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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 Property Details - Image Mate Online Putnam County Navigation GIS Map Tax Maps I Residential Property Info Owner /Sales Inventory_, __ Improvements Tax Info Report .._ _v Comparables image Mate Online ORPS Links, Assessment Info 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 Page 1 of 2 Help I Log In Photographs No Photo Available Ma View Tax Map Pin Property on GIS. Map View in Google Maps View in Yahoo! Maps View in Bing Maps Map Disclaimer .ttp: / /putnam.sdgnys .com/propdetail.aspx ?swis = 372400 &printkey = 02507900010720000000 6/23/2011 Property Details - Image Mate Online Utilities Sewer Type: Private Water Supply: Private Utilities: Electric Heat Type: Hot air Fuel Type: Oil Central Air: No Page 2 of 2 http: // Putnam .sdgnys.comlpropdetail.aspx ?swiss 372400 &printkey = 02507900010720000000 6/23/2011 Property Details - Image Mate Online Putnam County *6G, Image Mate Online Page 1 of 2 Navigation GIS Map I Tax Maps I ORPS Links Assessment Info Help Log In 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 Photo4rar)hs No Photo Available M View Tax Map Pin Property on GIS Map View in Google Maps View in Yahoo! Maps View in Bing Maps Map Disclaimer http:// putnam .sdgnys.com/propdetail.aspx ?swis= 372400 &Printkey = 02507900010720000000 6/22/2011 Property Details - Image Mate Online 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 Page 2 of 2 http: / /Putnam.sdgnys.comlpropdetail .aspx ?swis= 372400&Printkey= 02507900010720000000 6/22/2011 Property Details - Image Mate Online Putnam County _ Image Mete Online Navigation GIS Map I Tax Maps Residential Property Info Owner /Sales Inventory Im rovements. Tax Info Report 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 $90,000 210-1 Family Res Land & Building Nugent, Annette Price per sgft Value Usable Arms Length Deed Book Deed Page N/A No No 1435 203 Page 1 of 1 Help I Log In No Photo Available Ma View Tax Map Pin Property on GIS Map View in Google Maps View in Yahoo! Maps View in Bing Maps Map Disclaimer http: // putnam. sdgnys .comlpropdetail.aspx ?swis--372400 &Printkey = 02507900010720000000 6/22/2011 LOT NUMBERS ARE - AS- ;SHOWN ON MAP ' ENTITLED . •'MAP B OF PUTNAM LAKE" IAND ,FILED AS MAP NO.149K. 1 E.O.P. ALDEN ROAD C I BIT1/ l - 5 0. " ROAD 1 - E.O.P. r NYSEG - POST -N RAIL FENCE- _ 1 7522. Ip S26 °4 '0 .E a 99.16 Er ZD 3 -. CD c:) c/ti ta.a DECK 1 .6 O� . 1 LOTS B- 2253toB -2255 �O I 0 _ TOTAL AREA= 0.13 AC. _ N n 22 ALDEN ROAD 1 n 1 ?, 1 d N 1� STY, stPnc vFRM. ,iwk m DWG. REPEACF. MtTitL TRnI$ LOT 13-2252 .. 1. W 1 Ll/�'.fuNCRE't't' I�DOOg0.% "N /F MCKEE 1 W I ff%O) CD 16.4 CONC. t` PATIO r to N o 1 N 14.4' CONC. WALK Z o 1 m SET 90.34' �oF N26 °41'00,W LOT 8 -2256 - a N/F ERHARDT - - - 50' �. IW ROAD SCALE. R.O.W. _ - - .. 1 - _ pF_ N SURVEY FOR /T0 - -- PAUL ���Y.' 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 I/ 010r E C-) - 16.4' 14.4' POST-N-9f'dL FENCE --A 99.16' l-4 ro 5 144 ., :71 I l DECK t6 LOTS B-2253toB-2255 TOTAL AREA=0.13 AC. 22 ALDEN ROAD 11 STY. 2 F R M. ?' Cl ci DWG. 4 9,21 CONC. PATICI 16.7' ru CONC. WALK o