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51.14 -1 -23
BOX 22
02506
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.
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02506
PUTNAM COUN'T'Y HEALTH DEPARTMENT � y � ESL (`41,I .
DIVISION OF HEALTH SERVICES
PROPOSAL FOR SEDGE DISPOSAL SYSTEM REPAIR
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.
d �' �c rr ���; � R l �.. �.� Ate.•
Proposal
Inspector'
with the
Proposal Disapproved
conditions:
Date
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 canponents 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
drywalls 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 reportedp� agent of owner agree to the above conditions.
SIG. TITLE j ��l'y GATE ( 5
PIN;: White (PC D): YeUc w (Ttkin HE); Pink (Applimat)
[�, 1 7
OWNER'S NAME
�^
M R R PL IL �' l C Ks D t�
PHCNE
;-
SITE LOCATION
R O A- KS % n ►L D i:?, %
RQ
S I + " ` — 2-3
MAILING ADDRESS
RV T E WM V 4 LAt rzif / �� ,'7=
1 U A-1 5
PERSON INTERVIEWED
- PCHD Camplaint #
Name & Relationship (i.e,
?J
owner,tenant, etc.)
DATE
TYPE FACILITY
S .
PROPOSED INS
+xO" OF ti —
PV —,C4 L (e . I3 YPHONE
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.
d �' �c rr ���; � R l �.. �.� Ate.•
Proposal
Inspector'
with the
Proposal Disapproved
conditions:
Date
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 canponents 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
drywalls 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 reportedp� agent of owner agree to the above conditions.
SIG. TITLE j ��l'y GATE ( 5
PIN;: White (PC D): YeUc w (Ttkin HE); Pink (Applimat)
4�,
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
March 26, 1997
Mark Ericksen
8 Oakdale Road -
Putnam Valley. NY 10579
Dear Mr..Ericksen:
BRUCE R FOLEY
Acting Public Health Director
Re: Addition - Ericksen
8 Oakdale Road (T) Putnam Valley
No increase in number of
bedrooms
TM451.14 -1 -22, 23
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 latest revision date of
March 26, 1997 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
cnnditlons:
1. The total number of bedrooms must remain at three 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.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
NNNP
Very truly yours,
William Hedges
Sr. Public Health Sanitarian
P ja -q)
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MAR -24 -97 MON 5:19 PM PUNAM C'T'Y ENV HEAL'T'H
ri ;� }.1 f .� r, r r,
F. z: �►.:, 19142 8!9�!
BRUCE R. FOLEY, A.s
Acting Public Health DireCtcr
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
.` P POSED ADDITION APPLICATION � (RESIDENTIAL QNLY1
STREET: 'S 0A�A�E 1a� TOWN �y_IN��AU -EY TX MAP # I+-lk ,1- 2Z� Z
NAME: MARK eF_1CK1Sa'4 PHONE alai SZ$ 50�} -2 pCHD PERMIT # -� � - 97
MAILING ADDRESS S CW,9 3A LC Pt:) Py N-e
Description of Addition Car��crZ�'
Number of existing bedrooms 3
from Certificate of Occupancy or
Certification from Building Inspector
/Nile SPACE 00 Li\JIM& SPACE
Proposed number of bedrooms 3
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.
- . Pl eese sub..�i t t!' i is 6irm and the. f of l o i ng, to PUTPiA,M_ COUNiY HEAL -TH: DEP,aRTMEYf
.)
4 GENEVA ROAD, BMMER, NY 10509, Phone 278 -5130 with the following information.
r 1. Certified Check for $100.00.
2. Sketch of existing floor plan (all living area including basement, if any).
Non -- professional drawing is acceptable.
cc>io,�5
,*3. Sketch of proposed floor plan.
Non professional drawing is acceptable,
4. Copy of .survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office,
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
Joly 1996 (Revised)
MAR 24 -97 MOM 5 :14 Hill F''UjHAM (TY ENV HEALTH FAX Idi;, 191427(879'
F
T
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 378 =6730
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S
Acting Public Haalth D ;re:tor
Re: 1A
Residence
Tax Map 51,N - -4 j
ToNm
According to records maintaincd, by t11e. Town, the _above noted-dwelling
IS
IS NOT
incompliance with Town code and the total number of bedrooms on record
is --f
This information has been obtained frorn:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: 1�
OTHER >
C
COUNTY OF PUTIAM TOWN L13
TOWN OF PUTNAM VALLEY
*k* PROPERTY DESCRIPTION REPORT * **
THIS REPORT IS FOR YOUR INFOR'9ATION. IT SHOWS IMPORTANT DATA
i.AS BEEN COLLECTED FOR YJUR PROPERTY.
4HICH
IF THE INFORMAT.IDN IS CORRECTo, KEEP THIS REPORT. IF CORRECTIONS
ARE REQUIRED BECAUSE OF IYCORRECT OR !MISSING DATA. PLEASE IAK: THE
APPROPRIATE CORRECTIONi i RETURN THE REPORT WITHIN 5 DAYS OF 3ECEIPT.
372.3;17 51 .1 4 -1 -23
ERICKSE4 LARK
$ OAKDALE ROAD
PUTNAM VALLEY NY 19579
PROPERTY ID
PROPERTY LOCATION
PROPERTY.DIMEVSIONS
SCHOOL DISTIICT
'LEASE VERIFY SALE
SITE 0.
PROPERTY TYPE
AVAILABLE UTILITIES
MATER SJPPLY
TYPE OF SEWER
�3UILDING STYLE
EXTERIOR WALL
3ASEMENT TYPE
TYPE OF HEAT
TYPE OF FUEL
CENTRAL AIR
* ** PROPERTY DATA * **
372300 51.14 -1 -23 LP
3 OAKDALE ROAD
53.00 X 33.73
372 10 3
INFORMATIO•V IF YJ'JR PROPERTY HAS SOLD SINCE 01192:
SALE DATE 09/R3
SALE PRICE $3 T" 900
91 TYPE OF ENTRY INTER INSPEC
219 1 FAAILY RES ZONING R3
ELECTRIC
PRIVATE
PRIVATE
C0TTA5'E
YEAR
BUILT
1935
w00)
34.
FT. LIVING AREA
732
CRA IL
10.
BATHROOMS
1.0
HOT AIR
40.
BEDROOMS
3
GAS
YJ.
FIREPLACES
1
4
IF THE TYPE OF ENTRY S43W4 ABOVE IS Ate ESTIMATE OR A REFUSAL ". YOU HAVE
THE OPTION OF AN IISPECTI3N. TO EXERCISE THIS OPTION INDICATE BY
CHECKING THE 3OX LA3ELE) ".INSPECTION" 3ELOW. BE SURE TO INDICATE A
)AYTI'ME PHONE #. IE WILL CONTACT YOU. 3E AWARE THAT THERE '1AY BE OTHER
DATA ITEMS THAT HAVE SEEN COLLECTED FOR YOUR PROPERTY WHICH ARE NOT
INCLUDED ON THIS REPORT. IF CORRECTIONS HAVE BEEN MADE. PLEASE SIGN
A4--D DATE BELOWP AND `MAIL THIS DOCUMENT TO THE FOLLOWING ADDRESS:
COLE— LAYER— TRU'43LE CO SIGNATURE _
121 MAIN STREET --------------------------------
BREWSTER. NY 10509 PHONE #
C 3 INSPECTION — NIT DATE
NECESSARY FOR C)4003 - - - - --
16 . uF1 4-TA4 --OoS . ( Pvc 4 r:IlE S J
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PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENIAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
REGISTRATION #
Pro (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.
Proposal
Inspector's Signature &
Proposal Disapproved
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 canponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. 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 aboveo` conditions.
SIGMA .1d I TITLE DATE
PBS: White MD); Yellc w (fin HI); Pink Qpplia;nt.)
OWNER' S NAME
M R G K S o tq
PHONE
SITE LOCATION
R O# KS i D r, D P-
T1#
5-1 'd 7 "" t ;L3
MAILING ADDRESS
PJ T fa R-ht
PERSON INTERVIEWED
PCHD Complaint #
Name & Relationship (i.e,
owner,tenant, etc.)
DATE
3 p
TYPE FACILITY
PROPOSED INSTAAJ3R.,
Co L: C I YPHONE
REGISTRATION #
Pro (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.
Proposal
Inspector's Signature &
Proposal Disapproved
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 canponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. 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 aboveo` conditions.
SIGMA .1d I TITLE DATE
PBS: White MD); Yellc w (fin HI); Pink Qpplia;nt.)
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
March 26, 1997
Mark Ericksen
8 Oakdale Road
Putnam Valley, NY 10579
Dear Mr..Ericksen: .
BRUCE R. FOLEY
Acting Public Health Director
Re: Addition - Ericksen
8 Oakdale Road (T) Putnam Valley
No increase in number of
bedrooms
TM451.14 -1 -22, 23
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 latest revision date of
March 26, 1997 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
canditions:'.
1. The total number of bedrooms must remain at three 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.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
Vary tnIh, vnilre
William Hedges
Sr. Public Health Sanitarian
W Ijp
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MAR -24 -37 MOO 5:13 FM FUNAM QTY EPdv HEALTH ;AX NKi, 191427879''1 F. 2
BRUCE R. FOLEY. A.s
Acting Public Health oirectcr
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
PRQPOSEQ ADDITION APPLICATICN �: SRESIDENTIAL NLY
STREET;_ `S ®A <bAL E R L7 TOWN `?0-r14AM \/ALL.EY TX MAP # 51.14 -1— Z Z� Z 3
WIE : A A R.K EXIC SF-hI PH ON E ot 14 52$ 5 04-2, PCHD PERMIT #
MAILING ADDRESS 8 UAKQ�ALG Zo Py NY
Description of Addition
Number of existing bedrooms 3
from Certificate of Occupancy or-
Certification from Building Inspector
Ame SPACE 00 LWIMC- sPA.Ct;
Proposed number of bedrooms 3
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 subt�4t th:i_s farm me the .fol lowing-to PUfi1Fv*i ,�;�Ot1�tiY HE�tI.T"{ DEPARTMEtIf,
4 GENEVA ROAD, BREMSTER, NY 10509, Phone 278 -6130 with the following information.
1. Certified Check for ;100.00.
2. Sketch of existing floor plan (all living area including basement, if any)
Non -- professional drawing is acceptable.
�v�7r5 3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
MAP, -97 M�}1d 5 1 F1�i F'I_ii'dHhl TY E1dv HEhI'T'H F �,r. 110, 1 `� 1 4 % ?$ ?9t 1 p
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 =6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
BRUCE R. FOLEY. P..S .
Acting PubliC Reatth 0 ;re:tpr
r
Residence
Tax Map P — — -4
Town 01 "1
Gentlemen:
According to records rnaintaincd by the To%Nn, the above noted
IS NOT
in compliance Nvith Town code and the total number of bedrooms on record
is r Y �� 3�_•
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: 1�
OTHER
COUNTY OF PUTVAM TOXIN LIB
TOWN OF PUT4A4 VALLEY
*4* PROPERTY DESCRIPTION REPORT * **
THIS REPORT IS FOR YOUR INFORMATION. IT SHOWS IMPORTANT DATA AHICH
HAS BEEN .COLLECTED FOR YOUR PROPERTY.
IF THE INFORMATION IS CORRECT, KEEP THIS REPORT. IF CORRECTI04S
ARE RE-aUIRED 9ECAUSE OF INCORRECT OR :MISSING DATA, PLEASE °'TAKE THE
APPROPRIATE CORRECTIONS 3 RETURN THE REPORT WITHIN 5 DAYS OF RECEIPT.
372,3:17 51'.14 -1 -23
ERICKSE4 iARK
8 OAKDALE ROAD
PUT44M VALLEY NY 19579
'ROPERTY ID
PROPERTY LOCATION
PROPERTY DIMEVSIONS
SCHOUL DISTQICT
'LEASE VERIFY SALE
3I TE 40.
PROPERTY TYPE
AVAILABLE UTILITIES
44TER SJPPLY
TYPE OF SEWER
* ** PROPERTY DATA * **
372300 51.14 -1 -23 LP
:3 OAKDALE ROAD
53.00 x 3`3.33,
372 303
I4FO`tlAT10N IF YJ'JR PROPERTY HAS SOLD SINCE 171192:
SALE DATE 09/ ?3
SALE PRICE $37,000
-J1 TYPE OF ENTRY INTER 1 YSPEC
219 1 FAAILY RES ZONING R3
ELECTRIC
PRIVATE
PRIVATE
1936
AREA 712
1.0
3
1
IF THE TYPE OF ENTRY SH)WN A3DVE IS AA ESTIMATE OR A REFUSAL'. YOU HAVE
THE OPTION OF AN INSPECTION. TO EXERCISE THIS.OPTION INDICATE BY
CHECKING THE 3OX LA3ELE) "INSPECTION" JELOW. BE SURE TO INDICATE A
)AYTI,IE PHONE #. °CIE WILL CONTACT YOU. 3E AWARE THAT THERE 4hY BE OTHER
DATA ITEMS THAT HAVE SEEN COLLECTED FOR YOUR PROPERTY WHICH ARE NOT
INCLUDED ON THIS REPORT. IF CORRECTIOVS HAVE BEEN MADE. PLEASE SIGN
AND DATE BELOWP AND AAIL THIS DOCUMENT TO THE FOLLOWING ADDRESS:
COLE- LAYER- TRUM3LE CO SIG4ATURE
121 MAIN STREET
dREdSTER, NY 10509 PHONE #
C 3 INSPECTION - NOT DATE
NECESSARY FOR C)'003 - - - - --
:. _. *,...
R'ES I DEICE -DA- T A -
3UILDING
STYLE
COTTA3E
YEAR
BUILT
EXTERIOR
WALL
wow)
34.
FT. LIVING
3ASEMENT
TYPE
CRA&
40.
BATHROOMS
TYPE OF
HEAT
HOT AIR
40.
BEDROOMS
TYPE OF
FUEL
GAS
V0.
FIREPLACES
CENTRAL
AIR
NO
1936
AREA 712
1.0
3
1
IF THE TYPE OF ENTRY SH)WN A3DVE IS AA ESTIMATE OR A REFUSAL'. YOU HAVE
THE OPTION OF AN INSPECTION. TO EXERCISE THIS.OPTION INDICATE BY
CHECKING THE 3OX LA3ELE) "INSPECTION" JELOW. BE SURE TO INDICATE A
)AYTI,IE PHONE #. °CIE WILL CONTACT YOU. 3E AWARE THAT THERE 4hY BE OTHER
DATA ITEMS THAT HAVE SEEN COLLECTED FOR YOUR PROPERTY WHICH ARE NOT
INCLUDED ON THIS REPORT. IF CORRECTIOVS HAVE BEEN MADE. PLEASE SIGN
AND DATE BELOWP AND AAIL THIS DOCUMENT TO THE FOLLOWING ADDRESS:
COLE- LAYER- TRUM3LE CO SIG4ATURE
121 MAIN STREET
dREdSTER, NY 10509 PHONE #
C 3 INSPECTION - NOT DATE
NECESSARY FOR C)'003 - - - - --
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PROPOSm ' �` -1b` aGHi, xr
— — — —
(0143 oaxaalF
- 19
N/F TOWN OF
PUTNAM VALLEY
-welt Swale
TOWN OF PUTNAM VALLEY
TAX MAP 51.14- 1 -22 &23
_...AREA =t0.171-Y /- ACRE
.. .._.__ _.�_ __ ..._ „_ __ ...._...- ---. _...__
._.. ..._... ,. - .._.
= 7446 +�- SQ. FT..
CERTIFIED TO:
PREMISES SHOWN HEREON BEING PART
OF LOTS 17 AND 18 AS SHOWN ON A
CERTAIN MAP ENTITLED "PROPERTY OF
EDWARD L. AND BERTHA POST ", SAID MAP
WAS FILED IN THE OFFICE OF THE CLERK
OF WESTCHESTER COUNTY ON. DECEMBER 24,
SURVEY OF PROPERTY
1924 AS MAP NO. 6A.
SURVEYED: SEPTEMBER 23, 1993
PREPARED FOR
THE ORIGINAL DEEDS OUT OF SAID POST
BROUGHT TO DATE REDRAWN 5 11 g5
AND THE SUBSEQUENT DEEDS FOR MOST
& CERTIFIED TO
BROUGHT TO DATE ADD4 OFFSETS 3.194/97
PARCELS DO NOT FOLLOW SAID FILED.MAP.
GORE AREAS EXIST.
MARK ERICKSEN
ci-,v icatlons hereon are valid for Bonk,
MATTHEW
A. NOVIELLO
P.C.
Title Co. de Owners for this tranaocilon
1
only. Certifications are not transferable
SITUATED IN
CONSULT /NGENG /,VEERS.
to subsequent bank, title cc. or owners.
&LAN.OS.(1WVZ"YORS
All certifications hereon are valid for this
TOWN OF PUTNAM VALLEY
366 ROUTE 9D- -& ELVINS LANE
map and copies thereof only If sold map
GARRISON. NY 10524,
Sur aeyoer'whose el naturesaedears hereon.
Y 9 PP
COUNTY OF PUTNAM
(91 4) 424 -73560
"it Is hereby certified that this survey
STATE OF NEW YORK
L,S
was prepared In accordance with the
existing Code of Practice of Land
SCALE: i" = 20'
by: fATT HEW A NOTIMO, P.E., L.S.
Surveyors by the New York State
Association of Professional Land Surveyors.
I .
than
"stIMEYm 67 w POSSElsIaR
NEW YORK STA' LICENSE No. S007S
Alteration of this map by other a
Licensed Land Surveyor Is
If
a violation
New York State Law.
(95-143-36)
Encroachments below grade, any not shown
of