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HomeMy WebLinkAbout3774DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83. -1 -14 BOX 29 03774 16 L r 1. . , 1.1 *; 1 �I 1 1. IN L I' . 03774 f e 2 .{ * z BRUCE R. FOLEY, R.S ' ctin,g Public Health o: DEPARTIti {:\ T 0; H:AL TH 01 Services Roa 6;e, .,e; Ne%v York 10509 Cdr' =1C_1 �--I I TC N A=D -.I !G': _ (RESIDENT IAL ONLY) I� -';E: �l�,c� e s �r�r r✓�'�/•?� _ E -.^,;_ 6 �„r�'i �� � FC -O PER „;sT -�J �I; AD'DR_SS �f % l r rl, /� i �' L^ ✓t +�. --e-- A- }�.GLe si/� !v z Description of A'�'Ji�i tic %�( /G!/C/ �;11:,ber of existir� r nuumber of bedrooms frog, Certificate of C— u- -n,:% o- Certification frc:l E-...ldir :nsze:tor any at'dition Y;hich is cons'Ceret a re lir S fOriTial approval OT plans (Cons' ruction Permit) �JJ1Cri?1 En" ��' O. a r bin , or P,_gistered.Architect in.- accordance with a- nplicatle ssszi ns of th? Putnam County Sanitary Code. „. _. -- - - _ Yf l" _ �l?Z.S: SUatili u �n1S i0.1,: c.l_ �n_ ,0 !OY,�. - �0 II .'{ J��IY C=;;= V~,.F;J.D., 6R7Di3i:-:R, VN'' 30-y h -fide foI-Tc6gi,6T nf6rmation. Cerliriea Check, Vo- tIC'_'.00. S -. -tch of exiSt.in lo:,- plan (all I i'v ink area including basement, if any) �['31---`1;1'11 Non- prof essional dreaming is acceptabl: Sk=tch of proposed floc- plan. 1�," r;on professional OrcNin: is acceptab 4 5 �4' Copy of survey s o,.,;ing well and septic location, to the best of your -`,A-knowledge. Include date of installation if kna,4n, N-- Include all wells end septic systems within 200 feet of property line. Any s� f..' questions please contact this office. ��;. Copy of Certificate of Occupancy frc- Tcintt or Certification from Building ttL Department of legal bedrooirit count of dwelling. OFFICE USE Comments and /or conditions application August 1995 July 1996 (Revised) f .... ..... . DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 . Fax (914) 278 - 7921 April 17, 1998 James Filingeri 41 Gilbert Lane Putnam Valley NY 10579 Re: Addition - Filingeri, Gilbert Lane Increase in Number of Bedrooms (T) Putnam Valley, TM# 83 -1 -14 Dear Mr. Filingeri: BRUCE R. FOLEY P--ubh - Malth*' -Director" ,7' 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 April 16, 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. o£. bedrooms must. remain -at five with It ..prior approvar ;-- t i � _._._. _- 2. The 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, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. WH:tn cc: BI (T) Very truly yours, William Hedges Sr. Public Health Sanitarian GALLON SEPTIC t _pr�or�E 0 r^JS A°v %S K // ,�.• y ��Ff ,/l t�pA 4&1 "u11 f u Gay' ��V (9 ei -1i E P lL 4 b o�+9' ve f v E ` x t�p1 Fwa r• % I� Pi —9B •9 6xis 8._a. 9-0. M D.F. Rafters 5/8" Roof Sheathing 15 # Felt iberglass Roof Shingles 2x6 Collar Tie W/ R -19 Fiberglass Insulation R -19 Fiberglass Insulation > W41/2" Gypsum Board 2x4 D.F. Wall Studs 5/8" CDX Wall Sheathing 3 1/2" Fiberglass Insulation 2x10 Floor Joist Striated Cedar Shake Siding 6" Fiberglass Insulation 1/2" CDX Sub -Floor 3/4" Underlayment - w 29-0' 4" Concrete Slab 12" Deep x 20" Wide Continuous Footing 10" Cement Block Foundation Wall 8.-Y. 441, M D.F. Rafters 5/8" Roof Sheathing 15 # Felt Fiberglass Roof Shingles 2x6 Collar Tie W/ R-19 Fiberglass Insulation R-19 Fiberglass Insulation > W/ 1/2" Gypsum Board Y 2x10 Floor Joist 6" -Fiberglass Insulation I/ 2 " COX SulimFid6r., 3/4" Underlayment 28'-IY' 4" Concrete Slab 2x4 D.F. Wall Studs 5/8" COX Wall Sheathing 3 1/2" Fiberglass Insulation Striated Cedar Shake Siding 12" Deep x 20" Wide Continuous Footing 10" Cement Block Foundation Wall i � 1 ,r 1! , 1 ► fE.J.v �- E I . we ►1 + sT ff. ow 1 h C) V 61. c I � A r v h p ll Cb f r v SURVEY OF PROPFRTY .1111 lVK NORT <,'N 51 rUn FE_ IN DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 BRUCE R. FOLEY, P.S Acting Public Health Dire:to. Residence Tax Map , 1 Town Gentlemen: According to records maintained by the To�Nm, the above noted dwelling. IS t ,. IS NOT in compliance Nvith ToNvri code and the total number of bedrooms on record is I�iP This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER �ecLJ s �' S'r %_ ._:Z:A5 a,�`�� Building inspector s�j� PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF. ENVIRONMENTAL HEALTH. SERVICES 225- 3838/225- 3833/225 -3641 PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR_ OWNER'S NAME l.%/ j' SITE LOCATION Z/ OCI e MAILING ADDRESS PHONE '5�;2 -16 PERSON INTERVIEWED PCHD Complaint #_ Name & Relationship (i.e, owner tenant, etc.) DATE TYPE FACILITY PROPOSED INSTALLER At& r 6,0V0 PJ PHONE Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal fran licensed professional engineer'or registered architect. © .2G - -G.44 �A'�,S T ,..v e Tim/ %d Az �JNi TS ie3. �l�Lft/i6 `/� �3D k i✓��l�i r G��CGc�yI�Gii✓� ff�✓� 7 - -��T_ Proposal approved.. Proposal Disapproved Inspector's Sig ure & Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners).. d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. 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 Qw N �i- DATE VA 3 �' It ?31S: %i to ); YeUc w (Tam HI); Pink (AppUcm t) PU ... J-1 COUNTY DEPARTMENT OF _Z, LTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ' Date 3anoewy Re: Property of �AA1G -'s pGhGERI Located at� Gilber¢ Gane (T) Pt4nam VyYq Section' 77 Block 2 Lot Subdivision 8X Subdv. Lot // Gentlemen: Piled Map // Date This letter is to authorize Matthew A. Noviello, P.E.jRC a duly licensed professional engineer qaY ygkgtkq g��cj� y}�p�rk@�q{E (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 c:ozu�ecti..on� -with- this matter and to supervi -se the construction of, said system or systems in conforrtiity with the provisions of Article 145 or 147, Education Law, the Public IIealth Law, and the Putnam County Sani- tary Code.. ��✓ ��pC, Countersigned:. P.E. , BcxAcx, // 06114'5 -1 Rt. 6, PO Box 863 Address Mahopac, NY 10541 628 -4400 Telephone Very truly yours, Signed by' 01 e of Property f/ Gllber'f Lane Address ftA na wi Valley � Ni Town /a / 3 elephone R-TU -4 -8� PUTNAM COUNTY HEALTH DEPARTMENT • '-- +. ,. _ .. ;.0 } .... ...... .... ...v •.':. ...• .� ....._.�_...w +:•. -ter. . -.. .�� . DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Commissioner of Health - FIELD ACTIVITY REPORT - Sheet ( of NAME A h k 0 0 T--1 I_ i Ki 6.978 B ADDRESS (LV5 (,- l} 1F- No. Street nicipality (T)(V)(C) MAILING ADDRESS ,� C L-1) .: PV 10 S7"I P.O. Box Post Office Zip Code TELEPHONE E28 PERSON IN CHARGE OR INTERVIEWED Name and Title DATE (5 —87(o TYPE FACILITY ��51 TIME ARRIVED ` Q�� TIME LEFT •Z ; INSPECTION Orig. Routine Orig., Complain r Orig. Request _ Compliance Complaint Comp _ Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other Explain': FINDINGS: }`` INSPECTOR: PERSON IN CHARQE OR INTERVIEWED: I acknowledge recei f a copy of this Field Activity Report...... \......... �" - ---- -- s ti tip C, TELEPHONE: 2 -Z - 3 6 3 U Ff,0po i At 2- 'P U._ t-� U AN. 301 a , z .� ,�4,P�i? WonpF.2Rritg . f: /�,, af ..— � � "`^ �x�1f,. �-Bax., r2r %x AC6 N' /TH i✓Ew syf! 1 . `. . EXirYi; P / ✓- /HAIL Di` .$4 aCK {• F"�i 0/�1 j 9p. Bg G. i1 . OF 6-R AV '¢ • ya6�yi .. � .WITH �', fs a, b Elf- 1! 1 C,risT n/G -G� W-12 vW-12 t �1Q0�! Grdc 1 f SYSTEM; TO CONSIST OF P� li � E i T