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Home My WebLink About1182DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.62 -133 BOX 12 1%'6 �. : 1 1 . , r , � t OL ' � ■ T 1 01182 BRUCE.. R._ .F.OLEY 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 (914) 278 .'- 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 March 10, 1999 Dawn Rossi 15 Iroquois Rd. Patterson, NY 12563 Re: Addition- Rossi - Iroquois Rd.. No Increases in Number of Bedrooms (T) Patterson Tax # 25.62 -1 -33 Dear Ms. Rossi 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 March 10, 1999 The addition is approved with the following conditions. 1. The total number of bedrooms must remain;at hree 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. 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:kg Very tru __ __... ..... . William Hedges Senior Public Health Sanitarian a STAYS ivin LOA �ns¢e� Orel y roves - e 4 S, . �2 C6 UPSfMO S1(efc ,C n4 Rod ovo—.r &A�� UT."VAM COUIVTy DEPARTMENT OF NEAUTH HOUSE PLANS APP. Ro 1loVEI) FOR om COUN-1 Signature & Titi O' IA. etas y U v) r) inn ►.5 �� pit roo ; 1 oX 10 �+ r'oo Y IQQ IIXXI NXIO 17�r + e.E CKI) i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVIDUAL ADDITION /REPAIR FORM SECTION A. GENERAL INFORMATION Name of Project (T)(V) TM# Year of Construction Size of Parcel; SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. Offilly [3Rolling* OSteep slope Mentle slope ofiat 2. OE"v"idence of wetlands Clow areas subject to flooding Modies of water Mrainage ditches `DRock outcrops YES NO 3. Property lines evident? 4. Water courses'exist 'on; "or adjacent to'parcel7 �- 5. Existing individual wells within 200ft of the existing SSTS? ❑'` ❑ SECTION C. ; EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM (SSTS) 1. Physical character of existing SSTS area. A. r 06"entle slope OSteep slope B. OWell drained MM`oderately well drained 0Some what poorly drained C]Po 6rly drained C. Area available for SSTS. (Primary, & Reserve) nExtremely '`�' limited Somewhat limited Adequate ft x ft D. INSPECTION . Date E� ! Inspector MN0/evidence of failurg DEvidence of failure DEvidence of seasonal failure �--k - - - -- „�-' - - - - - - (Indicate North) a � � HOUSE p � r (1) Indicate location of SSTS A. 'Size and type of septic tank gallons t OMetal OConcrete []Plastic B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. (2),In4icate 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. EXISTING WATER SUPPLY COMMENTS: Shared well adividual well rilled 0Dug 13C above ground e'er 'PUTNj t e r �• ,i w R'ecved`of. The Sum�Of For _ r s 1 iGl.® i ) ® y IYN /ilVlYNlIlY! V11YH1Y111YY1YH7� (YlYil1YV1Y111iJN1 V" YlYY111G' IY\ ITYV7 11Y( MYIiiV7 �+ YSif M] Y\ 11Y1r] fll llif b. IN- 7ilVli/1i1vM7vHlilYlYli[1/\1f') r � y I i 1 C , 1 I I • r t - DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R. FOLEY Public Health Director STREET i . T r y uo �s �C) TOWN UrJ TX MAP .#. NAME ( S_S ► PHONES Y53 �' PCHD # (o - 9 MAILING ADDRESS DESCRIPTION OF ADDITION. 6GIG' `e + ue-s L (r f Lr y, tiS SA 2 � PROPOSED # OF BEDROOMS -M NUMBER OF EXISTING BEDROOMS GJ (FROM 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. Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd., 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 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * 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 Feb 98 11iei,✓ B rn 4h 5 4-e r fie dry 4D From L J. BABEL, ESQ. PHONE No. 718 547 2070 Apr. 16 1996 9: 10RP1 P01 .., 1 .. irllr.r 1 ili Yr�: .11111 r11N 1.1 /.1..rY 11� 6YAr 1� akn ��'�1' �oPd o�r,P 1 CA i �1 $0VO 900,0 not P'a i=i C= C`;O v1510 Am CcD Cca c cao=1 C-1 pq pxaooda lei rmeP,#eog er i Bppn DRdP Q CA [�ol�F1QCI i 1 MR, Iro q" ; p t -A ev p'dvva? i da+�d v0ap � , aos�a� pa � � Qo�p�ArY I d' lip \ I a P. ' � I P � jj ro guoi- g; �f' a' VCs'%'' t �6�F�d �iPA Pp��P d ,a�s'��'6�cY,;ls�� dope &PPDr9biJ06pPP00� F 00040 p ptPl38 ®•� � t� 14 , °''.q'rl+ pRpt�l�: 1 F'(�f/A�17 ti/, i .., 1 .. irllr.r 1 ili Yr�: .11111 r11N 1.1 /.1..rY 11� 1� akn ��'�1' 1 CA i �1 P � jj ro guoi- g; �f' a' VCs'%'' t �6�F�d �iPA Pp��P d ,a�s'��'6�cY,;ls�� dope &PPDr9biJ06pPP00� F 00040 p ptPl38 ®•� � t� 14 , °''.q'rl+ pRpt�l�: 1 F'(�f/A�17 ti/, i I k * BRUCE R. FOLEY, R.S. �owi� Acting Publ ic Health Director DEPARTMENT., OF HEALTH Division ; Of Environmental Health Services 4 Geneva" Road, Brewster, New York 10509 :(914) 278 -6130q 'Putnam- County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: esidence Tax Map Town Gentlemen: According to records maintained by the Town, the above noted dwelling IS 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 DIVISION OF ENVIRCMDUAL HEALTH SWICES PROPOSAL FUR SHOM DISPOSAL SYSTER4 REPAIR SITE IACATION oe, owner, DATE IMO Pty Ccmplaint 0 !ant, etc,) TYPE FACILITY HD /ne_ PROPOSED INSTALLER ores Cmi 4q rd, P ?/,V- W-! 002 REGISTRATION # g Peo ( include sketch locating all adjacent wells) : mm- Repair must be in same location and of same type as original sewage disposal syst m. Different location may require submittal of proposal from licensed professional engineer or registered architect. ��11 �? Weil Proposal approved °s tune & JAS %n . Im-- o-cSe / !!_ 1- ZcDo,,i / Disapproved 'roposal approved with the following conditions: to Procurement of any Town permit, if applicable. 20 Submission of as built repair sketch in duplicate showing: ao Owner's name. bo Site Street Name, Town and Tax Map number. co Location of installed components tied to two fixed points (eogo,hcuse corners). do System description (e.g., 1250 gal. concrete septic tank, three precast 61 diamo x 61 deep drywells surrounded by one foot + gravel). eo Installer °s name and number. 3. System repair to be performed in accordance with the above proposal and conditions. as owner, o rted ent of owner agree to the above conditions. � � 1 SIGMA TITLE (e'wh PY VATE S C Pte: ftte (P D) 0 Ye11ar Mmn ffi) a Pink (Arpliamt)