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Home My WebLink About2088DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.56 -1 -3 BOX 18 �T FIN, L � iii SHkRLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health DEP ROBERT J. BONDI County Executive Director of Environmental Health ARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET TOWNl�G -TAX M NAME �7 PHONE I 3 PCHI MAH G ADDRESS— ` AV /1160 1 DESCRIPTION OF.; ADDITION NUMBER OF EXISTING BEDROO S ROPOSED # 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 basement) 3. Two sets of proposed floor plan (drawn to scale - with name, street and tax map #) *Non- professional sketches are acceptable .4. Copy of survey showing well and septic locations to the best of your knowledge. Include date. of installation if known. Label all wells and septic systems within 200 feet . of the property line. Contact this office with any questions: 5. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 .Early Intervention/Preschool (845) 27&6014 Fax (845) 278 -6648. , v. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health :- Associate Commissioner of Health Anthony & Erin Galella 3 Ulster Road Brewster, NY 10509 Dear Mr. & Mrs. Galella: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health November 20, 2008 Re: Addition- Approval — Galella No Increase in Number of Bedrooms 3 Ulster Road (T) Patterson, T.M. # 36.56 -1 -3 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 November 20, 2008. 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 or shower.he'ads and faucets,.ete. _ 4. The approval is for the 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 Southeast. If you have any questions, please contact me at your convenience. Rt. spectfully, seph �SParavati, Jr. Assistant Public Health Engineer JSP:kly cc: BI, (T) Patterson R. Fredriksen 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA'MOLINARI, RN, MSN = r Associate Commissioner of Health Anthony & Erin Galella 3 Ulster Road Brewster, NY 10508 Dear Mr. & Mrs. Galella: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health November 17, 2008 Re: Addition — Galella 3 Ulster Road (T) Patterson, TM # 36.56 -1 -3 I have received and reviewed the plans for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The existing bedroom is large enough to be considered two potential bedrooms. 2. The legal bedroom count for the dwelling is two. The potential bedroom count of your proposed addition is three. 3. The addition of a potential bedroom requires this Department's approval of a revised _ �....__ .__.. septic - system, plan from.a.professional. engineer- :- -• = =. -.. _ -_... _ . - ___ _ . _ . _.._... _ _.�._._ _._ Please revise the proposed floor plan to reflect no more than two potential bedrooms, or have a professional engineer or registered architect design a sub- surface-sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. JSP:kly cc: BI, (T) Patterson R. Fredriksen, PE Respectfully, f oseph S. Paravati, Jr. Assistant Public Health Engineer r 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 . ,� _- t =�srts. of �• T - - - ... ? .�,3 3:i�� ;.:.�. _..L.,_� .-,/ - -�.�u� :C'YT.Z�.' dr .�f ._ .� 3.. - ...�_.�- .:,,. >.. , .,� l .'a/ N o(LTtA 2.74 27g. 2. ?6 I`A co.w c-PA--tiWr V, iA`t- c p � �! I /K'c c�.` ° 277n'ru. �Q coa~ � 278 N P ica Nc z �R.AK O t �aW esavt�� 0 p..N Wei T v �ckW5t� 4Q ^� oo . oo' • ar�.ov ' pro�caa ' k L` "* 8orrowe[`_i\NTIiONYGALELtA r•:;��%NV-4 "'1'; "' File No.: t Pro addiess:3 ULSTER ROAD t 1 : Case No.: Cit4 $RREWW3FER I ender BANK OF NEW YORK J V; 70 BATH b DECK te.a 2 DRJUVG ! LAUNDRY IanCHEN BEDROOM:; 'j. .::.,;� .. .... Lwm ROC94 3.5' 3.5. b DEN b Io m 14.0' Comments: 41 LAA First Floor GLA1 riret Floor 770.0 770.0 8.0 56.0 .r. ,13.0 84.0 21.0 x 30.0 630.0 i i Net UNABLE Area ( Rounded) 770 41 LAA I F-- I VV V WR I VUR DV0IIMC0J1 ` ✓ i First Floor 7.0 x 8.0 56.0 6.0 x ,13.0 84.0 21.0 x 30.0 630.0 3 Items ( Rounded) 770 I F-- I VV V WR I VUR DV0IIMC0J1 ` ✓ i u� PU NAM COUNTY HEALTH DEPARDSM DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ �...� PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OWNER'S NAME �fAl�yu' PHONE Z7 q SITE IXATIONt&f ' �� , rrt, v- 16 • o / 67 FILING ADDRESS PERSON INTERVIEWED PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE TYPE FACILITY�� PROPOSED INSTAUM wt's' PHONE 2-20- 4� 0li fir' 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 sutmittal of proposal from licensed professional engineer or registered architect. Proposal approved Proposal Disapproved Inspector's Signature & Title Da 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' diam. 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 agent of owner agree to the above conditions. SIGN AT.= �• �/ 'lam 01'16: White (FCHD); YeUcw 03n HE); Pink LkV i®nt) PC -RP 97 TITLE DATE G lV&Aeo Led--% 71, 0 6 - - 114. xe?�' r Sr Z07-5 ,gyp RD V&5,/Z,:t 1� - -, - .:; - .-