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HomeMy WebLinkAbout3678DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.15 -2 -23 BOX 29 03678 NO NO am J 7T, J � . 1 t- � . . �� r INNN r M WTJLZ VitJill &j - : 03678 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES 4 Ct WZY A IM'FQDnQ A.1r OFFICIAL USE ONLY 0 SITE-'LOCATIW -7 Q j' ,,l a TM# :3 OWNER'S '.' NAME, 650 MAILING -ADDRESS'O' fOr u PERSON INTERVIEWED A:f:f PCFID Complaint # Naine & Kelationstup ki.e., ownef, tenant, etc.) DATE TYPE FACILITY A PS AD .Prdb6§al. (include, sketch locating all adjacent wells): k411-10 "I NOTE: in same location and of same type as original sewage disposal system Different location I -'t . "� may i& 'qdireisubmittal of proposal from licensed professional engineer or registered architect. o" as. y r A" y L .1y 4 e- d 914 1 2 b. 'c. d. ►rted agent of owner agreeAt64he conditions. stated on this form. ,0 --r-f h--f TITLE ]DATE wea wim me ionowing conamons: ,meht of any Town permit, if applicable. sion of as built repair sketch in duplicate showing: ,Owner's name Site Street Name, Town and Tax Map number. Location of installed components tied to two fixed points (e.g.,house comers). System description (e.g., 1250 gal. Concrete septic tank, three precast 6'diam. -X 6' deep Installers' name and number. .repAirto be performed in accordance with the above proposal and conditions. u, Inpector's Signature & Title 4i, COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) iRF� 99MLIk-,'i �v a., .V BRUCE R. FOLEY Pu5.1ir. Heeith direct DEPARTMENT OF HEALTH 1 Geneva Road t Brewster, New. York 10509 LORETTA MOLINARI RN., M.S.N. ra ;oc aCe Pu�iir' il--al:h .frecror - 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 (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Joel Greenberg R.A. 2 Muscoot North Mahopac NY Dear Mr. Greenberg: September 1, 2000 Re: Addition- Pfister - 7 Laino Place No Increases in Number of Bedrooms (T) Putnam Valley Tax # 75.15 -2 -23 I have received and reviewed the plans for the proposed addition of the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated S ptember 1, 2000 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at ou without prior approval by this department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained... All plumbing+ fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. 4. The septic system must be expanded as shown on plans prepared by Joel Greenberg RA dated 9/1/00 R 219 -00. 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 WH:kg Senior Public Health Sanitarian cc:BI N 2 50 C// A, D�� 4 D • LVAin .. un. am Service o vAth f the Signature & Title n, C ate c . \4 oc t. moll Z F- 14 G 0 A N JOEL L. (5REENSER(5 DRAWING TITLE: —tOPITIOW -MIAMS-At REVISIM& bATBL, 00 MO.MT NO: OQ- I A R G H I T E G T MlZ#?A9S.\VwplqsT Y4 2 MJSCOOT ROAD NORTH 7 I-Al tit o P L A CM.. MHOPAC, NEW YORK 10541 (414) 62"613 y 1* #5 79 Ms. Y1.140Y Ah, Ab `AX M14) 626-2WI T?A 7 02.0215 4 Ala 63 & . 0.0 Ao(f, I ... ................... 4L vH � ��z5o , A, ",21 A . J DwR�E I or -xtc-r WILLIAM & BETTY PFISTER WELL LOT1.181Y JOEL L. (7REENBER(7 . I ARCH[TECT 2 MY%OOT ROAD, NORTH MAHOPAC, WA YORK 10541 (414) 626 -015 FAX M14) 626 -2601 17RMINS TITLE: ADp IT I OW 10 49SIDS FDR MP_ 0 MP.A. \VM. PFISTfP_ FU Y. Vh LLG Y,, Noy, /0 5 W) Tm - 7s. Is - 12 - S *3 A oo %A LE: MVKAW ffy, A,5 wo Too j1h. ilh milrem.:! i 16T,--Aw /Vlf4lW4 ROOK' 1 4 PSSIo If-2* We Q CLOSET tV kuplliF7 MEN ■ I Ft 24-4N 3.4 3.-,t 29-e )sD>iT-izpt4 Fa R- a L 4 N ra PUT VAL(E Yl N-Y. 0510) . TM - 75. IS- IZ--t3 JOEL L. GREENBER6 A R C, H I T E r, T 2 Mr- c= ROAD NOPM MAHOPA-C, MM YOW, 105M M-05 FAX MQ 62S-2W REV1510&. DATE= • PRO".T?o: SCALE, A Aowj�D Dywcaw fff.. JL.S. / A-6 P 0 M-rc ti FM &DIn-rob w Ft Fa I L L Puz V)k#yL"/ M.Y. I*"#) 5 6, JOEL L. C REENBER A R 6 H I T E C T 2 MJSCOOT ROAD NORTH MAWrAC, HEM YORK fOM FAX M4) 62b-UM mss D"tO TITLE: G Fe. 60 M, x/1910114+ DA MWJ ELT W: 7- 0&-113 9/7/06 SC.&LI DMICW.D Ely: JL.6. / JL& FM C PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES .......... OP -Jj OFFICIAL USE ONLY SITE LOCATION -7 _TM#_ OWNER'S NAME MAILING ADDRESS .4 01 PERSON INTERVIEWED PCHD Complaint# —Name Kelationslup (i.e., owner, tenant-, etc.) WNW , PROPOSED /_\170).11 -1 TYPE FACILITY 6' -f S. V - 19qll, Z,,, PHONE. REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system Different location may require submittal of proposal from licensed professional engineer or registered architect. I, -as owner, or. reported agent of.owner afir tdV.7 nditions -stated -on thisfiorm. DATE_ F 4—L Proposal approved with the following conditions: I 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 comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6'diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved_=' Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC-RP 99NE T E P { q CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # _ ='�� 5` V—ce J h � � �' 1 �� Located at 7 L A j }fit z) E P, t, A eL- Town or Village q V . . r— - Owner /Applicant Name \V � el!5 TF= E Tax Ma , jJ Block Lot Formerly t� A Subdivision Name ! DTs !2 Subd. Lot # Mailing Address LAINQ LAIN PLACE, . LL Ie - Zip 0."-; Date Construction Permit Issued by PCHD 9/!2 `2 0 0 -7 L,A W Z:� L, r Separate Sewerage Sysge�n built by ��/j jet` p:_ Address �C17,� m A 1. Consisting of t Gallon Septic Tank and Su 6 L, i✓ ( - 1 -k1s�r. $ Other Requirements: Water Suganly: Public Supply From Address or: Private Supply Drilled by EXIST'/ N 6 Address Building ype - ! D' Has erosion control been Number of Bedrooms 15 Has garbage grinder been installed? C� 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 accordancpwith the issued PCHD Construction Permit and approved plans and the standards, rules and re u ons of the Date: '-; L12 Certified by Address I Ax a v e o b County epartment of Health. %4&yr� P.E. R.A. mJ y�, � License # 11056 Any person occupying premises served by the above system(s) shall promptly 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 revocation, modification or change is necessary. B Title• Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 01. ?rte 2 Njt .041P 4 C` ����So f 3 C g cc 12 /A/ 4- � B ` A. WILLIAM & BETTY PFISTER WELL LOT. Yl B -41 4- 34 34 5T40140 I . ?rte 2 Njt .041P 4 C` ����So f 3 C g cc 12 /A/ 4- � B ` LUNG j '" °�' -_.. WILLIAM & BETTY PFISTER WELL LOT. Yl B -41 Mil-Cm of HeWth 4saffh Senn rvi ---vrme with Vons of the 11 b�-partmervt. .,NEC) cvc-N�E 2 b--9 al 91 To 4v A.6 u i L t 01 7-) JOEL L. 6REENBER( .7. ORMIM TITLE: I T1 ow 10 eAV5 FOR NEVISION5: DATE, 81 /28/Do PROJECT NOt 7 -OQ- 1a - -.App Mk0MR,S.WM R 6 H I T E C. T �PFJSTEQ- 5 28lo I 2 Mss= ROAD- NORTH • I-AIWO PLACe, - SCALE DMONT By: MAHMAC, NM YORK 10541 FU -r- V& LL F- Y., N /0 (414) 62b-60 PAX (MA) Vkso-2W rm-7s.is - -2 - ,z 3 L�4 NoTso . JLA / il-6 h PUTN iM COUNTY Y DEPT SRTMENT OF HEALTH DIVISI ®N OF ENVIRONMEN'T'AL HEALTH SERVICES .._ -. _.. -... _..- -. ...__.._...- -. GUARANTEE : sr .r®�. F SUBSURFACE . „S- E eV... ; A' G..._E TR.. � E A T...M.. E.- N caT m �': -.n -w sr► SYSTEM. I "_� � Building Type 76.15 2 25 Tax Map Block Lot _P1JTM,qt,A VALLEY Tow *PFis- r Subdivision Name Subdivision Lot # I represent that 1 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 system .ry.. - - The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: *o #th Day IR Year Signature: Title: Z.. - Signature Corporation Name (if corporation) Address: 7LQ I W cp y Corporation Name (if corporation) Address: State N.Y. Zip 105 State Zip Form GS -97 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAID. OFFICIAL USE ONLY ;2, /C7 --(r"7-0 SITE LOCATION :Z dam% TM# -7.5-- -'.a -- 2 OWNER'S NAME. �°� ::.s it �ii� PHONE MAILING ADDRESS y7 L 401 PERSON INTERVIEWED PCHD Complaint # ame & Relationship i.e., own , tenant, etc. DATE TYPE FACILITY P/1,9 If PROPOSED IN ADDRESS PHONE REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require s°,u(bmittal of proposal from licensed professional engineer or registered architect. L O'd e/ ioyr , / /e ' .q' �-rJL- per' A - ®C 4. ej �? o�C4 15 /-G 6p 13-41 4,44 Zv �;.as owner for. re orted agent of ovne, a e eoiiditio s`stated- this fczrrio SIGNATURE.::j,- P/ l� TITLE Ao DATE Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved c—�_ Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML I A 0 '- BRUCE R. FOLEY r-:Public-Health . Director, DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. -, .Associate"puhLic: Direetor� 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 (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 September 1, 2000 Joel Greenberg R.A. 2 Muscoot North Mahopac NY Re: Addition- Pfister - 7 Laino Place No Increases in Number of Bedrooms (T) Putnam Valley Tax # 75.15 -2 -23 Dear Mr. Greenberg: I have received and reviewed the plans for the propo a addition of the above - mentioned residence. The proposal for the addition has been 1pyoved as per plans bearing the approval stamp form this Department dated September 1. 20W The addition is approved with the following conditions: �� � 1. The total number of bedro rem a our wit ut prior pproval by this department. 2. The area of the existing s age disposal syste Its expansion area, must be maintained.. _ __ _ .4..- _ Alf plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. 4. The septic system must be expanded as shown on plans prepared by Joel Greenberg RA dated 9/1/00 R219-00. 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 WH:kg Senior Public Health Sanitarian Cc:BI sPp�•€ SLl.S.B - ,- �r I M. v /x 'L'l&I*l.•4 90 ' A ` ' sDIn -n o iu Pop- J JOEL L. 6REENBER6 E DRXWN6 nn is I IQM9101Mn D DAM P Plao [GT 110: SG.�rd.E: D F.. g. 1. 1 90 ' A ` ' sDIn -n o iu Pop- J JOEL L. 6REENBER6 E DRXWN6 nn is I IQM9101Mn D DAM P Plao [GT 110: SG.�rd.E: D DI'16/GFACD EI 1 r �ju u.QQoM _ 1 - aT J- ' l I - - -- -- - -- — — _ trsa TM2 1<tTc14tw/'DINIU4 ROOK, � fit✓ 'DenOM F PS5IU "` " x el CL CLW G A FIA6S F,tim, RODP+n TV492 FnMwI N !FIFA -- - . —_ Pditll - 11. -1. - {1 i r -�• J -B�• r -9�. r -:� r-c Y_7�. J -9!• r_7�. r-w PLW-1 + Ir o ' -� '- N -rs ` &DDl ri e t4 Fa R- JOEL L. GREENBERG DRMN6 TITLE: ►ttMSa& DATE: - e /240,0 PROJWT No: 7-00113 14 azo& zs. W hk, P ms -miz, A R G H I T E G T 9 A1.P: DMCIHW E7r: 1 7 ,a r..r L lu : r @, a ruscoor RoAO NoRTi4 PUT ��ALLE Y, N.Y. lOSi� „ i MAHOPAG, HEM YORK 10541 (414) 625463 PLC - - TM - 75. . I S - fi FAX (�%) 6M-2W .14 A��114,c� 12S-0 � oh, '2 •/ �� gC�sT� Q O WILVA M & BETTY PFISTER WELL LOT 8 30.0. oo V JOEL L. GREENBER5 .... R C, H I T E C T 2 HJ5600T ROAD, NORTH MAWPA-,, NEA YORK 10541 (414) M-00 PAX M14J 626-2W ORMIN6 TITLE: op I TI OW TO DADS FOR �V 'pmsnq 7 LAW* f1t.&GM, FUT. Vh LLA Y.0 N oy. /0579 TM - 7s. is -,2 - Z FZV1510N5; is 1 h -rvice PRoX-fT NOz o f i . l 11 i4 > + %ALEt A6 t4 a ToVp 'tit, ate ate 30.0. oo V JOEL L. GREENBER5 .... R C, H I T E C T 2 HJ5600T ROAD, NORTH MAWPA-,, NEA YORK 10541 (414) M-00 PAX M14J 626-2W ORMIN6 TITLE: op I TI OW TO DADS FOR �V 'pmsnq 7 LAW* f1t.&GM, FUT. Vh LLA Y.0 N oy. /0579 TM - 7s. is -,2 - Z FZV1510N5; PATE, PRoX-fT NOz %ALEt A6 t4 a ToVp M'64110 wrl ILA / J.L.6 AUG- 29 -2000 02 :12 i P.02 ,.. ..i. .. fBAU4 R FOLEY.- ji.5, h ' p.c�in� r�btia'.He01th 06ap/at • DEPAR7ME1�'T OF HEALTH •Ws +at,Oi fmaonMnV Health Services R Geneva` Road, Brewst , New York 10569 t914t 8766130 1 Putnani County Dept *f H:aith 4 Geneva Road ErmysWr.DIY 10509 jlte: WILLIAM! PPISTEIt Residence ifa_YMap_ 74.15 -2 -23 (f0l111 PUTNAM'"VALLEY i Gentleman: . According to records maintained by the To%m% the above noted dwelling lS is NOT eomgliancc .Mt>p T ®\`ti'n code and the ttal number of bedrooms on record 'this rotor ation has been obtained fror : CERTIFtCUS OF OCCUPANCY: �/ , ASSESSORS RECORD: OT6-fP.R G n..:01r.... Tnc.,aPfP►f TOTAL P.02 PEPAkTMENT OF HEALTH ' Dlvlslon of znvironmentmr medth 'servrees 4 Geneva Road 8/28,/2000 Brewster, New York 10509 Tit. 014) 278 - 6130 F=(914)218-7921 • pROPO_ SED ADDITION APRO ATIO�'�I OM WEbWAL ,�IzY1 PUTNAM STREET LAINOS PLACE' TOWIN VALLEY TXMAP#i 75.15-2-23 NAML WILL'Z,AM PFISTER PH0NE528 -6638 pCHDV MAMING ADDRESS 7- LAINOS PLACE, PUTNAM VALLEY, N. Y. 1 0579 DESCRIPTION OF ADDITION 3 BEDROOM ADDITION h'UtNIBER Off' E3aSTBI,G AEDROO:1M5 3 ]PROPOSED k OF BEDROOM 5 (FROM CERT. OF OCCUPANCY OR —7— CEFtTWJCAT10.%%' FROM BUILDWO W$PECTOR) `Any addition wblch is considered a bedroom requires formal approval ofp1ans•(C6nAMct1on ptep3tb4 -by a Professional Engineer or Registered Architect In accordance with applicable sections of the Putnam County Sanita►y� Code. `=. :. . Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd,,, Brewster, NY 10502, Phone 278.6130. I. Certified check or money order for $100.00 2. Sketches of existing floorplan (drawn to scale, all Hylug area including basement) * Non-professional sketches are acceptable t 3. Two sets of proposed floor plan (drawn to scale; with name, street, end tax map f) , *'Non-professional sketches arc acceptable ' 4. Copy of survey sbowing well and septic location, to the best of your knowledge. Include date of io stallation iflwown. Label all .w ells and septic systems within 200 feet of the property line. Contact US office with any questions. 5. Copy of Cert, of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. • �p'F10E• rI�E Comments _ - BRUCE R. FOLEY Wk iPe6ttkl ,,O�vietcr'. _.- ...... , DEPARTMENT OF HEALTH . ' Dlvlslon of rnvlranmenmi Health • Servlcu 4 Geneva Road 8/28,/2000 Brewster, New York 10509 Tel (914) 278.6130 Fax (914) 278.7921 ` P$OPOSh"D AD ITIQN�,PPLi TIN • ($F�Ii�EhtTt�►I.O� �1LY)' . PUTNAM STREET LAINOS PLACE TO'WI VALLEY TXMfi 75.15 -2 -23 N j$ WILL'Z.AM PFIsTER px(jNE528 -6638 PCHDN bWLIN(iADDRESS 7 LAINOS PLACE,PUTNAM VALLEY,N.Y. 10579 DESCRIPTION OF ADDITION 3 BEDROOM ADDITION ' I TIMBER OF E)aSTI .G BEDROOMS 3, PROPOSED 11 OF BEDROMMS 5 (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM HU1LDWO INSPECTOR) *Any addition which is considered a bedroom requires formal approval orp2etis.(Construction 'lilt ) prepared- by ft-Professional Engineer or Registered Architect In accordance with applicable sections of the Putnam Cvturty SanitarjCode.. _ : _ i Please submit tills form and the following to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130, 1. Certified check or money order for $100.00 2, Sketches of existing floorplan (drawn to scale, all Hylog area Including basement) Non-professional sketches are acceptable - t 3. Two sets of proposed floor plan (dra%n to scale, with name, street, end tax map #� 4 Non-professional sketches are acceptable ' 4. Copy of survey showing welt end septic location, to the best of your knowledge. include ditto of installation if !mown. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. � 5, Copy of Cart, of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. Comments •••6 -•• •, •• v.,. i,�t. DU1LL117U ucr b19 *ebbbUb AUG -29 -2000 02,12 P.1 P.02 i �� � . -. f - .... - - ..... . , .r ' . �_ .. - . �� � � . K .. _,- �._ ...._...., u BRUCE R fOlt.l►. W.�..... � -> s .. - Acdnv" rubt(w.Ne11th Oae;lo, DEPARTMt'tKT OF HEALTH • bivisiw, , 0i fmiremrnentl Health Services 4 Geneva Road, Brewstef, New York 10509 (914) 27iiJ6130 Putnatri Cdunty Dept of Health 4 Geneva Road Bcatireter. NY 10509 'Re: WILLIAM PFISTER Residence TaK Map_ 74.15 -2 -23 PUTNAM" "VALLEY Gentleman: ' According to records maintained by the T*%n% 0* above noted dwelling + IS NOT . at cmrn liQ=t with Td�11 code and the t tat.number,of bedrooms 00,reeOrd ; This infomution ho been obtained f 0q: CERTIFICATE OF OCCUPANCY: ' ASSESSORS RECORD: OTHER TOTAL P.02 N 760 4AW Abbi e Nt u �MJ � `` ti �w $o, �� So 10 12 S-0 tn - /4, Ire - 1 3.1.E .0 WILLIAM & BETTY PFISTER WELL LOT um Q Pl: C etvice 0 "n Q - i 41 .1V S- 1 ZL* JOEL L. 6REENBER(7... A R 6 H I T E C, T 2 K60OOT ROAD, NORTH MAHOPAC, NEW YORK 10541 M14) 62b-M19 FAX (4141620-2W DWINS TITLE: .ADP IT I OW 10 19SOS PDA Me 0 MPA. \vm PFISTilp- 7 ILAIWO P•ACe, RUT. V,& LL. F— Y., N oy, /O5 79 TM -75.15 -'2.23 V,ALEi "Khm syl A6 - N,a J1.6. / J1.6 S ` f. �ju u.6ZQOat -�; t , i, KLT"w /SJ114+u.4 ROOK 8>✓�eaom- I - - _- - OEOl00Y- : 1 — PSS10 It_r 4 * -T ve REORM a i:. till p. CL aogr w 0.. G A AGE. Li'v: ao�� $�QODM_2 Fp1�a, Roor+n :� t. r' Pg042 bootee VW300 A.RFA Irf�f 4.' IR7e1! 1R764t �\ ' Q� Ir -o• r-�' r -I' r-e� E hl TS 1 - - f't 1 ` dD l T� b EN Fe R- TSA RS• `vAk, PF' swiz, 7 L A l*j o- 4 M 'E PUT VALL9 Yt N.Y. 105 » - 75. �5 - Z 2 3 -' ` JOEL L. 6REENBERG A R G H I T E G T ' ` E CC'" a Mr -coon ROAD NORTH MAROPAL, HEM YORK 10541 nE416m66o i FAX MW 6Z-2W D E xtaT /� G �L�� �^�°"s DATE. gf2: Da PRO fLT x0: 7 -0���3 DIWC4 D BY: JL.6. / JL.6 9/77d6 SCAB; ®s' A/4Ti"' ® i' s, — - A. 1 oD�l t'► b t►+ Fa R- Mae= q��•�VM•PFISi�R.. 7 L o N a L O M TC PUT. VALLEY, NY 10"0) "rM —75.15— Z - Z 3 JOEL L. GREENSERG ARCHITECT ( ] MUSC.00T ROAD NORM MAHOPAG, ME" YOM IOM M.) e1e e�r5 DRA"TttLC: E xtST /w G F4- F��O� PL/A1.1 MMS1M& �I ob DA&' g ?.�(� MWXXTNO: 1 -ate 113 d� . DW644W Dr: Ah. / Ah a `".b 01 4 BRUCE R. FOLEY .. ..:P:scisea[thF Direcor .... -.c r • >. DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New, York 10509 LORETTA MOLINARI R.N., M.S.N. '4ssvci6te--f1vitc"fie"aak - -tirwto 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 (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Joel Greenberg R.A. 2 Muscoot North Mahopac NY Dear Mr. Greenberg: September 1, 2000 Re: Addition- Pfister - 7 Laino Place No Increases in Number of Bedrooms (T) Putnam Valley Tax # 75.15 -2 -23 I have received and reviewed the plans for the propZ,its he above - mentioned residence. The proposal for the addition has been lans bearing the approval stamp form this Department dated 20 The addition is approved with the following conditions: 1. The total number of bedro rem a ut prior pproval by this department. 2. The area of the existing s� age disposal sysnsion area, must be v _ 3. v w All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. 4. The septic system must be expanded as shown on plans prepared by Joel Greenberg RA dated 9/1/00 R 219 -00. 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 WH:kg Senior Public Health Sanitarian cc:BI PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SY3TEIVI OFFICIAL USE ONLY SITE LOCATION TM# S� -2 — Z 3 OWNER'S NAME ,f-ur 1Z ;4 fA .. PHONE MAILING ADDRESS :F Z "'r`� PERSON INTERVIEWED �i^.� A ;±:�i 44L PCHD Complaint # ame & Kelationstilp i.e., owner, tenant, etc. DATE !? /�' TYPE FACILITY PROPOSED INSTALLER ADDRESS PHONE REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system ,Different location may require submittal of proposal from licensed professional engineer or registered architect. We d e % /dn e- / / ol .V-- -.- e7- A -Q fi • c'S /� � -c 4 .os A-e 6,e- G� J,: = or�ner. or renJOrt�ed /agent.of owner .a Rr a egnditions stat�a 5199 SIGNATURE -Iy �/ LJ �° �'�I �-e ��, TITLE DATE Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved_ Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NE /WTE - •:r''•�'':�= � "�� . � 1: _'� !i r :..�j. . i t 'tit. .._.._... e • . L public J�taclr`h' hero ." DEMATMEIT OF ]HEALTH • . ' Dlvlslon of Environmental Reap& ' Senices 4 Geneva Road 8/28,/2000 Brewster, New Yctk 10soo Tel-(914)i18-6130 F=(914)218-7921 PUTNAM STREET-7 LAINOS PLACE'' TOM VALLEY Txrw o 75.15-2-23 NAM WILL °Z.AM PFISTER PHONE 28 -6638 pCHD MA IN(IADDRESS 7 LAINOS PLACE,PUTNAM VALLEY,N.Y, 10579 DESCRIPTION OFADDITIO-4 2 BEDROOM ADDITION h'U&MBER Of'- FNISTMG BEDRO.OM 3 PROPOSED # ®F BEDR00iVS 4,• (FROM CERT. OF OCCUPANCY OR ' CERT6ICATI4` TRCM. BUILDWO INSPECTOR) *Any addition which is considered a bedroom requires formal approval ofplans•(Construction - Pea h-,S) prepued by ATigf'essional Engineer or Registered Architect In accordance with applicable sections of the Putnam Count} Sanitary Code ' Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.$ Brewster, NY 10502, Phone 278 -6130. 1. C:ettified check or money order for S 100.00 2, Sketches of existing floorplan (drawn to scale, all living area Including basement) NOII professional sketches are acceptable , 3. Two sets of proposed floor plan (drawn to scale; with name, street, and tax map #j , 6 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 w ells and septic systems within 200 feet of the property line. Contact 4his office with any questions. 5. Copy of Cert, of Qecupaney from Town or Certification from Building Dept. with legal bedroom count of dwelling. . Comments ° Aug 29 00 03s13p BUILDING DEPT AUG -29 -21308 0212 l� DEPARTMENT • • t)iviaioa � Oi Erivironme 4 Geneva Road, Brews (9M) 27 9145268806 • HEAtYH i Health Servttes New York 10509 P.02 KRUCE R FOLEY. M.S. AmIn4 Pnblic'.H0111h Oua l.t Putmmni Cdunty Dept of Health 4 Gene► Road f�raireter.ldY 10549 Re: WILLIAM PFISTER RtildCnCC Te.YMap 74,15 -2 -23 (TbA1Tl PUTNAM "'VALLEY t Oa;ntlemen: ' Aecordirtg to re cords maintained by the T*%Nl% the above noted dwtlling 15 i 18 NOT . _ �ri*4glia «�atp Tetitin code and -the tptal number of bedrooms on record - is— This inronulion ba been obtained from: CBRTiFICATS OF OCCUPANCY: ► ASSESSOM RECORD: OT'HRR n..:liJ..., Y..c..nttt►� TOTAL P.02 p.I 0 6�j� N�V 25i �� �N'! �� gx�sT'' . c L V 4- AA4 01V WILLIAM & BETTY PFISTER LOT "B )l . _IN a 4 :1 . T C-5 I "Z 5o.co► IN f4 19 um / Q O C� Puli'mam. i OUhtY N-1-p art'ment of Health .-cirr ft -I,-- of Env4 ion M H -�alth Service lwclved a's, nat::�d for with Cif the Irriq :,.arn County 1...i a Vin D c p, a I -,,nt. ignature & Title wt 97 JOEL L. (5REENBER6 .7 77. R 0 H I T E C T 2 MA=T ROAD NORTH KAHOPAC, NEW YORK 10541 DRMN6 TITLE: ADPITIOW IDIS054b m I z \V m p F RVANOWas OATEN71-- �o0 g .41 PRO.MT NO, 7 I-AIWO Pu&c0eL..-. SAY,. 'k MW) MOIS --v-% . IV . , ° 0% 0* ft I 0 BRUCE - R. -FOLEY u Director ....-,:-..�LOPETT.A.MOI,TNAIR-T-R,. 4'. Associate Public Health Director Director of Patient Services DEPARTNE, NT OF HEALTH I Geneva Road Brewster, N w 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 September 22, 2000 Joel Greenberg R.A. 2 Muscoot North Mahopac NY Re: Addition- Pfister - 7 Laino Place No Increases in Number of Bedrooms (T) Putnam Valley Tax # 75.15-2-23 Dear*Mr. Greenberg: I I have received and reviewed the plans for the proposed addition of the above-mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated September 22., 2000 The addition is approved with the --- ----- -- - following-conditions- I The total number of bedrooms must remain at—Five without prior approval by this department. 2. The area of the existing sewage disposal system, and its expansion area, must be -maintained., musf-be-u�ddatedd with­`�4ate�r flush toilets, restrictors for shower heads and faucets, etc. 4. The septic system must be expanded as shown on plans prepared by Joel Greenberg RA dated 9/1/00 R 219-00. Ahy 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 yaurrs—.- ........ William Hedges WH:kg Senior Public Health Sanitarian cc: BI PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner MP—,9,&MR,5, iVm. PFgi-Tee-, Address 70;wl PL., PU-T.VAi-i'6Let&y' 75 /0 Located at (Street) 7iAiNan FLAO�E- Tax Map .15 Block 2 Lot '23 ,5799 (indicate nearest cross street) Municipality -y-�6'..Vw o uLj_.gy Watershed. Uuv� Y-j ZvEy-- I SOIL PERCOLATION TEST DATA Date of Pre-soaking k3j/Z:7 Date of Percolation Test ............ . . . ...... . ...... . . . . .............. ...... ............ ...... ....... .... ................... .......... ..... .. ep 'th I I ........ ...... .. .. ...... ......... ......... .......... .......... .................... .............. . ............ X: Hole No . ..... .... . .. No ... ... ...... ....... .......... - ... .. ........ .. ....... ........ ..... ..... Start . ..... .. ....................... .. ............ T" .... jwe, r6m:Grq*'.u'hd: ... ... Surface Stogy :':':::'L ... eve b�:7-7. r --fift P I prep A Rutz ......................... .................. ..................... .... .................. ..... ..... ...................... . ....... ... ... .. ....... . ..... . ... .. ... ... . ......... . ..... 0 y 3,Z - 100,50 S 'Z3 IZ6 6V, 2 10,51 - lhoo 18 3 4 5 A-, 2 3 4 5 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. :5 1 min for 1-30 min/inch, s 2 min for 31-60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES UEEPTH .. HOLE NO:. _ HOLE NU G.L. 1.0' GAKm1T DAM _ 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered Z% j g Indicate level at which mottling is observed Z,> Indicate level to which water level rises after being encountered IVIA Deep hole observations made by: 15iEt, Gegggnpe6 Date Design Professional Name: E L RQ5NB Address: "Z A&Q-GC,p P- ° I e>R:t-k Signature 11 vag��RgNCE Gg. /A iT 0 ti �� C1 4 i F� e7 ,V>, , 0. ot,Og� 0 -c OP NF-\N