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Home My WebLink About1248DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.64 -1 -27 BOX 12 I: f. # iit Ili 1 6 r3l, I I: f. # 01248 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT I BONDI County Executive May 18, 2005 Ray Merlotto 6 Caldwell Road Patterson, NY 12563 Re: Addition — Merlotto No Increases in Number of Bedrooms 29 Interlaken Road (T) Patterson , T.M. #25.64 -1 -27 Dear Mr. Merlotto: 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 May 18, 2005. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at one without prior approval by this Department. 2. The- area of the existing sewage disposal system,'and ifs 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. V YY i Robert Morris Senior Public Health Engineer RM:cw Cc:Building Inspector, (T) Patterson Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 WIA 3A-T42ooM &,Lo Scr Y2 K-4- Noi,)> ME12- LurTU) to — 2 -7 T$AM COUNTY DEIV:A 'MtAENT OF HEALTH Hasho�p, AlppC)VED FOR' Or.-I COUNT ONLY, -0 TIMSM HOUSE ALL SUB.S- 0 1 POR APPROVAL PLANS a. SIGNATURE --&-Tl-T-LF--- DATE i t i w f i. r Q r i ILI c� /+r � fi Ldp `2 � ... -�� ' �✓ t i i t t i i c! 9 �TER�,t'EN IQC3:i4� PP�YTC �Sdr� � y `:�ZSfo� s .i i .f �|� | ` L � � - . . � . ' ^ ` . '' . | . ' ' ' � ' ].� ^-'- >... _. ; BRUCE R.. FOLEN' _ :. .. - Public Health Director - - LORE 'I'`I'A "`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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 October 25, 2002 Ray Merlotto 17 Flint Rd. Patterson, NY1 Re: Addition- Merlotto- 29 Interlaken Rd. No Increases in Number of Bedrooms (T) Patterson Tax # 25.64 -1 -27 Dear Mr. Merlotto: I have received and reviewed the plans for the Reconstruction to the above - mentioned' - residence. The proposal for the Reconstruction has been approved as per plans bearing the approval stamp form this Department dated-October 25, 2002. The addition is approved with the following conditions: 1. The total' number of bedrooms must remain at One 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. Very trul William Hedges WH:kg. Senior Public Health Sanitarian cc: BI f--T-41 r 7--- TIT f- I 4..,.... J. 1 1 II' .� t. l • _ ! _ �p7+�►- . ... .. .. . - — �� -'�� •�. � � - a- r^':�- .. � = _ �L.A • : •"1.. Yom• ... _ �i• � M.r - _ .. .:_ .. ..�• i. . . . - \\lJff /// . . . . . . . . . . . . . . _ ]{ o F7 Alrl 'coU11-Ty DEPARTMETVT ��R F arcv7�p�l�mry�MD F04 c IN � •� ,. i..j_ {It ;..'� I •r i i; rtI C i t t"ii i i t . •t �- t .I i �_ _ i I- �-� � t i ' ,..GEJRODIN� � t��%� �• t i T � i ; •j i •I. � t T•. i i � t -.�•; •{ � ; tj r l •• :,.+ .�.Y; t• � `' 1 1 I ; t�i'i i � t t"i- j i ' i i��• - r T' t.} �•t.��.�..: :i ��:� '.'_ . I_ ;_1- 'fin' j. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health -LORETTA MCLINARI;RRN, MSN :. .r _ .....__ Associate Commissioner of Health May 13, 2005 Ray Merlotto . 6 Caldwell Road Patterson, NY 12563 Dear Mr. Merlotto: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — Merlotto 29 Interlaken Road (T) Patterson; T.M. #25.64 -1 -27 ROBERT I BONDI County Executive I have received and reviewed the plans for the proposed addition at the above mentioned residence, Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The legal bedroom count for the dwelling is one. The potential bedroom count of your proposed addition is two. 2. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. or registered architect; _ Please revise the proposed floor plan to reflect no more than one potential bedroom, 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. RM:cw Sic rely, Robert Morris Senior Public Health Engineer Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool(845)278 -6014 Fax(845)278 -6648 A" SHERLITA AMLER, MD, MS, FAAP Commissioner of Healt,h LORE TA MOLINARI;,RN, rv1SNV -' Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH - 0J 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY S T RE E Ta k,6je,� MAM�tNZ ADDRESS 0 DESCRIPTION OF ADDITION , IYWIV NUMBER OF EXISTING BEDROOMS_L_PROPOSED # OF DEB ROOMS Q (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., 1 Geneva Rd, Brewster, NY .10509, Phone: (845) 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) 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 locations 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 Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 W.77 71 I, SIHERLITA 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 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, N.Y. 10509 d_ TAX I, i OWN To Whom It May Concern: According to records maintained by the Town, the above noted dwelling: IS IS NOT IN COMPL ANCE WITH town code and the total number of bedrooms is This information has been obtained from: CERTIFICATE OF OCCUPANCY ASSEScnu 14Z Wprnun OTHER ROBERT 1 BONDI County Executive BUILDING INSPECTOR Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 97s'6yyYo7 THANK YO.U! El a§ i Q Check Lg'I� O ❑Credit Card gy', /rJGZ`�i I r ... DE PAXI MEly I OF IMALTT i Vv4sion of Eni irvnnwntal Health Services 6 Genava Road erews.ar, Naw York 10509 Tel. (914) 278.6130 Fax (914) 1.75 - 7921 BRUCE R FOLSY Public Health Di .._ -- -- - - _. am I MW iI I M * O 5 I'REET ms TOwi+tg �P # ?�i b f , PHONI i ;V � c`. - PCI iD r f M .4L LDDRES8A 7� DESCRIPTION OF ADDiTIO .X S � iL,1riSER OF Ek�STTNG BEI)ROONIS PROPOSED 00 OF BET3ROOlLS D (FROM CERT. OF GCfJFJuticr OR CERTIFICATION FROM BU Dr!NC ILSPSCTOR) "Any addition «-hick is corn tiered a bedroom requires formal approval of plans (Cons-tiuction Permit) prepared by a Pr,:f_ssio:,a1 Iagineer or Registered Arcl- teat in accordance with aaplicab:e sections of the Pu=urn County Sanita.*y Code. Please subnit this fart and *he fo :loMng to Puu1am Court y health D pt.; 4 Geneva Rd., Brcwster, NY 10509, Phc-ae 27S-6130. 30. _ 1. Certified check or money- order for 5100,00 Z. Sk-etches oz existing floor p;aii (drawnto scale, all living area including basement) " Non- professional skeic'nes are acceptable 3. Two .sets of proposed 1oor plan ' draxm to scare, Aith name, street, and tx. r::ap T) . * Non- profcssionai sketches are cceptable 4. Copy of survey SAnowing well and septic location, to the best of vour knowledge. Inc-Lide date of installation if tino%-,m Label all wells and septic syste=.s within 200 feet of the p :operty line. Ccntact tds office wi any questions. 5. Copy of Lent. of Occupancy frrm Town or Certification from Buildirg Dept. -,Mth legal bedroom court of dwelling. OFELE Comme .s o 0 a DEPARTMENT OF HEALTH Division . Of Environmental Health Services 4 Ger.e4 Road, Brewster, New York 10509 (914) 278 -6130 flRl! -CE R._FOLEv- A c Acting Puhila Mealth PLtmm County Dept, of Heait 4 uencva Read Brewster, NY 105C9 Residenc.- Tax Map Town C:eni:i� men: Accoiding to records maintained by the To�11t, the above noted dv elling i5 Is \110-r" - ,11 compliance r, "it�l T�15T. coi � end ;re teal nurn6er cf'oedreoms on record is This ;information :'!as been obtained from: CERTIFICATE Or OCCUPANCY: A. SESSO.S RECORD-. OCHER Building in ' for PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES OSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY SITE LOCATION o)I =NrMLAKGN koAD PAM69--5or.TM# 0251 (O OWNER'S NAME RAlmomp (ACKLerr -ro PHONE 8 S- a79 -m?9s� MAILING ADDRESS P,arr -gsa/v Al5/ itsC. 3 PERSON INTERVIEWED ?Ayw+w�v MeMUMco PCHD Complaint # wne & Kelationship i.e., owner, tenant, etc.)u DATE __/ y TYPE FACILITY / /;i�sol Y PROPOSED INSTALLER_ 101 S PHONE ADDRESS REGISTRATION# 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. C.011 - I,. as owner, or reported agent of ownel agree to the conditions stated -on this form. SIGNATURE I• C A6J e TITLE 0 W P� 61'� DATE —1 _Pro on sal approved with the fallowing 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 e. Installers' name and number. I 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 991VLL, D TE PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES OFFICIAL USE ONLY A a3 - o g . SITE LOCATION -TNrCKLAKGN PcIA'D PATrQZSOt-TM# OWNER'S NAME RAYMotil) ACALO-TTO PHONE 9Y- 5 -a79- 955! MAILING ADDRESS CA Low GL.L- 96,4,> 3Arrt-2sa,,v PERSON INTERVIEWED- ?AJWw--'0 MEMLDr-L PCHD Complaint # NaMe & Relationsnip (i.e., owner, tenant, etc.) DATE 0 L 211 2- TYPE FACILITY PROPOSED INSTALLER— � j if eo' c=-- PHONE ADDRESS REGISTRATION# 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. as oA-aer; Or reported qg6nt rf iavm.Ff -agree -to-the conditions stated on this form.. SIGNATURE TITLE DATE IP12110 2- 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 D)(TE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC-RP 99ML „ Gol.tntsj der. p rns:;t er Health Of E:wt`:ror 7 nt ' He�iti? Service raf; -i _ : ;gin. ^.v Leith P r Date Signature & 11t1e ' .,..: i aye Vr �.. .G w I. a m I I BON PIN• POINT --- 0.0)2'• W PROP. IAW — POSr & RAIL FIRNIM I= W/ @lY ww POLE 9tpp5� B.O .C./,. M LOr NM 019'18- 9979 . Mt � one ” t=lf M WF Or MAMW LAW. nAW MAo WO. 149a MW S-20 -M SmAir w 1'OWN.07 PAT F50N MXNAM GO,, N.Y. 5C.AL.: I" 20' . M 23, 2001 cormew ® =a, -mm mRzwowr =4.m, AA. ma" w=vw nom. ��rosr�►�,a wttn m IKL` f OX LAV Axrer, x /.{ IN-Y tO iFC' PEON WJ1f PRCP/V�lQ MD ON CO.,AW. LE1t�t7R�ki f49rt- w L