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HomeMy WebLinkAbout1970DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.31 -1 -43 BOX 18 01970 fA Ji I .`, , .' li r r 14M r A2 01970 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES SITE LOCATION �'- Ve v 41 A0AT;Z OWNER'S NAME 1' ,A S I A PHONE MAILING ADDRESS i � A -� � , � � Rx et ick "Y s o , `� '� : J � 63 OFFICIAL USE ONLY PERSON INTERVIEWED PCHD Complaint #, Name & Relationship i.e., owner, tenant, etc. DATE TYPE FACILITY ( cell PROPOSED INSTALLER G v S+(, n. Le, PHONE $7S -70y(. ADDRESS 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, -or reported agent of owner agree to the conditions stated on this form. - SIGNATURE TITLE DATE 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 e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved X, Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NIL ?. TW p aj F N ' - � . --- ­ � - - - :� ]_ - �-_: , - ��,Z­ __..�__ � � r _ k 'L, , - I . - , , - � - . - - - . , , I , I _1� . , , �r , � � . ­ - . .1-P,.�,"'. � ". � , ., -- . "' , - "t - - - '" �-. -�,."�-,: %-- �, � __ i P , . 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".,,"..�'.. , . , , - - _� " '.27�-,��_ �A�� � -,.�, L, , , 1�1.1 .,� - ­,� �,� " " - - �,,� " 3�,-. �z � � ,�, 241__ --- I- - I -1 ". -I , , ,�, A , - - ". � 1� I � , I- - -1 - � .­� 1� . - i mss mows.L...� `.X^'--c: ��:x��5s" . 7 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR + ... OFFICIAL USE ONLY -1560 SITE LOCATION V d-c-t'4 2 TM# OWNER'S NAME PHONE 27� qb gq MAILING ADDRESS I P � PERSON INTERVIEWED PCHD Complaint # ame & Relationship i.e., owner, tenant, etc. DATE o; TYPE FACILITY PROPOSED INSTALLERCu.S4 -04-\ Ass Jn 1^,z- PHONE '1 \y 403 -73S-:r cell ADDRESS s'3 6.s} Cmres l- 1-D S-3 1 .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. as owner,.gr.reported agent of owner agree to.the,conditions stated_on.this form SIGNATURE TITLE DATE Proposal =roved 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 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 A Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML J��,It3 DATE A LORETTA MOLINARI R.N., M.S.N. 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 Sion 1 Veteran Rd. Patterson, NY 12563 September 25, 2003 ROBERT J. BONDI County Executive Re: Addition — Sion, Veteran Rd. No Increases in Number of Bedrooms (T)Patterson, TM #36.31 -1 -43 Dear Mr. & Mrs. Sion: 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 25, 2003. The addition is approved with the following conditions. 1. The total number.of bedrooms must remain at two without prior approval by this department. _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. NUM cc:BI Very truly yours, Michael Luke Public Health Sanitarian A LORETTA MOLINARI R.N., M.S.N. Public Health Director ROBERT J. BONDI County Executive 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 Sion 1 Veteran Rd. Patterson, NY 12563 September 25, 2003 Re: Addition — Sion, Veteran Rd. No Increases in Number of Bedrooms (T)Patterson, TM #36.31 -1 -43 Dear Mr. & Mrs. Sion: 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 25, 2003. The addition is approved with the following conditions. 1. The total number.of bedrooms must remain at two without prior approval by this department. ...__2: -:_. '__The_afea-.of. the - existing-sewage Aisposal 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. Very truly yours, tc Michael Luke ML:lm Public Health Sanitarian cc:BI LORETTA MOLINARI R.N., M.S.N. Public Health Director ROBERT J. BONDI County Executive 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 Sion 1 Veteran Rd. Patterson, NY 12563 September 25, 2003 Re: Addition — Sion, Veteran Rd. No Increases in Number of Bedrooms (T)Patterson, TM #36.31 -1 -43 Dear Mr. & Mrs. Sion: 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 25, 2003. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at two without prior approval by this department. - - - - - •..2- - —The-area---of-th r.existing-zewage- disposal• sysiem, -and- its -expansion -area; must-V& ._ 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. ML:lm cc:BI Very truly yours, Michael Luke Public Health Sanitarian a' 5°ep 24 03 03:30p TOWN OF PRTTERSO 845 - 878-2019 r �M Co 1 - DEPARTMEIv i Q.,Iq IMALTH, Livia-ion of Emiranmrntal He dm 5emces Genava Road 'Brawuar, IN-aw York 10509 r-el. X914) 278.6120 Fax 1914) 219 -7911 P.2 BRUCE R. =CL'-2y Public Nz_ith Dir:c."' STItEET/ - /.._TO iti_ALI.Ne ADDRES DESC U 10N OF AMD-ITIUN - NUMBER OF EMSTING BEDROOILS� PROPOSED # OF BEDR00yfS (MOM. CERT. OF 0C`iJ:tA2:Cl OR LER'nricak'nox mom &C,'I Dvc rNsP£cwk) * � addition tivhich is corn :damd a bedroom tegti kes forr�lai app ro val of playa (Coy lction Pemrdt) prepared by a = Mfessiorml Engineer or Reg~- st°red Arclr tect in accordance with applicab_e sectons cf tht Purnam Co•.:nty Sa,^.it�*y Code. Ple :se submit this fcr- ead *.h:, f910 'Nr..ns to pram Co=ty Health Dcpt.; 4 Geneva Rd., Brews:.*, ; \Y 10509, Ph cue 2'8 -6,130. 1. Ceni: Seri check- or.mno-_ey- order for •51 ©0:00 " . _ Snatches of existing floor p;an (drawzzto sower all Living area lurludiag basement) ' Non- professioaz.l sketcbts aie acceptable 3. Two sets of proposed Loon plan (drawn to scale, vrith name, stree.., and tart rn Mp Y) * Non -pro tssional sketi,hes are acceptable 4. Copy of suryc • s ;awing well and sectia location, to the best of your knowledge. Include date of invallatioa i£`arc.�n: Label all wells and septic systems wit'r:_n 200 feet of the pmp, ertY live. Contact this office wi -h any questions. 5. Copy of Cent. of Occupancy from Town or Certification 5on1 Building Dept. with' 'legal bedroom count of dw @Vino. OFF1§ USE Co-mnei-.s i.b 9% e~ Sep 24 03 03:30p TOWN OF PATTERSO 845 -878 -2019 P•1 BAUCE K JOLEY, F g Aeon¢ PUNIC DEPARTMEiNT OF HEALTH Division ; Of Environmental health Services 4 Geneva Road,' Brewster, Now York 10509 (914) 275 -6130 Pu*_ntm Courty Dept. of Heap`; 4 GenON. -I Road B:cwste_, NY 105 C9 Re: 1 P nc Ta\ Map Town C :entle -men: ?ccoiding to records maintair:°c by the Toy a, the above noted dwelling iS • iS i�?�T Ln compliance \11Ith To,, ;. cod.- 2nd the total number of bedrooms on record is This inib-iration has been obtained from: '-> RTiFZCATU OF OCCUPANCY: ASSESSORS RECORD: OTHER Building ins; ecV 'W-- M NO SUBJECT to any easements, rights -of -ways, and /or agreements that the utility companies may hove. —i 2 AREA = 5,341 S.F. 0.1231 acres OPR0N1o8) lda j O dipryatf.taalfnn « a ettim to a am" abq . 16,.W mid anvaya IP and is a d «cdm 7209. wb. M 4, d da A -�, \ •�� ak wa. Law ,ereby certify to: Edward Sion, Koren Sion, - -� National Standard Mortgage Corporation, its successors. aud,/or_.assiyns :. 0/d Republic National ri7 /e Insurance Company, ~ ^ it this is on accurate survey performed in r field, and that there ore ce :roachments, except those hown her n. \? Reputed Owner- DAMN (Aber. 'I It 7 pQVe: 226). n Reputed Owner.- BIANCO (fiber. 719, page: 517) ry •(� v/ IN I QA Qj 411 Qj �Q P 3 RF'FFRFNEM TAX MAP DA U: Section: 36.31 Block: 1 Lot: 43 Deed Liber. 1145, Page: 57 Being Lots C- 3001,. C -3002, v and C -3003 on a mop entitled "Mop 'C' of Putnam Lake" filed in the Putnam County Clerks office on 20 March 1931 as mop number 149 J. f• ri Survey of located i the Town of otterson Putnam County New York aaary wit 'MtlSdidaaa a.• bdro Cc& of ftwdci for Lad Srwya akipbod IV dw Nay Yak swe ASO&ON d Pw4aO6nOi lad SAO• Sid CwM ache did na air' W dr o�! !�a�r wbm da away k pOrpaad, ad m =; m dr dda cmOrOy. JiMMMAft- and 20,20 d dr mdhp krtl,ubn. CaWk+ . dar handaabMf ,o addabrl kadmrim HOWA_RD_W. �;W_pEEDEN JD604 OAwla- ai.Q/AQr JLIr>KIIWv- 158 West Main Street ;Walden, New York X12586 AT CT to any easements, rights —of —ways, and /or agreements that the utility companies may hove. 1 -• 2. G\O 0`0\ Jtie� V00( �4 0 0.41 . ncr,.r�cv yr►rrcr. DAN1l (fiber: .1 117 pgye:, 226) � � i od. froms�� . J ?c char COs 10 ; Reputed Owner. BIANCO .00 A ! (liber 719, page: 517) over %ro; ir�d'A° k 1 a < ,� ep 5 � gt�eu�9 oe/lor \ <N1 ... Codi d prttl�e for taed su,..y..ear.a 2. G\O 0`0\ Jtie� V00( �4 0 0.41 . ncr,.r�cv yr►rrcr. DAN1l (fiber: .1 117 pgye:, 226) � � i od. froms�� . J ?c char COs 10 ; Reputed Owner. BIANCO .00 A ! (liber 719, page: 517) over %ro; ir�d'A° k 1 a < ,� ep 5 � gt�eu�9 oe/lor \ <N1 o f: k rw f �'ry C A ��o OTC 1 P TAX MAP DArA Section: 36.31 Block: 1 Lot: 4J Deed Uber.• 1145, Page: 57 Being Lots C- 3001,_ C -3002, and C —J00J on a map entitled `Mop 'C' of Putnam Lake' filed in the Putnam County Clerks office on 20 March 1931 as mop number 149 ✓. Survey of for located It the Town of - tterson Putnam County New York ... Codi d prttl�e for taed su,..y..ear.a IV The Nay i V. W� W dr '' AREA: 5.341 S.F. ` ,� Z Y< = m al �\`.Q cover. i ImdNp bWdution f!ned Irreay end W 8r��d do Wft kaftA n. C.edBad do W ft Erman. CmdBa• -0.12;31 acres \ \��\e� O � ^ a 1 don or addtbn m s wwy / . d Ind =wYm's ad Is A nw, a6dwww s of dm srtify to: Sion; Karen Sion; Standard Mortgage Corporation, its essors-- aWor-_ass�ns; �y ublic National Title Insurance Company, > an accurate survey 1? erformed in there r >, >\ Ind that 01941 ce ents, except those hown her n. O Wee den, c. o. o f: k rw f �'ry C A ��o OTC 1 P TAX MAP DArA Section: 36.31 Block: 1 Lot: 4J Deed Uber.• 1145, Page: 57 Being Lots C- 3001,_ C -3002, and C —J00J on a map entitled `Mop 'C' of Putnam Lake' filed in the Putnam County Clerks office on 20 March 1931 as mop number 149 ✓. Survey of for located It the Town of - tterson Putnam County New York ,i 'i I HOWARD W WEEDEN ✓ Yan J1"m4,0e" 158 West Main Street Valden, New York 12586 tel.: (04) 778 -7643 fax.: (914) 778 -7307 ... Codi d prttl�e for taed su,..y..ear.a IV The Nay YOrk Soft Mmcallon d Rdtrbd [and Sui�iyaa Sdd w0kedmr OW nm 0*' W dr '' Ear 4M the wrm b O�eeend. MW on hb W fir Ws COMPNW, Pwmmm td ImdNp bWdution f!ned Irreay end W 8r��d do Wft kaftA n. C.edBad do W ft Erman. CmdBa• . Hors we ar�i�wrrr. 'erm M 10 eddldontl hodw0wo ,i 'i I HOWARD W WEEDEN ✓ Yan J1"m4,0e" 158 West Main Street Valden, New York 12586 tel.: (04) 778 -7643 fax.: (914) 778 -7307