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Home My WebLink About2069DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.48 -2 -24 BOX 18 IS% Uhl. all . ,� , ■ IS LO ■ so ,,y I IS -S! 0 1 Ir INS f rk - - 02069 SHERLITA AMLER, MD, MS; FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Michael Tucker 12 Cameron Road Brewster, NY 10509 Dear Mr. Tucker: DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health October 19, 2009 Re: Addition- Approval — Tucker No Increase in Number of Bedrooms 12 Cameron Road (T) Patterson, T.M. # 36.48 -2 -24 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 the Department dated October 19, 2009. 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 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. �4. The approval -is forttre'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 Patterson. If you have any questions, please contact me at your convenience. Respectfully, Joseph S. Paravati, Jr., PE Assistant Public Health Engineer JSP:kly cc: BI, (T) Patterson 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 ice' S° e T W G ty' O V PUTNAM COUNTY DEPARTMENT OF HEALTH WXSE PLANS APPROVED FOR BEDROOM COUNT ONLY, _BEphooMS.:.. ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL Z A CURE .& TITLE DATE i r 0 T -.0or d -s 0 Br vv e-� 16' !, qm-rl—�,E—W—TKA �Lof — . i 1.f 7 ' 1 ' SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner, of Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY ROBERT J. BONDI County Executive MORRIS, PE ,ironmental Health STREET /oZ C�2 TOWNtie' .tiJ TAX MAP NAME PHONE �fCG /D- /-� PCHD# MAILING ADDRESS DESCRIPTION OF ADDITION s NUMBER OF EXISTING I DR OMS PROPOSED # OF BEDROOMS_ (FROM CERT, 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 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.ba s ement, to be - _ - shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale:.- with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4.. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 4 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Town Legal Bedroom Count & Proposed Addition Status. Re: �j� (Owner's Name) Tax Map # P` - 51 7 Address: Al Town: Year Built: According to records maintained by the Town, the above noted dwelling, is in. compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: C This information has been.obtaiiied front: Certificate of Occupancy: Other:' , The plans for the proposed addition are considered: . New Construction Addition to existing house only Teardown and /or re -build allowed under Town Regulations Building ,sped D to 6. 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 - Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention/ Preschool (845) 228 -2847 Fax (845) 225 -1580 LOT 1163 �1 N53- 34' -3IV CAMERON -ROA® PLOT PLAN SCALE: 1" = 30' - 0" 100.00' H O 100.00' 0 0 0 0 0 M 1A N M t__ o N 0 GENERAL NOTES AND SPECIFICATIONS 1. IT IS THE RESPONSIBILITY OF THE BUILDER AND OWNER TO ENSURE COMPLIANCE WITH ALL APPLICABLE LOCAL BUILDING CODES, ORDNANACES AND REGULATIONS. 2. PROVIDE 48" MINIMUM FROST DEPTH FOR ALL FOOTINGS AND FOUNDATIONS UNLESS OTHERWISE NOTED. 3. FOUNDATIONS ARE DESIGNED TO BEAR. ON A SOIL WITH AN ALLOWABLE SOIL BEARING PRESSURE OF 3000 PSF.. VERIFY SOIL BEARING CAPACITY AT TIME OF EXCAVATION. 4. ALL CONCRETE FOR FOOTINGS AND FOUNDATIONS SHALL BE NORMAL WEIGHT STONE CONCRETE WHICH WILL DEVELOP A MII IMUN COMPRESSIVE STRENGTH OF 3000 PSI IN 28 DAYS AND CONFORM TO AC1318 - CODE FOR CONCRETE. N 53 - 34' - 30 ". E o° h h co � O~ ~O H N O O o M Ii N / / �� S10 M f4EW ..Roo ONE. . FRAME pWEU,ING Z • �1 N53- 34' -3IV CAMERON -ROA® PLOT PLAN SCALE: 1" = 30' - 0" 100.00' H O 100.00' 0 0 0 0 0 M 1A N M t__ o N 0 GENERAL NOTES AND SPECIFICATIONS 1. IT IS THE RESPONSIBILITY OF THE BUILDER AND OWNER TO ENSURE COMPLIANCE WITH ALL APPLICABLE LOCAL BUILDING CODES, ORDNANACES AND REGULATIONS. 2. PROVIDE 48" MINIMUM FROST DEPTH FOR ALL FOOTINGS AND FOUNDATIONS UNLESS OTHERWISE NOTED. 3. FOUNDATIONS ARE DESIGNED TO BEAR. ON A SOIL WITH AN ALLOWABLE SOIL BEARING PRESSURE OF 3000 PSF.. VERIFY SOIL BEARING CAPACITY AT TIME OF EXCAVATION. 4. ALL CONCRETE FOR FOOTINGS AND FOUNDATIONS SHALL BE NORMAL WEIGHT STONE CONCRETE WHICH WILL DEVELOP A MII IMUN COMPRESSIVE STRENGTH OF 3000 PSI IN 28 DAYS AND CONFORM TO AC1318 - CODE FOR CONCRETE. fl N 5�" 34 30 != i oo•oo j ° h ' t— » izs't �..� lrJ o M �� o .�u2Ul= a; Lora> N2.. I I z5 r � MAP LA 4< E, 0 N 1�x1��,' -,i 3 CFt L_ e=» M�aP t'3 a. 14G7i O T' � A� I Tt-t =2 S olu P� TI�AY�t C Ou T) t� N — eaone.� 1 ? to - -- -- 3SG'f 2 ra FIDt.e rem � �n ac-4v suruccA of +ke pr,o`peri•y CFou r.p� 1 �► _r. or scrnert 6e�ew r'a+,H r rio %.<'A—" h "'C.+. i �►cJ0or- -3. Moroni ' c�r•irrcairows•ixteon arc vet e ro n e- t. i ii r*&p &0 CL cspre,� OA1.1 r S.&r d vn+ er �tpppKs eE+r -• s ►.+prsyso�; of s.iroa.ler- w Jt ✓re epeear� �GPee/), com`ole�cd mv� Srp�c�6e►- 2, ►r�1-il, • • = - ^lam, wAC.._c v � . - � .. • - �� '�vevE�orz L-I G E t•� 1� N o . -41 s. 4 . _ gel Me /aprvi i of AC, 7 1 i• T Ile, - �rG Y I ry' i M d ' ♦ f O'"�ptyet w I t. CA 4c ON Z v PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES - 's�''� _ - -fit 'O = —u - -� - SITE LOCATION u n r,m Ca��,.- Al TM# OWNER'S PHONE MAILING ADDRESS t-3- C l u 5 c, OFFICIAL USE ONLY PERSON INTERVIEWED PCHD Complaint # Name & Ketationship i.e., owner, tenant, etc. DATE TYPE FACILITY cell PROPOSED INSTALLER LUS,-c y- PHONE i I `I 403 74S' ADDRESS Sl 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 =roved with the following conditions: I. 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_ Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML G DATE ----------- �- - 0---CA fno-1 I --� i jq - ---- -------- ........... . ..... . .. ....... ......... --------- - ----------- ' o� 2� o ... . . ..... .1A PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROP OSA L FOR SEWAGE DISPOSAL SYSTEM R EPAI OFFICIAL USE ONLY _ 51_o 3 SITE LOCATION I C. o,nn p y-6 n R A bre, r- WTm# 36, q9 - a7 a� OWNERS NAME (�1� j & 't i , e PHONE MAILING ADDRESS s ",.e PERSON INTERVIEWED PCHD Complaint #, Name & Relationship (i.e., owner, tenant, etc. DATE TYPE FACILITY PROPOSED INSTALLER CO Q,,, �� S i c. �n PHONE 11y -1401 =_7 tS'S ADDRESS S3 vzsi 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. [?eJzJ)Ce_- _.._.._.I, -as- owner, -ear reported-agcnt of owner agree- to-the- conditions -stated--on-this morn:.. _- ,... - - -, ....:...:_... . 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 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_ P /v &r,**' Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML DATE