ Address ................................................. .... ....................
,... ..
Certificate of ®ccupantp
I certify that I have inspected the facilities called for in the foregoing appi.ication and find that the
same are installed as shown in the diagram therenn with the changes noted, and find that the same
comply with the sewage regulations of the Town Board of Health of the Town of Patterson and
do hereby grant this CERTIFICATE OF OCCUPANCY.
Premises were inspected on the following dates
U -nv.r.....:S.,t..f!�s: ..........
First.......... ....
)..La - Y...........�....1 J 3 Last.. ..y ............................
Other................... ...............................
:s
Date Issued........ .w• S ......k.:..�... ...�j....b. 5.......
........... !t-----------------
Sanitary Inspector
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CERTIFICATE Ol� OCCUPANCY AND COMPLIANCE
TAin Ulf # #ex axe, e rg
N°_ 2461
1998
1 DATE ISSUED A! ga 26,
THIS IS TO CERTIFY THAT -1`,' Sean Bishop
ON THE PROPERTY OF ' ;Ph c�� p Dui {�y
LOCATED ON ; A 2 den Dni ve
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
35 x 3019" Addition w/ Wood Deck
Building Permit Dated ..1R: ?.:96.; Permit No. ..2377.... Application No. 1758
SECTION BLOCK 4 13 (New TM 25 40 -1 35
.... ............... . I :.................. LOT................ - - 1
FEE $ 25.00
BUILD& G INS
NOV 30 '01 11:42AM CU GARAGE 37829392 P.1
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wntl- 7p- ?G1G11 FRT 1a:SGl TFL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1
NOV 30 '01 11:42AM CU GARAGE 37829392
P.2
BRUCE lZ FOGEY, R.S.
Acting Public Heeltli Diroctor.
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New 'York 10509.
P &41 P (914) 278 -6130 September 10, 1996
4ft6Vb*s. E. - Duffy /Bishop
16 Allen, Road
Patterson, NY 12563
Re: Addition - Duffy /Bishop
'No increase 'in number, of
bedrooms
Dear Mi. Duffy /Bishop:
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 September•9, 1996 an4 this Department's
approval: stamp.
Based on the i;iformation•submitted, the above- mentioned addition is
_--_- -•-- .._....- ._._-- aloprG�p�'Ca" with_- tii( �'_} ��wvii��a�y_ v.^.. �1d- r1-' t��?: 1�_ �.. _..___...-- -•--_._.._._._. -_.._ ...___.... __._.__._._- _______.,____._._��
1. The total number•of bedrooms must remain at two without prior
approval by this Departmexit.
2.- The area.of the existing sewage disposal system, -and its
expansion area, must be maintained.
3. A11 plumbing fixtutes must be updated with water savaing
devices, i.e., new low flush toilets, restrictors.for shower
heads and faucets, etc.
Any other permits or va-riances 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 /jp ,
cc.: (BI) (T) Patterson
NOV -30 -2001 FRI 12:50 TEL:845 -278 -7921
Very truly
. j
William Hedge$
Sr. Public Health Sanitarian
NAME:PUTNAM COUNTY DEPARTMENT OF P. 2
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NOV 30 101 11:43AM /CU GARAGE 37829392 P.4.
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NOV -30 -2001 FRI 12:51 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 4
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOCI
BEDROOM COUNT G! "ILY;
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Date
Signature & Tite
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PUTNAt-A COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
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OWNER'S NAME
MAILING ADDRESS
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR -
OFFICIAL USE ONLY
gp�-03
PHONE 2 7q— ,? �O
PERSON INTERVIEWED !A;,� � dwlp PCHD Complaint #
--Name ..
Relationship ip i, owner, tenant, etc.
DATE ,� `— � °�� TYPE FACILITY J<ga
PROPOSED INSTALLER , �� PHONE
ADDRESS REGISTRATION#
o sa (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.
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4AAK
I, as owner, or reported agent�l -- --- # die conditions stated on this form.
SIGNATURE ..CJ . r[ TITLE
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
—
DATE----2/f"6 C:7...J
b. Site Street Name, Town and Tax Map number.
C. Location of installed components tied to two fixed points (e.g.,house comers).
d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6 diam. X 6' deep
e. Installers' name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
Proposalapproved�
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Inspector's Signature & Title al ''� ''�' ` T CO ATE
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
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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: %�, �¢LL� Qv TOWN a'1�etso.4) _ W� TX MAP # f
NAME: i e. PHONE &I Y)0_7 Y31 0 PCHD PERMIT #�S
MAILING ADDRESS /� �LPa ®�(` Pe, �t .� IL) /-1:53 3,
Description of Addition N d, Ks, n eo 4-o _e. 6n
Number of existing bedrooms 'P_ Proposed number of bedrooms 3
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 diving area including oasement, if arty)
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)
6_� . . ets.
r
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 76130 September 10, 1996
Phillis E. Duffy /Bishop
16 Allen Road
Patterson, NY 12563
Re: Addition - Duffy /Bishop
No increase in number of
bedrooms
Dear Ms. Duffy /Bishop:
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 September 9, 1996 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.
T
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 /jp
cc: (BI) (T) Patterson
Very truly y �
William Hedges
Sr. Public Health Sanitarian
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DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
n (914) 278 -6130
Dear
BRUCE R. FOLEY. R.S.
Acting Public. Health Directo
Re: Addition -
No increase in number of
bedrooms
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 S �/ /7�j 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 atG Without prior approval by
this Department.
2. The area of the existing sewage disposal system, and its expansion area, must
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 -7-
If you have any questions, please contact me at your convenience.
BRF/ j p
cc: BI (T)
addition
Very truly yours�__�`
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.TONNN OF PA TE4SON
PUTNAM COUNTY N. Y.
ipluation for of *dva e
Fee of $7.50 mu §i accompany Application
4..
The undersigned hereby makes a capon for` approval of and a certificate of occupancy
for the installation of Septic Tank Cesspool; ❑ ` Chemical Toilet t]''4 Privy p .- on the — -
property described belo - -
Location of of PropertyX'�d��.A.ess
Village Street or Avenue
Subdivision.._.._. _.._......_ .._..........__?.._._._____.6%' ...........
Block No. Lot No. Size of lot
Character of building Dwelling U?' Garage ❑ Store ❑ or other ❑
No. of Occupants_.___- --_.- Bedrooms----- '/_.:..._... _Baths ___... :/.._.._- .:Extra Showers--'---_.-
Garbage Disposal Sink.----- i� Automatic Laundry
Source of Water Supply Public ❑ Drilled Well .p**Dug Well ❑ Spring ❑ Ground ❑
Name of Owne G >� Ga4 Ad_ Address/ 1:2.
Diagram showing location of proposed :;installation , on property. (Show distance from
adjoining property line and distance from nearest water,watercourse or sou''ice ,of water supply,
within 200 feet Also 10 of dvvelhng of building to be served) -{'
+ - -� Bercolatioa Tess
Time in Min. Inches
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_ — ems- it,— r —' -- --- - °—
in Gala. Trench
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Corrections, if any, to b by Inspector i r'
General -Con - +. ubcontractor_._... ........... ......................................
1 certify that I have inspected the facilities called !for is the foregoing app.ication and find that the
same are installed as shown in the diagram theie,m with the changes noted, and find that the same
comply with the sewage regulations of tha'Town Board of Health of the Town of Patterson. and
do hereby grant this CERTIFICATE OF oCCVkANCY.
Premises were inspected on the following dates
First .......... ....W1.1 s.- ...../� ..�(5.. Date Issued. ........ -..... �!_:r. � .._ ................
Last..........{{ ... _ ....... ^, - •.
Other.......................................... ..... :................. ............... nt.ry Inspector
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TOWN OF PA TERSON
PUTNAM COUNTY N. Y.
3pplication for 3notaUation of 6twa'at
f affitito
Fee of $7.50 accompany a' y Application
I I c
The undersigned hereby makes p*
..,cation for approval of and a certificate of occupancy
for the installation Rf §�ptic Tank Ce'sspop - - Chemical Toilet ED 'Privy ❑ -on the
property desicnibed-bel-o'J& I-0
IF
Location of Property 1A
Village Street or Avenue
Subdivision ff ........ ...
Block NO. Lot No. Size of lot
Character of building Dwelling 090' Garage ❑ Store ❑ or other F-1
No. of Occupants . ....... . . Bedrooms . .. . ..... ... ..........Baths ---------- /-..--...-Extra Showers---
Garbage Disposal Sink.--...-...-.--.----"Automafic Laundry Washer .......... -
Source of Water Supply Public ❑ Drilled Well [Dug Well ❑ Spring [-] Ground ❑
Name of OwneJ.�.r.(-20-"&.d-Z"74di.d,Ad- Address
Diagram showing location of proposed .installation on property. (Show distance from
adjoining property line and distance from nearest water, watercourse or source of water supply,
within 200 feet. AlsoA4=,L0pti0.nof dwell building to be served.),
Corrections, if any, to be x*1'�I by Inspector
General Contr&--E5F.;QP._-v- - 1- ubcontractor ....... ..................................................... .
(sign) (sign)
Aw
Address 'Mdres .
Iterfitimtt of "armlintr
I certify that I have inspected the facilities called for in the foregoing appt.ication and find that the
same are installed as shown in the diagram thereon with the changes noted, and find that the same
comply with the sewage regulations of the'-Town Board of Health of the-Town 6f--Patterson and
do hereby grant this CERTIFICATE OF OCCUPANCY.
Premises were inspected on the following dates
First fl:j ......... Date Issued
.. ............ ......
. .
Last... . ........... .. . ............
. —
----------- 7 V Ane
ti�y ----------- - I—! ------------------
Other .......................................... ......................................... Inspector
Percolation Test
Time in Min.
Inches
in Gals.
Trenih
,fd '0 �&
'
General Contr&--E5F.;QP._-v- - 1- ubcontractor ....... ..................................................... .
(sign) (sign)
Aw
Address 'Mdres .
Iterfitimtt of "armlintr
I certify that I have inspected the facilities called for in the foregoing appt.ication and find that the
same are installed as shown in the diagram thereon with the changes noted, and find that the same
comply with the sewage regulations of the'-Town Board of Health of the-Town 6f--Patterson and
do hereby grant this CERTIFICATE OF OCCUPANCY.
Premises were inspected on the following dates
First fl:j ......... Date Issued
.. ............ ......
. .
Last... . ........... .. . ............
. —
----------- 7 V Ane
ti�y ----------- - I—! ------------------
Other .......................................... ......................................... Inspector