Loading...
HomeMy WebLinkAbout1364DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.79 -1 -27 BOX 13 01364 i r PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES YES N-W Internal Use Only PERMIT# ° l ❑ Repair Permit issued in last 5 years ❑ Not in Watershed ❑ . Repair within Boyd's Comers, W. Branch or Croton Falls Res. Z6elegated ❑ �}- Repair within 200 ft. of a watercourse or DEC - mapped wetland El Joint Review SITE LOCATION Y �LTIoa \ LCD e__ TOWN a: eJs©1J TM # J ` OWNER'S NAME PO(3EIZ1 L PHONE # 9<-Q%9 ?W 7 MAILING ADDRESS -M\( (12 PAJTGg 0jj NY 1 a,sb3 APPLICANT IZdr3i✓R_" N W Name & Relationship (i.e., owner, tenant, contractor) X 37,33 DATE FACILITY TYPE Sr �� /►,� 1 PCHD COMPLAINT # PROPOSED INSTALLER ��Q p(yQQ,,� S PHONE # %B " Xrqk ADDRESS 610 R%�qrLqr�- ���cl� P_S REGISTRATION /LICENSE # Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. // - :... Dee-pr. Parc�: %)eW YC�no.'..a (/s N' ►C .. %C�iC l r1 I, as owner,agree A the conditio s stated on this form SIGNATURE TITLE l OVC -19AAa DATE /I #y -7 jad /p (owner) I, the-septic installer, gree co p with the conditions of this permit for the septic system repair SIGNATURE TITLE d w No' DATE S--AC)-162 (installer) I IvNvau1 avJJ1PV%A vvIuI uis ivnvmI1y %,v1IUMU!10. 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Er Proposal Denied ❑ Al In ector s Signature &Title Date Expiration Date / Repair proposal is in compliance with applicable codes Yes ❑ No B' COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 r jAJO Ace"- t r3 l S;O lv-e� 54f0 1 GUe ll �.ir n'►.t� o��t7 p> LA-, /t=4, tour 5,rf ',' 3-2�:- 1,x:53 13 jAJO Ace"- t r3 l S;O lv-e� 54f0 1 GUe ll �.ir n'►.t� o��t7 p> LA-, /t=4, tour 5,rf �V.'a Puod T .Lau-LO' Ob o a `o e66on �o J r a - _ �y O m t' y oti6rJ all 4 s '� � '� � �8SNb0 O - i ) tlk` � •.0. ® N139d NO ; �• � � i ® _ a a4v-1 LU RAM � y Y N ii-4t gFf. i w 9 �M G d OQ ' Iva pd t JGUJ ..._ «..� n u ,rsap , e® -:g py • _ +, 064 x tl1Ntl9 ,ra '`' "3 * y «� '' Gp "C IL It ti W si � 8 � 2 O`a tid � ,,tai z�`�"'`�'�°�'. -z•MM s� , Q . _. � a' , , � D 7 ,a0 H td� a bb a, ;;ry z.. b l NO 3 OA H NV Q O ° d z 7 � i V1 AUVNO Oyu 0� m DO ONOe 37�1n i3 p iy Q d z O Od puod o3d a t7 �7s Sal N i � yNl m d fY O J N pd N nMS d0 NI D Q wN30 b `�J. D ,. 3WbH `� 3d ¢ Z < dQ 'JNt10A vw3x -ta S31V,k Od -61 -rc Ior- rd Pone' -.,) Si. 1V, SHERLITA AMLER, MD, MS, FAAP .,._ �.oYlimiSStJiler'G f�ea[th' -' ... '•-- -� _ LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 28, 2005 Robert and Marissa Neff 29 Taylor Drive Patterson, NY 12563 Dear Mr. and Mrs. Neff: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI Re: Addition — Approval - Neff No Increase in Number of Bedrooms 29 Taylor Drive (T) Patterson, T.M. 25.79 -1 -27 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 September 23, 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, Gene D. Reed Senior Environmental Engineering Aide GDR: cw cc: Building Inspector, (T) Patterson Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SEP-17-2005 06.'10 PM HARRY W NICHOLS Harry W. Nichols Jr., P.B. Panemon Park - Suitt 106 Brawstar,M 10509 TO: (845) 275-4003 Fax: (845) 279-4567 Email• hncngineer@ao1.00m F.; i'7 '314 279 4567 P.01 -ro. row From-, ra)c Pages: Phone., Do to 9-11 -'Zc Re, Pgrf�- CC: Nwoo T-M El Urgent 04or R*Vlew ❑ Please Comment C-Please Reply ❑ Pleasek Recyclo a Comments; Peg-,.. I tl� CA 0 peo if 00v+ sew WTO Ukvmo� rwl vq_ �Offa PUP, wto of r4 EL:845-276-7921 t,1PME'.F"j1HH1,1 COUNTY DEPARTMENT OF P. 1 SEP- 17-20,15 0-- F•1-1 HARRY W NICHOL:- z- 914 279 4567 l+ 't r tt �,�MII.� IN•�OOM L, 11 1111 t V10 4T- 0 VU00 - 11- 1 P.02 VFW i4f_pF Pz;o ti OL 141046"m Tt SEP-17-200-C., I FEL:845-278-7921 NAME: 141 COUNTY DEPARTMENT OF P. 2 SEP-17-201-?'5 "I. ? i 1=11 HARRY W NICHOL:= - 914 279 4567 P.02 ti kA I'l .4- �,�Mit -�/ IP�oM l4f_pF PsWHIZ Ftv 4, tu. SEP-17-200'0 iEL:845-278-7921. 17- o N L I 01- pppp NAME: P'j"it-lPl,d COUNTY DEPARTMENT OF P. 2 IN. PL z L I 01- pppp NAME: P'j"it-lPl,d COUNTY DEPARTMENT OF P. 2 .. ........ - -�- - __ __ AK, 444 � �x ��oP� •iNEw F�� ov�R� C) . t�4 C4 Cl) z X4 � A4 AK, 444 � �x ��oP� •iNEw F�� ov�R� PftoPo�iGp 2� �L.d�oF� iccr- - r, ►k-rr4T-4r)u PI e- -i a - i - C-4 Cf) o o En > En Z Cl) rf) O I. �� u vi I ILR 00r, Ovi44 VMAg Mr. Jeffrey Moore - PO Box: -1 °.1- ...: Brewster; NY 10509 Date: To: PC- A P I�los Project Wi ff- MSA Attention: bE oi� We enclose ( ) copies of B/W Prints Reproducibles Reports Tracings Specifications Memorandum Copy of letter Descrip{ ^t�ionG: Revision/Date No. q,: I4AJE tar' A��� 2' T V P 96 o - E�A N k t- Two ms � � ������ L��� for+` ��11� ► �r�- 1✓�Gc,�.�'i� Sent Via: Our Messenger Blueprinter First Class Mail Special Delivery Your Messenger Hand Delivery Copy to Very truly vours DEPARTMENT OF HEALTH Division , Of Environmental Health Services 4- Geneva Road, Brewster, New York 10509 ` (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road - Brewster, NY 10509 Re: Residence Tax Map G�e�`� "1 "2-77 Town BRUCE R. FOLEY. R.S. Acting Public .Health Director Gentlemen: According to records maintained by the Town, the above noted dwelling IS 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 Building Inspe t r SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health August 12, 2005 Robert & Marissa Neff 29 Taylor Drive Patterson, NY 12563 Dear Mr. and Mrs. Neff. DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI - County Executive—.- - - Re: Addition — Application Incomplete - Neff 29 Taylor Drive (T) Patterson, T.M. 25.79 -1 -27 Review. of plans and other supporting documents submitted at this time relative to the above regarded project has been completed. The following was not submitted with your application: 1. All sketches have been returned to your for revisions. a) Please note the dimensions of the house and all rooms on the proposed plans. b) All plans are to show the owners full address. .2. Two full sets of existing plans need to be submitted to this Department for review (re: -. existing baseimerit, "first floor'and second floor). - Also twd full sets of proposed plans need -to be submitted to this Department for review (re: proposed basement, first floor and second floor). 3. The legal bedroom count form must be an original. Copies are not accepted by this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. GDR: cw Sincerely, Gene D. Reed Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 JUL iZ Ua ii:4ba 1UWN OF PRTTERSO 845 -878 -2019 P.1 41 �-M- DEPARTMENT OF HEALTH Division ; Of Environmental Health Services 4 Geneva' Road, Brewster, New York 14509 t (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 BRUCE R. POLEY, R -5, Acting Public,Health Director Re: N��• Residence Tax Map ��• `�' 1 " �-� To`,Yn p r o Gentlemen: According to records maintained by the To%tim, 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 ,i'F�- �►� r<,q' , _ It Buildine, Inspe t r .. _. -- ....:..:,. 6AUCE 'R. • F�CEY, .P..S ... _. . -..Acting Public Health 'O�rt:;;, DEPARTMENT -OF HEALTH Division Of Environmental Health Services , OWWWW •'4" G n'iva' Road- Sre� .. ' , -New York 10509 '► v - (914) 278-6130 I u " PROPOSED ADDITION A.DPLICATION _. �RESIOErfi IAL O�'LY STR T • �9 1 �'�i�i� i 4c. T oti;'v rE J TX hIA r -.4t I PCHD P'CR4 IT MAILING ADORESS �°� TAY09- n�414E • PAJ— MI.6OJ"i Description of•Addition �� ��'`� .6e &boo � �v�iiAmn1 Number 'of existing b_edreams ~ ^ _..�` . Proposed number .of.. bedrooms ,�•• fror F�erti"i'iczte of Occupancy or Certification fro.. wilding Inspector Any addition which is considered a bedroom requires formal approyal..oT- p)yns.. . (Consiruction Perriit)' p�epered by a Professional Engineer or Registeredrehitect in accordance vrith applicable sections of the Putnam County Sanitary.Code. Please submit this form and the following to PLrR A'j CoLj TY HEALTH DEPARTMEi Fr, 4 GENEVA ROAD, B.- ISTER, W 10509, Prone 278 -6130 with the folloVring informatior►. 1. -. Certified Chsck for $100.00. S ��•.-of -exi-sting" f .. l i n ioor . Tzn al 1 l g area ncudin ._ .._. ... P � 9 m 'Se�Rt, 1 T ar,y) Non - professional drawing is acceptable. 0 Sketch Of .propose) ,floor plan. — 5ken,.+ �%i,.��;1sd�s�s• v.,- e- h% �. �cab/H.� _...,..._.... P'on.Professional dr&ding is acceptable, ✓�• Copy of survey shorting well and. - septic location; to -the best-<gf•.your•- knowledge• I-rrclud�' date o.f installation if known. Irrc}ud4all`'VMl1s -'dnd septic systems.v+ithin 200 feet of ro P perty line. Any questions ple&s- contact this office. - �• 600-- of, Certificate of Occupancy frog Tarm or Certification from•$u.ilding :. y DepartnOnl of legal bedroom cou it of dwelling. OF FICF'.USE Comment's and /or conditions' j . .. applic?tion Aug -jst 1995- . July 1.93 ffarru W. N%chasjr., P.E. Pattersovi. Parle - Su%te 106 2050 Route 22 Brewster, NY 10509 i wood fence - I 8-2440 _. J E 4.6 106.97 So. c EO l� B -2441 N B -2442 d 94.88 overhead w /res (I bl I Pole S INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS ,CCORDANCE WITH THE EXISTING CODE OF PRACTICE EYS'ADOPTED BY THE NEW YORK STATE ASSOCIATION AL LAND SURVEYORS., SAID CERTIFICATIONS SHALL RUN ' ERSONS FOR WHOM THE SURVEY IS PREPARED AND ON. TO THE TIT: LE COMPANY, GOVERNMENTAL AGENCY AND /OR TUTLQN. LISTED HEREON, AND TO THE ASSIGNEES OF .THE TUTI`ON. CERTIFICATIONS ARE NOT TRANSFERABLE TO STITUTIONS OR SUBSEQUENT OWNERS, AE ORIGINAL OF THIS SURVEY MAP NOT MARKEDWITH F THE LAND SURVEYOR S I NKED OR HIS EMBOSSED T BE CONSIDERED TO BE A VALID TRUE COPY, ILTFRATinN OR ADDITION TO A gl]PVFY MAP RrARINf: A B -2443 I rod . 0 I 1� ieal B -2445 found 0.36,' QQ 94.52 .............. i NB4° /8" 30 "ygi .... TOWN OF PATTTERSON /ron 2 rod M E I .., cp lid ITT ai m �vJ I-L E I - � O EI o O I W a O I O; '�1 �I 0 R =235 053' Ix I iron / 8-2440 _. J E 4.6 106.97 So. c EO l� B -2441 N B -2442 d 94.88 overhead w /res (I bl I Pole S INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS ,CCORDANCE WITH THE EXISTING CODE OF PRACTICE EYS'ADOPTED BY THE NEW YORK STATE ASSOCIATION AL LAND SURVEYORS., SAID CERTIFICATIONS SHALL RUN ' ERSONS FOR WHOM THE SURVEY IS PREPARED AND ON. TO THE TIT: LE COMPANY, GOVERNMENTAL AGENCY AND /OR TUTLQN. LISTED HEREON, AND TO THE ASSIGNEES OF .THE TUTI`ON. CERTIFICATIONS ARE NOT TRANSFERABLE TO STITUTIONS OR SUBSEQUENT OWNERS, AE ORIGINAL OF THIS SURVEY MAP NOT MARKEDWITH F THE LAND SURVEYOR S I NKED OR HIS EMBOSSED T BE CONSIDERED TO BE A VALID TRUE COPY, ILTFRATinN OR ADDITION TO A gl]PVFY MAP RrARINf: A B -2443 I rod . 0 I 1� ieal B -2445 found 0.36,' QQ 94.52 .............. i NB4° /8" 30 "ygi .... TOWN OF PATTTERSON ffr2J5.053' � iron po/e INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS :GQPDANCE WITH THE EXISTING CODE OF PRACTICE YS .ADOPTED BY THE NEW YORK STATE ASSOCIATION �L.1,4AND SURVEYORS, SAID CERTIFICATIONS SHALL RUN RSQNS FOR -WHOM THE SURVEY IS PREPARED AND ON. 0 THE -677LE COMPANY, GOVERNMENTAL AGENCY AND/OR b TwfON L,I;STP-rl- HEREON AND TO THE ASSIGNEES OF . THE, �UTI::O C'iE`-! :N, R.TIFI-CATllONS ARE NOT TRANSFERABLE TO TITUTI : :0 S-. R. SUBSEQUQVT 0 WNE - R 8 E ORIGI NALOF THI-S SURVEY MAP NOT MARKED WITH THE LAND- SURVEYOR'S INKED. OR HIS EMBOSSED BE CONSIDERED TO BE A VALID TRUE COPY. O O P/P SO.6 EO. /; SURVEY Pi ti RO�GE 7r)WN r)"97 0 A -r -ra, D c n k i wood fence Iron s.-- rod CO FA AIF- 144 ffr2J5.053' � iron po/e INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS :GQPDANCE WITH THE EXISTING CODE OF PRACTICE YS .ADOPTED BY THE NEW YORK STATE ASSOCIATION �L.1,4AND SURVEYORS, SAID CERTIFICATIONS SHALL RUN RSQNS FOR -WHOM THE SURVEY IS PREPARED AND ON. 0 THE -677LE COMPANY, GOVERNMENTAL AGENCY AND/OR b TwfON L,I;STP-rl- HEREON AND TO THE ASSIGNEES OF . THE, �UTI::O C'iE`-! :N, R.TIFI-CATllONS ARE NOT TRANSFERABLE TO TITUTI : :0 S-. R. SUBSEQUQVT 0 WNE - R 8 E ORIGI NALOF THI-S SURVEY MAP NOT MARKED WITH THE LAND- SURVEYOR'S INKED. OR HIS EMBOSSED BE CONSIDERED TO BE A VALID TRUE COPY. O O P/P SO.6 EO. /; SURVEY Pi ti RO�GE 7r)WN r)"97 0 A -r -ra, D c n k i _SHERLITA_AMLER, MP,. �V1S, FAAP - Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 1, 2005 Robert & Marissa Neff 29 Taylor Drive Patterson, NY 12563 Dear Mr. and Mrs. Neff: - - -. - ROBERT J . BONDI...:... .. County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Proposed Addition - Neff 29 Taylor Drive (T) Patterson, T.M. 25.79 -1 -27 Review of plans and other supporting documents submitted at this time relative to the above mentioned project has been completed. The following comment is offered: • The den on the lower level plan is considered a potential bedroom, therefore, engineering plans would have to be submitted showing that the existing septic system can be - - ..upgraded-to the current codes for- a three- lbcurevorn house. -Unfo- ttunately� this does not - appear to be possible due to the size of the property. Upon receipt of a submission, revised to reflect the above comment, this application will be considered further. RM:cw Sinc ely, i' i Robert Morris P.E. Senior Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Interventioa/Preschool (845) 278-6014 Fax (845) 278 -6648 3� el i 94' %r �� N VIO 4r De(4w. 11-1 �aTH Cry' w H'.� I T-p6* Pia- �c�5�� f �(�� z e9 �. ®a kA L40L HEW W6 00 �==7 I. 11K A DIN Y FOY* Pr(of 4N jw FlLvf vopap c� Ilk low AL 14 e 1/4446 .ice �� �F•. �.., � �� �� Vi ,iI . t � f V MAg a .. I� =111E Ext 4-*r- i Ei Olt pr 19%1 OgL4& PRV-) ME �x '�oP� •(N6w pop vvtR�) i r t ?' 1 ,i Al "Jill ill j'A' + 1 1 loaNL*l f3A TA4o(L {1 Pr kA xyt, J!Kf F K- ff4r 444 kA i( t 0 v a L �. -� celp a4 alwwu of Mca VIMOV4 No-ow w1pft i �,�M��Y �oot� F�.��.� Pt�.aH 0 r4o � 5 two .... ..... . C9 av OT IYOO-VAM WINDPO (03 WS \-1 'I 9-1 N iTE�L-6ad OL P 0, 4 kn )'LI � ! m Sao e." gip C, 610 t4t* 14i c9it4wHT o � HOK , , via ;�•� wig i T pININ _.... - - -- _ - i J � - NEB � 5 iDE L � (L r w i APPLICATION - ACDIT'CN - (RESIDENTIAL ONLY) Phone" = �7�5//:7,9ar of Original Name . 4Z j �sa `% i - Construction ' fz Town Mai 1 i ng Address � � °`' -e ° L, Description of Addition / c/ Please submit this form and the fo lowing to PU►NAM COUNTY HEALTH DEPARTMENT, c GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. Number of existing bedrooms propos-A number of bedrooms_ Aj Square Footage of existing house B] Square Footage of Proposes addition a c f i % increase in floor area A divided by B) X 1CCi= 5 . IF THE PROPOSED ADDITION IS GREATS THAN 15% �1 . CHECK for $100.00 ) -f- Sketch of existing floor plans `all living area inch . ne basement, i; any Non - professional drawing 3. Sketch of proposed ficor plan. Non professional drawing Copy of survey showing well an:: septic location, to tie best o your knowledge. Include date of installation if known. Ary questions please contact William Hedges or Robert Morris. IF THE ADDITION WILL RESULT IN AN ADDITIONAL BEDROOM THAN 1. CHECK for $100.00 _ t r�� 2 Sketch of existing floor plans (all living area inc.u�+ng basement, if aay, Non- professional drawing ;. Sketch of proposed floor plan. Non professional drawing 4. Plans for the Sewage Disposal System prepared by a Professional Engineer meeting present code requirements, may be required. PUTNAM COUNTRY HEALTH DEPT. APPROVAL IS REQUIRED. OFFICE USE Comments and /or conditions e-1Y %1?' -2 Approved byl"r �� TITLE Date: cc: BI (T) APPLICATION -_ ADDITION - (RESIDENTIAL GNLY Name; /Y%!C .� /' C -pal fi�,O Phone A Y— 2�g1t_Rgar of Original ....... Construct "ion _.. Mailing Address r� �� . Town Description of Addition / / "K / 2 Please submit this form and the fo !owing to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. Number of existing bedrooms Proposed number of bedrooms -s7_ A] Square Footage of existing rouse _ B] Square Footage of Proposec addition �' % increase in floor area A divided by B) X 10C � 1F THE PROPOSED ADDITION IS GREATER THAN 15% �1 . CHECK for $100.00 Sketch of existing flcor plans :;all living area inducing basement, �� only Non - professional drawing 3. Sketch of proposed flcor plan. Non professional drawing _,,• Copy of survey showing well arn- septic location, to t ..e best of your knowledge. Include date of ins = allation if known. Any questions phase contact William Hedges or Rober Morris. IF THE ADDITION WILL RESULT IN AN A�DITIONAL BEDROOM THAN 1. CHECK for $100.00 2. Sketch of existing flcor plans ;all living area inc'ucing basement, If any) Non - professional drawing - 3. Sketch­of proposed �flcor plan. Non professional drawing 4. Plans for the Sewage Disposal System prepared by a Professional Engineer meeting present code requirements, may be required. PUTNAM COUNTRY HEALTH DEPT. APPROVAL IS REQUIRED. OFFICE USE Comments and /or conditions Approved b�, "` TITLE ff, iZf-S' Date: cc: BI (T) •j I _ �9 71 RD A'S 6�v �t I�• '� 7 % 4� g � � 67 Zp� l v APP UC), Fl, _° " DO- a s -� f looms. ' At ` r r 6-14J i f !; C44A0 U Iw loo.K- p r �/tO�oSlGa� Ammar �-i o�v • • • Ir 3 d 4\ r) L 0 I 1 w re fence 1 Ience wirt Ience B-2440 I Lit a.4' 386° -50' 20 rod B -2526 gl �0po FIA-. 1 i'�ji, I A J SITUATE IN I/ ors aD wA�..KYJA� I 1 coac- t I Z aI am rod 94.88 I II overhead wit �I I I unary pale B -244/ B -2442 B -2443 l pipe found 50.04 , <> E0 /2 B -2530 N 1r, B -2529 ? B -2528 B -2527 / SYory PROPERT B -2526 F�oine �0po 3 ' ROGER MA. YE t, SITUATE IN ,TOWN OF PATTERSON COON i ?y _ 445 77.. B -2525 ' SCALE E - 1-m iron pipe / 036 Q :w3 : >.` =NB4 °` =30 W .__ . CERTIFIED TO ROGER MAYES i 8_2446 B -2524 S INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS ,CCORDACE WITH THE EXISTING CODE OF PRACTICE 'EYS ADOPTED BY THE NEW YORK STATE ASSOCIATION IAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN 'ERSONS FOR WHOM THE .SURVEY IS PREPARED AND ON TO THE TITLE TUT ON LISTED HEREON, ANNGOVERNMENTAL OH ASSIGNEES S OF THE ITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO 4STITUTIONS OR SUBSEQUENT OWNERS, ORIGINAL THE SURVEY H OF THE LAND SURVEMR�SINKED OR HIS EMBOSSED ,OT BE CONSIDERED TO BE A VALID TRUE COPY. I ALTERATION OR ADDITION TO A SURVEY MAP BEARING A ,D SURVEYOR'S SEAL IS A VIOLATION OF SECTION ,VISION 2, OF THE NEW YORK STATE EDUCATION LAW. STRUCTURES, IF ANY, NOT SHOWN. ;EFERENCE." MAP V OF PUTNAM LAKE ETC...", AUGUST 19,1931 AS FILED MAP N= 149 K SUBJECT 441 thru B -2445 Inclusive ,COMPLETED JULY 253 1984 45")-r5 L_ocA t�t) Ma-/ RED JULY 27,1984 MAY ,6, 1994� ;SOCIATES, P.C. ;- ARCHITECTS - SURVEYORS TREET EW YORK 10512 -2221 SURVEY OF PROPERT PREPARED FOR 3 ' ROGER MA. YE t, SITUATE IN ,TOWN OF PATTERSON COON i ?y STATE OF NEW YORK ' SCALE E Imo= 20' :w3 CERTIFIED TO ROGER MAYES i i I MCHAPIS,NEWYORKSTJTE LICENSE N °049330 �ASG- m