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Home My WebLink About2023DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.40 -1 -13 BOX 18 I owl i, `, � F vu JA 1 , 1 IN I'6 F �L-4 L ,-+ , r L ' 1-4 mr 02023 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director ofEnvironmental Health September 3, 2014 Cody Barticciotto 547 Lakeshore Drive Patterson, NY 12563 Dear Mr. Barticciotto: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Re: Addition Application 547 Lakeshore Drive (T) Patterson, TM 36.40 -1 -13 MARYELLEN ODELL County Executive This Department has reviewed the documents for and has discussed with the Town of Patterson the above referenced application. Based on the information provided, the existing house constructed in 1940 is in compliance with Town of Patterson Code. Since there are no issues with the town code and all construction is legal, this Department has no jurisdiction in this matter and no application is required to be made. Please contact us if you have any questions. Very truly yours, OsJeph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cml SHERLITA AMLER, MD, MS, FAAP Conimissidner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health ROBERT J. BONDI County Executive ROBERT MORRIS, Pt Director of Environmental Health ..DEPARTMENT OF HEALTH I Geneva Road... Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET —-TOWN �,�TAk MAP #,-201 0— ; 0& T NAME j�� PHO PCHD# MMLING ADDRESS DESCRIPTION-OF ADDITION # NUMBER OF EXISTING BEDROOMS PROPOSED # OF BE'DkOO19 tj (FROM CERT. OF OCCUPANCY OR PROPOSED FROM BUILDING INSPECTOR) "Any addition which is considdrecf a bedroom requires formal approval of plans (Construction permit) prepared by M rd a Professional Engin&r or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. ii'6is f(inn -anithe-following to-Putnam County Health Dept., 1 Geneva Rd, Please submi a :.Brewster, NY 10509, Phone: (845) 278-6130. 1. Certified check or money order for $100.100, 2..' Sketches of existing floor pla*n (drawn'to scale,, all. living area including bas6men4 to be- '.*shown and dim6nsi6ft&d and use 6f each _i6__' room tion 3.c of Bulletin HA-1j Two sets of proposed floor plans (drawn to scale = with name, street and tax map Non-professional-sketches are acceptable and preferred. (See Section 1d of Bulletin - HA -1) 4,!:. Copy of survey,. showing -all well and septic locations on the subject property to the best I . . . .. . I V y of your knowledge. Include date of installation known. Contact this office with any .5. Copy of Certificate of Occupancy from the Town or Certification from the Building- Department with legal bedroom count of dwelling. -0 VOCE USE COMMENTS 5. Ehvironiftental Health (845) 278-'6130 Fax (&45) 2.78-7921 Water Supply Section (845)225 . 'S18,6 Fax (845)225 -5418 Nursing Services (845) 278-()558 Fax (i45)278_6026 Nurting Home Care Fax (845)278.-6085 WIC (845)27&16678 Early Intervention*/. Preschool (845)228-2847 Fax (845)-225 -1580 COG SHERUTA AMLER, MD, MS, FAAP y� 3 ROBERT J. BONDI Commissioner of Health * County Executive LORETTA MOLINARI °M MSN` !ji Y R ROBERT MORRIS, PE. Associate Commissiongr of Health Director of Environmental Health . DEPARTMENT OF HEALTH I Geneva. Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Additioii Status . Re: (Owner's Naive) Tax Map #_ Address: ! Zz '� /�`/ Town :. Year Built: 4414 According to records maintained by the.Town, the above noted dwelling, is in. compliance with Town. Code. ' Q Is in compliance with Town Code, dl `4A a The Legal Bedroom Count is: .This information has been obtained from: Cei icate of Occupancy: , Other:' The .plans for the proposed.addition are considered:.. r' New Construction Addition to existing. houpe-only+ Teardown and/or re =build allowed under Town Regulations .. pector 6. Environmental Health (845) 278-6130. fax (845) 278 -7p21 Water Supply Section (845) 225 -5186. Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278.-6085, WIC. (845) 278 -6678 Early Intervention % Preschool (845) 228 72847' Fax (8.45) 225. =1580 eS LIC ar ROOM ql a )) =-I 19 17.1 ,OWNER'S NAME " " pROPOSI,' F'OR:iC�E DISPOSAL SYSTEM REPAIR H ✓' O <---,, :. idle. e MR6 . 5ALVATog E aJ, 41- /OTTA PHONE 2 71- 45o 3 SITE IACATION 5.47 E= L A�C� �JKOl�1� �� . � $121r tn15TG R � N `t� fit$ POT I-k w 5 1321-13z¢ MAILING ADDRESS 5/} M e PE RSON INTERVIEWED /V IA PCHD Canpl.aint # N`A Name & Relationship U.e, owner,tenant, etc.) DATE 4P&O 1 L. Zo , / 9 V-6- TYPE FACILITY R E5- /DEN 'T /A4 PROPOSED INSTAIpM YR V E'S i4 e f,4y1''78/n1 �j l PA VIP 414 L / g�� g3 o PHONE 27y- 56 5 ,3 �1 S • i ncl � (i 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. 'Ti46' FROp6.5E-77 -REPAIR WILL VT/L-126- ?HE SEPTIC TANK (WHtcH WILL Ti-f E 1= X /5"r/NC EAGN /it,'d P'1Q-PJ AW44C NAS F"A /1- ELF %4A.) IL L_ E 137� pig 5 P THE c-Lgwg w4-t-��/2 9rF1- ij Ed7, FAom THE ScP-rlG %/#NK WJI-L .i$�NA2C;F /IJ iO iP41 i- - 6�,u?p A „P° i3o� 1//YPE -9 /VOAM)04 e ®/VD /7 /0NS 714E WILL Avg 114-rl) A POM, -iNG GFlatrf3EC AN y 86 4-1FiE y INTO /+ -�€'eoivD J1 ,8t)x t yi-IC4 - /T WILL F P16TKiB(lTEp >n> ?0 - 7H►2Ef- RoW-! 5,- ':KA)PILTRA -roR `0 LEAG,f /N t/ GHAel (IE-45 It AWA)fa A COMBiN67D GAPAOI Y 09 966 C, fli.i.��uS � /f3 rT!j of &5vRrAcE 4RE-I) , /N 7'Ngr 6VE -Al7' P_06ve c .1�11T13C�1r :DK - P_iliM1? Pr41Lii1 ?IfE E iUC< -�y. A P41P_ or' '�Nf�ILTIP.fI'%o2' LC,4CN 1+u4 Cl�i�d^�g�,�;S . €€ /4-r—t s}GdICT> Proposal approved Proposal Disapproved SktToilJ� 's Signature && Title hote roposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported ag t mer agree to the above conditions. %NSTAL L E-e SIGNATURE i` TITLE ��C,l j Zo v. PUS: White (MV); YeUjow (fin HE); Pirk (A*liam t) I :11 is LANOS 4L 167 enc. 1140 MSS. 5 5- 30 J 'YLL-, anc. 4.00 SEP -r(c -r6lvl RewiQ PRO P06 A L 0 8V .D. GILI-1-5 VA IZ6 I 13 vi 1190.00' C�oCr�► wvcv� plsoq,4��-,E- 5VI r-,v , A"O A .-.Pum-P a0mUg w rrH Y2 )4 P, 7'1$ //Z Spar tio qA4-co.-J, 'IV 13 ".rlq Pa.-rgprrog "o 3b 14 16 14 . —.—T— - - I --. . I - I - ly So. C-10 *wx coo." Pei C4 N 1394 8100'r - - 80.00 54 7 Si4olel**' PfZivr ,4j c? 14N VIC. ?0 1190.00' C�oCr�► wvcv� plsoq,4��-,E- 5VI r-,v , A"O A .-.Pum-P a0mUg w rrH Y2 )4 P, 7'1$ //Z Spar tio qA4-co.-J, 'IV 13 ".rlq Pa.-rgprrog "o 3b 14 16 14 . —.—T— - - I --. . I - I - ly So. C-10 *wx coo." Pei C4 N 1394 8100'r - - 80.00 54 7 Si4olel**' PfZivr ,4j c? WC O Iz it .. I - 4' LAKE One, 4.co., V off- 1 SUR OF PROPERTY -A RED FOR SALVAT0.117 3: MAR}-,".ALIOTTA- BEING. L -S,1,321-134`4h`VCL. 0 —�HOWN ON ' 7 �114R PUTNAM LAKE TOWN OF P,47-ERSON PUTNAM COUNTY NEW YORK SCALE 1":-20.' SUi,,j (ile ,,-/ 41e)IlCh A- t4 9 DRIVE 1, James C.-. Edge! , the Surveyor Who mode Mis, rzzjp, do I)Cf-ebk,. certify lhot Ike survey or tbq-*propor!y - shown betoo'l W05 complelad February: 24,:,1965. IV Yvrk 4�-easp C2111/1, RagiYlrulicn N-95630 Office 0f C. Edgell L anti Svrveyors 93 Main SIr, L'.1, 8rewsler, AVw York 'oh iver 3510 fr(M!e I . . tz 1 3t dwelling. t" 12A-T J 7/ I�Z !,�nre o,,rl- ,V 13Y4.8,00"t pole SUR OF PROPERTY -A RED FOR SALVAT0.117 3: MAR}-,".ALIOTTA- BEING. L -S,1,321-134`4h`VCL. 0 —�HOWN ON ' 7 �114R PUTNAM LAKE TOWN OF P,47-ERSON PUTNAM COUNTY NEW YORK SCALE 1":-20.' SUi,,j (ile ,,-/ 41e)IlCh A- t4 9 DRIVE 1, James C.-. Edge! , the Surveyor Who mode Mis, rzzjp, do I)Cf-ebk,. certify lhot Ike survey or tbq-*propor!y - shown betoo'l W05 complelad February: 24,:,1965. IV Yvrk 4�-easp C2111/1, RagiYlrulicn N-95630 Office 0f C. Edgell L anti Svrveyors 93 Main SIr, L'.1, 8rewsler, AVw York 'oh iver 3510