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HomeMy WebLinkAbout2011DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.39 -1 -13 BOX 18 IS or Tr - �1 �. -,� r, T � I� am .. . 6. , I.6 ,A 1r, T 'j I f L 11- 02011 BRUCE R. FOLEY •�,• Public Health •Director. _. • . DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI.R.N., M.S.N. Associate Public Health Director- Director of Patient Services Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 January 12, 2000 Jim & Naomi Handley 32 Yorkshire Dr. Brewster NY 10509 Re: Addition- Handley - Yorkshire Dr. No Increases in Number of Bedrooms (T) Patterson Tax # 36.39 -1 -13 Dear Mr. & Mrs. Handley: 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 Jan. 11, 2000 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. 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, Michael Luke ML:kg Public Health Sanitarian cc: BI BRUCE R. FOLEY, R.S Acting Public Health Dire:;;;, DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION _ (RESIDENTIAL ONLY StCET: � � pF��� Toti-,N �° ©` TX MAP r '66 -VI -1 NA.K: PHONE, ��� 1 �PCHD PERMIT # �(} M',ILING ADDRESS '91�- Description of.Addition OF 15t c-OraD ha) p, Number of existing bedrooms Proposed number of bedrooms from Certificate 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 PUTI`U1M COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BR-EVISTER, NY 10509, Phone 278 -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. professional drawing is acceptable. 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. 5. Copy of Certificate of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions application August 1995 July 1995 (Revise ) LEG -29 -99 04:14 PM TOWN OF PATTERSON 1.2-29 -1999 05:04PP! FRf.JPI 9148782019 TO 9s�782019 .�... _.. a _,..�... ., . - ._...,. . -... '� DEPARTMENT OF HEALTH VYISIOA Of Environmental Health 5arvi4es 4 Cinev= Road, Otewster, New York 90509 (994) 278 -6130 . Putnam County Dept, of Health 4 Geneva Road Brewster, NY 10509 Residence Tax M1.0 %' 1'I' ►3 Town FA�cH Gentlemen: P. 01 P,02 BRUCE R FOLEY, R.t Ae(rng public 1{t /lih Ol�lylpt According to records maintained by t'le 'Town, tnG above noted dwellins is _. IS NOT in ccmp{iance with Tv�,n code and ts,? total number of bedrooms on retard is This is, t matlon has been obtained from: CERTIFICATE OF OCCUPANCY; _ ASSk SSORS RECOcM: OTRR AC,G sildi►ig lnsaectc�� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDTVUDAL ADDITION/REPAIk FORM SECTION A: GENERAL INFORMATION Name of Project �O (T) (V) TM# Year of Construction Size of Parcel SECTION 1B.' TOPOGRAPHY (Please check all appropriate boxes) 1.y ❑Rolling §ieep Slope l=7 Gentle Slope ❑Flat 2. ❑Evidence of wetland []Low area subject to flooding ❑Bodies of water ❑Drainage ditches 96ck outcrop YES L-LQ I Property lines evident? ❑ l� 4. Water courses exist on, or adjacent to parcel: ❑ Lam" 5. Existing individual wells within 200ft of the existing SSTS? ❑ SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level /Gentle Slope ❑Steep slope B. ❑ Well .drained L_`JModerately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary. & Reserve) .(, ❑Extremely limited l�- Somewhat limited ❑Adequate _ft x ft r D. INSPECTION Date It Inspector v LJNo evidence of failure Evidence of failure ❑Evidence of seasonal failure ai P- ----- - - - - ------------------- -- ------=------ - - - - -- - -- - W Cn �r (Indicate North) ,0 , House J� (1) Indicate location of SSTS A. Size and type of septic tank gallons ®I9etal ®Concrete IjPlastic B. Type of absorption area 1. Fields ft. 2. Pits 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 OPWS MSfiared well an'dividual well DDrilled []Dug MCasing above ground CONI SENTS : REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: �. __ � - iei�is. � E'L`bro'�DOM fir: %/V - =h�ON ___- __._ i i �_ _i � �; � _ -� s�.. __ , . ����� PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; --LBEDROOMS Signature & Tiffa A Date 1 -3 A� Y-, pa --�- 70 P I' T i Y por14w SCALE: 1/ 4' APPROVED ....... DRAWN BY DATE: rl-- i-I FW- t4A--4vf-41 H A f f P K -Y DRAWING NUMBER o Fp LOr•ATIOW- Tdw,4 dr- T, r-l- � " � - 1 - 1 �- Y-, pa --�- 70 P I' T i Y por14w SCALE: 1/ 4' APPROVED ....... DRAWN BY DATE: rl-- i-I FW- t4A--4vf-41 H A f f P K -Y DRAWING NUMBER