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HomeMy WebLinkAbout1838DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35.06 -1 -20 BOX 17 is @I al T% AL Le No ' � L7 0 No % ,, T or q ` 466. 01-1 . f J'i JF N 1 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health ROBERT J. BONDI County Executive -.. ,..._ - 1k09EWf`M0RRIS ;fE - - -.., Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 September 25, 2006 Hector Cartagena 4091 Old Route 22 Brewster, New York 10509 Re: Addition Approval — Cartagena, A- 215 -06 No Increase in Number of Bedrooms 4091 Old Route 22 (T) Southeast, TM# 35.6 -1 -20 Dear Mr. Cartagena: 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 September 22, 2006. 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. "This Department recommerids you contact your local Building Departrrierit to ensure setbacks and other current codes can be met. 5. This 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 Southeast. If you have any questions, please contact me at (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:cj cc: Building Inspector, (T) Southeast 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 _'- L-ORETTA.MOLINARI, RN, MSN -y Associate Commissioner of Health ROBERT 1 BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 b ADDITION APPLICATION RESIDENTIAL ONLY STREET y0 �� �%l�� -� TOWN TAX MAP# _ NAME PHONES 27 t '/> iy PCHID# "MAILING ADDRESS DESCRIPTION OF ADDITION Ate =fD9 NUMBER OF STIN7BEDROO S 3 �PiO�'POSE OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING.E'wECTOR) "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 - 6130. -- �1. Certified check or money order for $100.00.. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 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 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. ✓5. 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 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845)278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP ..2 .r -Commissioner. of_Health �..... LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDi v z_ �.�.. _.. _ _ ,,, ...::w_•Cgunry Executive . ,.. _, ..,. DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: (Owner's Name) Tax Map #: ` . Address: Z .� 44- 12a ;6&a,,6�,�/ /J 7 Town:Li�.,/ — Year Built: According to records maintained by the Town, the above noted dwelling, is ti in compliance with Town Code. is not in compliance with Town Code. The 'Legal Bedroom Coftfi is: This information has been obtained from: Certificate of Occupancy: Other: ,�_ _714Z- IF 3 D� Building I ector D to r 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 EXISIWG SUNROOM NOT WORK TO THIS SPACE C s' FR l _ c � 3 . NEW QINI Q ROOM EXISTING BEDROOM IS-2" EXISTING KITCHEN NO WORIt TO THIS SPACE d PF-u tA/ITN 14AND RAILS. EXIS NG LIVING ROO NO WORK TO THIS SPA( 0 P ' PUTNAM COUNTY DEPARTMENT OF HEALTI=f r HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS J S a6 7TM ,� 3 5. E J � � � ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCQOH FOR APPROVAL -SIGNATURE & TITLE L DATE d NLARC1-EXISTUNG .FAMILY ROOM 1, t b t _ x � gtAl 1d We ZZ �{npo3ed Ist Boor WT5 m c �n 0 0 Ql 0 a c WE N c� e N u tC m L^ fi .3 CRY S .r He iv (:"S JC- S'N k EXISIWG SUNROOM NOT WORK TO THIS SPACE C s' FR l _ c � 3 . NEW QINI Q ROOM EXISTING BEDROOM IS-2" EXISTING KITCHEN NO WORIt TO THIS SPACE d PF-u tA/ITN 14AND RAILS. EXIS NG LIVING ROO NO WORK TO THIS SPA( 0 P ' PUTNAM COUNTY DEPARTMENT OF HEALTI=f r HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS J S a6 7TM ,� 3 5. E J � � � ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCQOH FOR APPROVAL -SIGNATURE & TITLE L DATE d NLARC1-EXISTUNG .FAMILY ROOM 1, t b t _ x � gtAl 1d We ZZ �{npo3ed Ist Boor WT5 m c �n 0 0 Ql 0 a c WE N c� e N u tC m L^ i I PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY 3 BEDROOMS A 1.5 - 496 7, M, *-39,6 -1-a -a ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOV Z - tilAL PLANS MUST BE SUBMITTED TO THE PCDOH.FOR APPROVAL 14- L SIGNATURE & TITLE OAT pa;the, ZZ P6 4 , n ' PUTNAM COUNTY DEPARTMENT OF HEALTH . HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY ,» _$ BEDROOMS A 2 ! -06 M # 3 ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE & TITLE DATE t 1 � ' Fiji k / 4 i 1� t ' tz qo Yr otj , .e Sep 22 06 08:35a Hectoi Cartagena Gene Reed Putnam Dept. of Health 1 Geneva Road Brewster, N.Y 1 0509 Dear Gene. .845 279 -1516 Hector Cartagena 4091 Old Route 22 Brewster, N.Y. 10509 September 22, 2006 First, 1 want to thank you for taking the time to speak with me about the concerns your department has regarding my plans. I understand that the board is mainly concerned with my plan to convert an existing bedroom into a dining room. I understand that the board fears that someone in. the future may convert the dining room back into a bedroom and be in violation by doing so. For this reason l have agreed to open up the proposed dining room by removing the door, removing the closet and removing an entire wall to open up the proposed dining room into public space. .1 have further agreed to convert a full bath on the first floor into a half bath and move said bathroom away from the proposed dining room to complete the opening up of the dining room.space. When we tast spoke this Monday you related that the board suggested removing the wall(s) which surround a closet located to the left of the kitchen entry. I have been - -- pondering - that - suggestion all week and have consulted with professionals in that area.-_,.It, appears that it would not be feasible to make such a change to the existing floor plan. The wall in question appears to be load bearing and working in conjunction with the wall to it's right which divide the kitchen and living room. The space on the second floor just above the wall(s) in question has a cantilevered floor which hangs over the open living room below. This would all, need to be re- engineered before, opening up the kitchen entry and removing the wall in question_ I also discovered plumbing in the basement just underneath the area in question. The cost(s) surrounding such an undertaking would make that renovation impractical as I'm sure any reasonable person would agree. As such, please submit my last proposed changes (sent on 9/16/06) for the board to consider at it-s nekt meeting. Please advise them that I seriously considered their suggestion and regret that it cannot be. done. Please know that I am guided by your concerns and look forward to hearing from you. Sincereiy, Hector Cartagena p.2 SEP -22 -2006 FFl s=ir TEL: 845 . 78 -792i NAMF:PUTNAM COUNTY DEPARTMENT OF P. 2 Sep 17 06 11:54a Hector CIaitagena FAX 845 279 -1516 p.1 of Date / /v TO: Putnam Health DeptJGene Reed FAX# 845 278 -7921 ATT: Gene Reed CONTACT# FROM: Hector Cartagena CONTACT'# cell 914 260 -8570 RE: Cartagena,Hector/ 4091 Old Rotate 22 MESSAGE: As per our conversation, attached please find a copy of the proposed changes to my plans. As you can see the new dining room will be completely open to the public space on the first floor. The full bath will be converted to a half bath and it has been moved over in order to open up the dining room. I hope the board finds these changes acceptable'as I can not conceive of any further changes to open up the dining room. Hector Cartagena SEP -17 -2006 SUH LO:�4 TEL :845- 278 -7921 ts;E- ,ME.PurNAN COUNTY DEPARTMENT OF P. 1 C lS� ru CD: ul iT S ti D 1`` m C a D n 0 C Z 0 m r D Z7 t11 fU ? m L � b i� rij N ti D 1`` m C a D n 0 C Z 0 m D D Z7 --I 3 m L � b O IT A ?off 2Z Ist m C tlh O O O O O m m N dl IT m R 3 u M Lft7 7 r• 0 0 CD i �D m fV �A w SHERLITA AMLER, MD, MS, FAAP Commissioner of Health. LORETTA MOLINARI, RN, MSN Associate Com'mi'ssioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 David Raines Town of Patterson Code Enforcement Office P.O. Box 470 Patterson, NY 12563 Dear Mr. Raines: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health ' August 29, 2006 Re: Addition — Cartagena, A- 215 -06 4091 Old Route 22 (T) Patterson, TM # 35.6 -1 -20 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. Per this Department's Engineering meeting on August 28, 2006 it was determined that the room titled New dining room/Existing bedroom is a potential bedroom giving the dwelling a bedroom count of four (4). 1. The legal bedroom count for the dwelling is three. The potential bedroom count of your proposed addition is four. 2. The addition of a potential bedroom requires this Department's approval of a revised system plan from..4 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. Upon-receipt of a submission, revised to reflect the above comments, this application will be considered further. If you have any questions, please contact me at your convenience. Sincerely, Gene D. Reed Environmental Health Engineering Aide GDR:kly 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 PAUL P. PIAZZA Building Inspector TOWN OF PATTERSON CODE ENFORCEMENT OFFICE :- PUTNAM COLINTY. P.O. Box 470 Patterson, New York 12563 August 23, 2006 Mr. Gene Reed Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: TM — 35.6 -1 -20 CARTAGENA, HECTOR & MELANIA 4091 Old Route 22 Brewster, New York (T/Patterson) Dear Mr. Reed, Telephone (845) 878 - 6319 Fax (845) 878 - 2019 Please review the enclosed floor plans for the renovations /addition to the Cartagena residence relocating the bedrooms to the second floor. I have spoken to the homeowner and the plans for the first floor have been redrawn removing the tub and closet and opening up the wall to create a dining room. - - -: - :Upstairs there- is-one existing bedroom and new construction relocating the-other two bedrooms; thereby keeping the dwelling at three bedrooms. Please review and respond to my office for Health Department compliance. Thank you. DIR/cs Sincerely, & � &M. e-'I� David I. Raines, c4.� Code Enforcement Officer (acting) SHERLITA AMLER, MD, MS, FAAP Commissioner of Health.. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Hector Cartagena 409.1 Old Route 22 Brewster, New York 10509 Dear Mr. Cartagena: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 August 15, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition — Cartagena, A- 215 -06 4091 Old Route 22 (T) Patterson, TM# 35.6 -1 -20 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.. The legal bedroom count for the dwelling is three. The potential bedroom count of your proposed addition is four. 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 -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. Upon receipt of a submission, revised to reflect the above comments, this addition application will be considered further. If you have any questions, please contact me at your convenience. GDR:cj Sincerely, Gene D. Reed Environmental Health 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 MOLINARt,- RN;•M -W— - Associate Commissioner of Health July 25, 2006 Hector Cartagena 4091 Old Route 22 Brewster, NY 10509 Dear Mr. Cartegena: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT I BONDI County Executive ROBERT MORRIS, PE'-° Director of Environmental Health Re: Addition - Application Incomplete A- 215 -06, Cartagena 4091 Old Route 22 (T) Patterson, TM # 35.6 -1 -20 Review of the plans and other supporting documents submitted at this time relative to the above regarded program has been completed. The following was not submitted with your application: 1. Sketches of existing floor plans (drawn to scale, all living areas including basement are to be noted on the plans). Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. v GDR:mcb Sincerely, .0�. �! P24 Gene D. Reed Senior 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 PeNa O 26 15rbNeWAi -L 0,191 W a f G y AMA- SON N ` %03 5-roK Mr. WALL rNI;LL 0 `\. N } frNGLDSt7 ` ��u 1 pORG-I �- too _ ENTRANCF- WAY ft =x y r5 � np� COUNTY BOARD OF HEALTH ' PU.TNAM �j^` COUNTY GERQLDINE A. ZAIROYS KI I.D. ' CA 5 3641 DANIEL SELDIN, D.D.S. ` JOHN SIMMONS, M.D. Vice President DEPARTMENT . OF HEALTH Deputy Commissioner '� RAYMOND JONES COUNTY OFFICE BUILDING ROBERT J. CADDEL.L. F'.F. Director of DANIEL ROTH CARMEL, NEW YORK 10512 He ith S� vicesronmcntol KENNETH C. CARLSON . ELAINE K. KRIJ GI:R, R.N.. M.A. Director of Nursing ".JOSEPH PITTELLI, M.D. MELVIN PLAVIN, M.D. April 9,1973 Mr. John Prentiss 'P.0: Box 353 Carmel, N.Y. ° 10512 ' Re: Lots 38 & 39, La]<espring Meadows, Town 'of Patterson Dear Alr. ' Prentiss: A review has been made of the submitted plans to construct d'-sanitary sewage disposal. system on each Of the proposed buil.di.nn sines men Liultrr6 ai,uvt . The plans were acceptable, pending receipt of house plans* . and letters of authorization on each.. 9 I February 5, 1974 Putnam County Health Dept. County Building Carmel, New York 10512 Attention: Robert J. Caddell, P.E.; Director Environmental Health Services Re: Parcel on Old Rte.. 22, Lakespring Meadows Subd., T. Patterson Tax Map #70, Block 4, Lot 12, Filed Map #872 (Lot 39). Well Location Gentlemen: I accept the well location of 80 feet from the proposed disposal area on this parcel.. This is shown on Dwg..I, S.O. 1148 (Sanitary Septic Systems ... by- .John-.H.-.Prent-i-ss-; P::E:•, Very truly yours, Vincent LaMorte Locust Drive Brewster,.NY 10509 Date 2/4/74 Re:' .. Property of. - Vincent La Morte • Located at Old Rte. 22, Lakespring Meadows Subd., T. Patterson Section Tax Map #70 Block 4 Lot 12 . Gentlemen: _ This letter is to authorize John H: Prentiss, P.E. a duly licensed professional engineer X or registered. architect (Indicate) to apply for a Construction Permit for a separate sewage system; to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connecrlon wi,in this matter .and to. supervise the construction of said system or systems in conformity with the provisions of Article 145 or 1.47,` Education Law, the Public Health Law, and the Putnam County Sani- tary Code. IUM rs�ig ed: R.A ., # 29 6 Very truly ours, Signed r/ Owner of Property Address R. p. 6, Box : 353 Telephone Address 9/4- ° >9 °64�B Carmel, NY 10512 g14-878-6170 Telephone Q� ESSIONq� F N PRFN.�G %yF \F10 �c GZ a� No. 2990 �FTHE S'(ASE PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property ofd /�c Located - at (T7�� Section 7Q Block Lot Subdivision of UCrSii /�� /S Subdv, Lot Filed Map # 012- Date Gentlemen: This letter is to authorize a duly licensed professional engineer or registered architect (Indica e to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said ,._ ,_ayst-em_ -or. - Systems in-- aonformi ty with the provisions of Article 145 or 147, Education Law, the Public _Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Coun-ntersigne Owner of Property .s R.A. , Te.lepho W Address Town Telephone - ruTN'AM COUNTY DEPARTMENT OF HEALTH Permit q { Division of Environmental Health Services, Carmel, N. Y. 10512 �f CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM _ �,j i7 Town or Village Located at /L�...ii� - ++ ��f'> Tax Map � Block Lot ' Subdivision subd .•,.,. :..�.�.'..._, __ - _ .. Renewa -Revision - - Owner /Address " "` -Date Of Previous Approval -- 0 � �-�--,.l ~ Building Typely1_LE3_ Lot Area Fill Section only 0 Number of Bedrooms Design Flow G/P /D� P.C. H. D. Notification Required s Separate Sewerage System to con st of jCDCDC> Gal. Septic Tank and To be constructed & _ Address � CU C Water Supply: Public Supply From Private Supply to be drilled b y Address r Other Requirements y I represent that 1 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 a ions o e u ham County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of HePu na 11 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 tru sewage disposal system during the period of two (2) years immediately following the date of the issu- will e l the approval of the Certificate la Construction Compliance of the original system or an re will be located as shown on the a Y pairs thereto• hat the drilled well described above approved plan and that said well will be installed in ac d e ith th a ds rule and r ula ons of the Putnam County Department of o- f�Health. Q� � � /y5� �/�t Date F= t° 1 -,7-7 A AU Address -;��Cl APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued revocable for cause or may be amended or modified when T�T necessary by the Cor requires s new permit, oved is sal of dom y ewage, d /or pri Date Rev. 9 -91 —�—" BY P.E. R.A. ----� erise No. -r t istruction of the uilding has been undertaken and is Of Health. Any change Of alteration of construction S r, 0 C P -33 -84 -' ai, PUTNAM COUNTY DEPARTMENT OF HEALTH Permit a € - Division of Environmental Health Services, Carmel, N. Y. 10512 f. Patterson CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Town or Village Old Route 22 Tax Map 70 Block 4 Lot 12 Located at Lakespring (Meadows Subd. rota �9 Renewal _0 Revision __❑ Subdivision 0 Date of Previous Approval Li Maria $tan _RobQrtCQn Owner /Address & Residential Area Pill section Only ❑ ' Lot Building Type '` Number of Bedrooms --- Design Plow c /P /D 600 P.C. H. D. Notification Required 48 LF of 4' x4' leaching gal 1 eys i. .�.;'�} Separate Sewerage System to consist of 1000 Gal. Septic Tank and To be � Uetermi ned Address { To be constructed by Water Supply: Public Supply From To be determined X Private Supply to be drilled by Address J t Other Requirements 'f 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' to in accordance with the standards, rules an regu a ons o e u ham above described will be constructed as shown on the approved amendment there and Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill builder builder�ttheda . County Department of be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the a during the period of two (2) years immediately Issuf IWT place in good operating condition any part of said sewage disposal system Construction Compliance of the original sys r a repairs thereto; 2) that a dri led well described above Putnam ante of the approval of the Certificate of s of the will be located a shown on the approved plan and that said well will be install in nc h he stand f s, rules a d Health. County Depa ent X 5eN �. E. R.A. Signed Date4Ra68 Address APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued less construction of the building has been undertaken and is issioner of Health. Any change tion of construction revocable for cause or may a amended or modified when considered essary by the C It. ed for disposal of domest, ni wage, and /or e P IY only. requires a new per ppro � & BY Title Date Rev_ 9 -Rl 4 is r .. e ,, F'• F ,� 6 i y. A PUTNAM COUNTY- DEPARTMENT OF HEALTH ta r, si DiOision of 'EnV/rOnmental Health Services Carme% N Y �:?�fy�f'�l�Tlc�fil �ERfl`i FOR 5E1N�►yt iii, ?OST�� �"YSlEnli x } °,i�E .a 4;�Pttef'Sbn ` k Town or Village 4 _ t0 1d Rte 22 3 s Tax Map #70 4, Locatetl at gei�kGafn 561ock Subdivision Lakespr,ing Meadows, ° °'Filed Map #872 (slot #39)" LOt 12 "' Job S01 1.4 { Vincent La Morte Locust DR Owner Address BUIIdin9LTYPe 'Modular.. 1;�E '�LOt Area" In�2 A BreW$ ter,, I�1Y10509� y r a Three = - 1200 Number of Bedrooms Total'. Habitable Space ° Square Feet - a _ I`000 231 36 1 nth Separate 'Sewerage System ao consist of Gat Septic xTarp lineal feet X width trench d?- :. 4, r r { t t i r `� K d t y •,,.4 a',' To be constructed by ? r x�1 v Sr Addr._ess Water Su I Public Sub 1 Fro Pnv ate ` Supply to bas drilletl bye k r Address4 Other Requirements 24'! Deep R o, B F1 i I,SeCtlonsx 1. represent that 1 -am wholly and completely {responsible for the design and location of ";the proposed, system(sj :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. regula ions o e u nam , County ,Department of Health, ,and that one completion thereof a Certificate of Construction Compliance sit isfactor.•y to the Commisswner of Health;w}II be submitted to 'the Department `and a written guarantee iwiil`be :furmsh`ed the owner his successors heirs;of ,assigns by the bwlder that said builder' Will -v place in `good operating" condition, any part of said sewage disposal system during the period of two'(2);years �mmed}ately follow}ngahedatWof the "issu - ance of '.the approval of -the Certificate of., Construction Compliance tof the orig,nal system ;or any repairs thereto 2)'that the tlrilled well described" above will be located as shown om -the approved;plari and thatisa�d well will be' installed_ m accordance 'With ".�standards`,rules and regu aL�T ons of ;the PuErtam County Department Of Health x Date 2 :51.%4' E. R -D ,k :._BOx- -3 armed NY 105.2 29206.:: Address L License No:' APPROVE'D'FOR CONSTRUCTION This approval expires o e year frorri•tlie date- -i"ued uriless construction of the- building'has been •undertaken,and is revocable for .cause or may,;be amended or',modif�e d.when c ` s eretl- necessary by then Co is ner of Health Ariy: change. or alteration of tonstruetion requires a n w. perms Qpproved;for.disposal of. dorri is an�tary sewaV afar supply only /sy is Date p BY Title 57" ,-4- - f r�A Vu, ..,.. i� is ik .:a 3 The,qeorge `Westinghouse by Continental `FZomeS �s r US 50 SE ELEVATION L US 1 georg, C. BEDROOM-1 12-Ox II-11 BEDROOM -2 13-0;r 11-11 24'X 50' 1200 SQ. FT. HALL BEDROOM -3 11 -6 x II -11 Refer to Working Drawings for more exact dimensions. ELEVATIONS AVAILABLE: H, J, K, L -W— MW KITCHEN re DINING y ■■ • ■■ LIVING-ROOM 17 -0 x II -II CONTMONTOL i® t ctiaore\!� In order that product improvements may be introduced at any time, specifications are subject to-change without notice. I i S' FOR THE UTMOST IN B AUTY, CONVENIENCE AND DESJGN ... IN t QUALITY CONTROLLED HOUSING MEETS OR EXCEEDS FHA - VA & BOCA STANDARDS i For choice of interior - decorating: schemes refer to data sheet entitled "Professional Interior -Color Schemes." For specifications and options !ask your Continental representative for data sheet entitled "Unit and Material Specifica- tions." gory ®]� O Homes NEW ENGLAND DIVISION Of WEIL , McLAIRI ROUTE 3 /DANIEL WEBSTER 14IGHWAY NASHUA, N. H. 03060 TEL. (603) 888 =2191 r DIVISION ri �o PLANTS: BOONES MILL, VIRGINIA MAL:DEN,- MISSOURI WM j WEIL- McLAIr f" PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. _ .�:�..� -,, .,..a . ��.� �, . �- �GOUNT��•aFFICE� BUILDING; CARM�'�;;` "N: �'Y: _ "_`1C75��:..,�. _ . _ „r .,..,. _ W_- DESIGN DATA�SHEET- SEPARATE SEWAGE DISPOSAL- SYSTEM FILE NO. r �/ Owner �eA iF Z15�,,/ o4i%/Address Located at (Street Sec. 70 Block' Lot /Z 6-Mic—aTe nearest cross street) Municipality Watershed_ IL& SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS ae Number CLOCK TIME PERCOLATION PERCOLATION RM apse Depth to Water Water'Level No. Time From Ground Surf ace.an Inches Soil Rate” Start -Stop Min. *Start Stop Drop in Min'. /in drop, Inches Inches Inches 1 /d •' Ifs �- 1D.'2Z 2 2 ? 2 312'3(8 ° AV; 6-1 Z� 2 7 5 27 /Z - ®CO 1 2 _.. 3 5 Notes: 1) rates are for review 2) Te':�ts to be repeated at same depth until approximatelyy equal soil obtained at each percolation test hole. All data to be submitted Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION-OF-SOILS ENCOUNTERED'. IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO G.L. l L- 12" 18. qtA OL _.. r . 3011 42'• 48" .60" 66" 72" 78�� 84". INDICATE LEVEL AT WHICH.GROUND WATER IS.ENCOUNTERED ._ . IhDICATE,LEVEL TO WATCH WATER LEVEL RISES AFTER- BEING_ENCOUNTERED - _- ...._. Date -:_ . _ . ...... . .........__.... DESIGN Soil Rate Used -� Min/l "Drop: S.D. Usable Area Provided- ') SF No. of Bedrooms - Septic Tank Capacity j Gals. Type .A Absorption Area . Provided By L. F. x24 ". jb`f width trench,. Other Name igna ure Address SEA o 'NZ4/ QQ� yl� +qC` 0� THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: s; Soil Rate Approved Sq. Ft /Gal. Checker. ;;w- to