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HomeMy WebLinkAbout1633DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34.13 -1 -29 BOX 15 01633 J �� i� his ' r '� � �, f ., ej-.. AM AI I m 01633 'I DIN PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OWNER I S NAME W i.L•L Lam Caawe.L.L SITE LOCATION 57 &2h View &Lve Camel, New soak MAILING ADDRESS 57 flW View !?icive Caamel, New Yoich PERSON INTERVIEWED . AA, CaAwell JL)wneal Name & Relationship (i.e, owner, DATE 4ug. 29, 1996 PRUPOSED INSSTAISM Aahopac Sanitation Septic, Inc. PHONE 225 -2553 TO !05/2 PCHD Complaint # tenant, etc.) TYPE FACILITY RILivata Dwel in PHONE 628 -4526 REGISTRATION # 4/%,;.,.. 217 Kenni.cut fLi.::L -L- Rd. - Aahopac, NY - 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. Rep.Lace aced aeptic tank with 1250 .Lon paeca&t cement wept is tank. 7 1.4 po&ALble. l Repairs d it_Wg. L **No C.Loaea 7o We.U** Proposal approved— _ Proposal Disapproved 's Siqnature & Title Da 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 corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. 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, or reported agent of owner a ree to the above conditions. SIGNATURE .e e TITLE ©G{I�Vljf, DATE o7 FUS: White (PAD); YeUc w (Tam ffi); Pink (AFp 1=0 C®t/e�e�' v a 67 4?ht !/ ,*9) ZR /L4 aas �ss9 K ..,.., MAHQPAG SAN ITATI®9V_SEPTV�, INCe s a Septic Tank = Service 217: Kenrncut Hill Road ° i MAHOPAC, NEW;YORK`10541; 628 -4526. Joseph Ao Mantovi C®t/e�e�' v a 67 4?ht !/ ,*9) ZR /L4 aas �ss9 K ..,.., LORETTA MOLINARI Public Health Director 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 August 11, 2004 Caswell 57 Highview Drive Carmel, NY 10512 Dear Mr. Caswell: ROBERT J. BONDI County Executive Re: Accessory Apartment- Caswell, Highview Dr. Three Year Approval (T) Patterson, TM #34.13 -1 -29 I have received and reviewed the plans for the proposed accessory apartment at the above - mentioned residence. The proposal for the apartment has been approved as per plans bearing the approval stamp from this Department dated August 11, 2004. The apartment is approved for three years with the following conditions: 1. The total number of bedrooms in the apartment must remain at one without prior approval by this department. 2. The total number of bedrooms in the main house must remain at three without - prior approval by this department.. 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. ML:hn cc: BI (T) Patterson Sincerely, Michael Luke Public Health Sanitarian LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New fork 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 ACCESSORY APARTMENT APPLICATM Date: 8& / —zz Renewal ❑ ❑ Yes No ROBERT J. BONDI County Executive � �77�`., Il� �P # �Y �3 STREET 1 T OWN I�1AN9]E rl' PHONE,#-&Zng - EEg ]PCB MAILING ADDRESS 5-7 MAILING ADDRESS OF APARTMENT NUMBER OF BEDROOMS IN MAIN HOUSE 7 NlA"ER ®IF BEDR0' J OMS IN APARTM ENT_L Please submit this form and the requirements on page two to the Putnam County Health Dept., 1 Geneva Road, Brewster, NY 10509, Phone 278 -6130. Approval is effective for a three year period. The applicant mast reapply at the end of each period to renew the legal status of the apartment. Signature of Applicant 9 t 1 ®`!( tt 0-7 Approved IIDate_ To. O 8 ,a y 4L,- Title N Accessoryaptapp DVfooWl 6,111 4(-ft )/(I 1--L c 6'f h,:) ID WNW' NAM COUNTY DEPARTMENT OF HEALTH g HOUSE PLANS APPROVED FOR BEDROOM! COUNT ONLY, X ;fc�+•n 3 BEDROOMS $ 11/ lo y. — F hi�o 7 ;. u F. cu, Std nature 8 T'ifte Oats - f iso /� coJJ V r Eo Ivild CIA GN co Pitt VOL Ln ' OEM tt ;q �r LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Environmental Health (84.5)278-6130 Fax(845)278-7921 Nursing Services (845)278-6559 WIC (845)278-6678 Fax(845)278-6085 Early Intervention/Preschool (845)278-6014 Fax (845) 278 - 6648 PROPOSED ADDITION APPLICATION (RESIDENTIA.L ONLY STREET.>7l77s�i�rew Arl TOWN it is oh TX MAP # '311-13-j-,25 NAMF�Ui we.� PHONE,&3 :&��toj PCHD # - o MAILING ADDRESS ;5 7 )rA,�- [_6- sr0_c1 /%1 �11572 DESCRIPTION OF ADDITION -=4 �-�%z �.; xv(10 -0,- 1�„ 4r Ohl NUMBER OF EXISTING BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) PROPOSED # OF BEDROOMS OV r,,A- *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., 4 Geneva Rd.; Brewster, NY 10509, Phone 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) * Non - professional sketches are acceptable 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 location, to the best of your knowledge. Include date, of installation if known. Labet all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. ,of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. QFFICE USE Comme s .. :. .. . • .. : o 0, LA,� ees 4--4— A/_ w eeLI-1 110- Feb 98 MAHOPAC SANITATION SEPTIC, INC. Septic Tank Service _ 217 Kennicut Hill Road YORK - %1054x'- 628 -4526 Joseph A. Mantovi'� o a to y s =ass9 f� fTAdA &A- _41'6' a to y s =ass9 Whopac Septic, Inc. SEPTIC TANK'SERVICE JOSEPH A. MANTOVI 485 KENNICUT HILL 'RD. .. rMAHOPAC;.:NEW.YORK .10541 " "(845) 628 -4526 SEPTIC TANK f 6-0 "l lJ Q CESSPOOL ❑ DRY YELL ❑ GREASE TRAP ❑ SNAKING ,INE ❑ FIELDS NOT WORKING REMARKS d �671!P6 low - TAX fb :.._:1 YO /o- interest (18%-annual l wily be added monthly to all ' • _ accounts 30`days past due. 4 TOTAL 11 i'_: `nA — ' : YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 ` f9*4) 245-2800 ", : Albert H. Padovani, Director LAB #: 93'401746 CLIENT #: 57718 NON STAT PROC PAGE: J. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~'~~~~~~~~~~~ CASWELL, WILLIAM DATE/TIME TAKEN: 07/26/O4 11:45A 57 HIGHVIEW DR DATE/TIME REC'D: 07226/04 12:451F' CARMEL, NY 10512 REPORT DATE: 07/28/04 PHONE: (845)-225-2553 SAMPLING SITE: SAME SAMPLE TYPE..: POTABLE :'KITCHEN TAP PRESERVATIVESL NONE COL'D BY: WILLIAM CASWELL TEMPERATURE..: < 4C NOTES...: COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 07/26/04 MF T. COLIFORM ABSENT /100 ML ABSENT 1O08 ' COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATE WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI J E NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED,-AT THE TIME OF COLLECTION. , SUBMITTED BY: Albert Direct Padnvani, M.T.(ASCP) ELAP# 10323 Date:__..' .:.....�.. Z�. .G. ................... N9 101 TOWN OF PATTERSON PUTNAM COUNTY, N. Y. Application for Installation of Sewage Disposal Facilities Fee of $7:60 must accompany Application The undersigned hereby makes a poication for approval of and a certificate of occupancy for the installation of Septic Tank Cesspool ❑ Chemical Toilet ❑ Privy ❑ on the property described below. Location of Property .. /...i:... (/.2l..11 ...- _ % ��'� Village Street or Avdwe Subdivision...-•-•--• .......................... .......... ..... •- •- •- •--- -..._. .. .... - ................................ .._....--- .............. Block No. Lot No. Size of Lot Character of building Dwelling [� Garage ❑ Store ❑ or other ❑ ;r• No. of Occupants .......:............ Bedrooms ..... ✓•� ........... Baths ...... Extra Showers .... -_--.............. Garbage Disposal Sink....__—........ dry •------ --------- --- •- - -.... Automatic Laundry Washer ./e_5__............_.._......_. Source of Water Supply Public ❑ Drilled Well Dug Well ❑ Spring ❑ Ground ❑ Name of Owner. 4... /...d.S.!�:�.�.^ ................................. Address A.A w- 15 ... te2...... Diagram showing location of. proposed ..installation,.on_,prgpgrty.., (Show distance from .... adjoining property line and distance from nearest water, watercourse or'source of- water-supply, within 200 feet. Also show location of dwelling or building to be served). Corrections, .it any, to be made by r in red. r... . General Contractor ....... .......... Subcontractor ......................... ............... ................ :.. (sign) (sign) Address t !�??... e/. J l.�!..• ........:....:. Address ..................................... ................._............. Certificate of Occupancy I certify that I have inspected the facilities called for in the foregoing application and find that the same are installed as shown in the diagram thereon with the changes noted, and find that the same' comply with the sewage regulations of the Town Board of Health of the Town of Patterson and do hereby grant this CERTIFICATE OF OCCUPANCY. Premises were inspected on the following dates Lb/J ••. First ....--•--....... ��% � .......... ....:.......................... � Date Issued .....: /.`.:. f.....: _..........-- • ---�. �.'f _.LJ../ '. Last ............•.,��� Other ......................................................... - ?va.. %_:L!� "z.' ......................... • sanitary:. for I i 6 i i l I � 1 � ' U C'09 s w c L L 1i F. /�iOFiJ� 1. i I I I r t�%NSIz�•;�v✓ 1 ' I 0 F I � I