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HomeMy WebLinkAbout3290DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -2 -14 BOX 26 03290 lootor 0 J = �+. loll r ` V��'� ir .; No 03290 PUTNAM OOUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES K `PROP05AL Fbk 'SF F +, e MWIS NAME 3A-rvveS V go uu_t4 PH= SITE LOCATION MAILING ADDRESS 3J S 7 3 REGI Props NOTE: Repair must be in same Different location may require registered architect. PC HD Canplaint # Wry location and of same type a submittal of proposal from 0&-- psS PHCNE ag-2�& '-at �c7 5 original sewage disposal system. licensed professional engineer our G(C i!l- t6 ok ✓ o we& A-NrV - 4.- LOGO-7-L6 -- Nth Proposal approved; Proposal Disapproved J is Signature & Title 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. Goner'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 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 above conditions. SIGNATURE TITLE (9 (Al Mt CA, MTE nus: ftte (P v; Yeucw (un Sr); Pink agiimnt) PC -RP 97 O�.T -? 9 -18 Ni01i i; �c8 PM PUNAY .,TY ENV HEALTH FAX N0. !',11'7717M P. ? ,-S BALTCB- -R: FOLEiY.. ._ . . Public Health Director DEPARTMENT OF HEALTH • Division of Ehvironmental Health Services 4 Geneva Road IRK •� Brewster. New York 10509 Tel. (9 r4) 278 - 6130 Far (914) 278 - 7921 PROPOSED ADDITION A2?L1CAj1ON ( RESIDENTIAL QNLY) ST RE 44u'_ eLSU (l Nil( WNi V� Tx AzaP # 7 3- (' NAME v Ate` j3 aQ PHONE 3.1%- SOd t PCHD # . ff c� D d —?I MAILING ADDRESS �4y ` S « ice � U'e-t -t io S %cj DESCRIPTION OF ADDITION_ ary "li,- CO,5&1'l�J(aVX1� NUMBER OF EXISTING BEDROOMS 2- PROPOSED # OF BEDROOMSS�°�'�t (PROM 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. _._VIOAatr= Si?13Li11t. fbrm and the following,to Putnam County Health.Dept., 4 Geneva Rd;;_. . Brewster, NY 10509, Phone 27 &6130, 1. Certified check or money order for $ /V%14. /V%14. 100.00 ,�,,n qvkip , , 2. Sketches of existing floor plan (drawn to scale, all living area including basement wezy " G� Non - professional sketches are acceptable a� 5,�t�� 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #} ` Non - professional sketches are acceptable 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. D. , Comments DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 2 8 - 7 21 October 28, 1998 James Brown 444 Peekskill Hollow Road Putnam Valley NY 10579 Re: Addition - Brown, Peekskill Hollow Road Increase in Number of Bedrooms (T) Putnam Valley, TM# 73 -2 -14 Dear Mr. Brown: BRUCE R. FOLEY ,Public , Health - Director- - 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 October 28, 1998 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this :......._ .,. _.., �..:. _ . --,Department.--.. 2' 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, restructures 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. Very truly yours, William Hedges Sr. Public Health Sanitarian WH:tn cc: BI (T) 7 1 cr) w iL p-UTNAI,l CC . )UNTY �EpARTMENT OF HEALTH HOUSE PLANTS APPROVED FOR BEDROOM CC)j',,iT OINLY; l � ` - �,.k` , ..�-. �T� ate-. .r 1� i I Rp� cckA G In s. jf 44 ri. 771 7. i N s S rn J. Ull, 7777 • G In s. jf 44 ri. 771 7. i N s S rn J. Ull, r. 10/19/1998 10:17 6179260691 . CLASSIC RESTORATIONS PAGE 02 5. 1. is is UNS 9 '00 ii;JYA W-. INS rpp4r= 1;wvo W gg.iOOD nco I rol�2% SIAM pig; 3, 1 t4 i "� M�o 0�� I SPNE xxT, . WAX , FS I �l rZOPACTY F—vTgNOS VP is UNS 9 '00 ii;JYA W-. INS rpp4r= 1;wvo W gg.iOOD nco I rol�2% SIAM pig; 3, 1 t4 i "� M�o 0�� I SPNE xxT, . WAX , FS I �l 7 -'�8 Ml��i .?$ P�, U}r�, ..T, cN, H ALJH Ffit:, �iU. 1J1YL es * BRUCE R. FOLEY. R.5 Acting • Public health a,recter DEPARTMENT OF HEALTH Division OF Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 273 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Fie: Residence Tax Map %3_7--7/- To ».r) Gentlemen: Y According to records maintained by the Town, the above noted 6-mllirg in compliance,wiitth�Toown code and. the total number of bedrooms on record 15 —I-iFV6�' This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: _ OTHER C I (�. Z nscl. , Building Ins ctar OCT- 18 -9:3 06:3? PM RYKERSON 617 441 2e11 P.01 0(l l� a o ?10 Inc I�E PORCH 1j) OD gn Volt cn LO LO C14 PORCH OD gn Volt cn W+S A.., Age.. /Joww