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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.47 -2 -16 BOX 11 ME ROL I re .I I L. me 1 -'11 0 OR 01025 h 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 ROBERT.J. BONDI . - County Executive - ROBERT MORRIS, PE Director of Environmental Health March 3, 2006 Joseph Giusti 374 Haviland Drive Patterson, NY 12563 Re: Addition — Giusti - A -29 -06 No Increases in Number of Bedrooms (T) Patterson, TM# 25.47 -2 -16 Dear Mr. Giusti: 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 March 2, 2006. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at 3 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. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any 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. Sincerely, xz . Gene Reed Senior Environmental Engineering Aide GR:kly cc: BI (T) 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) 278 -6085 . Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 a 14 t (� 641 BAs VLJO A c- F'UTP\IAPvl COUNTY OF HEALTH HOUSE PLANS APPROVED FOP, BEDROOM COUNT ONLY 3 BEDROOMS / 04-2— ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCOOH FOR APPROVAL SIGNATURE & TITLE WAT ? III �\14 G' 3' F O �14wl 5PA-6-e- AWD •' NEW PUTNAM COUNIIY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS 2 0 iL ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL (, L21 : ©. n-� S GNATURE TITLE .p DEPARUNE i OF HEALTH Elvision of Etnironl=ntal Health Services 4 Genava Road Brewster, New York; L0509 Tel. .(914) 278.6130 Fax (914) 278 - 7921 BRUCE R. F0L PUM. , Heairl Dir; ; 4� -,e .0 S� Y % - .�. - / (4, STREET 1 %y N M NAIvfE t 'cd ti �" l PHOti'fi; l �t - 5 C. PCHT� r —D . tiL4II-M ADDRESS _3 --1 `-i ( 4 L,)t DESCPUPTiON OF ADD-lTION O,°,l -, /)rw ".A s 4.,�,,.d,4 )7� N . [BER OF EMSTITING BEDROOMS S PROPOSED 4 CF BEDROONIS (FROM CERT. OF GCCUPANCY OR CEPInFICATIO`; FROM BUILDL,<i INSPECTOR) *Ante _ddition v.hich is cors:der :d a bedroom tequres formal approval of plans (Construction Permit) prepzed by a - rCf_Ssion ad Engineer or Registered Aic'l tect in accordance witl, aaplicab:e sections of tht Puro.an County Sanita*y Code. Please submit this fc=.. w;d the fo'lowing to Putnam Coun*v Health Dept.; 4 Geneva Rd., Bmws *.e*, IY 1.0509, Phcne 275 -6130. I; Certified check of Flo ;,ey' o,der for 5100.00 hes of e:cisting floorpiari (drzwnto scare,. all living area including basement) "Non-professional sketc',ks u'e accept?ble 3. Two .sets of praposed floor plan (dn -wn to scare, with rime, stree', a.:d to t r ap T) * Non- p:oftssiona.i sketches are acceptable 4. Copy of serve)• sblowin; well and septic location, to the best of your k,owledgP. Tnciude date of ins?allztion if kno,tin: Label all -wells and septic systems within 200 feet of the property 11me. Contact this office wi-h any auestlons. 5. Copy of Cert. of Occupancy from Town or Certif cation fram Building Dept. v ith legal bedroom count of dwelling. 0F. SCE US F. Comore .s F* 9; A� .0, DEPARTMENT OF-HEALTH Division .Of Environmental Health Services 4 Geneva* Road, Brewster, New York 10509 (914) 278-6130 - Pumtm Co'unry Dept. of Heait-. 40eaeva Road 37ewste-7, NY IQ5C9 Re: G-'Z u, 5, Residenc-, Tax Map Tovm7- BRUCE R.JOLEY. Aeting PUbile Seallh Accoiding 'o re-.-c7ds mainwir.-d by the Tow-,--t, the abcye noted &.telling is IS NOT in corn-P) iarir.-, vith -1 ov,-, code and the teal num'oer afbedrcoms on record is This info-i-m. aticrt has be-.-zi obtained from'. CERTIFICATE OF OCCUPANCY: A.2HSSORS RECORD: OTHER Bul[dlcic, insce0or O Application No ......... ...... 94 ........................................... Building Department TOWN OF PATTERSON, N. Y. County of Putnam ' Location: -------_--------- 3-7-4 ---- Revilsnd---Drive --------------- Map No.: .......................... Section :--- .......---------- - - -... Bloak: 25.47-2-16 ............................. _ Lo :_50"5093 -------- Certificate of Occupancy No.. 260 ........ Date - De 19 t4ber .17th .68 THIS CERTIFIES that the building located at premises indicated above, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated. August. )rd SU 19. pursuant to ;Aic�- Building perm it was, is * ed, and conforms to all the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is'. or.e.e.t. a ohimey -to or e f amily. dwelli,19. ............................................................. � . . ... . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . This certificate is issued to..... BI ago Say.& ................................. (owner, of the aforesaid building.. Fee Paid $. none.... Anthony -3,00rinna .............. Building Inspector -t+V ON. Wo ,400 5 j r \00 "I 1%400)) 11 \A I e) IfA% \IJ lfa��l..� �Ji �_ �- a- ll� T 7. j �rv1�9 ''���'! i ACS!- 1�1C�'. 5089 • SO �� A-, I.rirYJF.J C1.! ?� u' AAA FP o� S=..frWAA,A L.A4E. 971, P 3•?A ? � : -�� .'Tb•1e.t 1.1 � • P.4�'r'T�.� �J i.._t • - PL.j"T1...1.� 14!t C_.O, ►..� �.!' . k•�,! C IL,E. .t° =fit WON lo, I9E�,2 ?ll i�i' E iK E -M - rV4;j$ �cT'`? TALE. t {�l�Ir.+ ,A►rR .�cc�. I�� • r}wjy�;;ft;;�cr'g- r+• fr. 4.t•}'i� !C ?�} ► ILlC"C1CCti'l AGIMCL 64(.uiC%J NA7 Li1A1 t7tpQ i :Irly. '�L'JF 21iT1a1 CIL' d{Y ;71N4: 4uR Y uA+ 99SPAi'68 IL.1 AC.C•OCl %UY 4 %XN '1t i f ok4 "w- h L'1.14LAI11W CC 46-n ■ifM1T1A1h C QCB CC PZACrV-AL MC LAA4C - '.,. V le. �'rlo• ` d 'T► Lz: Gl -.4reg 'am eo j �AOOP'SEP W-r"& UF-W lkAZ%4 cV&l4L A444=97. I.:i V'*j 2F �M 1 40cs .•t. JAS% I�+O�rl�ilOLS¢L` L►yJd�,4AIC,GEMI1LKA-1C"Jlo t&t*lu ALL tfP..11CW 1A-04N br Li/J i ' a"L14 lb -riE Pe'40s! MOM %UW 'it1E e v. vdurj . 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CF-rAQ SHERLITA AMLER, MD,- MS,,EAAP- Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 1, 2005 Giusti Haviland Drive Patterson, NY 12563 To Whom It May Concern: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 - - -- _._.ROBERT J. - BONDI - - -_. _ County Executive Re: Proposed Addition - Giusti Haviland Drive (T) Patterson, T.M. 25.47 -2 -16 Review of plan's and other supporting documents submitted at this time relative to the above mentioned project has been completed. The following comments are offered: /1. If there is an existing basement area, a plan is to be submitted showing this space. .2. -- Plans (ave been, returnedplease- provide the - following: _............. ..... _ _...... Note what plans are' existing and which are proposed. Clearly show where the addition will be constructed on the survey plan. . Provide a plan showing the proposed garage area. Upon receipt of a submission, revised to reflect the above comment, this application will be considered further. RM:cw Sinc y, Robert Morris P.E. Senior Public Health Engineer 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 October 21, 2005 Giusti 374 Haviland Drive Patterson, NY 12563 DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Re: Addition — Approval - Giusti No Increase in Number of Bedrooms 374 Haviland Drive (T) Patterson, T.M. 25.47 -2 -16 To Whom It May Concern: 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 the Department dated October 20, 2005. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. All plumbing fixtures must be updated with, water saving devices (i.e� new low flush toilets, restrictors for shower heads and faucets etc.). 4. The 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. If you have any questions, please contact me at your convenience. Very truly yours, � s ��� c Gene D. Reed Senior Environmental Engineering Aide GDR:cw cc: Building Inspector, (T) Patterson 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 DEPARTMENT OF HEALTH Division, Of Environmental Health Services Genvd Road, Brewster, New York 10509 (914). 278 -6130 - Putr:_rn CQ'urty Dept. of Health a Geneva Road B.ewsmi -, NY 105C9 Gendt.men: Re: GI wS' Rcsidence Aeting PuhlIc MUM Tax Maps 2- Tolvn` '�s n - Acceiding to records maintained by the Tow-,4 the above noted dv-,eiling is, X- IS NOT con. —Pharic wi d� BRUCE R. FOLtY Public; Xeclrh Drrec.,c. � PARTMEN 1 OF hkALTH L IVWon of Environmental Health Services 4 Genava Road BTOWster, New York- LOS09 Tri..914) 278.6130 F=(914)278-7921 STREET mqut t RUC OK TO fiT- e^yorTx vIAP # N CIF l `t�S FHOti'I✓ PCHM r fl `a� •- ,vIAmDge A DDRESS-:5 `7 q DESC'R:k'TiON OF tiLNI.BER OF EMSTITING BED:t OONAS 3- PROPOSED # OF BEDROWAS (F.M CERT. OF OCCUPANCY OR CERTIFICATION FROM BL'ILD24C. ENSPECTOR) *:3nv = dditien «hick is corsdered s bedroom iequires fonnai approval of plans (Con=ction Permit) prepz+:.d by a Engineer or Registered Arcliitect in accordance witl, aoplieab:e sections of the PL=an Coznty Sanitary Code. Please submit this fcrc. and the fo'lo Mng to Putnam Couar.V Health D;,pt., 4 Geneva Rd., Bmwscer, NY 10509, Phone 27S -F130. l`. Cettified-check -or zioaey order'for 5100.00 S'Secches of existing floor plan (drawn to sca?e,. all living area including basement) Non- professional skercl=s are accept =ble 3. Two sets of proposed floor plan (drawn to Scale, with name, street, and tae: rap T) * Non - professional sketches are acceptable 4. Copy of s.lrvcy s:,owi.n; well and septic. location, to the best of your knowledge. In-.ltlde date of ins?allatioa if kr o -wn, Label all Nvells and septic systeas within 200 feet of th.e p:operw lire. Contact this office wih any questions. 5. Copy of Cerc. of Oceumaney frcm Town or Certification fras! Building Dept. with legal. bedroom court of dwellirg. OFFICE �IJF, C ommes.s —r:b 9c. 0 1 \/ l u I 144S d 0. / / f T ► (� S ` 1 � , r. 5 , SHERLITA AMLER, MD, MS, FAAP V4.4 Commissioner o f Health LORETTA MOLINARI, RN, MSN Associate Commissioner of-Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 February 14, 2006 Mr. Joseph Giusti 374 Haviland Drive Patterson, New York 12563 Re: Dear Mr. Giusti: ROBERT J. BONDI County Executive Addition — Giusti, A -29 -06 374 Haviland Drive, (T) Patterson TM# 25.47 -2 -16 I have received and reviewed the revised plans for the proposed addition at the above mentioned residence submitted on February 7, 2006. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. This Department has determined the first floor room titled den to be a potential bedroom. 2. The legal bedroom count for the dwelling is three (3). The potential bedroom count of your proposed addition is four (4). _.-1 = .'. The. addit;iort. of •a potential bedroom 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 three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. GDR:cj Sincerely, 49� io. D04 Gene D. Reed Environmental Health 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 SHERLITAAMLEI;, -MD-,-MSFAAP------ Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 1, 2005 Giusti. Haviland Drive Patterson, NY 12563 To Whom It May Concern: .DEPARTMENT, OF HEALTH I Geneva Road, Brewster, New York 10509 Re: Proposed Addition - Giusti Haviland Drive (T) Patterson, T.M. 25.47-2-16 ROBERT J. BONDI County Executive Review of plans and other supporting documents submitted at this time relative to the above mentioned project has been completed. The following comments are offered: 1. If ' the " re is an existing basement area, a plan is to be submitted showing this space. 2. -Plans-have been returned please provide the fbll6wing: a) Note what plans are existing and which are proposed. b) Clearly show where, the addition will be constructed on the survey plan. c) Provide a plan showing the proposed garage area. Upon receipt of a submission, revised to reflect the above comment, this application will be considered further. 14110 Sine . y, Robert Morris P.E. Senior Public Health Engineer 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 PUTNAM COUNTY HEALTH DEPAR7MENT DIVISION OF ENVIRONMENrAL HEALTH SERVICES. Y PROPOSAL FOR SENAGE DISPOSAL SYSTEM REPAnt I MAILING ADDRESS Z4 tjy As IM e vr= PERSON IlV'TIItVIEWED PaD Caq) afnt Name & Relationship (i.e, owner tenant, etc.) d DATE TYPE FACILITY PROPOSED Iffini.LER ?Wait PHONE 2 W :f2 &a,9 REGISTRAI�ON `# ( nclude sketch locating all adjacent wells): .NOTE: i4a t mgt be in same location and of samme type as original sewage disposal system. Different location may require submittal of proposal from licensed; professional engineer or registered architect. Inspector's Signature & 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. owner I, as . owneyr, reported agent of -- to the above SIGNATURE TITLE DATE VPF Qcg2y DWW: *dte MV; YeUcw rail HE); Pink U'liU+•a+ t) PC -RP 97 �� � E ���� \, �' �. � ��; << � � � � �� �� �� - � �; . � c �� S� . R i � ,� ���- �r -•9�► � � "�� i r i _ 3 ._ ���- ��� 0 PUTNAM COUNTY DEPARTMENT OF HEALTH i DIVISION OF ENVVIRONIIIENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMATION _ Name'.of Project f (T)(i) Ttil# 2 �°— Year of Construction Size of Parcel SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. ❑Hilly ❑Rolling ❑Steep Slope ❑Gentle Slope ❑Flat :2.. ❑Evidence of wetland ❑Low area subject to flooding . ❑Bodies of water. -. ❑Drainage ditches Clock outcrop YES 3. Property lines evident. ❑ 4. Watercourses exist on, or adjacent to parcel: ❑ 5. Existing individual wells within 200ft of the existing SSTS? . ❑ CT SECTION C. EXISTING SUBSURFACE SENVAGE TREATMENT SYSTEM(SSTS) 1.- Physical character of existing SSTS area. A. ❑Level ❑Gentle Slope C3 Steep slope B. ❑Well drained - ❑Moderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) ❑ Extremely limited ❑Somewhat limited ❑Adequate ft x ft . 711� D. INSPECTION Date Inspecto� ❑No ex.-idence of failure ❑E ' e e of fail e f seasonal failure I ` ----------- - - - - =- ----- -------- - = -7- -----=----------------------------------- I (Indicate North) N C.7 h Y HOUSE r;_ i c 1 Indicate location of SSTS''- A. Size and type of septic tank gallons ❑ MPlast:ic B. ,Type of absorp Ion area : - - -- 1. Fields ft. 2. Pits 3: t'rallies t. (2) Indicate setbacks, front street, backyard, and side yard dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXIST1 1G WATER SUPPLY ❑PW* S OShared well individual well MDrilled C]Duu0 11asing above ground CO NTS: REPAERS ONLY: As Built Inspection Required: Status: As Built Submitted: As Built Inspection Done: Inspector: