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34.17 -1 -6
BOX 15
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REBECCA W11 1'ENBERG, RN, BSN
Public Health Dfrector '
ROBERT
Director ofEnviromnental Health
February 2, 2012
Elizabeth Kavanagh
457 Fair Street
Carmel, NY 10512
Dear Ms. Kavanagh:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Re: Addition — Kavanagh
457 Fair Street
,(T) Patterson, TM 34.17 -1 -6
MARYUJAN ODELL
County Executive
I have received and reviewed the latest set of 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 proposed studio apartment has one potential bedroom and one additional kitchen,
which constitutes one additional bedroom flow.
2. The legal bedroom count for the dwelling is three. The potential bedroom count of your
proposed addition is five.-- -
3. 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 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.
If you have any questions, please contact me at your convenience.
JSP:cw
Cc: BI (T) Patterson
Respectfully, 11 6
r
Joseph S. Paravati, Jr., P.E.
Assistant Public Health Engineer
REBECCA WWI TENBERG, RN, BSN
Public Health Director
ROBERT MORRIS, PE
Director ofEnvironmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 8081390
Fax # (845) 278 -7921
ADDITION APPLICATION RESIDENTIAL. ONLY
MARYELLEN ODELL
County Executive
W.
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STREET , i l''� J Y , TOWN � 10J TAX MAP #
NAME & - o ZA Li U v HO A2! -33ct1
2_7
MAILING
ADDRESS 4 S 1
0'A , I u
�t 15 � �5.' - �
*NUMBER OF EXISTING BEDROOMS NUMBER OF PROPOSED NEW 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) 808 -1390.
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
!�
REBECCA w1TTENBERG, RN, BSN
Public Health Director
ROBERT MORRIS, PEN
Director ofEnviromnental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 80 &1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re: A (Owner's Name)
Tax Map # •' ,
Address:
Town:
Year Built: `" l b U
MARYELLEN OOELL
County Executive
According to cords maintained by the Town, the above noted dwelling,
is ill in compliance with Town Code.
_ Ts. riot in compliance with Toiam Code. _
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy: t/
O f i
The plans for the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
�-
04012-
B ' g Inspector Date/
a
Putnam County Department of Health
1 Geneva Fed.
Brewster, NY 10509
Elizabeth Kavanagh
457 Fair St.
.Carmel, NY 10512
Cell # (914) 646 -2791
TM #: 34.17 -1 -6
To Whom It May Concern,
I am submitting this Addition Application because I would like to convert my family room into a
studio apartment. No structural changes are necessary to achieve this goal. A sink, refrigerator,
and a couple of cabinets are the only items to be added. There is already a pre- existing propane
stove, with a permit on file with the Town of Patterson, in the room.
I realize that this addition would be considered an additional bedroom and that there are new,
guidelines in regards to the septic system; however, since my septic system was upgraded in
August 2007 and my home was built in 1960, I'm hopeful that I may be eligible for a variance or
grandfathered in under the previous guidelines. I am also disabled, and the extra income from
the studio apartment would allow me to remain in my home.
I wish to thank you in advance for your assistance with this matter. If you have any questions or
require additional paperwork please do not hesitate to contact me.
cerely,
Elizabeth Kavana
(914) 646 -2791
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Tax map # 34.17 -1 -6
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MKON' OF IENWRONMEN ['AL HEALTH S ERWCLS
A]E1�ILI<CA'g'll�Rl T� C�fi1ST1[�UCT A WATIEI[8 WIEILIL
. _. please print or type "- PCHD Permit #
Wepll LoeaQn ® ®e
Street Address: T i age Tax Grid #
34. % -7 _
y Map
Block Lot(s)
WeR Owner:
Address:
i9pe:
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Use of Well:
Residen ' Public Supply Air /Cond/Heat Pump Irrigation
I -p ri mflany
Business Farm Test/Monitoring
Other (specify)
2- secondai y
Industrial Institutional Standby
Amount of Use
Yield Sought gpm # People Served Est. of Daily Usage _gal.
Reason for
Replace Existing Supply Test/Observation
Additional Supply
IlDriRli ng
New Supply (new dwelling) Deepen Existing Well
Detailed Reaso®
PAJ p 0A7
for pDlrnplang
WeH Type
Drilled Driven Gravel
Other
Is well site subject to flooding? ................................................. ...............................
Yes No zl /
Is well located in a realty subdivision? ...................................... ...............................
Yes No
Name of subdivision
Lot No.
Water Well Contractor: SO/0S Address:
_
Is Public Water Supply avails le to site? .................................. ...............................
Yes No
Name of Public Water Supply: Town/Village
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on separate sheet/plan.
Date: .943 plicant Sinature:
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided
that within thirty (30) days of the completion of water well construction, the applicant or their designated
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the
requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless
construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by vrer well driller certified by Putnam
County.
Date of Issue S Permit Iss g Off ial:
Date of Expiration Title:
Permit is Non-T>I a® i b Ie
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner;/ Orange copy - Well driller
Form WP -97
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PUTNAM COUIY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
P FOR §MKA_M SYSTEM REPAIR .
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SITE LOCATION _� TM # -7
OWNER'S NAME PHONE #
MAILING ADDRESS vv► 6 S % l
APPUCANT 14 nda, .s
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DATE FACILITY TYPE e5 . lPCHD COMPLAINT #
PROPOSED INSTALLER JtL-� Swwrm c PHONE #
ADDRESS �� fV � -�(( R A Ere (6 / y 7 REGISTRATION ILICEN3E #
BmmW (Induft 81 sopwab skdch locaft Ow nom pnvw►r gno% a8 aomt weft wWft M
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NOTE; Repay nwst be In saw locdm and of am type as orlai somp ftpwd Wdwn•
Dil ,t e� proposed pub sys will a of p opoasi b m Iloensed p�
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ATE -
Pmpos"roved PmpmW Denied
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COPIES: White (PCHDr Yellow (Town BI); Pink (Installer). Orange (Applk mt)
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Install new baffle in septic
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tl existing
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Street Town State Zip
PERSON IN CHARGE ,9,1 w/v g
Name and Title p/�
TYPE OF FACILITY: 551-5 6/";41,9 � 3 x
FINDI:
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Signature qqiitle
I acknowledge receipt
02/96
Rev.
report: SIGNATURE:
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Install new baffle in septic
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Proposed sketch 8-1,47
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Orangeburg tee
Kavanagh
457 Fair St
Carmel NY
Tax map # 34.17-1
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