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Home My WebLink About1885DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 36.05 -1 -16 BOX 17 J-Lrju ; ' '' Is 9 Is 1 ' ,. Is 1 :: .. _ - - . � BRrTCB �. R,_::pOLEY= . r- - -• -• - - -..... ......_ Public Health Director Arthur & Lucy Becker 36 Fairfield Dr. Patterson, NY 12563 Dear Mr. & Mrs. Becker: DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278-7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 MOLINARL..Rhi.,::- M:S:N; Associate Public Health Director Director of Patient Services March 10, 1999 Re: Addition- Becker- Haviland Dr.. No Increases in Number of Bedrooms (T) Patterson Tax # 36.5 -1 -16 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 form this Department dated March 10, 1999. The addition is approved with the following conditions. 1. "The-totod number of bedrooms must remain at 1hree 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. 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. WH:kg cc:BI Very truly fur _..-____ William Hedges Senior Public Health Sanitarian AIN COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVIDUAL ADDITION / REPAIR FORM SECTION A. GENERAL INFORMATION Name of Project /� ✓ +� r. (T)(� TM# Year of Construction Size of Parcel SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. 1311i�Ily oRolling Stee slo e ❑ p p Gentle slope OFlat 2. ClEvidence of wetlands OLow areas subject to flooding OBodies of water Mrainage ditches ❑ outcrops YES NO 3. Property lines evident? ❑ ❑ MI 4.- Water courses exist-on or adjacent•to parcel? - - - ;- S. Existing individual wells within 200fft of the existing SSTS? ❑ ❑ SECTION C.. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM (SSTS) 1. Physical character of existing SSTS area. A. Clevel ❑ slope 7J,§-t`ee,p slope B. IDWell drained M-1-o'd,"e"rately well drained [lome what poorly drained OPoorly drained C. Area available for SSTS. (Primary & Reserve) CIE xtremely limited IlSomewhat limited ❑ ft x ft D. INSPECTION 3, 1.` -- Date � Inspector f� ®o evidence of failure nEvidence of failure ®Evidence of seasonal failure ------------ - - - -- �?� ------------------ - = - - -- - -. (Indicate North) jj 17 - ------------ L--.r- - - - - - -j - - - - - - - - - - - - - - - - - - - - - - - - - (1) Indicate. location of SSTS A. Size and type of septic tank Metal [Ioncrete B. Type of absorption area 1. Fields ft. 2. Pits gallons OPlastic, 3. Gallies ft. (2) Indicate setbacks, front, street, backyard, and side yard dimensions- (3) Show location of well _ . _ (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXISTING WATER SUPPLY 13PWS ®Shared well ClIndividual well DDrilled Mug OCasing above ground COMMENTS I (-f) P �\ -V" .3G , S PUTNAM GUUPJTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT OtdLY: BEDROOMS Signature &Title Date 2� , ! 13x iY! 'a ¢ j i 4 4 Ll 0/0 eooin II Yl 5,I k i a4 i r i i iz SALESMAN ESTIMATOR _ vv s d.e u..a.` ..dam Ir'1L -11:V Ltl 1.:: L/"'Iltlltl lltlV VI ILL 1 SCALE: 1 SQUARE EQUALS 1 FOOT SCALE: 1 SQUARE EQUALS 1 FOOT r DATE ORDER NO. DATE ORDER NO. PURCHASER'S NAME__- aTIMATOR PURCHASER'S NAME Uraer aOOltlorlal Sffeets from: UAVIU LIYIUN ANU ASSUUAI tJ; Y.V. OOX 405, JOUMTIei0, micr1- 4tfVJ /; (J IJ) J00 -OOOO Uraer acgnioOal Sheets from: UAVIU LIYIUN ANU AJJVUTAI CJ; Y.U. 50X 400, boutmIen Mlcrl. 4tSUJ /; (Jt JI JOO -OOOO t 1 r� T I j E�TrJA •6d' {hf t' ltv ;rdi riF-ri'AL�TH '- - —r— - I - — ` -._ j K - i— - r - ..._ T; HOVE PIJ 0011 +h' T ASR a V;:C� Fdl _ +, { BEL F + ice.(_ �� i - ; �, - _ ;.. + � -•�- -� __r� It k I•s _�. _, t_- -_�__ _ �-- i i i 5irjr )re- -]i Is-•- --- - - FF -H ( fSoeciW tem F either reau for or Heaw '�r 7 -- '+ i (SueciWem eit er reaulaf or Reawi ' Uraer aOOltlorlal Sffeets from: UAVIU LIYIUN ANU ASSUUAI tJ; Y.V. OOX 405, JOUMTIei0, micr1- 4tfVJ /; (J IJ) J00 -OOOO Uraer acgnioOal Sheets from: UAVIU LIYIUN ANU AJJVUTAI CJ; Y.U. 50X 400, boutmIen Mlcrl. 4tSUJ /; (Jt JI JOO -OOOO t z r DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 BRUCE R. FOLEY, R.S. Acting Public Health Director ADDITION APPLICATION _ (RESIDENTIAL ONLY STREET : � �� r TOWN TX MAP # lk" r NAME: , 4e, •4 �E ^ PCHD PERMIT # MAILING ADDRESS d' zpi57� Description of Addition Number of existing bedrooms Proposed Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architec71 in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, NY 10509, Phone 273 -6130 with the following information. 1. Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Non - professional drawing is acceptable. 3. Sketch of proposed floor plan. Non - pro#. ess -ional- drawi.no...Js,.accep.t. able... .... p�_...,,...,.... .._..__.._._........._....�.._. ......_- .._,.:.. _.. 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. OFFICE USE Comments and /or conditions r application August 1995 V A 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 BRUCE R. FOLEY. R.S. Acting Public Health Directo, Re: Residence A 7:A0 if Gentlemen: Tax Map v 64 4// To`vn According to records maintained by the Town, 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 )YuildLing Inspector a4 FLOOR COVERING INSTALLATION PLANNING SHEET SCALE: 1 SQUARE EQUALS 1 FOOT SALESMAN FSTI RA 4Tn R _DATE ORDER NO. PURCHASER'S NAME .__ - . .. .. .. I .... .n.n. "1 n-rcr_ i Y __ i are— 7 LJ 4! I L li ( 1 ,Sr1P.rifv ItPm elt er reaula of I eavy .__ - . .. .. .. I .... .n.n. "1 n-rcr_ PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR SITE LOCATION 34; OWNER'S NAME��`I� MAILING ADDRESS OFFICIAL USE ONLY X r 5--7� PPHONEE/ PERSON INTERVIEWED !IZ12, PCHD Complaint #. _ dame & Kelationship i.e., owner, tenant, etc. TYPE FACILITY DATE ADDRESS /-Z-/-:=1o1 OF INSTALLER PHONE REGISTRATION #, 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. I;as,owner; eport d agent of owner agree to the •conditions stated on this form. Z,SIGNA TITLE 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 DATE - b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d.. System description (e.g., 1250 gal. Concrete septic tank, three precast 6 diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved_ Inspector's Signature & Title 1000D COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NE p- . ,.. ;`� L � /�` �� ,� -` �:. ;/✓ .. � �. s �--�� PI FT- _ !_ ► _ �_%�_� 1 G - OL f i- CR L4