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Home My WebLink About3233DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -1 -19 BOX 26 03233 I ail: r pow �1 J ti r, 6j 1 �s �' 1. F. r d k1h, W-A j Lrl 4 UT I IN, 03233 j PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 - C>rR-TIFICATJ1 - :,Q .-002 ST.RUCT =Ora -:C aR4CUANCE.. FGR_SF.,'.AGE- Z.ISPIDr ,L: SVSTEFA Located at B I%`G I I 14) i—,--s C8— S-5�—y f� Sreslian —� j 2 C. {i Owner -- —7-A" Vy 0 C�C> c S i" I Lot t� c, Separate Sewerage System built by S A -E. IN-CAddress_ iv e'v,J BOG r -IQ l H ivy• - it i4" 1� . Town or Village mot* H i L•L- Job Consisting of Gal. Septic Tank 2 >�C7 lineal Feet X 3 6 width . trench ,• Other •requirements Water Supply: Public Supply From Private Supply Drilled By aA �lJr->Eie Cc, rJ L-i 7 I r Address 11.TN) V _ 4 1�1 M A L_AC Y 4 `.+ Building Type C---S 1 SOC 03TI A L — /yAM !✓ No. of Bedrooms Date Permit Issued y, Has Erosion Control Been Completed? ``/ .�5 o OF NEW x I certify that the systems) as listed serving the above premises were constructed es tiall as sho oP� plans "Otr Rc`o eted work (copies of whicR.Sre attached), and in accordance with the standards, rules and regulations, plans fil , and e e he am ounty Department of Health;' Date Certified by P.E. Address A TO nl A ! } 4 219 3 :.2 cerise No. Any person occupying premises served by the above system(s) shall promptly take such action a a ne ssaw a correction of any unsanitary conditions resulting from such 'usage. Approval of the separate sewerage system shall become (j s` n public sanitary sewer becomes, available and the approval of the private water supply shall become null and void when a public�rp��? X.}� available. Such approvals are subject to modification or change when, in the judgment of the Commissioner of Health, such re iAlJijh� tion or change is necessary. Date BY Title _ - - PUTNAM COUNTY DEPARTMENT OF HEALTHR�t _ �� ._... _ _ ..... -_ -. -•.. - - Di'vis on "of EnvironTnenial Healt�i Services; Carrnd, -`r. CONSTRUCTION PERMIT FOR SEWAGE. DISPOSAL SYSTEM N%N\ � or v �e `i�L�Se:/l�) LR7VL� Section Block Located at ` Subdivision: \ e1 "L`'�"s Lot A � Job Owner NIS .. k. � i Address �w -� \ ' Building Type - Lot Area (0 Number of Bedrooms Separate Sewerage System to consist of ` Gal. Septic Tank To be constructed by K) Water Supply: - /Public Supply From __ Private Supply to be drilled by Other Requirements N f r Total Habitable Space ?� Square'F to lineal feet X °'� width trei Address I represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal syst� above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regu a ions o e u n+ County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthv be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder N place in good operating condition any part of said sewage disposal syste during the period of two (2) years immediately following the date of the i! ante of the approval of the Certificate of Construction Compliance oft original syste any repairs thereto; 2) that the drilled well described abi will be located as shown on the approved plan and that said well will be in all d irta�ordan wi nthe standards, rules and regu a ions of the Putn County Department of Health. Signed P.E. R.A. Addressy�« �� 1�b� Cf� !Vp , \k*2GCHC�1 \MliY\j License No.« I�co rz APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of. the building has been. undertaken do ,.,, riAd or modified w4etrconsidemoyecessary by the ComTjs""r of Health. Any change or alteration of consti C;1 r. -r+e. vP'r...e.Cf.. 'se. Y.-�.-r� .TaYr'y^.`L'iF.e..,..' —P..t♦ ,e2.:.!.O w�.: -n�nw T.^.�.�..�.a ..�... :.'. .�..r .e.4vsP •�.'M.�3+3. rte. rK ^:.�..^ss1e�iT'.^T. +[� �'.� 4 v.Y ^�. w�,.`rt.T.m �e - . -�.ea ....�. e or Purc aser of Building Municipality, Building Constructed by Location - Street ��"%• GTE " /De-'k/Tim Bu; ld.'�. g Type - -- Section Block Lot GUARANTY OF SEPARATE SEWAGE- SYSTET4 I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system. serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his succes- sors, heirs or assigns., to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following, the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where. the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the.- system. .The undersigned further agrees to accept as conclusive' the de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful org e t .act of the occupant of the buil ing utilizing the systerr Dated this /0 day of 192S Signature T i t l e (If corporation, give name. and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP,ETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health i i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION- -QF _ERV RONMENTAI`, -HEA.I I Date ��.. Co 147 Re : Property of Located at��-�.� Section Bl.oek Lot 2�Q Gentlemen: This letter is to authorize a duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system; to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection witri this matter and to supervise the construction of. said system or systems in conformity with the provisions. of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yo/ Signed --� A Owner Property Counter gn )L--Q�, Address P -E -, -•, # Telephone Address MW t3 Aj Telephone BRUCE R FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director . Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 . Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 October 9, 2002 Peter Bliss & Lynn Reed 9 Crescent Lane Putnam Valley, NY 10579 Re:Addition - Bliss/Reed ' No Increases in Number-of Bedrooms (T)Putnam Valley Tax # 73.-l-.19 Dear Mr: Bliss & Ms. Reed: 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 approval stamp from this Department dated--October 8. 2002 The addition is approved with the following conditions. The total number of bedrooms must remain at Four without prior approval by this department. - 2::...:...The.area -of the existing :sewage disposal system, and its expansion area, ;,r ust.i�z - - 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. Ve trul ours Michael Luke Public Health Technician ML: cc:BI BRUCE R. FOLEY Public Health Director DEPARTMENT OF LORETTA MOLINARI RN., M.S.N. Director of Patient Services HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014 ' Preschool (845) 278 -6082 Fax(845)278-6648 ADDITION APPLICATION (RESIDENTIAL ONLYM STREET —q 6eESGFIV� eML TOWN trNAm WaijtX MAP# NAI IE7M ix�s5&ZLV- a 6 CPHONE 7 ? PCHD# 3— 0 MAILING ADDRESS L? C c GAS PST /VA* 14W �yJ �y /aS79Q6p 6 DESCRIPTION OF ADDITION NTUTVMER OF EXISTING BEDROOMS_ PROPOSED # OF 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 thisZonwand the follo,-*kg to ;P4tri3m.GaunyLy'. l eal2li Deft. y4: Ge va Roes Brewster. _NY._ _ .... _ — 10509, Phone 278 -6130. 011. Certified check or money order for 5100.00. . 2. Sketches of.:existing °.floor plan (drawn to scale, all living area including basement) *Non- professional sketches are acceptable. 3. Two sets_ of proposed floor plan (drawn to scale, with name, street, and tax map *Non - professional sketches are acceptable. a 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. • 5. Copy of Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom count of dwelling. OFFICE USE Comments Feb98 BFhouseguidelines -1-4 CERTIFICATE O UPANCY Certificate of Occupancy No.'s........ No _ Application �j- 2�.�9� 1 `amli 13r j Z r§ ;Lnctit?q ri�.of ?r{tisP h .rt . A;.., 0.a. ... of k0A4P :!rAUAY.*...X Yr... .. having A� ' hereitofore filed an application > -for. a building permit pursuant to the Zoning Ordinance, Sanitary Code and the. Laws in effect in the Town of Putnam Valley, D5 y Putnam County, New York, havutg paid the required fee therefor and the. undersigned having by personal inspection ascertained :that L� the applicant has subsequently proceeded with the erection or improvement of the proposed struc- ture in compliance with the . requirements :of the laws as aforementioned and that the said work sc . anti: ±materials met every requirement of the laws= as aforementioned and that the premises have A now. been fully completed and are ready for occupancy' pursuant. to the provisions of law, Now Vi 1. this certificate of: occupancy is hereby issued under the seal of the Town of Putnam 5 Valley this ......... 6U. day of . ...,4x ;k1 ...................... 19.15- . Not valid unless signed in ink by a duly authorized agent �'Qjghj F pUTNAM VALLE EW YORK. of and under the seal of the Town of Putnam Valley. Type • Foundation..: ...... ..... .............. . ri Size& Use Each ............ /� ..... ............................... a a Room with Window Area ............................. ............................... . ........................................... ............... Sewerage Type ....................................... ••`_... t. rI Size of Septic Tank ................... ............................... Lineal Ft. Drainage ................... ............................... r. Sizeof Dry Wells ................. ............................... Plumbing __1 Description ............................... 1•• �U u Garage B. In. Comp. Plot P; lan Furnace Well J Field Stone Driveway - Description . Additional Information.... ...... r?►1^..... this application must be accompanied by a copy of surveyors map and complete plans, specificatio s and all information t by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. 1. �7 q0 Estimated J4, C Fee $ .. .............................. Building a�t.�1 S,� ri' Total Livable Area ........... Cost 5... $ .............. �J..Q... ... ...... Sanitary i y . O (� nn 1i3 GA..'....... �..... �i Date Zoning Board Approval .. r.......1:.... $...........?.S , l)Q....... Well Log Cabin Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools (Mice Blocks Apt Ten. Courts Gas Station Brick Attic Open Garage Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement Floor Log X Encl. Electric F' ' hed hingle mist Phone Type • Foundation..: ...... ..... .............. . ri Size& Use Each ............ /� ..... ............................... a a Room with Window Area ............................. ............................... . ........................................... ............... Sewerage Type ....................................... ••`_... t. rI Size of Septic Tank ................... ............................... Lineal Ft. Drainage ................... ............................... r. Sizeof Dry Wells ................. ............................... Plumbing __1 Description ............................... 1•• �U u Garage B. In. Comp. Plot P; lan Furnace Well J Field Stone Driveway - Description . Additional Information.... ...... r?►1^..... this application must be accompanied by a copy of surveyors map and complete plans, specificatio s and all information t by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. 1. �7 q0 Estimated J4, C Fee $ .. .............................. Building a�t.�1 S,� ri' Total Livable Area ........... Cost 5... $ .............. �J..Q... ... ...... Sanitary i y . O (� nn 1i3 GA..'....... �..... �i Date Zoning Board Approval .. r.......1:.... $...........?.S , l)Q....... Well Oct 08 02 09:00a BUILDING DEPT 9145268806 p•1 Public Health Director LORETTA MOLINARI R -N., M.S.N. Associate Public Heelth Director Director of Patient Services DEPARTMENT OF HEALTH I Geneva Road Brewster, New York 10509 Environmental Realtb (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014 Presebool (845) 278-6082 Fax (845) 278 - 6648 October 8, 2002 Putham County Dept. of Health 4 Geneva Road Brews' ter; NY 10509 Re: q s � Grent Lane_ Re-idence - 1aX Map __.71 - -I_ -9 _ Town of Putnam Valley Gentlemen: According to records maintained by the Town, the above noted dwelling is xx IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY:— xx - -- ASSESSORS RECORD: XX OTfiER Building Insp ctor BFhouseguidelines Idle wu. r UL IIVV l uu I r b1 Naye #b Building Sketch . (Page - 1) e Peter Bliss Aerty Address 9 Crescent Lane y' Putnam Valle Lender Chase Manhattan _ State NY � County Putnam _ ... �_�.:• :.r,..�:...,. -,� � �._. ��- :;.::: <...,;,R�: =�y� � =:.� . _ .. <= x.;10579 22' 15' 0 22' 24' 29' 24' ao La 3R5Er+'rrNT r rU NAM COUNTY � QUSE PLOYS Aif�Ir N� OF NF &V E6RoO W D.FQR - SKETCH CALCULATIONS R . Bth BR BR BR BR 24' ao La 3R5Er+'rrNT r rU NAM COUNTY � QUSE PLOYS Aif�Ir N� OF NF &V E6RoO W D.FQR - SKETCH CALCULATIONS R . A. y PUTNAM COUNTY DEPARTMENT OF HEALTH .a':.� ,r=,. ., _., .: .,.i. -,:d .._, .,.s.. ,. "fi s. .r.. .., b' t: _ � w .. .u,� � .�.,.... -.+.: -.-.- .. n ._ r .... ....a:.....i ,. � o. -��_ ._ it n.�.... .v ti ... � w .. e_•, - DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Address Located at (Street — LSec. Block Lot indica e nearest cross street) Municipality Rtl,9K h*kk)tv� N �j Watershed ` SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Va-ter.Levei No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 2 3 3 71 S: TS: k9 z 6 5 Z.,A -0 21 TS 2 5 2 z. a�3 2',i. 14- Zj �3 �- 7 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST. PIT DATA REQUIRED TO BE SUBMITTED WITH ,.APPLICATION OF SUIL.� LNCOUNIERFD' "i"TS''° V DEPTH HOLE NO. HOLE NO. Z.tc HOLE NO. G.L. �J•�L J Pl'L.. 6" 18' LAV-C-t:' sqo S i Lx Q1 c.m.&k-7 2411 -V.4' ors, 30" 3611 42" 48" 54 60" 66" . 7211 78" 84 It --_ IG17�' :-.r�� WEIY. AT ?� B CH. - GROUND- T A'T`ER :IS ENCO.UNT —tRED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTE TESTS MADE BY:, N u(t ykk , Date OM DESIGN Soil Rate Used `C) Mir/1 'Drop: S.D. Usable Area Provided No..'. of Bedrooms_ _Septic Tank Capacity \-Z-GO Gals Type Absorption Area Provided By_2,1�.L- F.x24" j width trench n 11 �ifha r ' • • 4,:� THIS SPACE FOR USE BY HEALTH DEPARTM- T ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date a . x ' -LOT -22. 0' m �. �. VQI k a NO TRUCKS, MACHINERY, BUILDING MATERIALS NOR *XGAVA%vD EARTH SHALL BE ' ALLOWED IN THE SEWAGE DISPOSAL AREA, CONSTRUCT10ft -OF THE SYSTEM IS ` TO BE IN ACCORDANCE WITH THESE PLANS ANY REVIBtON$ ;-THERETO AND THC RULES AND REGULATIONS OF THE PERMIT ISSUING COVERNMSNTAL AGENCY. fiat" 3o�T- lag•om- 9 ' i a f ,E F wtw roR SEWERAGE OMPOSAL SYSTEM * SOWN DuT. VA�I RYCd . "ICYRA q H (.OT NR_ 13LOCK ' TAX MAPTIO. N,,, 42" a �{� OlVtl�}.F3`t11LLf = Sl'LTf17N f �` Pkvit itP,l•� ,'� TR wl - - � N , M EL. PROPOSED P AN' J 22'?� .LrA'�CtNAi -I 0'va. -- I AS BUILT PLAN: •D-1 —A' ILA.TOALA�14 % 114rmw Yfl2.1C» R t7 F f, „``:b•��a'$1',��'+r��i'GeY• . - y -.l °�� _ � � . _ � - G � , y .`�,s -.. �+ j • .t ��. lu•Fh�.� f "<?- °•�. E w is ,.may -`- c� ». <. �. •�' ,. �":. _e"3 - a'F Z'4 � �a w „ i - y a ,� _ .r - '., ., Er ; b - .S,r' d:`C/,�Jrit„ fi <'�✓J.:r.!!h'- 1:.4s,a��'_.�"�` - a?, :.QWISI0118F A? r - `- - - j AR $EW1;Ii2 SYSTEM _ ,.'. €. - - -- s- �= e..J,.�- '*°`. -- = t - -i-•. - .A. x �'�" � Ls-ar -�- �9 � � - n � � `- «off � '.,�...'�' ^`T.�`a'_of,.4,.- ,� �� LOGAI`ION' ,,..si ✓z �. �' r r 1] F f ` SEC. .. LKF LOT CONTRACTOR;..: ld- iUGKS,MA,24.1N RY,BU[LDT VG MAT'IRF,iALS NOR �tXGAVATED 'E'Al2TH SHALL SE (� c - v. , .- - ....,�, . ,,,, ..t' ,. .. t.:".: .�-, ... - U i ... � ALLOWED IN .�_; � % °SE4VAGE.yD�SP05AL ,AF,2EA, :..CONSTRUCTION OF,'T,HE. SYSTEM IS . TD' °$E''IN ACC . tROANCE -WITH '3HESE-- PLANS- ANY 'REVISIONS THEiETO:` ND4{ix_ v -` r r` °N RE'' t ON °O , T E`- PERMIT [.SSUiNG ,GOVERNMEPtTACaA "ENCY. F:: "° ` DOLP _cROTFELII;, ASSOGTATES RULRS AND GULA I F . H- - - _ _ __ G ._ - r -t, , . %. AS ,BU = #f T :PL.AN., 51i;MAMARONEG'K AVENt3f, WH;TTE Pi AiNS.NY •if i .i1 r t