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HomeMy WebLinkAbout0996DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.47 -1 -2 BOX 10 qHM ro ' k rl' r . r I ` I 1 -` - ' ' . r • s T r' .. .. , . „ Or PUTNAM COUNTY DEPARTMENT, OF HEALTH DIVISION OF ENVIROIOMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL - please print or type: PCHD Permit. # Well Location: Street Address: TownNillage' Tax Grid # . p ' G ,,4� S a.�+/; Map s`.lock� Lots Well Owner: N e: txrAejT > 1G sat Address:,�j rt(r � nr 1° • PA: �ao4 Use.of Well: Residential . Public 8' upply Air /Con eat Pump .Irri gation 1= primary^ Business Farm Test/Monitoring Other (specify) 2- secondary Industrial. Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage gala Reason for Replace Existing Supply Test/Observation Additional Supply _New. Supply -(new d yelling) Deepcn.Existing Well . , Detailed `Reason t r t IWA j- Oki �` Q w ( 'o►'r for Drilling + M ti ,� ,+!� - A � f Well Type. "f7tilled Driven Gravel Other Is well site subject to flooding... ...... ..................... ......................:....... Yes No ....� ................. : Is well located in a realty subdivis Q ............ ... ..................:............ ......... Yes No 't rv+� Lot No. Name of subdivision Water Fell Contractor: R4 A L. Addre ` 7 4 SX6 WrM-A Is Public Water Supply available to site? ... Yes No Name of Public Water Supply:. TownNillage - Distance to property from nearest water main: 42 Proposed well location & sources of contamination to be vided on separate sheet/ . Date: Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well asset forth above, is granted under provisions of Article. 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Codpnd provided that within thirty: (30) days of the completion- Qf.water. well construction; the applicant�.or tbeir .c #s gnated, s �; .. representative shall: 1) Pump the well. until the water is clear. �) Disinfect the well in accordan ce wit�i the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report 0*0 a form provided .'by the. Putnam County Health Department. During all well drilling operations, the applicant and/or . well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade orptherwise contaminate surface or.groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date, issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary .by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. „�...... __.. . Date of Issue Permit Issuing Offici Date of Expiratio ,/! Title. �. Permit is Non-Traikslerrabli White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 SITE LOCATION OWNER'S NAME MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES - 'eli.J KI OFFICIAL USE ONLY ��rS� • TM# PHONE PERSON INTERVIEWED PCHD Complaint # Name & Relationship i.e., owner, tenant etc. DATE ,/V -2l ` rD 2 TYPE FACILITY er-_f ie-4 — PROPOSED INSTALLER AT —9f A'TF a � /t-T PHONE iZ rz Fs " 2 S­61;� ADDRESS A S�? ����° �' --S� -r REGISTRATION# /D 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. 1;•as-owner,-or rep ed agent. of o er agree-to the •conditions• ted- onn-- this -form - SIGNATURE TITLE 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 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. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NE wo� r PROPERTY INFORMATION 14) Property: 9 JAVA RD, PATTERSON NY 12563 -8981 R003 LAST SALE APN: 2400 - 025 -047 -0001 -002 -000 Recording /Sale Date: 03/15/1948 03/1948 Use: SFR . - Alt/Old APN: - -•- " Tax ClassJArea: 373001 Total Value: $113,500 Card #: 1 st Mtg Loan $/Type: Prop Tax: $3,103.93 Land Value: $19,000 County: PUTNAM, NY Tax Yr: 2001 Delinq: Impry Value: $94,500 Census: 101.00 Tax Apprsl Dist: Market Value: Map Pg: 2400 -025 -047 School Dist: 373001 Mkt Land Val: Municipality: PATTERSON Exemptions: Assd Yr: 2001 Township: SITE INFORMATION Exempt Land: % Improve: 83% 0.19 County Use: Water Type: Exempt Total: 8,300 Neighbr Code: TYPE UNKNOWN Lot Width: 100 Bldg Class: Lot Depth: 83 Owner Vest: J 1 Owner Transfer = Rec Dt: Price: Doc #: Type: Sale Dt: SALE & FINANCE INFORMATION LAST SALE PRIOR SALE Recording /Sale Date: 03/15/1948 03/1948 Sale Price/Type: Document # /Stamp $: 344 -332 Deed Type: 1 st Mtg Loan $/Type: 1 st Mtg- Rate /Type/Term: 1 st Mtg Lender: 2nd Mtg Loan $/Type: ._._ . 2nd Mtg Rate) Type/ T, erm:.:_.. :......_...._J.._........_.__.. Tranfer B &P: Title Company: Seller: New Construction: Other Last Sale Info = # Parcels: Type 2: Pend: SITE INFORMATION Zoning: Sewer Type: INDIVIDUAL Acres: 0.19 County Use: Water Type: INDIVIDUAL Lot Area: 8,300 State Use: 210 Electric: TYPE UNKNOWN Lot Width: 100 Bldg Class: Lot Depth: 83 Lot Shape: Garage Cap #: Site Influence: Bldg Width: Garage2 Sqft: Bldg Depth: Parking Sqft: Parking Type: Vin2Data® Page: 1 of 2 IMPROVEMENT INFORMATION County: PUTNAM, NY APN: 2400 -025 -047 -0001 -002 -000 Gross Bldg Area: Total Rooms: Construction: " -- "'-__._. Bldg /Living Area" " 1,000 Y Bedrms: 3 Foundation: Ground Flr Area: Baths (Full /Half): 1 Ext Wall: COMPOSITION Above Grade: Ttl Baths /Fiat: 1.00 Int Wall: Upper Area: Yr Built/Eff: 1930 Roof Type: 2nd Flr Area: # Stories: 1.50 Roof Matt: Rec Rm Area: Fireplace/#: Roof Shape:. Basement Area: Basement Type: CRAWL Heat Fuel: Basement Fin: Pool: Heat Type: HOT WATER STEAM $ /SF: Porch Type: COVERED PORCH Parcel Fuel: TYPE UNKNOWN Perimeter Area: Patio Type: Floor Type: Attic Type: Floor Cover: # Bldgs: 1 Style: OLD Air Cond: # Res. Units: # Comm Units: Inspect Entry: Permit Amt: Bldg Type: Bldg Comments: Parcel Comments: LEGAL INFORMATION Legal Blk/Bldg: 0001 Legal Lot/Unit: 002 .- -• -- -.... _. _.I ege! -r Jane: - - - ...._. ?Data® Page: 2 of 2 SITE LOCATION OWNER'S NAME _ MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY PERSON INTERVIEWED PCHD Complaint # a ne & Relationship i.e., owner, tenant, etc.). DATE TYPE FACILITY )fr.--f PROPOSED INSTALLER BS —S�' 1- d -/-Z-q PHONE ADDRESS 'oo 6, REGISTRATION# �D11 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. 1; as owner, "or rep' ed agent -of o er agree to the conditiorisi fated --on this form: SIGNATURE TITLE 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 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. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML ATE Jul 31 03 09:55a TOWN OF PRTTERSO ' | c | � � � '—'-- 20.0' . 20.0' 845-878-2019 p,2 ' U |/ . /� : | i �� i 2OZ ........ -..... LIVING AREA BREAKDOWN AREA CALCULATIONS SUMMARY Coda GLAI First Floor 79:.:o 790.0 First n*or lXSXT c,w°z zm'ov / 790,00 | | o°="=u Floor | � | | / | | u*.o x uz_o � ^xo_mw | | U |/ . /� : | i �� i i Y BI -STATE INC. P. O. BOX 592 BREWSTER, N.Y. 10509' i JAVA RD AS BUILT WELL A— T1= 32 B —T1 =17 A -C =51.5 B —C =16.5 %G A —D =57 Q d( B —D =19 1000g septic Tank ,fg Pvc Division ©9 lE nvironenentai Health BMW Ar. "rovpd as moted for @onformanoo w1w v%.icable Rues acid Rejdlatlons o4 %ho Pu:, )am Coup Mort . ,. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ _. __........ -_ NTO CONSTRUCT A-WATER WELIy - - -. -- _.. please print or type PCHD Permit # W13 Well Location: Street Address: Town/Village Tax Grid # S —Y-1 •- % - 0-- J_A cl ��. S a ,.,/ Map a_S `Bloch W Lots cl Well Owner: N e: I Address: ��Scn/ A4 eJ C4 ArA110 ✓ AC41' l St z Use of Well: ✓ Residential Public Supply Air /Con eat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage _gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason 4 ( C, /n1A L_ Se J 2-c 0 t y U � � 14A - /V'Q 1_"', for Drilling Well Type brilled Driven Gravel Other Is. well site subject to flooding? ................................................. ............................:.. Yes No . Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision (/�tfrry 4�► 4 -4 Lot No. Water Well Contractor: TR G A- C— Address : - Is- Public Water Supply-available to- site? :.::. .................... Yes .. - _ No Name of Public Water Supply: TownNillage _ Distance to property from nearest water main: Proposed well location & sources of contamination to be pr vided on separate sheet/ Ai LDate:­­-.-/,�, -� .�.L.....AFpllcant Suture. _ _.. �.._... - _ .._�._.._._.._._...._.__._..... PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Q z �'� Permit Issuing Offici Date of Expiratio v Title: Permit is Non-TraoerraWe. White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 W W Jul 31 03 09:54a TOWN OF PATTERSO 845 - 878 -2019 P.1 B itding DepaAttment TOWN OF PATTERSON PUTNAM COUNTY PATTERSON, NEW YORK 12563 FROM. r DATE: Mj/�G =� RE: Telephone 878 -6319 Phimbm. c j- pager .ine e dirg PAUL P. PIAZZA Building Inspector TOWN OF PATTERSON CODE ENFORCEMENT OFFICE P.O. Box 470 Patterson, New York 12563 June 3, 2003 Mr. Vincent McGough 9 Cannon Road Carmel, New York RE: TM — 25.47 -1 -2 9 Java Road Patterson, New York Dear Mr. McGough, I have reviewed your application for a building permit for renovations at 9 . -Java Road. In- researching the -file in the -Building - Department, -I found an application and permit for a sewer disposal system dated 7/13/68, which shows a two - bedroom home. Telephone (845) 878 - 6319 Fax (845) 878 - 2019 Your building permit'shows new fields for a 3 bedroom septic, yet your health departmer�#. approval is for a s stem re air. _... _........._....X_._...._ P ____..._ - -.._ .. _.............. _::..:.. .._.... _ _ At .this time I cannot grant your permit until this matter is rectified with the Health Department. If you have any questions, please call my office. PPP /cs Sincerely, Paul P. Piazza, Building Inspector d, t, �. ;j2 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES pgopoSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY SITE LOCATION TM# OWNER'S NAME — PHONE MAILING ADDRESS,­-,_! PERSON INTERVIEWED PCHD Complaint # Name & Relation ship (i.e., owner, tenant, etc.) DATE "AL TYPE FACILITY n PHONE PRdOOS'ED INSTALLER) ADDRESS REGISTRATION# /o,/," P=osal (include sketch locating all adjacent wells): NOTE: Repair must be in same location ,Re and of same type as original sewage disposal system location . may require.submittal of prop6sal from licensed professional engineer or registered architect.. -IT el-,l el _L4&o-vmer,_or Tepfqrted agent of owner agree.to, the conditi6ns.stated.on.this fomi._ z) SIGNA TITLE DATE_ Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. I 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 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. Proposal approved .01 Inspector's Signature & Title -"DATE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC-RP 99NE '•d'r � : !'�°i! `a•' �. •w.• .� _ �:� ,� ;...' : ;" ''.� -=:ice ►; - ' •-.. =; ra .,�- •.:,'.tip •- _ .�. •:. .• sd:j•>_g` • . ' � - - � • • • � ' , �• . � 1 ;; � �:.. - ti •'� .,.rule dam; oi 7CNI7 1 0190 1 rpm lei- FA CGIQ: Q FAWW r + • /Nf'MOM GN GpNjy� �iyy' I IN I IT •�. 1 � ... `;`: .. -' ✓ '• , , ' . •emu! ' :: ... � ?� -`'.; ���. !+ • rvt r � { • •- - .:vim d �p • ;mac „a. yi..'� • r 5' r D PUT RAMC COi T DFrARTN I4T OR HEAL'ni DMIMN OF FANMOlYWNTAL HEALTH SERVICES A PLICA'TION TO -CONSTRUCT_A WATER WELL - _-. _ -....- PAM of type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # �ta'� • '"y " JrA )OA *4.4 S Map as VA 41 o At Well Owner: N e: ON fl-A7 Mc 60 U I Address: LEA nl l o ,4 I W - (A -&A.1 W Use of wel): 7p, Residential Public Supply Air/ eat Pump Irrigation 1- primary Business Faun Test(Monitoring Other (specify) 2-secondary Industrial Institutional Standby Yield Sought gpm # People Served Est. of Dai 1y Usage __--94., Amount of Use Reason for Replace Existing Supply Test/Observation Additional Supply Drilling Near supply (new dwelling) Deepen Exrist- g W ell DCta Led Remn 40 Af Ls IWA I- So it A [ 4 A [EST for Drilling , :tr R. o . 4 AL A Ov .4 i4- A $1& (L- Well Type gilled Driven Gravel _ Other Iswe site subject to flooding ............................................. ............................... Yes No r►" Is well located in a realty subdivi ? ........................................................ ........ Yes No ; Name of subdivision o �`ev A -rot LA KL Lot No.. Water Well Contractor: A t. Addcz 'f to 6A& L4 Is Public. Water Supply_ available to site? . .................. ............................... Yes No Name of Public Water Supply: Town/Vitlage Distance to property from nearest water main: 1 Proposed well location & soam of contamination to be vided on separate sheet! . Date: - k_, PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted u provisions of Article 14 of tlYe Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sarzitaty Codg9ad provided that within thirty (30) +drys of the completion of water well constructicm, the applicot or their gnaed representative shall: 1) Pump the well until the water is clear.,2) Disinfect the we!! in arxot�dmtbe with the mquirements of the Pumm County HealthDepartment. 3) Submit a Well Completion Report Uzi a`fom provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from�such well drilling operations be contained on this property and in such a manner as not to degrade or..6dw wise wntaminat+e sur&ce or groundwater. . APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued �t less construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue G ? y /�2 Permit Issuing Offici Date of Expiratio ,V,-. .. Title: Permit is Noo Tram ei lk White copy - HD file; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy .. Well driller Form WP -97 P -- -Z JAVA RD AS BUILT WELL A—Tl = 32 B—T1 =17 A A—C=51.5 B—C=16.5 A—D=57 B—D=19 9 Java Rd 3 Bed Residence Existing '1000g septic Tank 81 / 4"1 PVC L Leach in g Trench 2'xl-5' eaching Trench L C .5 ac: Tri c t2'xl 5' Leach:in Trin n ch �l 60501 ',ok'N 'H3j1SAA3H8 369 X013 *0 *d *ONI 3JLVIS-113-