HomeMy WebLinkAbout4841PUTNAM COUNTY HEALTH.DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
OPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR
Internal Use Only PERMIT #`I' ' O ' 1-)
U LY Repair Permit Issued in last 5 years ❑ of in Waters
❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. , Delegated `7
❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland? ❑ Joint Review
SITE LOCATION TOWN TM # v�• %9-"�-�% ,
OWNER'S NAME ?;I✓L- eAe fn 9> V c ` PHONE # S' Y: S •Z 7 S' 3o�c ,
MAILING ADDRESS -a D-- A L D, j/ Q0,
APPLICANT 04//VC—/-Z-
Name & Relationship (I.e., owner, tenant, contractor)
DATE /I FACILITY TYPE PCHD COMPLAINT #
PROPOSED INSTALLER /%�i/�j� S'�-�L ;S'�(7�mf PHONE #
ADDRESS ' Z11 A& 46 .- /3izgwST,7Z REGISTRATION /LICENSE #
3o`(`- 27T.- g-f-0T
Pro sal (include a separate sketch locating the house, property lines, all adjacent wells within 200
feet of repair and the location of existing and proposed system)
NOTE: The Department may require submittal of proposal from licensed professional depending on the
nature and extent of the repair.
0
I, as owner,agree to e c d' 'ons stated on this form
SIGNATURE
TITLE ���� DATE %
(owner)
I, the septic installer agree to comply with the conditions of this permit for the septic system repair
SIGNATURE r "" L TITLE �- DATE 1l
pnstaller)'
Proogo Aooroved with the following conditions:
1. Procurement of any Town Permit, if applicable.
2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, In.dupft to showing:
a. Owner's name, Site Street Name, Town and Tax Map number
b. Location of installed components tied to two fixed points
c. System description (e.g., 1250 gal. Concrete septic tank, etc.)
d. Installers' name and phone number
3. System repair to be performed in accordance with the above proposal and conditions
4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the
completed SSTS repair will function.
5. No completed work is to be backfilled until authorization to do so has been obtained from the Department.
INTFRNAL IISF nhul V
Proposal Approved Proposal Denied ❑
Inspect ignature & Title We Expiration Date
,Repair proposal is in compliance with applicable codes Yes I No O
COPIES: PCHD; Owner; Installer
PC -RP 99ML Rev, 2107
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Municipality of Patterson, Town of
SWIS:
372400
Tax ID:
25.79 -1 -72
Structure
Building Style:
Ranch
Number of Baths:
1 (Full)
Number of Bedrooms:
1
Number of Kitchens:
1
Number of Fireplaces:
1
Overall Condition:
Good
Overall Grade:
Average
Porch Type:
Porch Area:
Year Built:
1941
Basement Type:
Full
Basement Garage Cap.:
0
Attached Garage Cap.:
0 sq. ft.
Area
Living Area:
998 sq. ft.
First Story Area:
768 sq. ft.
Second Story Area:
0 sq. ft.
Half Story Area:
0 sq. ft.
Additional Story Area:
0 sq. ft.
Three- Quarter Story Area:
0 sq. ft.
Finished Basement:
0 sq. ft.
Number of Stories:
1
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Utilities
Sewer Type:
Private
Water Supply:
Private
Utilities:
Electric
Heat Type:
Hot air
Fuel Type:
Oil
Central Air:
No
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Residential
Property Info,.
Owner /Sales
Inventory
Improvements
Tax Info
Report_--,_,
Comparables
Municipality of Patterson, Town of
SWIS:
372400
Tax ID:
25.79 -1 -72
Tax Map ID / Property Data
Status:
Active
Roll Section:
Taxable
Address:
22 Alden Rd
Property
210- 1
Site
210- 1
Class:
Family Res
Property
Family Res
Class:
Site:
Res 1
In Ag.
No
District:
Zoning Code:
RPL10 -
Bldg. Style:
Ranch
Put. Lake
Neighborhood:
00536-
School
Brewster
District:
Legal Property
04000000010010000000
Description:
000610000095000000000 40 -1 -1
Total
61 x 95
Equalization
- - --
Acreage /Size:
Rate:
2011 -
2011 -
Land
Tentative
Total
Tentative
Assessment:
$18,000
Assessment:
$202,700
2010-
2010-
$18,000
$209,000
2011 -
2011 -
Full Market
Tentative
Market
Tentative
Value:
$202,700
Value /sqft:
$203
2010-
2010-
$209,000
$209
Deed Book:
1703
Deed Page:
137
Grid East:
753502
Grid North:
960590
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Special Districts for 2011
(Tentative)
Description
Units
Percent
Type
I Value
Put lake light
0
0
0
Fire #1
0
0
0
Sanitation -putlk
I 1
10,
0
Special Districts for 2010
Description
Units
Percent
Type
Value
Fire #1
0
0
0
Put lake light
0
0
0
Sanitation -putlk
1
0
i0-
Land Types
Type
Size
Primary
61 x 95
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Residential
Property Info
Owner /Sales
Inventory
Im rovements.
Tax Info
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Comparables
ORPS Links I Assessment Info
Municipality of Patterson, Town of
SWIS:
372400
Tax ID:
25.79 -1 -72
Ownership Information
Name
Address
Paul Carmody
22 Alden Rd
Patterson NY 12563
Kim Carmody
22 Alden Rd
Patterson NY 12563
Sale Information
Sale Date
Price
Property
Class
Sale
Type
Prior
Owner
4/11/2005
$311,033
210- 1
Family
Res
Land &
Building
Nugent,
Kelly
Price per
sgft
Value
Usable
Arms
Length
Deed
Book
Deed
Page
$312
Yes
Yes
1703
137
Sale Date
Price
Property
Class
Sale
Type
Prior
Owner
6/23/1998
$90,000
210-1
Family
Res
Land &
Building
Nugent,
Annette
Price per
sgft
Value
Usable
Arms
Length
Deed
Book
Deed
Page
N/A
No
No
1435
203
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LOT NUMBERS ARE - AS- ;SHOWN ON MAP '
ENTITLED . •'MAP B OF PUTNAM LAKE"
IAND ,FILED AS MAP NO.149K.
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ALDEN ROAD C
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TOTAL AREA= 0.13 AC.
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LOT 8 -2256 -
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SURVEY FOR /T0
- --
PAUL
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THIS SURVEY IS ACCURATE PREPARED BY LARRY L. LYNN, LS, "GERALD L: LYNN, LAND 1 HEREBY CERTIFY TO
AND CORRECT BY: SURVEYOR, P.C.' 1575 RTE 376 WAPPINGERS FALLS, NY 12590,. PAUL A. CARMODY!.
CARMODY _ Ilk
(845) 463 -2733. TOWN 7� /� PATTERS ON
.. 1
LARRY L. LYNN, L.S. suvERVis ON ON `JUNE 23, 20058 BASED ON AIRFIELD SURVEY OF r ATTERSON
COMPLETED GERALD L. LYNN, LS.ON DECEMBER IL 2001 AND
UPDATED BY ME OR UNDER MY DIRECT, SUPERVISION ON JUNE ALL CERTIFICATIONS HEREON. ARE VALID COUNTY OF PUTNAM "s
` - UNAUTHORIZED ALTERATION OR ADDITIONS rU THIS PLOT PLAN FOR THIS MAP AND COPIES THERE OF STATE T; NEW FD
IS A'V VIOLATION OF SECTION 7209(2) DF THE NEV rOae STATE ONLY IF SAID MAP OR COPIES BEAR THE STATE OF .NEW YO1 \I1 SAND'
wAP INGERS FALL NY EDUCATION LAW. IMPRESSED REAL OFTHEi SURVEYOR -
N:Y.S.R.L.S: No. 050531 COPYRIGHT 2005 LARRY L- LYNN. ALL RIGHTS RESERVED. - WHOSE SIGNATURE APPEARS HEREON. - JUNE 23, 2005
25 -26 LLL
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- 16.4'
14.4'
POST-N-9f'dL FENCE
--A
99.16' l-4
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144
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DECK t6
LOTS B-2253toB-2255
TOTAL AREA=0.13 AC.
22 ALDEN ROAD
11 STY.
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