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631- 589 -8100
25.71 -1 -53
BOX 12
01298
OWNEI
SITE
MAIL:
PERS(
i�
Ce
Pr (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 rem- ire submittal of proposal from licensed professional engineer or
rFgir?terea-ra;c h tact. R rA
Proposal Disapproved
uv,-, �
roposal approved with the following eo tions: lLo�
1. Procurement of _ ;t plicable.
2. Submission of Vtni repair sket in duplicate showing:
a. Owner's
b. Site Street Name, (�
Town and Tax p number.
c. Location of installed ccmponents 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
drywalls 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, or reported agent of owner agree to the above conditions.
SIGNATURE TITLE DATE
V&te (PCB): YeUcw (Tam SI); Pink (ARAia3nt)
7 tr /Si
i
i
i
LORETTA MOLINARI
Public Health Director
DEPARTMENT ®F . 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
March 1, 2004
Joe Calcutti
37 Taylor Road
Patterson, NY 12563
Re: Addition - Calcutti, Taylor Rd.
No Increases in Number of Bedrooms
(T)Patterson, TM #25.71 -1 -53
Dear Mr. Calcutti:
ROBERT J. BONDI
County Executive
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 February 27, 2004. 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 Den is not approved for bedroom use.
3. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
4. 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.
Sincerely,
W_Le_�44
Michael Luke
Public Health Sanitarian
ML:hn
cc:BI (T) Patterson
y7.
O
DEPART MEIv 1 OF HEALTH
Vvi rion of Env imnmrntal Health Serrices
4 Geneva Road
Brewsur, New Yori: 10509
Tel. (914) 278.6130 Fax (914) 1.78 - 7921
BRUCE K FOLcY
.... _ Public ileclrk- . .
STREET2 -@'Vi + /',� 1►f'�
NAbIE Y r PHOV'fi PCHD 14 ��1' `�
L�i0 ADDRESS -� 7
DESC`.RIPTiO�? OF t�.DDiTIOII
NL�iBER OF EXIST?LLNG BEI)ROON S a PROPOSED # OF BEDROOM, 19�
(FROM CERT. OF OCC:iJPANKY OR
CERTIFICATION FROM S(,'I DZWG INSPECTOR)
+. 'addition «•hich is considered a bedroom iequires formal approval of plans (Con -truction
Permit) prepa.:ed by a ?rcf_ssioral Engineer or Registered Arc!nItect in accordance with
applicab :a sections of th: Pursarn Co:�.ty Sanitary Code.
Please submit this fcrm ar:d the fo'Iouing to Put= County Health Dept., 4 Ge ne-va Rd.,
Brtwster,"LNY 10509, Phase �'�- F ?34....._ . ._ .. .. _ ........_ ......._ ....
1. Certified check or money order for 5 100 .00
Sketches of existing floorp ;a.li (drawnto scale,. all living, area Inc:Iuding basement)
" Noz- professional sketches are acceptable
3. Two .sets o; proposed Loor plan (drawn to scale, -*ith name, street, and tx. cap T)
*No n—proftsimnal sketches are acceptable
4. Copy of survey wowing well and septic location, to the best of your k,owledoe. Inc:ude date
of installation if kno*- ni Label all wells and septic systems withi_T1 200 feet of the p:op� 1sre.
Contact this office wi-h any questions.
5. Copy of Cent. of Occupancy from Tovra or Certification from Building Dept. with legal
bedroom count of d-%V.-Iling.
O FE (7 E U
r:b 93
DEPARTMENT OF HEALTH
Division . Of Environmental Health Services
Geneve Road, Brewster, New York 10509
(914) 278 -6130 -
Putnam County Dept. of Healt`;
4 Geneva Road
Brewster, NY 10509
Gentiemem.
BRUCE R._FOLEY, A c
RetIng PUNIC Maalth D.-en.-it
Re:
Resijenco �
Tax Map
Town
A ccoi&ng to records maiiitaired by the Towrr the above noted &.telling
is
Is NOT
in complian e With To,,% code and the total number of bedroom: ;,n record
is
This info 7i nation ,nay been obtained from:
CERTIFICATE Or OCCUPANCY:
ASSESSORS RECORD:
0 - -"HER
Buildinc, ins; ector
i
"Z `4 cli
W.
0
00.
PUTNAM COUNTY HEALTH DEPARDZNT
C L NAME::
SITE LOCATION
MAILING. :ADDRESS ja
PERSON -::INmVIEWED-
4.
DIVISION OP ENVIRONMENTAL HEALTH SERVICES
. ..... 225-3838/,2257*3833/225rt3641..-
PROPOSAL IM SEDGE DISPOSAL. SYSTEM REPAIR
'.TM#
00
PCHD Complaint #
.e, owner tenant, etc.)
PATE J i 9 TYPE FACILITY 11,
PROPOSED D�TMA Co [L .4 0 PHONE
propbsal (include sketch locating all adjacent wells):
Nam .Repair must'`be in same location and of saw type as original sewage -disp"osh.l. system.
Different location may require submittal of proposal fran licensed professional engineer or
mister 1;!�ct.
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1, 7 A Ji
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....... ....
Propo4a,uproved Proposal Disapproved
fi19P6E+orA s Si4na ura Tftle Date..:
14 1H be I-A)
Proposal with -the f olloWi-5qZ93i'tions
:1 a
1. Procurawnt of any Town. JL f livable..
!j
ojgF!! et
u repair 1�
2. Submiss�'�` of- sk in duplicate showing:
Owner's r
'6jp,
b. Site Street Nam, Town and Tax r.0
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 j61 diam. x 61 deep
drywells,'gurrounded by one foot + gravel).
e. Installer's name and number.
3. System repaA; to be performed in accordance with the aboy
!,proposal and conditions.
I,•As owner, or reported agent of owner agree to the above conditions.,
SIGNATURE (s=ue \
I OTHS: Wifte
TITLE
DATE
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