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HomeMy WebLinkAbout1427DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -2 -13 BOX 13 �L r 1. ' -` . }, ' f . 1 1 01427 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LM ` `I'A MOLINARI.- RN; MSN Associate Commissioner of Health Keith & Keira Loughran 29 Westgate Terrace -Carmel, NY 10512 Dear Mr. & Mrs. Loughran: ROBERT I BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 March 24, 2008 Re: Addition- A- 050 -07 No Increase in Number of Bedrooms 29 Westgate Terrace (T) Patterson, T.M. # 34. -2 -13 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 March 21, 2008. 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 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 (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed t Senior Engineering Aide GDR:kly cc: BI, (T) Patterson Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health - :` -' °` - . ^'LOItETTA1VIOtiINAR1 -RN; NISi�i - - -- Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT - MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET ,29! , ' eZZ TOWN TAX MAP # 3 �� ` 6 NAME / HONEV IN `d- ���"a� 4� PCHD MAILING ADDRESS DESCRIPTION OF ADDITIIOON, NU P�R OF E;IS DR OMS PROPOSED # OF BEDROOMS (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 - 61.30. 2: ✓3. -4. Certified check or money order for $100.00. Sketches of existing floor plan (drawn to scale, all living area including basement) Two sets of proposed floor plan (drawn to scale — with name, street and tax map #) *Non - professional sketches are acceptable 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. . 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 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 6 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI = County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: (Owner's Name) Tax Map #/ Addre Town: Year Built: According to records maintained by the Town, the above rioted dwelling, is in compliance with Town Code. is not in compliance with Town Code. � // See- a. lanc tlr-' The.T --gal Bedroom f'cu:rt is: This information has been obtained from: Certificate of Occupancy: Other: Building Xspector Z11 Date 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 e 6 a _ ... - .!%: `A.. ; h.� ; ; :i �.t,. • r �, + y - ! r`a- •.,n .kw, r „any ?y,..'a.yn'� s.,! •L:....3 -y,? 'n i a!�,„.u, PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental wealth Services, Carmel, N. Y. 1t9ts12 permit *.__m f. CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Town or: Village' Located :at � fiM ax Mp Block _.. Owner / A t1 j Tax Map Lot U 1 � S.W. I.o_t i .. Separate Sewerage System built by -l1r i � wis Address r s, # 21 NJ y. ,y Consisifng of Oal. septic Tank and ;. 1� W, de 4 e n L -1c Other requirements' i ��+� ' S f Water Supply: Public Supply.From 6" Private Supply Drilled By 1 cc AA Address Building TYPO No:. of Bedrooms Date permit Iswed tj Has Erosion 'Control' Been_ Completed? I.certify that''the system as listed serving the, above 4 'pde, rus'were constructed essentially as shown on the plans of -t< completed.. work +( copies . of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan ,1a.&W tke permit 'isgued`ijy Putnam, County :Department bf Health.. r ,••r Date `. Certified is y 'A. :.. l & a ress ” • '_ ? Add Any person occupying premises Served by fhe abovb'system(sZ shall,protnpt�yl3ake.Such Act ion,a} may, be,,nec4ssary fo secure the torrectiort' bf any unsanitary conditions resulting from such usage. AR.provsl of the separate sewerage system shall:becoms null "Xnd id"i's'soon 1 .a publlc'sanlfar: 'ad' r becomes. available and x¢ e:approval- of..the private Water supply, shah 09come:.null and Vold. when a ptk Wa pply beCOmef availabN, Such approvals are dub)eet to modification or. change when,' in the Judgment 'of the _Co asst.. er of Health,. =uch. rgnocat , modification or change is 'necessary, �' Date eY L�. _ ,_!�.'�•_-T t!c Rev. 9-81 .. ... ... 0 �1 4 6� V1311, 4 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Keith and Kiera Loughran 29 Westgate Terrace Carmel, NY 10512 Dear Mr. & Mrs. Loughran: DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health March 9, 2007 Re: Proposed Addition — A- 050 -07 29 Westgate Terrace (T) Patterson, TM # 34. -2 -13 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. This Department's records show that the original construction permit approved by this Department on March 30, 1984 was for a three bedroom house with a three bedroom septic system. Also the.proposed construction plan.was designed as a three bedroom house and septic system. Although the certificate of construction compliance was -wrongly fia.le,4 (tit chm.ving the number of bedrooms at four - is elcai that al' G%hei information submitted and approved, was for a three bedroom house. Therefore, based on all available information the above mentioned addition cannot be approved. 2. The legal bedroom count for the dwelling is three and shall be corrected at the local Building Department. The potential bedroom count of your proposed addition is four. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a profession engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. GDR:kly T P B Sincerely, Gene D. Reed Sr. Environmental Engineering Aide Cc. (. ) atterson, I Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 i 0 MEMORY TRANSMISSION REPORT - . - T I CIE- - - : MAR -.1.3 -2007 03:39AM TEL NUMBER 8452787921 NAME ENVIRONMENTAL HEALTH FILE NUMBER 497 DATE MAR -13 08:38AM TO 98782019 DOCUMENT PAGES 006 START TIME MAR -13 08:38AM END TIME MAR -13 08:39AM SENT PAGES 006 STATUS OK FILE NUMBER 497 * * * SUCCESSFUL TX NOT ICE SH ERLiTA AM LIE R, MD. MS. FAAP Comm /sslonar orHaollh LOR$TTA MOLINARI. RN. MSN Associvfo C.-- issfonar a d. f dEPARTMENT OF HEALTH I <ien�va Road_ Brewster. New Yorf. 1 0509 .>i'AX COYER SHEET ROBERT J. SOIYDI County Exscurlva ROBERT MORRIS, PE 0/recror ofEnvlronmonta! Hco!!h No. Pages - (including cover sheet) From- Ger.c D. Bead rutim aim County nopartment oY I3ealth / /For your, information �Ylease respond For your- review ✓ Attacl> ed as requested As discussed please call Notes/Messages ci In the event oYtransmission /reception difflcultics please contact this otFce at (845) 278 -6130, east. 2261 Environmcntnf Haaath (845) 278 -6130 Fax (845) 278 -7921 Wacer Supply Scocion (845) 225 -5186 Fnx (845) 225 -5418 Nl+raing Servlcce (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 N.—fng Haroc Care Fax (845) 278 -6085 Early IntorvcnHONPreach ool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM `COUNTY DEPARTMENT OF HEALTH Permit k Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Located a! Subdivision I e / T _e r / / suba Lot q Owner /Address : S t� :/.l h a U / / eL ew S f� r ear J 5 1� ems✓ Building Type Lot Area Number of Bedrooms Design Plowrc/p/D Separate Sewerage System to consist of / two Gal. Septic Tank To be constructed by ,A - Y is c ,y- --, -G be Water Supply: Public Supply From RR,f-te, -SL " uz _ Town or village i f , - Tax -Map I '-i 5 to Block Lot' .` ' f I . Renewal _ [] Revision _ I] Date Of Previous Approval Fill Section only ❑ P.C. H. D. Notification Required and 3 7 6 G F d, Z-4 J, Z /4 Address ✓ ��` 'S f a✓ —J " Private Supply to be drilled by /) Address A Other Requirements . I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal. system above. described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regu ations of e u narn County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by, the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be install in accordance with t standards, rules and regu UTOns of the Putnam County Department of Health. U Date 3v Z / G� U p / Signed --(/! e (/ ./ P.E. R.A. :7 Address Z L( 2�S S7 '-U i / L �_� G7 S ( 7o Z License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when cpsidaLed necessary by the C issioner of Health. Any change or alteration of 'construction requires a new ermit. (Approved f— or,¢isposal of domest =and/or/15rivat water supply only. Date — l By Title Rev. 9 -Rl 3C ' ` \a PUTNAM COUNTY DEPARTMENT OF HEALTH ?_/k Division of Environmental Helildi SWWCM, Carmel, N. Y. 10512 Permit a I_ WCi:RTiFiQATE OF CONSTniic:TWN: COMPLIANCE. FOfi SEWAGE­ DISPOSAL SYSTEM ..71�/� q ,�.� Town or Village Located at'��' e`y ' `�• r a, Le��_ Tax Map �!/ Block Owner ( :%) 11�1C1 Q' di'S / Formerly Tax Map Lot 6 �. SSubd. Lot tl 1 Separate Sewerage System built by At-+ Address tJ r t�.t.J S 'f p.,r K) 'y Consisting of /d 6 al. Septic Tank and a go L r ,4 2e4 rl ta7r d T c P -s ceC Other requirements E. Water Supply: Public Supply From _ —4.Z Private Supply Drilled By Address L e-� Sitr ►) i N S0 9 -- Building Type W eA 11% brua Has Erosion Control Been Completed? No, of Bedrooms Date Permit Issued I certify that the system(s) as listed serving the above premises were constructed.essentially as shorn on the plans of the completed work.( copies of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date P. E. -4o—Z/R .A. License No. Q>�? 4 2s Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public unitary sewer becomes available and the approval of the private water supply shall become null and void when a public seat pply becomes available. Such approvals are subject to modification or change when, in the judgment of the Co r of Health, such r oceti , modification or change is necessary. Date _� By Title +1 /000 Xz icy i TO DIVERT 6UAEAe.E wATER , REr�to.v� .E F f'Re FE ED �---� NO DI FF E R E GE x " IVN ..._ �� I��^ ;ak -4. f0i*ED C00,:... ELVAT10fQ F0 "ov, es JUkICTION 60 Y. C' GLA A6 R E6TOV T To. , ,5F'IEG1 fate- G Fcavt t na o pT I �.c>nsGt'�.E"iE .5C H -t- D U L E,. i Se tI • c on on :q BED o W SE PT I r,' Dro .Manhole DE ROOMS PER OAY 7A K = _ (No Grinc6r 2 4k "D E. FIELD Note: Construction shall Putnam County He: 3 76.L F s .�._ e PA P�.�,; Ott, � i°l�l'h�1%' • ' . .. _� —� ^eJ � � t�J.. i. •--. i.> ��� ., rte.. 'I C, �f� �', a.r'-- ,,,`t1 :. � ,+�� "......"� } ... G R.t3u. gat t7 iNAR, ;� V . V:iuN�p _ i s'Ct Ni PE v,.oc. rYi t,A 6 RAVE Cross -Sectional 1 �w � L � � ��di n 1 View r 0 L} O �, -."'A. 1 .w.�c(.rr�.e.i "P...,.+.r..,¢ ._.r U C3 tl :w� O l'�j (y .� {:j � Vii+ i%t J ty.,i � 1C.� .l9 {•+ �'y� �Mt+ Ci ("' -. J � ' m wh s,4' BELOVv FKOtT lvvTE - -- LATERAL ;=L U'Sl -f - Nd1 1'i t�a'�'itttiy,i,. TOM. _ . _ .. _ . 2 ��K� :. �I Ddb A.�J � 'r �4; rr ._ �;� Eh►�� - P;�r�t�.... f*=-#— 115. A., 1♦.i_ sn A. ✓" U SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTAMOLINARI, RN, MSN Associate Commissioner of Health Keith and Kiera Loughran 29 Westgate Terrace Carmel, NY 10512 Dear Mr. & Mrs. Loughran: ROBERT J. BONDI County Executive - - ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 March 9, 2007 Re: Proposed Addition — A- 050 -07 29 Westgate Terrace (T) Patterson, TM # 34. -2 -13 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. This Department's records show that the original construction permit approved by this Department on March 30, 1984 was for a three bedroom house with a three bedroom septic system. Also the proposed construction plan was designed as a three bedroom house and septic system. Although the certificate of construction compliance-was - .. r.,:2i,1 -fill l. u Cilt sawlg the ]iTi�VucilOJn�' a� li clear d'oiner ,1 u iV it i il information submitted and approved, was for a three bedroom house. Therefore, .based on all available information the above mentioned addition cannot be approved. 2. The legal bedroom count for the dwelling is three and shall be corrected at the local Building Department. The potential bedroom count of your proposed addition is four. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a profession engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. Sincerely, Gene D. Reed Sr. Environmental Engineering Aide GDR:kly cc: (T) Patterson, BI Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Keith & Kiera Loughran 29 Westgate Terrace Carmel, NY 10512 Dear Mr. & Mrs. Loughran: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health March 23, 2007 Re: Addition Approval — A- 050 -07. No Increases in Number of Bedrooms 29 Westgate Terrace (T) Patterson, TM # 34. -2 -13 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 March 23, 2007. 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 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,'restf ctors 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 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, "44 10. Ole Gene D. Reed Sr Environmental Engineering Aide GDR:kly cc: BI (T) Patterson Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 SHERLITA AMLER, MD, MS, FAAP . Commissioner of Health '- ''LORE°i"I °A MOLINARI, RN;11�SN" Associate Commissioner of Health Keith & Kiera Loughran 29 Westgate Terrace Carmel, NY 1051.2 Dear Mr. & Mrs. Loughran: ROBERT J. BONDI County Executive _ ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 May 14, 2007 Re: Revised Proposed Addition — A- 050 -07 29 Westgate Terrace (T) Patterson, TM # 34. -2 -13 I have received and reviewed the revised 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 room on the second floor titled dressing room is considered by this Department a potential bedroom. 2. The addition of a potential bedroom requires this Department's approval. of a revised septic system plan from a professional engineer. Please revise the proposed. door_ plaji'. to_ r_ eftect .no..more..tL2.n r e- paieuti : bed oomaj 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. Sincerely, t>, Gene D. Reed GDR:kIy Sr. Environmental Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Keith & Kiera Loughran 29 Westgate Terrace Carmel, NY 10512 Dear Mr. & Mrs. Loughran: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health May 25, 2007 Re: Revised Addition Approval — A- 050 -07 No Increases in Number of Bedrooms 29 Westgate Terrace (T) Patterson, TM # 34. -2 -13 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 May 24, 2007. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this departmen t. 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, restr>ctorc fo r s l:no r hee u ds- a .d- f aucetn , 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 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. GDR:kly cc: BI (T) Patterson Sincerely, Gene D. Reed Sr Environmental Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 a� r. L:.r•4... fin-"' r "z'<*•4'�`—•.°'6 fi '.ki`xT -. ` :FS L`,_:s•;...,3?`'..:_s,... fy�F," &�!' w%- ..;:.s.i `^ .:..u:.,'°..__.,.c�..,m :.K:..- �,xah...:s*• :;-c. v7,=- ..,,,..,,,,, 'in PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOFAS it " o5-0 - O 7 ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SU�MITTED TO THE PCDOH FOR APPRON) PROP05ED .SEGONO FLOOR PLAN A- SCALE: 1/4"- l' -O' v i Vw � \L16-Lyk uv� Vii) �.�Tr�x�ti7 Bel -� -/3 r. � l�" ;; - � .: ��_ 'a :� � ,r�;:. _... 5 SCALE IN 1 /10 OP AN INCH 1- 600 - 345 -7334 M! �I a:l WI 4. 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RAO" JV 4 491.6T `o , . atrt A cA� ,4 x3.566 AC'af i i5 �'w o7 xl 37 3 = 2; ` s W At a 34.84 AC. m � $ r ]ILO � r' � � �•' s � ]x'11 25 �� S'14 Vt.. � 36 e a °.. 30 �°N t ° �3 I.To At n� oyF 9.00AC (�C1 a�.�e 30+ Tf l8N _ w ?¢a , '� ` +s� /J 245.48 242 AC. \�6 e _. 29 is _, ° m9 'i .32 At MEN 113 A a 266 AC. 4. 2 -69 AC. 4,5 2.70 At 46 4.00 AC. 4. pl 3 1 346.2950 ° .'3 V 4 :��/ Title: SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner.of Health Keith and Kiera Loughran 29 Westgate Terrace Carmel, NY 10512 Dear Mr. & Mrs. Loughran: DEPARTMENT OF'. HEALTH l Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health March 9, 2007 Re: Proposed Addition — A- 050 -07 29 Westgate Terrace (T) Patterson, TM # 34. -2 -13 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. This Department's records show that the original construction permit approved by this Department on March 30, 1984 was for a three bedroom house with a three bedroom septic system. Also the.. proposed construction plan was designed as a three bedroom house and.septic system. Although the certificate of construction compliance was wrongly "filled out showing the nuin}ber ofbedrooms at dour it is clear thaf all other information submitted and approved, was for a three bedroom house. Therefore, based on all available information the above mentioned addition cannot be approved. 2. The legal bedroom count for the dwelling is three and shall be corrected at the local Building Department. The potential bedroom count of your proposed addition is four. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a profession engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. Sincerely, .VI i / Gene D. Reed Sr. Environmental Engineering Aide GDR:kly cc: (T) Patterson, BI Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 MEMORY TRANSMISSION REPORT Sl{$RL[TA AM LER. MU. MS. FA.4P Comm {ss /on¢r ofH¢ol�h LORE'['TA MOLINARI. RN. MSN .ASSOCieate Comm /ss /on¢r ofHeo /{h w-?! C)EPARTMEIVT OF HEALTH I Qcncva Road. Brewster. New York 1 OS09 FAX COVER SHEET' ROBERT J- aONltPj Colenty FstcutNa ROBERT MORR[S, pE Ol ecror o1'Etry {ronmanfo! Hra /th ­63 % E3 ��dciYl�' C'S�L �� No. Pages_ (including cover sleet) From• Ge,rac D. Reed �"utnam County Department OY I3ealth ./ FOr your il.forataGon �I1'lease respond For your revlew ✓ Attucl, ed as requested ALS discussed Please call Notes /Mossages an— W.-M r:: W__ -2 m In the event of tr- ansmission/reception difflcultics please contact this orrmee at (845) 2713 -6130, ext_ 2261 Envleonmcatal Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Scetlon (843) 225 -5186 Fax (a45) 225 -3418 Nur4ing S.—I.— (845) 278 -6558 Pax (845) 278 -6026 WIC (845) 278 -6678 Nursing Hnma Care Fax (845) 278 -6083 6ar1Y I..torvcns(orVPreach ool (845) 278 -6014 Fax (845),279-C-648 _ TIME_ ;- MAR -3 2007, -. 08:39AM:- -- :- .. -_... ... _ TEL NUMBER 8452787921 NAME ENVIRONMENTAL HEALTH FILE NUMBER 497 DATE MAR -13 08:38AM TO 98782019 DOCUMENT PAGES 006 START TIME MAR- 13.08:38AM END TIME MAR -13 08:39AM SENT PAGES 006 STATUS OK FILE NUMBER 497 * * *. SUCCESSFUL TX NOTICE * ** Sl{$RL[TA AM LER. MU. MS. FA.4P Comm {ss /on¢r ofH¢ol�h LORE'['TA MOLINARI. RN. MSN .ASSOCieate Comm /ss /on¢r ofHeo /{h w-?! C)EPARTMEIVT OF HEALTH I Qcncva Road. Brewster. New York 1 OS09 FAX COVER SHEET' ROBERT J- aONltPj Colenty FstcutNa ROBERT MORR[S, pE Ol ecror o1'Etry {ronmanfo! Hra /th ­63 % E3 ��dciYl�' C'S�L �� No. Pages_ (including cover sleet) From• Ge,rac D. Reed �"utnam County Department OY I3ealth ./ FOr your il.forataGon �I1'lease respond For your revlew ✓ Attucl, ed as requested ALS discussed Please call Notes /Mossages an— W.-M r:: W__ -2 m In the event of tr- ansmission/reception difflcultics please contact this orrmee at (845) 2713 -6130, ext_ 2261 Envleonmcatal Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Scetlon (843) 225 -5186 Fax (a45) 225 -3418 Nur4ing S.—I.— (845) 278 -6558 Pax (845) 278 -6026 WIC (845) 278 -6678 Nursing Hnma Care Fax (845) 278 -6083 6ar1Y I..torvcns(orVPreach ool (845) 278 -6014 Fax (845),279-C-648 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM i_ocaterLa : _ eS�Q A'/ PAY✓ L� Subdivision suba Lot x e.s Owner /Address -7—a l/:/ Y1 t7 L{/ l� -, Building Type Lot Area Number of Bedrooms Design Flow G /P /D Separate Sewerage System to consist of ! l400 Gal. Septic Tank To be constructed by —A,4- Water Supply: Public Supply From Permit 1pa. f- t e-r-5 v Town or Village ..: Ta)c 116 aP= t ". b slocx �t Renewal _ ❑ Revision _ ❑ Date Of Previous Approval Fill Section only ❑_ P.C. H. D. Notification Required and 3 7 6 G F Address R ✓ e--j S f °y _IG Private Supply to be drilled by �^ Address z� / �' /' f��S /7�e✓ Other Requirements Aj-.� I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposar system above:described will be constructed as shown on the approved amendment there to and In accordance with the standards, rules an regulations .7 - the Putrvarn County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Health.will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by, the builder, that said builder Will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described .above will be located as shown on'the approved plan and that said well will be install in accordance with t standards, rules and ►egula— oil ns of the Putnam County Department of Health. p Date d V'C!'� 3C� U y ! S/ igned ��a- /�(/ -`� P.E. R.A. Address Z/7 L�f / es Y` N�� S�` - / IV- y /02 / 9 License No. © 5 6 78 7- APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amentletl or modified when c ed necessary by the C issioner of Health. Any change or alteration of 'construction requires a new ermit. rApproved for isposal of domest sanitar sew and /or private water supply only. Date' . By Title Rev. 9 -Bl PUTNAM COUNTY DEPARTMENT OF HEALTH Division of •En.vronmeMte/ Health Services, Carmel, N. Y. 10512 Permit s `CEIFi i lri%A-TE -OF - CONSTRUCTiON: COMPLIAi4CE. FOR -SEWiI GEi 6ISP0S L SYSTEM-_. " Town or Village Located amt �QaL. .1 Z'�ia.Le L0t Tax Map .� 1f/ Block Owner 1! ► !ALI a (�. r`S / Formerly Tax Map Lot p subd. rot p r Separate Sewerage System built by Ar'+ L t.NS� ��LK Address larc -wS t 1'Q r Consisting of 450aal. Septic Tank and ,3S O e4 Other requirements E,110_4 I0_4 o.$ forf l� r ad Water Supply: Public Supply From _ �� ` Private Supply Drilled By w P✓ �r3r1 Address 4.-2LCjJJ Q1 r r ll! [ /V Building Type -- D w eA I IN Ag IV Has Erosion Control Been Completed? No, of Bedrooms Date Permit Issued 1 certify that the.system(s) as listed Serving the above premises were constructed essentially as shown on the plans of the completed work,( copies of which are attached) , and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date_ Z; �I 116 Certified b ,.� P.E.-&.'—'/R .. U Address S License No.Q S & -sA g% Any person occupying premises served by the above systems) shall promptly take such action as may be necessary to Secure the correction of any unsanitary conditions resulting from such usage. Approval of the Separate sewerage system shall become null-and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public Seat pply becomes available, Such approvals are subject to modification or change when, In the judgment of the Co r of Health, such r ocatl , modification or change Is necessary. lint Title Date �� ti �✓ gy �� i .`. .... —...:. r.+ r v Ia., + p4 r v TO DI.VE.RT 5t- AGE t � " 24° • REIr•EED 'NO DI FF E R Ete C t'ttiJ ._�� k �i," fol*ED COO C. EL VA T 10 N , .C41C I A�tand fkj ► G" 4K 6" J LAJC T I0m �•�T I N Ca Gyp,. ��'�" 2�` Z t._.a, L E,., Secfion:on.:q BED FLOW S E PT c - Drop [anho %e D ROOMS PER UAY -rAN 1K E G-, L. —. 2 4" ;gip E. F t E LD Note: Construction shall Putnam County He, ,LEN G7H A'RtA n +y, ) Y j! A' I I q� 'tifftip }.. tq. k�I. icy I��T" 7 u OM .6 TKA ._... t ,.. (.1 C14 2 47 y � � ,l •• mot.: r t F EP, 5�. ZH' ,/�p � � ai 4 � : 4 ij�� � 4 �y �. •� _� ...c... �. 111 1 1. '•� �!"rh._ .._.- ....�__".... w.._�._ f ,. L... -:\ ea. 61 o ; ' brew ACross -Sectiona[ Miew L n i- Wdinal View: G.n •+ ,J �,+ yy ,..y�" mom:.! u^t XVi:J�,' i— .,..,..�.:''.....,..�::., _, CJ Cs er �7 ::� >:1 � .• a1 � � ,1 r. „: �j s6:'? �; .ty `�`+ �' ,r},' :� r%. '�'� ''h L"� �Lz>I” T THE , ,�. � Ttench Prof .. 3ELaw FKO:6r - � ©TE 1 r►- i..._o_t'TO_. Tk,;_�r_ 14, MU5 r 66 G �_►�►►u �.: �J' } :r Tench a aJ.1 r ' ce with It r�i� ` t l d r1tg -it Regulations. WO -h h $ew5 's sy s err ' , � ^,� •" i ,i' app ' b fe a y * ^'�' l�l���,. ,.. :�xu.i, ...�n .. L:3Fv, ��.u. i..i,d,�.,�.. �n�:. .�. .d....�•�. f... - ..�.�. �' F - m.2ti:.�u'w �ii...f, &;f�: ! b:+. k�.,kffi.�zTwl.isam�E.�.'{.i�'1 �!, ( s1 s1` F �7'.�,��,1 �1� h' �y�� . ,. ,�� 1 ' WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of ' arialgsis of water sample Indicating water -ls of satisfactory bacterial quality before certificate`of construction complianrre is-issued.- REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME Tavino Builders ADDRESS Deans Corners Brewster NY LOCATION OF WELL (No. & Street) (Town) (Lot Number) West Gate Terrace Carmel,NY 11 PROPOSED USE OF WELL BUSINESS DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ if ) SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING El (Specify) DRILLING EQUIPMENT ER FRI ROTARY Fl A R PERCUSSION ❑ PERCUSSION ❑ O(Specify) COMPRESSED CABLE CASING DETAILS LENGTH (feet) 3O t DIAMETER(lnches) 611 WEIGHT PER FOOT 19 lbs . [7X THREADED ❑ WELDED MVE SHOE IX I YES ❑ NO W CMG ? YES LJ NO TEST ❑BAILED PUMPED. ❑COMPRESSED AIR HOURS G.P.M. , 6 7- YIELD (O.P.M.) 7- WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) 201. DURING YIELD TEST feet) Depth of Completed Well in feet below Land surface: 3451 SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack ( Inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET O Drilling in overburden clay and boulders at Drilling in rock,set If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 6/8/E 4 DATE OF REPORT 7/27/84 WELL DRILLER (Signature) �' Owner or Purchaser of Building Municipality Building Constructed by Location - Street Building Type Section Block Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM I.represent that I am wholly and completely responsible for the location, workmanship, material,.construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his succes- sors, heirs or assigns,.to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of initial use of the sewage disposal system, or any repairs :Wade by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent _..- act of the-occupant of the building utilizing the system. _ Dated this day of ;� 19 Signature Title 4 If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL 'PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health BREWSTER LABORATORIES Box 214 - BREWSTER, N. Y. WATER ANALYSIS REPORT SAMPLE NO. 5482 SOURCE: Tavino Builders, Inc. Westgate Terrace Lot 11 Patterson, NY Pressure Tank Faucet - well.];(.:: COLLECTED: July 24, 1984 BY: P. F. Beal & Sons, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. This result ixdicatts tht sourtt of tht sampb was of satisfactory saxitary quality whtx tht samplt was collrcttd. July 26, 1984 C Bickwit P. E. Director PUTNAMCOUNTY -DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL BEALTH.SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Address- De a PI Owner %a RU _rs 'S Located at (Street Sec. -jLj :5-6 _ Block Lot — IncLicate neares —cross Municipality Watershed C r-0 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION KLapse No. Time Start-Stop- Min. Depth to Water From Ground Surface start Stop Inches Inches Water Level in Inches -Drop in Inches Soil Rate Min,./in drop 2 11:02 117•08 15,4t 20' z z S- 'Z ' 67 3 1 I'-Off I U 7 9 a 0 75" S. � y 4 00 5 11: 2-5 11`36 5- z 0 14,0Q 1. W30 :11'.36 6 Zb/,f 2 -11:37'. 12.:-&7 (Q 17 Z'i 4 JQ: q ..10..'S-9 /q 0.7Y 5 10 Y8 11:0 S /0 19 7y 20 0.75 13-33 l.. b'06-. (1 -2_6t D 2 11.: 4q 11 -'2 rig Q. 2s /4-00 3 1. 1: 31 17 7. Q.9) 4 11:37 'Ll Z. :37 &0 )7 2- .5- Notes.: 1) Tq'iOs to be repeated at same depth until approximatel� equal soil rates are obtained at each percolation test hole. All data to e submitted for review. "E.eDth measurements to be made from top of hole. S. INDICATE LEVEL AT WHICH GROUND WATER IS .ENCOUNTERED /V077 iFNLd clA1 TE R fZP INDICATE LEVEL TO -WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY J Ta V i ►tea ,.T, 'PC. Date Ma rt Lt Z y. 1. 8 DESIGN , Soil Rate.Used.I 5- Mi.n/1 "Drop: S.D. Usable Area Provided Z 73 No. of Bedrooms�Septic Tank Capacity /000 Gals. Type Absorption Area Provided By 3 �Z 6 L. F. x2.4 ". 3b width trench. Other -2-' ROB A envew, Address 11-1 (JeSt S8 S$ SEAL _QaAAJ York,, N Y 10o19 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date APR 9 - 1984 ,:... PUTNAM COUNTY ROLM HEALTH TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SO'I'I. ..iNC:OUNT.RRED ''IN TEST "HOLES Su�O��viSioH Deep DEPTH HOLE- NO > A] !'��.. . N uC�T —F!. 1�0 >.. _ S HOLE 1110. N � l e.. G.L.—_ b� 13wr9es5�lr, —(3elr r Pe' . 61f rawn %ono So, f Brow,^ TP 5pi- 72Off: / i2'r A d ged .Sand an /t', F we Sa.�d Sand�, /06 PM 18 wJ w W G 11,1 y . 2411 fl e- oa n a w. 3011 42" Grwe 48" '; 5Bw►e SfzvNeS . r StJY►�2 G /ZLl 60" 66" �Z 72f1 781f Roe- k INDICATE LEVEL AT WHICH GROUND WATER IS .ENCOUNTERED /V077 iFNLd clA1 TE R fZP INDICATE LEVEL TO -WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY J Ta V i ►tea ,.T, 'PC. Date Ma rt Lt Z y. 1. 8 DESIGN , Soil Rate.Used.I 5- Mi.n/1 "Drop: S.D. Usable Area Provided Z 73 No. of Bedrooms�Septic Tank Capacity /000 Gals. Type Absorption Area Provided By 3 �Z 6 L. F. x2.4 ". 3b width trench. Other -2-' ROB A envew, Address 11-1 (JeSt S8 S$ SEAL _QaAAJ York,, N Y 10o19 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date APR 9 - 1984 ,:... PUTNAM COUNTY ROLM HEALTH O r gal i o �� �.p�M�Nt+lNtn UShO ScV . �NM�7SI`tbBJ tv w ON N v v h� ZtJau,LL w aP Q commcIImr9mman03ao00ooa0. 0- o_ o "9 a- a0 in m In r s OO O _Ma0Mo,O_6% u., . 4T 3 QI oa'eoa Q� QQQQQQQ,Q¢QQQ l w 3 R 0 p C O am nAS = 3 C H 0 ^ £ nS 3 YY J iA� rF1 O 03 b em In�� J1 1 r^ .� 4. o a -c .2 d D �� A A p�p OG O r gal i o �� �.p�M�Nt+lNtn UShO ScV . �NM�7SI`tbBJ tv w ON N v II 11 II tl II II 11 11II {.111 II 11 II 11 01HbIc T: ZtJau,LL -J MVO Q commcIImr9mman03ao00ooa0. V) o "9 a- a0 in m In r s OO O _Ma0Mo,O_6% _ _ el (31 Q II I I 11 II 11 II 11 -11 11 II °11 II it II n 0 Q[LLLC9SHF71G _l:i 2oa Q� QQQQQQQ,Q¢QQQ O r gal i o �� y H w tv w L W v CO N h tv x• }.,_ .CL w 3 V) 0 o = 3 C H 0 Q l ry O LL N N , K > Q, rl Q Mme' tv x• P �� `off` • o� .o 0P tia h� H � J Z i Q 4 �'Q D L11 CC) 1 o° Q O C 0 L �o zit %I. a r A 3 � 0