HomeMy WebLinkAbout1051DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
25.48 -2 -6
BOX 11
I ru I I is -
r� `,�
01051
FROM :D FAX NO. :8452784057 Jun. 04 2004 07:28AM PP
. MFYY- 26 -20Q4 1 :40 FR�t:PUTNAt1 CO NITY DEPART B45- 278 -7921 70:919149413346 — P:2�2
SrM LOCA
OWNER'S]
MAELING P
PERSON
DATE 10 P —
2 s e f-6 y^ 4- Or,
.2 (0
r&B.FACH fY
PROM= IriSTALLEtt s +�— • ••..'•... •.
AAAi�ESS �• •'C' 20M D RFsMTRATION#
p (Wade *tkb locating A t w►db): ,�� location
NOTE: Repair meet be in same bad= end of same type os ori&W sewage
maY requit+C suba�ittsl of proposal 8+art�r�cea�d p�ofe�sionai eo$b /��ec or regis�ind atcbikc�
- ---o (e, C.L S Ic-e— '► (L l.lc -fah.. ✓1 c v�J /l i L) 0,v
owee�c, or agent of wee to the coildidons wed on this form.
. ,
1 • Proemernift Of WW TOwn pttmlt, if.Appligabk-
2- Submission of os built repair skWj in daplieW sag:
IL Gww's
b. Site Strad Nam, Tmn
C. Location of irebatted nrpossent� n tbtsd Phials (eg;,+s aa�as). SyStcm ..
e• Anew name awl n�' IPSO gaL SQptic teN4 three precasR 6' Vim. X 6' deep
3.
System repair to bC pGrforrtted is with the above pmpow 81d ,
ftp W approved
copms: wm'te (PGiID); Yoww crown P4 Pink (rp km)
"ta
JUN -4 -2004 FRI' 07:26 TEL:e45- 278 =7921
now r:
NAME:PUTNAM COUNTY DEPARTMENT OF P. .1
FROM :D FAX NO. :8452784057
i
1
.,N
I
Se 440
1
0
.p
Jun. 04 2004 07:26AM P2
BTU N� elc�
c V
• V
&m"41
�roptir
LQCQ � 1 ' Ord
_ (:56V i * A w
i&qn,
'J43t 54: >Pl
' e• r$T, 4Z'
7-sla
Paco ro-&Q&lz
. LET ��� �� 54�►�y
'To AAAV co' Oknl -►.MA AN�P* 41-49.F • RLE0 3rZO-31
"C- `3Ar..11w..l C7V= RW -rM Pk Ttt.l4M
Ai..ib Tb I.+G'�T'Li�isd._4rtG�W �`- aG-'r'
j�i?A.t.t'1� FOB Y41GiQ 1F+1O4-1�-7 �-�v.
RAGtt,/n1C�iy nJD1C:A;t a iJEi�•Ql.l +f.l.11G�/ 'R14f "' LII.Jb.mcciz&o alLvAr41i cc ApDrnotj
11Mr *Liew# vAAb Ffffi ~&D sU AurC1Y•ZW-KA UM -1G IM" SAP /s A Viot- I� ems'
uL wyoj "1Ljfr cAmm cc micric& Piz LA&A> SL�i]�yy '!`j09 6'T1r"i LFkd x$16 OrA*- GDLXATHXJ
ft/-%AC L*jj `A" sUW- AOP60CJATUJW cam. LALl. drlL• c7LdlC+`, IC
l./Am �4. , YgIID c�T1FKiCF1a Na. &Xr d"06JW. ALL C9Zf%V Q'lnk* 9EAWOJ
AiI�L �� pip y 1D.'111E..
F" 40J Fm %99* 'rm f • Ag:& %AU -tc? RAIL IWK AAAP n►.1D C'A>aQS
iy 1' A►LW. "j WV7 �E -NeI.F .1o'g1� i -r►aFi wow cA kpi a: *ua P M cw
E�i
�YiLJE. C.ClA+tF'��N 'wa WtllMMiw *PX Jn1W Lam• lYEAit Titer fARPpEA-WO IA:M- Crr'ME,
Vt AWF-U r-12 444KMA41 A -0" l _ 9Nft `° "iWJ -61".laA_1M APF"A*
14 FRI 07:27 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2
PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
September 28, 1989
Belfatto b Pavarini
Harrison Executive Park
3020 Westchester Avenue
Purchase, MY 10577
Res Belfatto addition
Corner of Lake Shore Drive b
Jerome Drive (T) Patterson
To Whom it may Concern:--'
�i
ENID L. CARRUTH, M.P.H.
Public Health Director
JOHN KARELL Jr., P.E.
Director
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans indicate that a 15' x 20' addition will be added to the south side of
the existing residence. The addition will consist of a master bedroom and bath.
The existing bedroom will be renovated into'a dining room.
The survey indicates that sufficient area exists to expand or repair the sewage.
disposal system, should it become necessary in the future. Therefore, based on
the information submitted, the above mentioned addition is approved with the
following conditions: _
1. The total number of bedrooms must remain at one (1) 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 replaced or updated with water saving devices,
i.e., low flush toilets, restrictors for shower heads and faucets, etc.
Approval is granted for sewage disposal only. 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,
c --
William Hedges
Sr. Public Health Sanitarian
WH /jp
cc: BI (T) Patterson
PLITN.A1,41 C' JNT-Y HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
John M. Simmons, M.D.
Deputy Comnissioner of Health
- FIELD ACTIVITY REPORT -
TM *No.
MAILING ADDRESS_
P.
a• • &
• . P 'UTA vo TAVI
Name and Title
DATE „ TYPE FACILITY
TIME ARRIVED TIME LEFT
FINDINGS: _
Sheet of
Orig. Routine
Orig. Complain
Orig. Request
Compliance
Canplaint Comp
Final
Group Illness
Construction
Reinspection
Field, Sampling Only
Field Conference
Other
Explain
INSPECTOR: TELEPHONE:
Signature and Title
PERSON IN CHARGE OR INTERVIEWED:
I acknowledge this Field Act vity Report. SIGNATURE:
6/86 TITLE:
ate° ^�~ .•-
®'"�
�
�.� . � ®-�-
� ®�
®
INSPECTOR: TELEPHONE:
Signature and Title
PERSON IN CHARGE OR INTERVIEWED:
I acknowledge this Field Act vity Report. SIGNATURE:
6/86 TITLE:
5G� � uLiV.
ti
I �
V... �.. I NEW Nooc
CON
�u
5 45 °� 5°I'• zo�' W
icS
� Pa{7K� u4 boa.
105 61 �
�L
l..