HomeMy WebLinkAbout3011DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
62.18 -1 -7
BOX 25
0301.1
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES'
-
PROPOSAL FOR SE4iGE DISPOSAL SYSTEM REPAIR
/ , -so ,�
owNER' S NAME ,�Q L �r R. PHONE
SITE I=TION 7M$ - 7. 4 �- I i
MAILING ADDRESS 1.7
PERSON INTERVIEWED 00r-WtO i-w i`zr.r. � :�v�tg r PCHD Complaint #
Name & Relationship (i.e, owner,tenant, etc.)
DATE go TYPE FACILITY
PROPOSED INSTALLER PHONE
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.fram licensed professional engineer or
registered architect.
CN e �s
— n -..-J a A .. _ s. r_ w . - - - - �1 .. n /�_ i.. --wJll i , e • — / 1 A, n -A . 1- /-
� 1
Proposal approved Proposal Disapproved
Insoector's Sictnatur itle Da
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 components 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
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, o reported agent of owner agree to the above conditions. /
SIGNATURE �/J'✓ TITLE �(r�'i/L' DATE
XFM: WZite (PO:D); Yellow 03Hn EI) • Pink (Applicant)
R
� 1
Proposal approved Proposal Disapproved
Insoector's Sictnatur itle Da
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 components 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
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, o reported agent of owner agree to the above conditions. /
SIGNATURE �/J'✓ TITLE �(r�'i/L' DATE
XFM: WZite (PO:D); Yellow 03Hn EI) • Pink (Applicant)
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
February 19, 1991
Donald & Susan LaGrutta
17 Columbus Avenue
Putnam Valley, NY 10579 Revision A -15-91
Re: Proposed addition
LaGrutta, 17 Columbus Avenue
(T) Putnam Valley
Dear Mr. & Mrs. LaGrutta:
JOHN KARELL Jr., P.E., M.S.
Public Health Director
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans indicate that a 249 x 189 addition will be added consisting of one (1)
bedroom. One existing bedroom will be converted to a family room. A hallway
and foyer will also be added at this time.
The survey indicates that sufficient area exists to expand or repair the sewage .
disposal system, should it become necessary in the future. Therefore, based on
the information submitted, the above mentioned addition is APPROVED with the
followinn' conditions:
ie The total number of bedrooms must remain at two without prior approval by
.this Department.
2e The area of the existing sewage disposal system, and its expansion area, must
be maintained.
3. All plumbing fixtures must be replaced or updated with water saving devices,
i.e., low flush toilets, restrictors for shower heads and faucets, etc.
Approval is granted for sewage disposal only. 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.
Very trulyy yoouurss,,,
William Hedges
Sr. Public Health Sanitarian
WH /jp
cc: BI (T) Putnam Valley
DEPARTMENT Of HEALTH
Division Of .Environmental Health Services
JOHN KARELL Jr., P.E., M.S.
Public Health Director
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
January 28, 1991 �, `s
Donald & Susan LaGrutta
17 Columbus Avenue
Putnam Valley, NY 10579
Re: Proposed addition
LaGrutta, 17 Columbus Avenue
(T) Putnam Valley
Dear Kr. & Mrs. LaGrutta:
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans indicate that a 24' x 18' addition will be added consisting of two (2)
bedrooms and one existing bedroom will be converted to a playroom and the other
existing bedroom will become an office /den.
The survey indicates that sufficient area exists to expand or repair the sewage
disposal system, should it become necessary in the future. Therefore, based on
the information submitted, the above mentioned addition is APPROVED with the
.. follovinc 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 replaced or updated with water saving devices,
i.e., low flush toilets, restrictors for shower heads and faucets, etc..
Approval is granted for sewage disposal only. 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.
Very truly ypurs,
William Hedges
Sr. Public Health Sanitarian
WH /jp
cc: BI (T) Putnam Valley
LOTS AS SHOWN ON UNRECORDED MAP OF ,,ccric:N No. 2 LAURELWOOD MANOR BT
HI/DSON VALLEY ENGINEERING COMPANY,, INC. DATEDA/AY 29, -/930-
NOW or Formerly PERRY' YO CUM
35• I 34• ' 33• I
I J. 2 .: I 3/• I 3O I 29.
PIPE 78-
•
� ,71
o i b AREA= 22, 9 36 S.. F.
h
W. e
d o
rz
Of q -5--% pQQ
p? T cos}.•:•.,: �-w.o �'{ -p o y.n
tu
I or
s rt. Hof f ^ w °'s56 1. � /
V E \1 d LJ
yOw �� ,bOf - V r•
v.6B — 9� N 4�0 E DETE BgDA� N�9 F �� 539'`�,\`\�`
% POS AS DES
11 STH
!
CERTIFIED TO COMMONWEALTH LAND TITLE INSURANCE CO. i
IN ACCORDANCE WITH 7NE MIN /MUM STANDARDS OF i ~
THE NEW YORK STATE ASSOC /AT /ON OFPRDFESS /ONAL O i
LAND SURVEYORS AS OUTL /NED IN 7HE /R "CODE OF L
RACT/C£ FOR LAND SURVEYS,' CJ t Q � S
SURVEYED: JUNE B, /978
FOR.- PETER SWANSEN `` ARLENE TAYLOR of NE"
CERTIFIED TO: COMMONWEALTHLANO T /rLE
/O
tT OF PKLRST FEDERAL SAVINGS LOAM BU R9t r SURVEY OF PROPERTY
ASSOCAON £EiK/L
s/ruA rE IN
NCROACNMENTSBELOWCRADE, /FANY, NOTSNOM7VHEREON• * , ° • '
TOWN OF P UTNA M• VALLEY
PREPARED BY:
VINCENT BURRUANO, L. S,
J/ ALBANY POST RO., voN rROSE, N. r. 1'°- 5859
PUrNAM COUNTY, N.Y.
i�
I
'i
yt
A.
�y �,.lb
N
t
S•
i�
S�
i;.
L•
W ► PrH Ta MATC44
I /E0
x S Z ► �QVhL CN I1�_ I1� 3'I�Z NII 11'�
% -c?UAL-
SIL
Q 1►
LL. 3 tee) .- ;-"--• -�.\, j _ r
r'
O +
� �
\ \ ----- --
N 7- - z�o6r` MI
5�V 9ACrE ,►
Q s
J 4 z
--o-1p
?P'Ro pook ItN.FWAU,f OP�N►H(T �1'�AMiD IN
FiiAM�
1
c��r IaPI,�wAU, �P�v►NCe�
"- �xlSrfIV
7-- �' HIV IN�r 200 1X I stlNLr
F-AY2 -o am
J Z ..
.__
�����.
'} i�v �
s 7
E
k
f
�.
•�.
— „�
{
�{ ,
�.
�
,��''.L. __i
/a:
,�
.__
�����.
'} i�v �
s 7
E
k
f
-- ILI .
via A On wwn vn w"—C wm UcU AIAP U{ y[c T /(:N n0. Z LAU/re LW000 MANOR BT
HUDSON VALLEY ENS /NEER /NB COM-PANY, /NC. DATEDMAY 29, /930•
Now or For mer /y PERRY YOCUM /
I 34. I 33. I J2 I 3/. I I 29• �.-If
P /PE C.�Ot1C07IC.78
A REA= 22, 9 36 S. F. 2\ n g9
C.
t = Ar.
f
O 7 0 y +` L o�0�
p� Z toe �� °�t •• -- 0 El,
Z 'Y' 1 r ,"
. Jr'Tf. wt oS5 u6
.,Py ► °� °a X3.79 ^ �y
410/r jfi *� 5.73 O f.• A
"P• O�P� 0.25 � \` E OErEBEr�A'� 351 9.
-FOS AS of SC
•RT /F /ED TO C0MM0NWEALTN LANG
ACCORDANCE W /TH THE M /N/MUA
'E NEW YORK STATE ASSOCIAT/h
NO SURVEYORS ASOUTL/NED /A
ACT /CE FOR LAND SURVEYS,
SURvETEO: JUNE B, /978
FOR.- PETER SWANSEN of ARLENE- TAYLOR
CERTIFIED TO: COMMONWEALTHLAND T /TLE
INSURANCE COMPANY FIRST FEDERAL SAVINGS f LOAN
ASSOCIATION OF PEEIC§K /LL'
NCROACNMENTS BELOWORAOE, /FANY, NOTSHONNHEREo#.
PREP, B Y:
VINCENT BURRUANO, L. S.
51 ALBANY POST RD., A/ONTROSE, N. Y.
G
SURVEY OF PROPERTY
S /TUA TE IN
TOWN OF PUTNA M VALLEY
D I I IAt AA/ ^n••..-., ....
:l
2
,.,
0
'L✓On0.�� � �U Sari � 0� �'�c l�1\ �
52g- 529