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HomeMy WebLinkAbout3447DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -16 BOX 27 03447 �,tiL ' 0 019 , 1 4 �, �� r + ,, � r r Ir r - , , 03447 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health ....e::�.'1':ti.�iS�.TM -c•� .. "';�- :1.�`K.iy"�}. •cl o'- `•- '.i+.eO- .D: «:jy,. �.-. - �. ,"„•,yn; LORETT, t MOLINARI, RN, MSN Associate Commissioner. of Health i DEPARTMENT OF HEALTH f Geneva Road, Brewster, New York] 0509 ROBERTI Director of ADDITION APPLICATION RESIDENTIAL ONLY T I t STREET 131-1-11"— G! • Tree✓. U�1CC- TO TOWN '�° AX MAP# 73 p i �' � 1 �.� NAME AL�c^ r t� nU °� � ��✓ 5 ��r `7 PHON1 ff%S_) .2 � r 5 21( PCHD# MAILING ADDRESS `0 ni /�'it G t.t �°vi Lt: -� N� lf�7 DESCRIPTION OF ADDITION', F/MS/9 d'oo►. i �aN f� h'jc/u�� r' �oi2 f�«r%l��n'` . NUMBER OF EXISTING BEDROOMS L< ' PROPOSED # OF BEDROOMS V (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., 1 Geneva Rd.,,.-_, _.. _ ... Brewste, N l0509;-�hocap -- (840,278 =6? 30:: w... r- , r ... . Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 3. Two sets of proposed floor plan (drawn to scale - with name, street and tax map #) *Non- professional sketches are acceptable i4. Copy of survey showing well and septic locations 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. 1 Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax(845)278 -6648 SHERL1TAAMLER,ND,,MSjAAP- "iWoofi LORETTA MOLINARI, RN, MSN Associate Commissioner of Health. DEPARTMENT OF HEALTH Geneva Road,- Brewster, New York l 6509 Town Legal Bedroom Count Re: SHUT (Owner's Name) Tax Map #: 73.18-1-16 Address: 10 Briar Court Town:— Plitt qm Va 11 P-y Year Built: According to records maintained by the Town, the above noted dwelling, is XX - in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: 4 This information has been obtained from: Certifc ate of Occupancy*. QQ#98-174 (attached)- Other: 4/2/08 hru"ilding InspectoV Date Environmental Health (845) 278-6130 Fax (845) 278-7921 Nursing Services (845) 278-6558 Fax (845) 278-6026 WIC (845) 278-6678 Nursing Home Care Fax (845) 278-6085 Early Intervention/Preschool (845) 278-6014 Fax (845) 278-6648 County Executive ' I I SHERLITA AMLER, MD11 MS, FAAP Commissioner of Health I , .> •• LO�d�k�a�Li�1�Ai &I;•RI�,.MiSEq'-s.":� .�M. Associate Commissioner of Health Albert & Doreen Schut 10 Briar Court Putnam Valley, NY 10579 I • i Dear, Mr. & Mrs.. Schut: ROBERT J. BONDI County Executive .:,:.:,..a- ".�...,. �FCOBCRT M�12itiS P'E';n" :�� >:..:.:,:�..•.: Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 April 16, 2008 Re: Addition- A- 054 -08 No Increase in Number of Bedrooms 10 Briar Court (T) Putnam Valley, T.M. # 73.18 -1 -16 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 April 16, 2008. The addition is approved with the following conditions: 1 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 must be maintained. 3- -- �--- - -- - - � ., -� All- plumbing- fixtures•.must be iupdated--with watersavin� devices i:e.;,.new low flush- " toilets, res'trictors for shower heads and faucets etc. - 4. The approval is for the proposed changes only. This approval does not validate any constructi6n shown as existing that has not obtained proper approvals 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 (845) 278 -6130, ext. 2261. Sincerely, 'Gene D. Reed Senior Engineering Aide GDR:kly cc: BI; (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool(845)278 -6014 Fax (845) 278 -6648 i , v_ r��hs� O T•- ,�yr«+'.: .. T:4 ' "1 '^ ^i'f.:..^ -�i. pJviwe c�s.e�r- Yai in.a wYr ua -• v. .. -. T ti�� :PW'a•w.. .T " ^'viT': L. .!'� "�I`T Iii �.r .. ICA�E Of C LANCE //� �JA L-IL CERTIFICATE NO.: 98- 174 PERMIT NO.: 98- 272 TM#: 73.18 -1 -16 (Lot #9) DATE: November 13, 1998 LOCATION: 10 BRIAR COURT ISSUED TO: CORTLANDT RACKET CLUTl$JNC This certificate covers the cc)nstruccion of: New One- family Residence-, W /Deck 1 Family Year Round Multiple bedrooms The applicant having heretofore .filed an application for a bui.ldii:' permit pursuant to the Town `.ode, Sanitary Code, the ­Unifo_rc Buildino & Fire Code and the Las,.s in effect In the Town of Petri:-,, Valley, Putnam Couritt%, NY, having paid the required fee therefor and the undersigned r.avinq by personal inspection ascert..ilied that the applicant has subsequentiy proceeded with' the erection or iraprove+ucnt of the Stl'W-_tJ e in _ Jlitlil.Lal'1; Ltii tli requirements of the :i.at,s •.z- afc�; anteriri ned; that the said work and materials nte. ve e, u ie t o rh at�� rti�, i �er�. e -'•" � a� a:forelneiltionee+.;- .. ° _ -� _.: .._..__ ., -. , .. -"_ and rhat the premises, have now been -FUily (.ompieted and are for Dccupancy pursuant the i , rovi: =Loris Of iav% Now, therefore - this ceri ificate of C:.Iflp'iii. ri�c% vGClapar:i�lr is hereby , issued urld�r tip: seal of the: Town of Pi_it:nar 1:ailev. TOWN OF PUTNAM VALLEY', N. Y. Ael 41 s- By: rz- CODE ENFORCOOT OF'F'ICER ,I s ia• - -. y�;Kase nr.• -i: ¢'iq*i� :+ soe.:.= �+ iia Y'. �'s+r•r.s.;'';,aix•'rs+.v::.t�' :•�y =_ _ a. ...uM4, aMA3 �.�r �e_� Q r .� To J ,�`Y� : ►. r wk LOT 9 AREA• 1.091 ACRES' t I E0ANS7AYV AREA. j tC 0 ' r, ��i .- - ; "•, .I r �, U�O .•,,� g^ rF. .; t �t +� M`�Tii �t � r # �' tU' Pi�.��" 1 +iY `• A � y t' \ ;y „3� r �r..� ,� f t \ t'' „��,�F \y �} Tdr'�' y ��tx�. 4 i? 16 L •� � :.fir, �:. • ^:L...A. 12 rir M1� .3 ._ i'. e _ _ ..�.. Y.w.P_- n'�.T•r- or.vawe,�.:J ••v. iv. ... •".c a w ... t ♦ n I r I i ` r LOT 10 .�,.,. I i '��.-r.�.{�+c`rs'�c.o+a tyyR'amf�r�vnm ». +a.:,'.rf� b ..!:�.,•"�..�, � . -BUIL T REASUREMEN T5 A B REMARKS 55' 15' 1250 GALLON SEP77C TANK 144' 100' DROP BOX 139'. .9d.' DROP PDX . 135' 93' DROP BOX 133' . 91' DROP BOX , 132' 92' DROP BOX 98'. 54' END OF TRENCH 93' .49' END OF TRENCH 90' 45' END OF TRENCH 96'. 43' END OF TRENCH 82' 40' END OF TRENCH .191 ' 149' END OF TRENCH 188' . 147' END OF TRENCH 1.44_' p' OF-!,7R < .. 18Y. 142' END OF TRENCH 180 140' END OF TRENCH CLEANOUT i 1Y ,MAP 8MERENCE- -Subdir'sion. A4i?p known -as Lincor Ill, etc...' 4carded September 5. 1989 as 'map no. 29, 3A 243,38 '$ubj ec t La t. 9 47derground structures, if any exist, not shown hereon, 6Pcept as noted. rtlrications ind(coted hereon signify �hat this survey was q e n accordance with the, existing Code of Practice J_t pared I r Land $urveys adopted by the New York State Associaticin 6 ' Professional Land. Surveyors, Inc. - acid_ aertifications shall run only to the person for whom this survey was p ared and on his b-ehalf to the tit! 0 rep title company, .fvernlinental agency andlor lending institution listed hereon, and to the assignees of the lending lnstituVon. Certifications- Are not transferable to additional Institutions or subsequent droners: adNy . copies from the original of this survey marked with an Iriginai of the land surveyor"S embossed sea/ shall be �ebnsldered valid tare copies. AlIle, ENGINEERING, SURVEYING LANDSCAPE ARCHITECTURE, <1485 Raule 22 & Brewster, New York 10509 Phone (914)_ 276-4990 a Fw)c (914), 278-6,J92 FIELDWORK COMPLETED. NOVEWSER 10, 1998 f JEW WORK BROUGHT TO DA 7 AY" 31, 2007 M0 PREPARED. IVG EMBER 10, 7998 MAP REWSM" MAY 31, 2007 f I This mop. r?oy not be used in connect with c 'Survey Affiddidt' or similar document statement or mechanism 11� obtain title Insurance for any subsequent or future gr,dn tees. Uj!authorized alteration or addition to this survey is a violation of Section 7209. subdivision 2 of the New York State Education Low. i� !. T4a alteration of survey maps by on)or?e other than the odolnol preparer is misleading; confusing and not in the ge-heral welfare and benefit of the pubf1c. Licensed Land Sirveyors shall not alter survey maps, survey plans, or sq,r Ve y plats prepared by others. /* V WCHOLAS G\. S, .L .S. Now York Sta icense No. 049330 SCH­ 1> D we, 1]4{ ` DEPARTMENT OF HEALTH IPM. SI �� N OF'E NVIRONMENTAL HEALTH SERVICES p� 1 CER hCATE CiI'.CUNSTRUCTION`COMFLIANCE FOR SEWAGE TREATMENT SYSTEM j ` PCHDO STRUCTION ,.PERNIIT # t Located at (t w� pry �•:+ �;�. �,. .'� Town 9Y Village r•i, LlA c a 0,�fner /Applicant Name&- WV4;w_ Ad cove* "a,.% ,_,e,, Tax Map 7M i Block _Lot 1 Co Formerly Subdivision Name Subd. Lot'# ` rG7 Mailing Address ' 7 ,i'w!t>a/ 01t)117 tCy = 5�.�►.�C, r►iLj Zip FO _Date Construction Permit Issued by PCHD /p —'z 7 Separate Sewerage System built by Y,5, i . 604rce, Address Consisting of, Z Gallon Septic Tank and ~' Other Requirements: , Water Supply: Public Supply From Address Private Su 1 Drilled b #, cry v77y Y:+t /'1 � ! %(41.4 pP Y Y r4 C S Address %�' Building Type Has erosion control been completed? 1!!"J°_ r Number of Bedrooms f ift Mom Has garbage grinder been installed? I certify that the system(s), as listed, serving the above premises were constructed essentially as shown ori'the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standardan thr .. Date: /G' - i� F Certified by 1 ft' (D ign _ofCSsional) Address 1 Jvs . 8 _"f;t��►ict7it..JA. Su wi .;,'ec x' 4 : C License # n-x� , i nsra Any. person occupying premises served by the.above system) shall promptly take such action as rosy be necessary ,.• to secure the correction of�any, unsanitary conditions resulting from such usage g Approyal�of the senate: sewage treatment systemshall become null and void as soon as a public sanitary 6, ewer becomes:;available and the approval of'the private'water supplyl�shall become null�and,void when a,pubha4waterrysupply becomes available Such approvals are subject to tm anon or change when, m the dud a Public�HJealthYDireetor, such revocah�n, modifictioax Yx� ecessary� r. � "• I� �+.'', 3`] 1 .= ', Y j 4 i� J �,��a. w,� of •L�� M Cif `y i B ;' Title•. Date"!, , 1 .y: . + st r f n bt i + 4 White copy x a r HD: Fil , Tpector, Pink copy r, ,; a °copy, ``Design�Professiona �x 4 . FOn�4CC 77 �cw I �Ay y;�pr� �^ "" 1� r �a'4t: li . a.�•n y�Y�4„�`Z, t,1t }+>TM.,. �{ ��kZ��} ���p.t . .. �... - ' is - — - 'w::M�_r— •— ,.. -:�. i, 1: d •i `I eV N r M c ,N b 11' 0 I/2 ; :n Oyu n KITCHEN 1 I usTa. /t I I Z _ PAISC. GeS. L•' 1 �i I 99_ cif 1 AMC 130 Lttri 9 C� > 5' -5• I N = ° 15,119 VEIi1 PRDYO - 1 i•' DINING ROOM - "'' _ d LAUNDRY' lecw s0 S7 RW L'YNT AMC 31'-7 1/2' �rN .t. LE. ctaD 652 VEMI RE" I � - VEMT RErO E 1672 V� Ityv7 I I78 I 12' I WOE Otptl. RID T P V4- 'IT ADD'L GmlVENN TI 27• sffrli7 ? s 3-B.G SK" StU s ©• m ___ -- __.t �a CACTI WIT 4➢DL L➢LLT ? ` IT m f]D 1 CACH NT L71mt [fL ICPD AI PAN - 1 3' -� CAC71 It➢T , N L3MI I 707➢ 3m I — _ AIA 4aD r N___- _.- ____-- __ -._ -- 3 1 /z• If'-It 1/2• +'- +• 9' -1 112' - ' 3' -8' 6' -6 112' S' -8 112• 2'-2' ■ wW -2.10 STP M2 LACM WT EAC 2.2M• SPE12 '.TUffi 7.2M• SP STUDS LNIDUG CAf11 111111 EACH WIT © AT A001 Ultr MARTIN rLwLACE . NDDEL eS67Ewt Un 3­5 5/8 I E11 ff •D 1/, KA 140 V4A DPER iTi MOVE 1 I Ail .'d• 14:AR11 u• TREAD ➢bt O LIVING ROOM PAn.1xG eT ULDEP1 la FAMILY ROOM n 21815 SO rl I PER APROC+ILE C= mw m rT 1717 1.I0M1 REPO -7G'I1 VftlL ICIT 11 ISP7 L➢V11 @:PD S73 VTwI REPO 7" I I I 2?A L EXI RCWD 1228 LION PROW➢ 'm VEwt 11m7r0 _ _J iDUlD Will PADV'D FOYER 5" N 16'-7• in II 9'-9 1/24 I 14. -6. 2so V' I.. 91-01 N NOTE 1. 2x6 EXTERIOR JAL_Le •' n� ' -l0' 31' -+' 2. 2x4 -1 �- 9' -9 3/8' O 10' -10' ^ L.L Imo- MARRIAGE vales ? I6' ac. V -6 3. B' -0. 0.G HT. r v 6 4, ROOF SYSTEM TO BE 24' O.C- 0.T24-7RD(GARAGE) 4gy::3' 3l 2'_9• 21�, -6. Ij 7�-� :/2' 112._r ' 5. BARRIER VINDCIVS - DOUBLE HUNG V 7 CLG GIRDEROOVER LRIiOR TO SE-2-1 1 3 /Z'Mll x>//44'xI7 ML- 7. ' ?S ,. ,.. ...__._�_ t— G rEX��� w/ 2420 GARAGE SN- 994I6/QN- 980764 /I 11- 4 1/2' CRVEGn 25' -t Via' ' w r -3 3/4' 5' -e ! / +• 1�• -t 1/2 PLUU `°^e 1ST STORY l0. BUILDER IS RESPONSIBLE FOR CONTI4UATION OF FIRE SEPARATION - mix sI¢S r - -� GARAGE T S-P sU1. :gg of FROM GARAGE SLAB TO (!HOER -SIDE CT ROOF SHEATHING IL BUILDER IS RESPONSIBLE FOR PROVIDING A PR12PERLT /Q G MANIFACTIIRED NODULAR STRUCTURES 6' ^9' 13•-1 112' -9'-5 112' UTIY/�/i% UpLG� N —.1- 4 OISA 10 ot�o 35' -4 1/4' A01 014P. STAIE LAIM /,1 23'- 1 /2' EVEWSr SD:. 12' -9 t/4• �7'• 7 112• DrL T°"S t 2r OC •1 e F L MMONLY AND Prs L. LCGTL[w V-' 71 14ra• RII U r RUT vTw 7 BEDROOMS i 73,lS TO THESE H US ze: -, 2'-2•- _. --. .17''10' -_. _ 'j.- .. - �. -- _ -__ -_- - --- - - _ _... _ .. . - -- - ---- -- - - -- - 12•cb•- - - - - -- - Cv - —76n_ -.. VAC . - -3e7D.... I_ 9. =p r /2. 5, -1. o -- j•111' i6 a 16' -4 7/9' 2GID S/ 76 I eV N r M c ,N b 11' 0 I/2 ; :n Oyu n KITCHEN 1 I usTa. /t I I Z _ PAISC. GeS. L•' 1 �i I 99_ cif 1 AMC 130 Lttri 9 C� > 5' -5• I N = ° 15,119 VEIi1 PRDYO - 1 i•' DINING ROOM - "'' _ d LAUNDRY' lecw s0 S7 RW L'YNT AMC 31'-7 1/2' �rN .t. LE. ctaD 652 VEMI RE" I � - VEMT RErO E 1672 V� Ityv7 I I78 I 12' I WOE Otptl. RID T P V4- 'IT ADD'L GmlVENN TI 27• sffrli7 ? s 3-B.G SK" StU s ©• m ___ -- __.t �a CACTI WIT 4➢DL L➢LLT ? ` IT m f]D 1 CACH NT L71mt [fL ICPD AI PAN - 1 3' -� CAC71 It➢T , N L3MI I 707➢ 3m I — _ AIA 4aD r N___- _.- ____-- __ -._ -- 3 1 /z• If'-It 1/2• +'- +• 9' -1 112' - ' 3' -8' 6' -6 112' S' -8 112• 2'-2' ■ wW -2.10 STP M2 LACM WT EAC 2.2M• SPE12 '.TUffi 7.2M• SP STUDS LNIDUG CAf11 111111 EACH WIT © AT A001 Ultr MARTIN rLwLACE . NDDEL eS67Ewt Un 3­5 5/8 I E11 ff •D 1/, KA 140 V4A DPER iTi MOVE 1 I Ail .'d• 14:AR11 u• TREAD ➢bt O LIVING ROOM PAn.1xG eT ULDEP1 la FAMILY ROOM n 21815 SO rl I PER APROC+ILE C= mw m rT 1717 1.I0M1 REPO -7G'I1 VftlL ICIT 11 ISP7 L➢V11 @:PD S73 VTwI REPO 7" I I I 2?A L EXI RCWD 1228 LION PROW➢ 'm VEwt 11m7r0 _ _J iDUlD Will PADV'D FOYER 5" N 16'-7• in II 9'-9 1/24 I 14. -6. A 0 0 m S m d a N m J N to O _ W •°4 2so V' 0 5'-6 O t' -1- 91-01 N NOTE 1. 2x6 EXTERIOR JAL_Le •' n� ' -l0' 31' -+' 2. 2x4 -1 �- 9' -9 3/8' O 10' -10' ^ L.L Imo- MARRIAGE vales ? I6' ac. V -6 3. B' -0. 0.G HT. r v 6 4, ROOF SYSTEM TO BE 24' O.C- 0.T24-7RD(GARAGE) 4gy::3' 3l 2'_9• 21�, -6. Ij 7�-� :/2' 112._r ' 5. BARRIER VINDCIVS - DOUBLE HUNG V 7 CLG GIRDEROOVER LRIiOR TO SE-2-1 1 3 /Z'Mll x>//44'xI7 ML- 7. s-f— �� � ©�� 2845 HAMICTQN I B- RAISE ALL INTERIOR /EXTERIOR DOORS 3/4' G rEX��� w/ 2420 GARAGE 9- CEILING DRYWALL WILL BE OMITTED FOR ALL ON -SITE PLUMBING cawcCTMNS P'�LpPQS' l7 G�Ffi/UC.p�S 1ST STORY l0. BUILDER IS RESPONSIBLE FOR CONTI4UATION OF FIRE SEPARATION - mix sI¢S r - -� GARAGE T S-P sU1. :gg of FROM GARAGE SLAB TO (!HOER -SIDE CT ROOF SHEATHING IL BUILDER IS RESPONSIBLE FOR PROVIDING A PR12PERLT /Q G MANIFACTIIRED NODULAR STRUCTURES 111 T ivy UTIY/�/i% UpLG� N —.1- 4 OISA 10 ot�o W 70.8092 E PLANS APPROVED FOR BEDROOM COUN/xT •1 ng F L MMONLY 7 BEDROOMS i 73,lS TO THESE H US ze: a �QVENTKVISIONI'ALTERATIONS dS MUST iT SUBMITTED TO THE PCDOH FOR APPR VA= ot,tl kGJi,(/ 0SZ ATUP,E &TITLE A E .• R z.c i6 A 0 0 m S m d a N m J N to O _ W •°4 Cl 1. 0 5'-6 O t' -1- 91-01 N NOTE 1. 2x6 EXTERIOR JAL_Le •' n� ' -l0' 31' -+' 2. 2x4 -1 �- 9' -9 3/8' O 10' -10' ^ L.L Imo- MARRIAGE vales ? I6' ac. V -6 3. B' -0. 0.G HT. r 4, ROOF SYSTEM TO BE 24' O.C- 0.T24-7RD(GARAGE) 4gy::3' 3l 2'_9• 21�, -6. Ij 7�-� :/2' 112._r ' 5. BARRIER VINDCIVS - DOUBLE HUNG 7 CLG GIRDEROOVER LRIiOR TO SE-2-1 1 3 /Z'Mll x>//44'xI7 ML- 7. s-f— �� � ©�� 2845 HAMICTQN I B- RAISE ALL INTERIOR /EXTERIOR DOORS 3/4' G rEX��� w/ 2420 GARAGE 9- CEILING DRYWALL WILL BE OMITTED FOR ALL ON -SITE PLUMBING cawcCTMNS P'�LpPQS' l7 G�Ffi/UC.p�S 1ST STORY l0. BUILDER IS RESPONSIBLE FOR CONTI4UATION OF FIRE SEPARATION - Dluw Sr• [1[n¢D eT• WE, ic.t FROM GARAGE SLAB TO (!HOER -SIDE CT ROOF SHEATHING IL BUILDER IS RESPONSIBLE FOR PROVIDING A PR12PERLT /Q G MANIFACTIIRED NODULAR STRUCTURES ATT 08/!9/1998 1 /i•�I'- SIZED HEATING SYSTEM TO COVER A 90.000 BTU LOSS UTIY/�/i% UpLG� RRt2, BOY UGC LIVULPDOL PA 17045 nn •4.- rA71 rnn 444-7577 —.1- 4 OISA 10 1P, SITE LOCATION, PU7MAM VALLEY. NY) lfAM C�1MTY7 33 P$F SNOW LOAD 70.8092 •1 ,� _. ..`..>^z.•' :a• -. :'^ass •-- .r;'•�:t� rr- a- :.....�..P.UINAMCO t T�F "hTALTH "`iv'•;..w:W.�: :wa'-sr..4..� -v.-• ,; <aa�ss�.ar :...:n..:�_�: - .rt U T`t Dc "PAFTPiiEN • _ �•. ,. HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS A 05-5/ ' O$ ^, -0 -73, Ig_ I ^!6 ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL 4NATUR—E & TITLE FDA . mVplpI -PIN" a ��4 N !L`hN SfiOj ID fO Ib•IO r�10 TT N_Y Al7 I N I „AR r� --Irnn M u s e ea z a�" Ae" �� p cl a � 0 vi 0-21 on mom IAN s v 2 � � 1-UL UVVG /YL /P s 4/16/2008 10:04 Am FROM: Fax 8455284826 TO: 2787921 PAGE: 003 OF 005 \0 - INI z z Ano 4/16/2008 10:04 Am FROM: Fax 8455284826 TO: 2787921 PAGE: 003 OF 005 \0 - INI 2nd Floor I. 2X6 E %iCR10R VALLS @ 16' D.G. 1 B. 2X4 MARRIAGE VALLS @ 16' ILC. 7. 8' -0• CLG HT +. ROM SYSTEM TO BE 24' O.C.(0276 -7M) S. BARRIER WINL13VS - DOUBLE HUNG 6. CLG BEAM OVER BRBVHALL TO BE- 2 -1 1/2'x1 +•x31' -0' M.L. B. FLA UNDER ROOF SYSSTTEM BR*2/113 TO is BES1GMEA OR xCEILING � D pLO D (ONLY xAND 1/41x[9-01K, ;, t NO MECHANICAL ECUIPMENT SMALL BE INSTALLED IN THE CEILING O I - W-1, 2 9L2• A r d T j J D 0 ) 9 9 i S.� i'f1. SS j - . T °njp s7RUCLtFwiatrun a+ I gQTNOS FTYPK /�a S, AXIS% / yG-- �GdQ/1— ; ' als , -- •, 'TaT cmCAU ._. JLTS CO►dCR -M FaMATION -- — — 2W x DEEP 990AM& IT- � amp 4 '- 3UJNF11sON TE wr_•S I H. HOLD � �� r 1 29• -�1�- !r s r =11' .-HOLD ;I s p• i c Y -Z•I 7 �' 13._0: NN �a HOLD DIN :.� NN OINETtSION i,. 4;41 HOLD D MENSION 3 I I BFau Id ir >Cf PoaTT r ' _ J L T 4- STEM pFE4MIM ON 3r-V 7E SLAB WITH i ! 4' A TE COtJCAEfE F007rCi 'TYPICAL r B® AND. M VAPOR lg 0 r4 • �• CPLISHM 8WI.4XW l4 WVF I STOWJMA 4 < VAPOR y., SO �• I I �; �� PAOVDE We RATM A9 R£OUF>ID COOS AT FlyWZEA-EAT ,C : ; ::; I I I DROP FOII•DATPN yY�11:AT.0ARAPIE DOOP I �.-_.FFO BY NYS I PROOL CNO EOUPAB F3 D CONDITION. .w .OQS I I �kjkTE W , MC90UAR ►AAPI�I�CTII 2-2x9 LEDOER (MEAW) BOLTS) — -- TK3 5 w /5/sUk TO E70S TRUCTI� _ I -.: - •� {. y -! BOLTS 0 2-0.O.G 4S7AWSEM. TOP FLASH C. \.. _2.2xlp..• _ 22-10 214" -- . ar; • jY/AETAL CAP X F�ASE .: OD tN ORS ON 19• [IA _ 1 �'•rr -� �n 2. TNAM COUNTY DEPARTMENT OF HEALTH 1 C IFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD STRUCTION PERMIT Located at (Fr►rz -�s' rte- �� G.�a �,� :� �'�, Town Village i Owner /Applicant NameCEaf' Qv&r-rerti'� Tax Map 7 1 ' Block �_ Lot Formerly Subdivision Name Subd. Lot # `1 Mailing Address r? 7 OZ07O n% D.47'21 fej> C> iSt ✓�� Zip, � Date Construction Permit Issued by PCHD h 7 Separate Sewerage Svste�n built by V �� �5i «P, Address 37 �' /?°� P47-2 �, Consisting of Gallon Septic Tank and `5 W /rpm Other Requirements: Water Supp4l : Public Supply From Address or: Private Supply Drilled by �� i�:^�� Address �'%'•'► _ _B alding 'hype =�'._ t Ias erosen control been cbn:pletEd ?-�� Number of Bedrooms oAP40,1 Has garbage grinder been installed? N C1 I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. Date: Certified by P.E. x W.4- -- Address 4t.o-'ICt ----s1 1-".5- z�, O sr-_� ,V� �G.— Any person occupying premises served by the above syste (s) shall pro ptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such y revocati n, modification or change is necessary. By: 1 " Title: Date: White copy - HD Fill; Y w c y - Building Inspector; Pink copy - 4er; a copy - Design Professional Form CC -97 It, . - , N PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL .COMPLETION REPORT .._ GC/JK- -y_'� C.�,I- I Well ]Location ff Town/Village: --Putnam —Valley.-- Y Well Owner: Name: Address: V.S. Corporation, 37 Croton Dam Road, Ossining, NY 10562 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL .COMPLETION REPORT .._ GC/JK- -y_'� C.�,I- I Well ]Location Stre et Ad ress: Woodland Est. Kramers Pond Road- .- .----------- - - - - -- Town/Village: --Putnam —Valley.-- Tax Grid # d� Map _?,� ichlock ( Lot(s) Well Owner: Name: Address: V.S. Corporation, 37 Croton Dam Road, Ossining, NY 10562 Use of Well: 1- pn'i�n� 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X . Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 33 ft. Length below grade 32 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel Plastic Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout _ Bentonite Other IDrive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) ISlot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed X Pumped X Compressed Air Hours _fL Yield 25 gpm )[Depth Data Measure from land surface- static (specify ft) 30'.__- During yield test(ft) 140' Depth of completed well in feet 205' Well Log If more detailed information descriptions or sieve-ma l , es-_ are available, please attach. Depth From Surface Water Bearing Well Diameteron) (Formation )(Description ft. ft. Land Surface 10 Drillin in ove burden clay and. boulders 10 Hit rocic at 10' et routed' 33 205 Drillinu in ro aranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type SUB Capacity Depth 160' Model 7GS05412 Voltage 230 HP Tank Type 'WX302 Volume 86 gal. Date Well Comp eted 8/27/98 Putnam County Certi ication No. 002 Date of Report 10/1/98 Well I re) al NQD71ll:: Exact location of well with distances 7ns, least two permanent landmarks to be prov�d on a separate sheet(plan. Well Driller's Name & Inc. Address:4 Rtnam Aw., Brewster, NY 10509 Signature: Date: 10/1/98 White copy: HD Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 NORTHEAST LABORATORY OF DANBURY t-: _ _ CT:Cert; -•PH -0404 cif - - - - .=..° - 4_`- . -..._ _ _ :.y -�. f��.�__n. ._;•;,.•s- 4..zL;,�.y;..:'Y-- '•,w. -• - x-s- s.'rt.......r� 39 -3 MILL PLAIN ROAD 1- DANBURY, CT 0691 NY Cert: 11471 WE (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT --WATER SUPPLY TESTING REPORT TO• P.F. BEAL & SONS DATE SAMPLE COLLECTED: 9/29/98 4 PUTNAM AVENUE TIME COLLECTED: 9:15 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYES DATE RECEIVED @ LAB: 9/29/98 TESTED BY: LAB #11471 &.11301 REPORT DATE: 10 /2/98 SAMPLE' SITE: V.S. CONSTRUCTION, WOODLAND EST., PUTNAM VALLEY, N.Y. SAMPLINGPOINT: LOT #9, HOSE BIB SOURCE: WELL -NEW TREATMENT: NONE TEST PERFORMED RESULT: MAXIMUM CONTAMINANT LEVEL BACTERIAL: Total Coliform (Bacteria) 0 per .100 ml 0 per 100 ml PHYSICALS: PH 7.58 no designated limit Turbidity 0.42 NTUs 5 NTUs CHEMISTRY: j Nitrite N <0.01 mg/L as N l mg/L as N 11301- Nitrate N 0.97 mg/L as N 10 mg/L as N Alkalinity 94.0 mg/L no designated limits Hardness 108.0 mg/L no designated limits Iron -_: _ <0 -03 ..- mg�L: 0:30 mg/L - _.� _ Manganese X0.01 - mg/L 0.30... [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] Sodium 2.8 mg/L 20 mg/L ** Lead <0.005 mg/L 0.015 * * * ; m1= milliliter mg/L milligrams per Liter ND = none detected NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED:9 /29/98 SAMPLE, AS TESTED ABOVE: OTABLE or ONOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director i •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 G F [' PUTNAM COUNTY DEPARTMENT 'PARTMENT OF HEALTH _ DIVISION OF ENVIRONMENTAL HEALTH- SERVICES .. .. ..._. .x .. -... __.� .� � " � ..' ..1....6r:a�� �� . RYS,' m- ns •t.�Vtr'�R�'C�ICa:�Vl.C� ^..rt1... �.�s � ^�i.. ,t..T -�. .. was:. a .uu- .rn'+��.es.+.r`rncresrr•m•y +s:re <i�f- a�.:+;*s..ecr_ <�ia: �-r.'�+� -« .�T-[ `...i!ASr••wioe nr= GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 3 I C i--O'ro N Q,®. Ni -rz.A o e-. mp. Owner or Purchaser of Building 37GRo -roN 17A Rv. Go =a Building Constru cted by C3rZIpQ 4a.xr (r.-,&WtL-y L1��AR L••��) Location - Street fRes1 v9' N-r'iNL Building Type Tax Map Block Lot ..PvrNAnn VA. Y TownNillage L�He�R Subdivision Name Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is 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 guarantee to the owner, his successors; 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 approval of the "Certificate of Construction Compliance" for the sewage treatment 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 occupant of the building utilizing the - r r •.—. systern. -r.- -T.+.. • 4.. -...,. ..cK -. .. .. •.-. ..+e -... .. .. ._ a . w _.. a � .. w.- ..�- ...r...- �.,.- ......- s.....v 4'.+.Y..wh+.......... .... .J....._ ... ,. +.. O -. -:4 The undersigned further agrees to accept as conclusive the determinatio of the lid Health Director of the Put am County Department of Health as to whether or.16t t fa lure f t�e system to oper e s cau `ed by the willful or negligent act of the occupan oft b ildin ` utilizing the stem. D ed: Day S Year __ Signature: 4 Title: FIRE FN Gerf4arC6ntMctor (owner) - Signature 3 7 C9o-r o nr PA m `tzo,n r-> co zp Corporation Name (if corporation) Address: 37 c go —o t,( tea. M Rn A_ p Corporation Name (if corporation) Address: State O-s S i N (N c) Zip ios Z State Zip Form GS -97 �r `� ?. 1 rR *4 "� 9 �i }-' 3 bt t ., y'F r, ex £c°C r -!`.- y tnr+ -i..., a,....H•• -^*' —i r •�. r ,' POTNAM CODM'Y D1�4AQTlY�NI',OF �ALTFI '" �, ' � ' ,Frovlde Psslt LT, �., - • �{ � f " . DteliM� dFSiekeomeiW Hatttm Servleeei Carmel; N Y:16612 �•�`� r'' v'S� .. ., ett CLR'!'II+iCATS OF COb1PLANCB r: CO N F!! FOR SEWAGE DLSlO$AL SYSi i•°°k I 'P� L-I 3 41 ,d ov. Sik p.; > ' 0� /ApNIcM Neese LI Mmgbg ZS ( PJCi�.2 0�1/. C1� a a (tJG• eonewd_�_lte/vl�tla Date d Prevbes Apprpval ��': Te„o.i:.tncE rl ��%f/( 19 • ( " ZZ ° (. . i_ (, r�rY Date Subdivision Approved 29' FILEV Fee Enclosed Amiiiint 1 E car Im A • d q l G Depth • -Volummi Nftabet d Bedroom; 4 Design Flow G P D ��^ PC® Netl9ntloe b Repak�ed When FM li oo>epleted• SepaeewuWaw sydm to eiftelet d i25U GaOoe Sq* Teak -.a 66y� L F FIDE T2iE (uG+r1 E� To.be'es" cted 67 Mldrrm L Li.J /C it�Dl ti� Was-' Supply PiBI: supply Fi Addnm X A) ut� a�,s 1 Addten �KA)o w iu 1 Other ile4dremlet{ I represent'th•t 14M wholly ani completely r6iponsible for the design and location of the propossel system(s); 1) that the separate sew dk sal stem above dese►ibii will be eonstructed,is shown pn the approved amendment there to and in accordance with the4tandards, rules a regu ns o am County ,Oepertmeit'"pf ,Health,, and that on cornpk &" thersoua` +•Certiticate of construction Compkianee!f 'satisfactory to the Commissioner of HeattAwill be submlttad to' the 0epartnant, and. a written .guarentae will be �furnisfiW the owner, his succisfors, 'heirs or assigns by the builder, that YW bulkier will ppte in food., peratglo oonditbn any part of said »wage disposal system during the period of two (2) years Immediately following the date Of the'kau- once of ,thee approval of . the, Certificate of Construction Coinpllanca of. the original system or any repairs thereto ; ,2) that the drilled well described above will M bated esi plea in on dM approved Plan and that Ykl well will W Installed in' aCODManCe with the 'tt ft rules and regu% onsof the Putnam CoYnty�QOseparthM@M ,o1f Hmlth. ` Date q� Signed P. R.A. r Address k6ri-E 016dgi:Y�10.16. ` F- I 2 Y ce 2.� © 1 nee NO 6q0 APPROVED FOR CONSTRUCTION: This appoval•.expires two yae"rs from;the dot ed 'uid construction of the building .has been undertaken and Is revocible for cause or may be s``menosd or.moaified.when eonsidaed h",aiy :by the Coinmissioner of HMNh. Any change or alteration• of construction requires a new permit Approved for disposal of domestic sanitsry feiyage • - be, • r su REV. 10/88 Oats - By Title I � v i i I i LA-_ .-- DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (9 14) 278 -6130 " piPPLICATION TO _CONSTRUCT K_kk P; `Tn LL PCHD PERMIT WELL LOCATION Street Address L-Im Town/Village/City Tax fir' u Grid Number 1 (0 WELL OWNER Name ORESIDENTIAL ® BUSINESS ® INDUSTRIAL Mailing Address O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY private O Public ® ABANDONED O OTHER (specify USE OF WELL ®- primary 2 - secondary AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 4- /EST. OF DAILY USAGE5e2�_Aal REASON FOR DRILLING ® REPLACE EXISTING SUPPLY O TEST /OBSERVATION 13. ADDITIONAL SUPPLY EW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE WPRILLED ®DRIVEN []DUG ®GRAVEL. 0 OTHER IS WELL SITE SUBJECT.TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: L1 MC-Ac. Z Lot No. WATER WELL CONTRACTOR: Name UN KMO MW Address: V Kj J( (j N / K-( IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NATO OF PUBLIC WATER SUPPLY: C� /p, TOWN /VIL /CITY �j ZISTANCE'• TO PROPERTY - .VROM':NEAREST`rWATER=.MAIN. _��, LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET (date) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a man er as not to degrade or otherwise con face or groundwater. Date of Issue: �� 19� Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ,7 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 C'.C?It1ST19 LW­TjiA- ..WATER, WELL : -'•0. Y �.. ",.:•f16c �_ _ A ... PCHD PERMIT '# PY��'� 1. WELL LOCATION Street Address r /�(GA LNG own illage City Tax Grid Number. vTil�A I/.4 LG -7-Z : f WELL OWNER Name L /NCA� /7e'lo Mailing - Address Ac. /%3ETK 5K; (�-rmc N l7(v Private O Public E OF WELL primary 2 - secondary RESIDENTIAL O.BUSINESS O'INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND/d EAT PUMP O FARM 0 TEST /OBSERVATION D INSTITUTIONAL ❑ STAND -BY 0 ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT j gpm /# 131 REPLACE EXISTING SUPPLY UsEW SUPPLY NEW DWELLING PEOPLE SERVED '±_ /EST . OF DAILY USAGE 3PO gal ❑ TEST/ OBSERVATION LIADDITIONAL SUPPLY 0 DEEPEN EXISTING WELL REASON FOR DRILLING 1 DETAILED REASON FOR DRILLING WELL TYPE i DRILLED DRIVEN C]DUG 0 GRAVEL 0 OTHER IS WELL SITE SUBJECT'TO FLOODING? YES NO IF WELL IS`LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: I ' 4. 1AJC,41f Lot No. WATER WELL ;CONTRACTOR: Name OAJ,4, tyacJnj Address: !;l N%i nJ C7t.•J JS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATERiSUPPLY: /� TOWN /VIL /CITY /y 1A DISTANCE TO PROPERTY FROM NEAREST.WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED MON SEPARATE SHEET date) (sign t re PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5' -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump ;the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to. this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall.take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and' in such manner as not to degrade or othe contam'n to surface or groundwater. Date of Issue: LZ 1941 Date of Expiration ,,! able Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller N C6 '`I3T, @_ 1B Ate.. t9 'V T7VA-M V ics . . . . . . . . ... RMMM ILM 2A� 9=2 wal, lArtic2dd UN, 6a Ej Bob Off np=VbM AE*0409 J:7 4- 3 -Fee Enclosed i)atp,. Subdivision Apgroved -- AmnllTit' L_J D30dtqm I? ID �,d J-q6ke6 &;Rog= 53vemao $YOOGM '90'eb:�� d SSP6 Tomb MW TO k3 MOW &WV.- ----------- tho 1060 tipn..,q not I'qm wholly a ;-1) that ,tho f8pof'OtO zawagb_di edo system(s); IN'SM! abOCO Wd viol, be cq6str#jS!" i'acc.j i�lit filth841andords. rules and regulations of 9. Nn _.�s 50 ncoo., enti5factory to'thp.'Commissionar ol Health*rill ft DiCbmilt6d to'tho DoPDrq#""r'and-0 -*rl!!Q"Uai6I!toe will tko, !yrni"Iho owner. � his -2ui6oGWI;.hoWS Or assions 6y tho buiedbr, that seld.buildor mill btoco wjook 0 �Okv' pood!20!� *V C of. 'MM: *4iio' v!*01 (2) V�6wd immediatoly date Of tho lMU- Iijuctioil ' ho " 60M of �to,6 qpOOV61 thd CQftif JCOto it6m.:6r' any ib6DI70 thereto; 2),l 2 t' T= 'Complianco a 'th6oritinalsyl ho d load Z11 describaM Aotto =105 be Cotppd 6p d��vn.qn thq:opV7'"� p n an to W stalled. jn_',aCWrdanCO_' withr tho fnoftdafds, rubs. and reaulotrons • of tho Putnam County S* ad DOW Ct PE; d M., 1;0 =4 Liconso No Ad rq 'A"OVIECt q:qR,!q0kTA6&ldki as taro 5 a the Aoto.i ad 4ss-- construction of the building.has boon undertaken and is 200 a - b . 0 ""mlssi6rior a r f Mcalth. Any choneo or aitc7aiion oO construction rovocbblo for cou - omork"ormodMGdI:Nhpn_!�op o!",n 'dUpply val only. nQuiroa 0 now 1011-rEi its//' A Wdd for dii6601 oi�'djjM6jol, so n or Rev. oto 4 12-, Two 10/88 o, L my i I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION reet 'St` L °OC�dt10< i Town TM # I. Sewage Svstem Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1-barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc:, greater than 15' from STS area.......... e. 100' from water course/ wetlands ...... ............................... II. Sewage System a. Septic t t size 1,000 ...... ..1,2 .......other ................. b. Septic tank installed level ................ ............................... c. 10' minimum from foundation ............. :........................... d. Distribtuion Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches Junction Box - properly set ..................... ............................... Length required � Length installed0 2. Distance to watercourse measured Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft.' from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of graveV3 /4 - 1 %" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 1.0. Pi- e nds.ea pe _ _ P6 ° or Dosed vstems . ize'o pump chain er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/audio ................ . .... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ........................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Build' a. House located pet approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well a. Nell located as per approved plans . ............................... b. Distance from STS area measured ft........... c. Casing 18" above'grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................. ... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 1/97 Date: 2 0 z-: =Inspe6tezi: Owner Permit # Subdivision Lot # Form - 1 _7 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278.6130' Fax (914) 278-7921 FAX COVER SHEE Date: 70- To: -To',tw Fax #• 7Z No. Pages (Including cover sheet) From: Ada fn B. Stiebeling Asst. Public Health Engineer --F'or youriff6riffl Ati6if respon your our review �LlAs discussed Public Health Director Attached as requested Please call Notes[Mess ages C E30 In the event of transmission/reception difficulties, please contact this. office at (914) 278-6130 ext. 157. 4--1 U wrr' 01 M I I /N`S/ T ENGINEERING, SURVEYING & FEA TM TRW_ Route 22 (914) 278 - 4990 Brewster, New York 10509 (914) 278 -6392 7 DeLavergne Avenue (914) 297 -1742 Wappingers' Falls, New.York 12590 TO: i i .I Date: Job No. `t f rg7.3 Attn: D A-;- 1 S T/ E-3 e5z, 7 Re: &A;64-,_ 3 Gvr 11 Corr .t-.J / ! ? 10.9 ,- cm CC % CdrJS T. Cd""� P t...a �► c� WE ARE SENDING YOU EYAttached ❑ Under separate cover via the following items: ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ COPIES DATE NO. DESCRIPTION 3 10 -t -�8 B -1 �, •avl17 - '3 / ! ? 10.9 ,- cm CC % CdrJS T. Cd""� P t...a �► c� (O- (1 -°r$ IZCo07r0i Z�o.vo ........ . .. ......................................... .... . ....... ................. .................... ..................... _....... .__...__...... _ .._..__._.:.... ............................................ .......... - ............. _ ....... _ ...... _ .......................... _..__ ... _ ................................ . ........................ . ........................ I.......... I ; THESE ARE TRANSMITTED as checked below: + or approval ' ❑' i4Fipr'o3ed as submitted ❑ For your use ❑ Approved as noted ❑ As requested []:Returned for corrections ❑ For review and comment, ❑ REMARKS: ❑ -Resubmit copies for approval ❑ Submit copies for distribution ❑ Return COPY TO: SIGNED: IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Lot9S.dot I I corrected prints Y I �Mm 29 Aj k i4l __ WSWAX2-:42 . � - -&,r- M, ! _ .­ 5 1 llv . I me ------ M7 zKSkIIq.�ff, SUNNI Omble 7�p IMAM too 0 Has wmmbw el Redleaw Damao Flow G. F D ✓ PM NOMMOU b MSqUAVA Wb= FS b 0034gatma 96 bo emwbumet by LM U W*10w NJ War : Ada AA S.;* Mibi by Od= I rwassat that I am. wAolly and Completely revonsiblo for the d"ion• and location of the PrppoVQd System($); 1) that the NPOrSte asawage dl!V1 system abwoo described will tea constructed as show" on the e pproved amendment there to and In accordance with the standards, rules arm FGVU or county Departwient of "milk and that an completion thiwoof a --r-ortificate of ;Construction compllaace* satisfactory to tho Commligionow of HOORGIWill be submitted to the Depa"000, and a -written "a!antee .will be furnished the OVAW. his DUcC64OWS. hods or Gam"S by the bulidw. that saw builder Will place to goveaperstlaip condition any Part of g3ld sowsw disposal 4yotem, iurinii the parlo'd of two,(j), years immogiately , following the date of the I=- ence, at tow apo"SO of -the Cartif kate of Construction Comillibl" Of the original ZyAM Or any fe�nlrs thereto; 2) that tho drilled WOO ~11=0 dW= tVW DO 06CO.Ot as ShiaWS 0"' the aio�� Plan Ond� that . . 96idwellwillbeinStallOd in OCC6768603 With tho e2amlards. rubs DRd red—USTWO-09 the. Putnam Cow"V DepoSOM of mank DOW 4/E"! /1� Sloned P.E. 4 M.A. idraw . TI. Liconso No (02 1981 'a 4C., ith- buiLl AWROVIED FOR CommicTibi4t This a: W�bwcl expiimis two to —Pbql�j rucit Who hoollson undWUUe8 and is fevocablo QC7 CV409 or.' may be amended or modified when con y the mmissionor of NWHIL Any change or afteTation of construction Ic wate Moirm a oww 107 di""D of domestic and/ t9, 7 ma"OV only. Rev. COV — T1213 I 1 1+ • PUT!NAM :COUNTY .DEPARTMENT OF HEALTH APPLICATION1 FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: L1NCAP DE\4B_0PMWt CO INC. hlt•fiL�. fzY Rd- 110" 2 Name of Project 9505 F•OR. URCAZ M\JELDPME�4 3. Location T/V /C: R,1tN4M GALLEY. CO. , •1µc, 4., Project"Engineer: INNM P14 114EEp11'ra AND ML(5 1(105: Address: 1819 �f•�o C.ARMFla K Y Io512 License Number: �olq?�I Phone:gl4-225"ldloo 6.'l Tvne of.Pro ect: Private /Residential Food Service Commercial Apartments .'.,:. Institutional,. Mobile Home Park office Building Realty Subdivision Other (specify) 7:; Is this project subject to State Environmental Quality. Review (SEQR)+ ?. Type Status (Check.One-) ,.Type I.. Exempt Type II. Unlisted .:_.., Pb 8. Is a Draft ;Env ironmenta -1 Impact Statement (DEIS) requiredI ...: :........ 9. Has DEIS been completed and found acceptable. by Lead .Agency? ............ N 10. Name of Lead Agency, WA 11.�Is .this pro3ect"in an'' "area un�leh"isfib"control'of`'Today: I11aTMirTq','•zo rigs; _ � �n or oiher officials, .ordinances? . ... ....................................... 61-X4• c !f =' ► �� 12. ; If so, have plans been submitted to such authorities? 13.'�Has preliminary approval been granted by such authorities? WA Date Granted: ' 14. 'Type of Sewage Disposal System Discharge...... .Surface Water X Ground Waters 15. !If surface water discharge, what is the stream class designation ?........ 16. 'Waters index'numbe'r (surface) ..:.. 17,. Js project..located near . -a public water.. _supply..system? ...... ....._. NO 18.IIf yes, name of water,•supply Nla bistance to water supply N A 19. !Is project site nea 'r' a public, sewage..collecti,on or. di sposal system? ...,. 20. .Name of sewage system OVA '.Distance to sewage system NA 21. Date observed:: 23. Name of Health Inspector: UNKNn 24. Project design .flow ( gallons' per'day) ...... ............................... WD - PQII_u ap p,is harge Elimination S stem:(SP ES_.Perm t re wired ?. No 26° Has SPDES Application been submitted to local DEC Office? 27° Is any portion of this project located within a designated Town or State wetland ? . ° ° °. °.o °° e.°.°e°°°° ... ° °. ° ° ° ° °o °° ° ° ° ° ° ° ° °° ° °o ° ° ° °o °o ° ° ° ° ° ° ° °° 28° Wetland ID Number ° ° ° ° ° ° ° ° ° °e ° °. °. °° °. ° ° °. ° ° °° ° ° ° ° ° ° ° ° ° °. ° °. °° ° ° ° ° °° 29° Is Wetland Permit required? ............................................. �`!D Has application been made to Town or Local DEC. Office? ° ................. HIA 30. Does project require a DEC Stream Disturbance Permit? .................... NO 31° Is or,was- project site used for agricultural activity involving.application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? o ° ° °.. °° YES or NO. Nb 32° Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ° °° ° °...° °.YES or NO ND DESCRIBE: 33° Is there a local master plan or file with the Town or Village? ° ° ° ° °. ° ° °.° ly 34° Are oommuni.ty water, sewer facilities planned to be developed within 15 years? NO . Ate '. any. sewageTdtsp.osal" ar_,eas,._ ::excess of 15X. shope� o:e ° . � 36. Tax Hap ID Nuinber °°°°°°°°°...°°.°°°°.°.°.. °.e ° ° °.... ° ° ° ° ° °...... °. °. ° ° °.e 37° Approved Plans `are to be returned to: ................. Applicant. Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is'true to the best of my knowledge and belief. False statements made T: herein are punishable as a Class A Misdemeanor pursuant to Section 290.45 of the Penal Law° .- .._ SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: IDSl2` c-�Mvq-T, L-07 j DrrISICN OF aVZ,9NO?DL 4EAUH SaV aS .::'.:..... . DFSICy CATA SFEEr- SUESUFP,CS SMILE DISPCCAL SYSTD4 FILE - y0 2a� L�86� s.� : " • . Cwner U -4CAR PE>jF- ,oPMf-NT GD.,►NC,. Mares L►T-ruV- �Lsz�Y . ►.iJ. i"1_(o43 Located at (Street) $t¢.cH' v4%LL itDAD So iVZN Seca "13. VE5 Block ..., b (indicate nearest cross street).. Municipality �TrA . _ . Watersfied SOIL PERCD=CN TEST.. DATA RDQULRtD M BE SUMMED WrIH APPLICATIMS . Date of Pre - Soaking N IA. . r Date of Percolation Test HOLE NUE E R CLAY TIME PERCOLATION PERCOII ATICN RUn Elapse Depth to °Water From Water Level No. Time Ground` Surface In Inches : Soil Rate Start-Stop Min. Start Stop Drop In Min/In Drop Inches Inches Inches 1 2 A' bF,S161a FS RC©"TION R,&TF of 11 _ `S M %"'Aw - 1S . t - -- TA -TI :10EN Fl-D1-1 E F1LV- D M,AIP a 'LA 3 33$. 4 5 n 3 i-n 4 _ C7 5 ° o 1 2 3 ;.. 4 5 i tNCrES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained .at each percolation test hole. All data to' be submitted for review. 2. Depth measurements to be made fran top of hole. rer. 9/85 a' % DESGUnIGV . OF ScGIiS Ca -2111- IN TEST EOLrS -DF.. mT ' FIOLF, i¢�` �_ GLE yOe HOLE NO G. L. 1° 50 6° 7 4WD 9' . . 10 °..:.: 12° 131 . - -.~. _ INDICATE �I `F�fi ICi� °'GR�tJiVCrIATE EDICOU9NIERED- A INDICATE LEVEL To WHICH WATER LEVEL RISES AFTER BEING ENCJUNTERED DEEP HOLE OBSERVATIONS MADE BY: 4 V_U�AS, PC. DATE: 6! 167 DESIGN _ Soil Rate Used -�� Min/l" Drop: S.D. Usable Area Provided 6%000 S.1F • No. of Bedroans 4 Septic Tank Capacity 12� gals. Type ,Absorption Area Provided By �C L.P. x 24" width trench Of MCA' Y Other U Name 4 ys5i ,J, C.Signature r•`i THIS SPACE FOR USE BY HEALTH DEPAR'Il ONLY: Soil Rate Approved sgoft/galo decked by Date i DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -61130 'y ""'" ;APPLI°CATION 'TO:' COggvrRUC"I' - WATEK"'WELZ • :., ;s:r� cep:: �j' . -;:a PCHD PERMIT WELL LOCATION Street Address is ,� Town/Village/City v, Tax Grid Number 3 WELL OWNER Name _ Mailing Address �,i 5 E Private O Public USE OF WELL (1? - primary 2- secondary 0YRESIDENTIAL 0 BUSINESS 0 INDUSTRIAL OPUBLIC SUPPLY QAIR /COND /HEAT PUMP 13 ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify b INSTITUTIONAL O STAND -BY p AMOUNT OF USE YIELD SOUGHT 15 gpm /# PEOPLE SERVED _ /EST. OF DAILY USAGE Sots Bal 'REASON FOR DRILLING, E REPLACE EXISTING SUPPLY ' NEW SUPPLY NEW DWELLING O TEST /OBSERVATION 13 DEEPEN EXISTING WELL Q ADDITIONAL SUPPLY !DETAILED REASON FOR DRILLING' ' (WELL TYPE DRILLED DRIVEN DDUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING ?. YES SA NO I.IF WELL IS LOCATED INIA REALTY SUBDIVISION NAME OF SUBDIVISION: LiNCK Lot No. 9 jWATER WELL CONTRACTOR: Name Address: j NJ� NOWN IIS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _��% NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY N �� DISTANCE" TO'- ,PP.OPER7LY.,.F ROIL4..IvEAREST.WATER..MI►IN -�. LOCATION SKETCH b SOURCES OF CONTAMINATION PROVIDED 4 /Z I Iq fIN SEPARATE SHEET (date) I VblahatAre) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part ,5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: i 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit�a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilll4i2 operations be contained on this property and in such a manner as not to degrade or of rwi a cont ate surface or groundwater. Date of Issue. 19 43 Date of Expiration 3 19 Pe it Issuing Official Permit is Non'Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH. SERVICES Date 4',17 Re: Property of LtNGAg QCVr_LDPI-A9N f Go � INC. Located at. (T) FUT'wmA A.LCY Section "73. l6 Block' I Lot Subdivision of LIKC-A:R_ IL 5UBDIVI'�:)IOA Subdv> Lot # Filed Map . 2q 33 p• Date 9 Gentlemen: This letter is to authorize Insite Engineering & Surveyinq, P._C - a duly licensed professional engineer x 4ccxCx&4�x>xScxtx�tSc (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 kith this matt,er_an _ o _supervise .t e constru- tio.nof s.ai.d - w........e..• e... -.... e- :�-t. . <-.. .- ..- ,..:.;,y4. -ems- _. c..� . c - , .,...s. , _�n.e- .- ......,�q..- o��... -.... �.�— :��. -�aa•- 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. Countersigned _ Jeffrey J. Conte l P.E. , Px.,*x, # 61931 Insite-Engi•neering & Surveying, P.C. Address Route 22, Brewster, NY 10509 278 -4990 Telephone Very truly yours, Signed LNC.6+.z I>CVr.L.QPMz..IJT Gds tP1G. 291 L 113 ERT Y �T. Address Town 2O/ q4ic� �{�oy Telephone r PUTNAM COUNTY DEPARTMENT OF HEALTH ;DIVISION OF ENVIRONMENTAL HEALTH SERVICESS ay;_i+:::.iS�s •d�'°as t-+- .nr�,'%'k V¢%•m � _..:t r ^u. i --6: .�>.'sw _ a = 'sa..+...sf • +:v wii:'�- •- .��o- ±r:`s-.�►-;.re ' '.:ri .a�n.•r« �nl,��� •sa�rr,e:.:�i.• •.iw:. Date Re: Property; of LINCAR MV>✓LoPMfi" CD• ING Located at 51FZ44 HILL, M. 5n1-tg Lim t,4;rV (T) pl.1'I IAt� JALLI✓Y Section '13•I� Block Lot I(p Subdivision of LINCAI? TI 5UP,DIVUCH Subdv. Lot # 01 Filed Map # 245 Date_qj�189_ Gentlemen:. This letter is to authorize I1451tr- ENGINEEPW -5 AND IV515N PG- a duly licensed professional engineer X or registered architect (Indicaate 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 connection with this system.or systems in 147, Education'Law, tary Code. and to sign all necessary papers on my behalf in matter and to supervise the construction of said conformity with the provisions of Article 145 or1. the Public Health Law, and the Putnam County Sani.- Very tr Signed- Counte'rsigned: G ICIN I%I� `EW-51 EIER1146 AND D>�N � LItttF- FED( F N.t1' tlCo43 Address Town M-MN-, N Y. Io�I2 2b1- 44o -4�Gb OW 25 -62ob' �lll1'P -- ephone 2 Telephone \So lVa I I President: Donald Nuckel 281 Lif e_rty Strpa+ Little Ferry, NJ 0 76 43 (Name and Address) Mice- President: (Name and Address) (Name and Address) p `treasurer: • (Name and Address) and that % am and will be individually responsible for any and all acts of, the corporation with respect to the approval requested and all subs. acts r 19 ng thereto. Svora.to before me this day of 1 ptar. Public AALNE IAUtT1N1 . NOTARY PUBLIC OF NEW JERSEY My Cammissmn Expires June 24, 199 P:'g= Signed: Title Corporate Seal THE . S 11 Second Floor 27'8" X 48'e 2656 Sq. Ft. BEDROOM 4 I ll'-O* x 9'- 7' --] I I I0`-0*X IN-cr 27'8N MASTFR,,BEDROOM BE1T�OM 2 W-2 2 IV- 6" IV- 4 13' -0' 48' First Floor 00 J� lEZiZ2tlil & Title.: '48' STANDARD SCARSDALE 11 FEATURES 10 C:) • 4- Spacious Bedrooms • Framingham Pediment on Front Door • *2Y2 Baths • Fireplace Options Available :0 KITCHEN L i i BREAKFAST FAMILY ROOM • 'Formal Living Room t • Consult an Authorized Westchester Builder • Spacious.Country Kitchen with Breakfast for a Complete List of Options 1 12'-0"x 19-0, i i d­e X I3' -0" 20'-0 x IV-O' with Archit&es on Front ESTCHESTER MODULAR HOMES, INC. T' k RT ME J'T OF DF HEA49 ,oU_TY P.O. Box 900 9 Dover Plains, NY 12522 (914► 832-9400 * (8001832 -3888 27'8' �OUSF BE --vDININ OOM- .13. P.. 0 IR G,:_ RQ OM�.. - 9"X. I V- 0" *5 r n RI J� lEZiZ2tlil & Title.: '48' STANDARD SCARSDALE 11 FEATURES C:) • 4- Spacious Bedrooms • Framingham Pediment on Front Door • *2Y2 Baths • Fireplace Options Available *.,Open Two -Story Entry Foyer • "Boxed-out" and "Angle Bay' Options • 'Formal Dining Room Available • 'Formal Living Room t • Consult an Authorized Westchester Builder • Spacious.Country Kitchen with Breakfast for a Complete List of Options j,Room and Pantry • Artist's renderings and Floor Plan Dimensions are appro)dmate. All specifications must be Written in the • �'Cbttage-Styfe­ 3056 Lower Level Windows Contract, Nlo oral arditions. with Archit&es on Front ESTCHESTER MODULAR HOMES, INC. P.O. Box 900 9 Dover Plains, NY 12522 (914► 832-9400 * (8001832 -3888 RI SURVEYING,. P.C. . Route.1 4 278 -499D i3�ews,�22 9 � 278''- 63�22*;KT 7' DeLavergne Avenue (914) 297 -1742 Wappingers Falls, New_York 12590 TO: F rf .D LETTER OG TRANSWTAT WE ARE SENDING YOU Attached ❑ Under separate cover via 'the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ❑ COPIES DATE JOB NO. r i ATTENTION . rob rrizo rz� tS AE; 7-305 . ... G ............. 1� .,.l. ...... �c ........ ....c..-.. ..z.......... . ................... �' �Erz .�-� . E.-vEZ.J.� WE ARE SENDING YOU Attached ❑ Under separate cover via 'the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 7-305 . ... G ............. 1� .,.l. ...... �c ........ ....c..-.. ..z.......... . ................... �' �Erz .�-� . E.-vEZ.J.� 7.`.�..... :.... .....:... .................. ................. ........................................................... ........ ............................... ... ............................... _ ............ ............................... ........ ............................... _ . _ _ :... ......... .... ....... ........... . THESE ARE TRANSMITTED as checked below: For approval ❑ Approved. asi submitted ❑ Resubmit copies for approval i ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and .comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN` TO US REMARKS: COPY TO _�� L SOM D: NcIJ 11 erkiasures arbJ -2 (,af d0k y nalHy us at once I Insite Engineering & Design, P.C. 1849, Rt. 6 Carmel, NY 10512 Phone: (914) 225-6200 -Fax-, (,914)-225--643 TO FlAfNAM' QQUNtl MALbA DEFt DATE DATE JOB NO 91AA-2-20,9: ATTENTION RE: tINCAF, M VI 'lo 77 WE ARE SE I NDING YOU A�Attached ❑ Under separate cover via-- -----:-the following items: C3 Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION PERV11t AWLI W16W 03 /q:3 Let g 01 A TIPAVIf CCKF0?ME QVWEIMijf> r aN 'j)AtA 3ye 1 41v hs WELL, R-E-F-MIA WLICj"101-1 3:a5 o C­j 1800. CO PEE (PAP,;r of dlow. oo ell, C0N5*LCtGW VIANNIma THESE ARE TRANSMITTED, as checked below: For approval] ❑ Approved as submitted ❑ Resubmit copies for appi&61 Z5 ❑, For your use' ❑ Approved as noted ❑ Submit copies for distribption > 111 As requested ❑ Returned for corrections ❑ Return -corrected prints ❑ i For review and comment ❑ rn ❑ FOR BIDS DOE 19 ❑ PRINTS RETURNED AFTER LOAN TO T-n REMARKS�! i COPY TO SIGNED: If enclosures are not as noted, kindly notify