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631- 589 -8100
25.71-1-35
BOX 12
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01291
SHERLITA AMLEK MD, MS, FAAP
Commissioner of Health
-- •- 1;ORETTA -MOLINP RI; .RN, MSN. - .... _ .' .._.._.
Associate Commissioner of Health
August 9, 2005
DEPARTMENT' OF HEALTH
1 Geneva Road, Brewster, New York 10509
Kurt and Michelle Van Buren
60 Warren Drive
Patterson, NY 12563
Dear Mr. and Mrs. Van Buren:
Dear Mr. and Mrs. Van Buren:
ROBERT J. BONDI
County Executive
Re: Addition - Approval — Van Buren
No Increase in Number of Bedrooms
60 Warren Drive
(T) Patterson, T.M. 25.71 -1 -35
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 August 9, 2005. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at two 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 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,
" -6 P,-,
Gene D. Reed
Senior Environmental Engineering Aide
GDR: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
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BEDROOMS
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PInNAM COUNTY DEPARTMENT OF HEAD
MOUSE PLANS APPROVED FOR
BEDROO;,: CO!dtdT ONLY;
EEOROON'S
°9wnAture &Title
��/ I
A
BRUCE R. FOLSY
Public Hecith Dir;-rc;
r.
_ . �zPAR YIEly i OF 1 -MALTH
Division of Erniroaummal Health Services
Genava Road J�
Brewster, New Yo&- 10509 1d J
Tef..(9:4) 278 • b130 Fax (414} 7.75 - ?921
PROPOSED DDiTIOP APPIJ AC T101 ($ES1,pE'` IDI Q���Yl_.
STREE 1,U1 • TOWN X -MAP
NA1ti1E �✓ PHON -E PCED
ADDRESS
DESCR:PTi0:�? OF ADDiTION
NUN IBER OF EMST -ING BEI3rROONLS� PROPt�SED # CF 33EriROOI�LS-4w—
(F40M C EXT. O: GC,"JL?,�iCf OR
k4"CEKTIFICATION FROM &[ LLDLNG tiSPfiCTOR) a
*:3riv _ddition which is cons dared a be*oom requires formal approval of plans (Coamvcdon
Perntif) prepe`ed by a Tcfessional Engineer or Registered Arc'Etect in accordance With
applicab:e sections of th,! Puuun Cc=ty Sanitary Code, .
Please submit this f6m. a;:d the fo'lowing to Putnam County Health Dcpt., 4 Genava Rd.,
Brc seer, NY 10509, Pone �''S -F13o.
1'r ctrtified-check or amme y • order for '200.00 0
S�inches of existing floor plan (drawn to scale, all 11-ving area including basement)
No sketc'nes aze acceptable ---- --
rro proposed Loor plan (draw-nto scale, zth tame, street,.and'a;: rap T).....>
. *Nan -p:G Lssionat sket,hes are acceptable
Nd �, Copy of survey s owM, ��e11_and semic� location, to the best of yo�ir knowledge. Inc:1.ide cafe
of installatica if known: ahel tlt�al eLs ��d septic s} ste*�.s within ?00 feet of the p:oparty lane.
Contact phis office wi'>r an aps
y.
✓5. Copy of Cent. of Occupancy from Town or Certification fran! Building Dept, with legal
bedroom court of dwelling.
OFFICE li F,
forme w.s
F* 91
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
-. - - =--'- ORETTA MOL114ARi, RN, MSN
Associate Commissioner of Health
August 1, 2005
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Kurt and Michelle Van Buren
60 Warren Drive
Patterson, NY 12563
Dear Mr. and Mrs. Van Buren:
Dear Mr. and Mrs. Van Buren:
ROBERT J. BONDI
County Executive
Re: Addition — Application Incomplete — Van Buren
60 Warren Drive
(T) Patterson, T.M. #25.71 -1 -35
Continued review of revised plans submitted at this time relative to the above - regarded project
has been completed. The following comments need to be addressed:
1. The basement and second story floor plans have not been returned with the revised first
floor plans.
2. The bedroom count form has been returned to you._ This form must be signed by the
- ' - 'building Inspector:
Upon receipt of a submission, revised to reflect the above comments, this application will be
considered further.
GDR: cw
Sincerely,
kz ,
Gene D. Reed
Environmental Health Engineering Aide
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
SHERLITA AMLER, MID, MS, FAAP
Commissioner of Health
.._ T,OP WZTr► AOLI�AlAItI;�RP�I I'.ISN
Associate Commissioner of Health
July 15, 2.005
Kurt Vanburen
60 Warren Drive
Patterson, New York 12563
Dear Mr. Vanburen:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
Re: Addition Application Incomplete
60 Warren Drive, (T) Patterson
Review of plans and other supporting documents submitted at this time relative to the above -
regarded addition has been completed. The following was not submitted with your application:
1. Two sets of proposed house plans, only one was submitted. Proposed plans must
include the owners name, street and tax map number.
2. The survey needs to show all wells and septic systems within 200 feet of the property
line.
3. Dimensions of the exterior and all rooms to be shown on the proposed floor plans.
4. Floor plans must be submitted for the existing basement and proposed basement if
applicable.
Upon receipt of a submission, revised to reflect the above comments, this repair application will
be considered further. .
GDR:cj
Sincerely,
Gene D. Reed
Sr. Environmental Engineering Aide
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
NAR -1 -2005 12:40 FROM:PUTNAM COUNTY DEPART Et4�- 2'B -T�21
X* M'S S NAM
T1-I:'31'314 1 25 ('22 1
PUTNAM COUNTY HEALTH DEPA(2'1ME U
- T)MST.0N .,ATE
F' P":-
PROPOSAL KR SWZE DISPOSAL SYSTEM! WA IR IC. 2� D
3ITE LOCATION (/ )j r►�, "4#
9AMING ADDRESS CD C✓'c.rn0l va� p� n . Gg �sc
?ERSON INTERVIEWED PCHD Ccuqplafnt #
Nam s Pel.ationship (i.e, owner,tenant, etc.)
]ATE TYPE FACILITY ✓s
*OPOSED IIZ5TALLER ;`1 cs %`,► / .� PHONE 9 / y " j >% 'e"02- !
tEGISTRATION # ��� 131
Proposal (include sketch locating all adjacent wells):
90TE: Repair must be in same location and of same type as original sewage disposal system.
3ifferent location may require 'submittal of proposal from licensed professional engineer or
Cegistered architect.
PIC4 /Af-r" 551/d 6ncn. L DnL
TG k. Ole.
v J,�/G(l (,r, � ►«� HBO �'� -�l`` ��� �2., • I � -r �� � c�_ �'w rr1_ - � d� �5 - -
...-.
Inspector's Signature & Ti
Proposal Disapproved
proposal ap rp oved with the following conditions:
1. Procurement of any Town permit, if applicable.
le.
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 ccnrponents tied to two fixed points
d. System description (e.g., 1250 gal. concrete septic tank,
drywells surrounded by one foot + gravel).
e. Installer's name and number.
� 6 .
Date/'
(e.g.,house corners)..
three precast 6' diem. x 6' dwp
3. Systan repair to be performed in accordance with the above proposal and conditions.
I, as owner, reported nt of owner agree to the above conditions.
SIGNATURE TITLE BATE
PM: Witte (MV); V? 1 ckmn HI); Pink (,AppliCBM)
CAF -60/3 - - L
DEPARTMENT OF HEALTH
Division . Of Environmental Health Services
Ciereva' Road, Brewster, I New York 10509.:.
(914) 278 -6130
Putr am County Dept. ofHeait`-
4 Geneva Road
3.ewsi r, NY 105C9
Gentlemen:
BRUCE F._FJt
Reting PUhlle Mealth
Re: / �k .
esidencc
Tax Map Ig< 12—S
Town
acco►dint.o re-:,o*ds maintained by the Town, the above noted d`�.ell.M
iS \,a •
:s NOT
In c,�►�plia^.:.e v, th To•,� i. cb +e aid the total riurnber cf'bedreorns on record
is
This information has been obtaL--ied from:
CERTIFICATE OF OCCUPANCY:
A. 3ESSO ,s RE-:c-ORD-.
OTHER
Building Inscector
�. t
DEPARTMENT OF HEALTH
Division.-Of Environmental Health Services
Geneva Road, Brewster, New York 10509
(914) 278 -6130 '
Putr._;r. Co' unty Dept. of Health
4 Geneva Road
3_cwstcr, NY 10509
Geiltir men:
X a lzoee�
Acting Puhila Naalth
Re:
esidencc
Tax il�iap'z< ' / —/ —2-S
Town � .
Accetding t.o records maintained by the Town, the above noted dwelling
is
IS ;SOT
.. ^ cc::,p;iancs v;;th ? \5., cod dnd 6 teal number Gf'oedreorn5 on recor d
is
This information ha5 been obtakied from:
CERTIFICATE, Or OCCT IPANCY:
ASSESSORS RECORD:
�� W —AMA
• o
a
266 40 N3a 0J 00 E
1 6 .67'
LpT V LOT 9
LOT
rn AII 65
17 3 T LOT 3 L066 A 661 A 1
LOTfi A 664 A 66 rq
A o
i LO A
LOT L 668 A 667 : A 666 DEC
LOT A 669 A 9.7'
TN A 0
p8,00 "E LOT #
LOT
671 67 i STORY 6
Npt' LOT # A 672 v FRAME
pT A 673 I o DWELLING
A
6 6� A6 5 A674
11.9
f co w /
i'
' STONE WALL
Fla
v 4'.
1� I 513 -ow
180.14'
50.0'
WARDEN t
JOHN J, MULDOON
77 TAPPAN LANDING ROAD
TARRYTOWN, N.Y 10591
(9 14) 631 -4232
• NJP,� ,STON£W
M.
6.77'
to
79.70 N£ WAIL A
50.50' a
S3?= 00'jy 1. La17.44'
Re10 .
DRI VE
SURVEY OF PROPERTY
SITUATE AT
TOWN OF PA TTERSON
PUTNAM COUNTY, NEW YORK
BEING LOTS A660, A661, A662, A663, A664, A665
A666, A66Z A668, A669, A670, A671, A672, A673, A674 AND A675
ON A MAP ENTITLED "MAP A OF PUTNAM LAKE, TOWN OF
PATTERSON, PUTNAM COUNTY, NEW YORK"
0
2
O
a
266
016,7'
T#
LOr # A g60 q3A 659
73' LOT A 661
LOT # A 662
SNFD LOT # LOT ;6 A 663 r*i
i 5 A
66
LOT # LOT # A 566 A /4v DEC
LpT # - A 668
0 00 "E T# LOT # A 670 9.7'
LOT 7 STORY
rLol� LOT 3 A 672 FRAME .6
LOT # A g 4 A 67 DWELLING
A 676 •-
7 1.9'
z
S'
O
Oj
2
180.14
/P
T J. MULD O ON
TAPPAN LANDING ROAD
RRYTOWN, MY 10591
(914) 631- 4232
WARREN
i�
50.0'
xau
`400 STONE W i
pR
�PGPpPN' s�NE WMl n ,n
® ,
L-76.71,
1
R ?29.70 NE WALL A
S13- 43'00°W — `•° i
50, 50' '4
Sap= �O L-17.44'
R-10.
DRIVE
,E
ai
SURVEY OF .-PROPERTY
SITUATE AT
TO WN OF PA TTERSON
P UTNAM COUNTY, NE'W YORK
BEING LOTS A660, A661, A662, A663, A664, A665
AFRR ARF7 AFRR AR6.9 AR7n AR71 4R72 AF73 ' 4674 ANn AF75
OWNER'S NAME
SITE LOCATION
PU TNAM COUNTY HEALTH DEPARII► M
DIVISION OF ENVIRONMERrAL HEALTH SERVICES
_ PWPOSAL FOR SEWAGE DISPOSAL SYSTM REPAIR ' ' �_. �go '-��
PHONE i2 . MWI,
TO
MAILING ADDRESS J�O V44 -rflj (�a^+1/�q �ncr, 4 ke-
PERSON INTERVIEWED PCHD Complaint #
Name & Relationship (i.e, owner,tenant, etc.)
DATE y -56 TYPE FACILITY vs -e
PROPOSED INSTALLER y es 6�y &,b PHONE i / y -1-7f ,00A-
REGISTRATION # P- e- X31
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.
- T - .1 s74,// /I , 74nls. Re44,,-+uy o/d 4.794 &/,,c- /abo �
C. If' — +�r�'7 S� // 67 ��GS �v ¢1, //V r �i /h S7a�r�� 4 �l � G✓v,.�, d
/BO Fit % pi's+ ® /d. 4s..
Proposal approved Proposal Disapproved
Inspector's 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 canponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. 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.
I, as owner, reported agpnt of owner agree to the above conditions.
SIGNATURE TITLE DATE
FM: Wute MD); YeUc�w 03pin HI); Pink (.Appli®nt)
w k s
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