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HomeMy WebLinkAbout2366DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.14 -1 -51 BOX 20 02366 ALLEN . BEALS, M.D.,. J.D. Comm! boner of Health kdB. ERTt MORRIS,_ P.E.,; MPH Director ofErrvironmental Health DEPARTMENT OF HEALTH 1 Geneva Road,. Brewster, New York 10509 Phone # (845) 808 4390: Fax #.(845) 278 -792`1 March 25, 2014 Lisa &. Peter Miceli 15 Arbutus Street Putnam Valley, NY 10579 Re:. Addition — A- 039 -14 No Increase in Number of Bedrooms 15 Arbutus Street (T) Putnam Valley, T.M. 41,14-1 -51 . Dear Mr. & Mrs. Miceli: This Department has. received and reviewed the plans for the proposed addition to the above _ e P addition, has- been-approved- as- per-plans bearing -the mentioned - residence - -The - proposal - for -- the -ad a roval stamp. from this Department dated March 25, 2014. 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 ai6d of the existing sewage disposal system andits 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 for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on March 25, 2016. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, Gene D. Reed Principal Engineering Aide GDR:cw cc: BI (T) Putnam Valley cn CD fl-F I r ms_ -►- -. i -��_ -- - �- - -- - -A - ° ` 1� c° ro It ! ---- � - - -� -- ! I — -- - - -: - -. - - -- - -T- Tv I i C �� � 1 I� i , i I�-- ► I I -I �► ...._L. -�__ _.l_1__f __ ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. DEPARTMENT _., ARYELLEN ODELL County Executive OF HEALTH Geneva Road, Brewster, New York 10509 Phone # (845) 808-1390 Fax # (845) 278-7921 ADDITION APPLICATION RESIDENTIAL ONLY STREET -'ST TOWN IA-Li-,U TAX MAP# I ('ce-J"PHONE NAME L --O(-'Z� PCHDN MAILING ADDRESS DESCRIPTION OF ADDITION - .6 t - 10-5,7e7-, *NUMBER OF EXISTING BEDROOMS 2- NUMBER OF PROPOSED NEW 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., I Geneva Rd, Brewster, NY 10509, Phone: (845) 808-13,90. 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA-1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map * Non-professional sketches are acceptable and preferred. (See Section 3.d of Bulletin. HA-1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Btui Iding Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 4. o vnne yr PUTNAM VALLEY Application No. ..7r.. A..� APPLICATION FOR BUILDING PERMIT. Zone District e,. 7-h .. , , Appl'iL n Is hereby made to erecter . ............. , ...Work to start Building - y.. of 'i!SeS -- .Street or .Road,., .,ta,a °�►., :. ,..;E:YZ ................... . ... BLOCK ........... LOT . f.��..... FRONTAGE . ?�V.... Depth,20'e14Rear. description) or number of square feet p...�..... ...... ..... lam/ '. .. . ....... . . . ADDRESS , ... '...+.a�! Dimension of B ding E" LY CONSTRUCTION ROOFING LAND WOOD OOD SHINGLE PAVED LY STEEL ASB. SHINGLID DIRT ABIN I LOW PARTMBNT BRICK TILE' OILED SWAMP BROOX CONCRETE METAL STONE (N ORE FNDTNS. INTERIOR LAKE F. ORE & APT. STONE ROOMS DAMS ORE & OFFICE CONCRETE APT. ROOMS I SW. POOL$ , OF ICE BLOCKS APT... 4 TEN. COURTS Q STATION BRICK ATTIC OPEN GA AGE PIERS I FINISHED I OTHER BLDGS. EXT. WALLS PORCHES BARNS BASEMENT 1Z WOOD X_. FRONT SHACKS . ART BRICK B SIDE COTTAGES FULL BRICK VAN. X REAR BUNGALOWS CEMENT FLOOR LOG x ENCL. ELECTRIC FI-NISHED SHINGLID PHONE GARAGE B. IN. COMP. FURNACE FIELD ITONE Width De Stories i X X X x x Type founcidtion ... Size & use each ..... ......... . Room with window'-area �b e- I .................... Sewerage typ ............ . Size of septic tank Lineal Ft. Drainage ee" - Size of dry wells .............. . Additional. information: .......... 0 his application. must -.be accomggnded -by- opy ot= surveyors nrap'o complete plans, specification, and all Informatio� sgGi 6d 'by oni Ordin c and Sanitary Code. when requested by Inspector. / {, A. . .. ..... ....... the applicant do hereby certify that the above statements ue to y owl do and belief. se i..u_.. Signature of Applicant . . . �'F`ii.,;,�_____._ _ -- - - -- - - - - -- -- - - - - -- _ -_ -- - - - - - -- - - - -- $EGULATI OPT - 0 t l� ed Sign pvuner or Agent s I)ate n n prdinance of the Towhval find plot plan to conform to the Zo.'oub.�eCt to further mode and I and hereby approve same,.. rule or Putnam Valley with the requirements of the StaoheT�law�,g and compliance wx as well as any artment the Sanitary Code of trliscount', Town, or Bureau or Dep r7gu.lation of the �Sta e,�.. t. uereof . �'�`t� " - Bua ding, Zoning & Date_____, TL NI SE Sanitary Inspector Paid: Building Permit Sanitary Permit Occupancy InspeCtlon Made : _._ ----- aA ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MOMS, P.E. irector of rinvironrriental Realth DEPARTMENT OF HEALTH I Geneva Road, Brewster) New . York 10509 Phone # (845) 808-1390 Fax # (845) 278-7921 Town Leizal. Bedroom Count & Proposed Addition Status Re: z /.�¢ A �1(g (owner's Name) Tax Map# /I/- Address: 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 B6666ii 'C&tiff is:''-*-----' This information has been obtained from: Certificate of Occupancy: Other: The plans for the proposed addition are considered: Addition to existing house only Teardown and/or re-build allowed under Town Regulations z( ding Insy-ector Da 5. MARYELLEN ODELL County Executive IN Rai �J ,/J a�9� PUTNAM COUNTY HEALTH DEPARTMENT 'K®°`� %G�1 �A DIVISION OF ENVIRONMENTAL HEALTH SERVICES I, I-0, /57 Ar2,13w -t ur go I-tf 4 d- P Iz -1 Ica, � TAN# �l.lt� -� -S® N E # Flame '& Relationship (i.e., owner, tenant, contractor) f 94Y DATE FACILITY TYPE �� E S� PCHD COMPLAINT # �SSa� a PROPOSED INSTALLER u,,,Y.rt.d C� ,gfi r PHONE # `����`'`� `� v7 ADDRESS 94� S<'4w4K4 C—R-lzF— f-0 REGISTRATION /LICENSE # — Y. r? 5; Proposal (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 exgent of the repair. 1'l eD L, AC fL 5 F—.o t c 'T A t4 k-- IN 11ti ®e, U � I, as owner,agree to the nditions stated on this form SIGNATURE Ic TITLE t` %�.�TK_.t� DATE S I (owner) :._::th septic irtta l;_agree.to.cc+mply with the conditions of this perh?it for:ihe.Sepfic systdm_ repaic:„ ... _.. ._ SIGNATUR ' &— J,, —cam " TITLE �� (' DATE i (installer) Proposal approved 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 duplicate 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. INTERNAL USE ONLY Proposal Approved ` Proposal Denied ❑ Chi a, X71 a7 l� I ector' Signature & Title Da e r Expiration Date ,Repair eroposal is in compliance with applicable codes Yes Lvi No 0 COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 v t ld Q'I 6S 119 7 -J' .r�eA 0 IMP LIC jVJr,-4 3 4g.*491 LIC -PC-)92 PIZZELLA BROTHERS. INC lkwm ey CTo OA-i OVA h 04 id�l loco ff lbtA..M°L4E' ic, Wave f� � c/c ...... ....... . p Aa-T 6 � � vsoc u pv } i Putnam County Department of Health Division of Environmental Health Services SSTS Repair - Final Site Inspection // / Date: L3 `� Inspected by: ✓� _ Installer: hc Street Location: 1 T- 4rS�v. j:R1 Owner: r u-1 i' Town: K, ti _ Repair Permit #: �Z �� TM # c' - _ <. h. Type of System: Conventional O Alternate ❑ Comments: 2. Septic Tank Yes No . -N /A Conments a. , Septic tank si -1,000 :1,250 ... other ..... V b. Septic tank installed level ....................... d. Distribution Bog i. All outlets at same elevation (water tested) .. . ii. Protected below frost ............................. iii. Minimum 2 ft. Original soil between box & trenches e. Junction Bog - properly set ........................... f. Tenches i. Systemoompletely opened for inspection . ii. Length required Length installed iii. Pipe slope checked .... ............................... iv. Installed according to plan ..................... v. 10 ft from property line - 20. ft - foundations ... vi. Size of gravel % -1 %" diameter clean ......... Vii. Depth of gravel in trench 12" minimum ......... Pump or Dosed S sterns 3. Se a e System Area a. SSTS Area located as per a roved phins b. Fill section - c. Distance from water course/wetlands 4. Overall Workmanship a. ' Boxes properly grouted and installed correctly ........... b.. All pipes flush with inside, of box ......................... c. Backfill material contains stones <4" diameter ......... d. Curtain drain & standpipes installed according to plan e. Curtain drain outfall protected & dir to exist watercourse f. Footing drains discharge away from SSTS area ......... g. Erosion control provided ............................ Additional Comments: RFSI Rev - 011312 PUTNAM COUNTY HEALTH DEPARTMENT - �° DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR SITE LOCATION J 5 f OWNER'S NAME_ MAILING ADDRESS I OFFICIAL USE ONLY TM# PHONE *5-, 5,2 ©%© PERSON INTERVIEWED �+� f'f"6 --- �4Jd' PCHD Complaint # —flame Relationship i.e., owner, ten t, etc. DATE ` _010 6 TYPE FACILITY /1-6 S PROPOSED INSTALLER A zs z,/%r'� �A v t ;wt.. PHONE �/ �- U q- 3 Jty� ADDRESS ? Doti /1,2 g,,-�I- GISTRATION# V, Proposal (include sketch locating all adjacent wells): "1 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. ,9 41,e of` L-UzsAt u, 14- w r flit v q t el -I L % i � , YL- - A - Lzn I l Alj . v G A 111-4.1 Al a-DU �e�'s►,te �Et r �-�`' �1: vA s �_I, as_awner,.;;rreported went. of.o,.%er.agree_to`the- condit - t t ed.ontbis-fo rm... SIGNATURE 01411 9-J7V TITLE Proposal approved wlth the following conditions: 1. Procurement of any Town permit, if applicable. 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 e. Installers' name and number. 3. System repair to be pe ormed in accordance with the above proposal and conditions. Proposal approved J.pector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML C� D TE i ;f :3 ..i f C n �ld it 25 1 vd Al, . � Flo ' �4 CF Etc. - WC- 4149-H91 VC' -PC -192 PiZZELLA BROTHERS, INC_ SCALE: y APPROVED eY: DRAWN 9Y (/ 0"rE REti.5E0 A- ANJ AM CD y t: Sheet of , . * PUTNAM COUNTY DEPARTMENT'OF•HEALTH y. DIVISION OF ENVIRON�IVIENTAL IIEATLIi SERVI(;ES�. FIELD ACMITY REPORT 6 a^ Street Town. _ State_ Zip PERSON IN CHARGE �N Q� T11 TITITI 44 4 Name and Title TYPE OF FACILITY n FINDINGS'• - _ r r >. Jr d t: } 6 a^ 44 n lie RPOR Signatu T7-" I acknowledge receipt' of this report SIGNATURE• 02_/96 Title, _ Rem A'dard Infiltrators Chamber Standard Infiltrator chamber is a low- profile unit with a 6 -inch sidewall. ,so available in SC /Shallow Cover model. z " Size (W x L x H) ......:...........34" x 75" ( 12 "(85 cm x 31 cm) J' Weight ..... .........:...................26 Ibs 11:8 k 9 ( 9) Storage Capacity 77.5 gal (293 L) r Louvered Sidewall Height .... 6" (15 cm) FBI Standard SideWinder® Chamber The Standard SideWinder chamber combines the advantages of the Standard Infiltrator chamber with the revolutionary SideWinder sidewall. Also available in SC /Shallow Cover model. Size (W.x L x H) ..................34" x 75" x 12 "1 Weight ................... 29. Ibs (13 2 kg)' Storage Capacity ......... ..83.8 gal (317,L). Louvered Sidewall Height, .... 6" (15 cm)'_:- The Equalizer 24'chambesystem is the optimal choice for narrow trenches and utilizes SideWinder technology to maximize infiltrative area. ,t t Size (WxLxH) .........::.......15 "x100''' ,11 "(38cmx2546mk28 cm) Weight Ibs (16.4 Size (W x L` x H)....34" ... .............................23 Weight ....................4 Ibs (1.8 kg) Storage Capacity ................ 50.gal (189. Louvered Sidewall Height. :9.6" cm) Z J` ....13 gal (49 L) ,(24 Contour'' Wed e F! The Contour Wedge provides extra flexibility to accommodate natural terrain features and avoid obstacles. The 150 angled unit interlocks securely to chambers or other Contour Wedges. Available in two models for left or right turns, it can be used with the Standard, High Capacity and SideWinder chambers. Standard Contour Wedge Size (W x L" x H)....34" x 9.5" x 12" (85 cm x 24 cm 31 cm) Weight :...................3.5 Ibs (1.6 kg) Storage Capacity .... 10 gal (38 L) High Capacity Contour Wedge Size (W x L` x H)....34" x 9.5" x 16" (85 cm x 24 cm 41 cm Weight ....................4 Ibs (1.8 kg) Storage Capacity ....13 gal (49 L) Contour T" Chamber The Infiltrator Contour chamber accommo- dates natural terrain features and avoids obstructions. It has a unique angled end that can be adjusted from 30 to 90 for a left- or right- curving pattern with a 40 ft (12.2 m) to 120 ft (36.5 m) radius. 5 'Length measured along center line. A LOT I a 131 0 0 $ 2 m `ap ; gw' '� ` / '/ wood curb d'p y,-ye Hedge y � l w .. y�. -. � � .�Q.a :.n- • .,.... - _.. � 1`� =--- _..: -. _a<...n - n.�... _rr�'/;.y��-� ��'�� _ ne0q?�.... ` , ,_.....,�.... -r... -, s.m, a... >r...c_n- ..rro�,c,ea•_ $ S8 °,58'20" E ' f;ry �'yy`wm' r �culwit _ al Y0000 drainage N J I 1 concr� —curb z ► Ir- eife! l t drive r o Y _J 1 �y 11-5 trees O ever9r°°n � •: row 250.00_ M _ { "25" W d r grave LOT 134 AKE', SAP 1, SECTION 'A If FSJON ,OF ROARING BR OOK L No ,308 -A � filed vy A 1945 os Map r .