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HomeMy WebLinkAbout3788DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.06 -1 -17 BOX 29 III loom olog ; 11 )Tl 'I ro I or jr .. I I � ti ' I J , 11 f - M ' �'� - ME BRUCE R FOLEY DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI RN., M.S.N. Director of Patient Services Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 August 2, 1999 Kenneth McGovern 518 Sprout Brook Rd. - Putnam Valley NY 10579 Re: Addition- McGovern- Sprout Brook Rd. No Increases in Number of Be rooms (T) Philipstown Tax # 83. -6 Dear Mr. McGovern: 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 August 2. 1999 .The addition is approved with the following conditions: 1.. The total number of bedrooms must remain at-Three 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 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 Philipstown. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML:kg Public Health Technician cc: BI DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION _ (RESIDENTIAL ONLY) i STREET: Oca`> - TOVIN�.= TX MAP # oZ 77V NAME: CCU&CI A-) PHONEgN 7Q ?,�q 3 PCHD PERMIT #�a? % MAILING ADDRESS Description of A - Number of existing bedrooms Proposed number of bedrooms. from Certificate 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 PUfNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. 1. Certified Check for $100.00. - -- a.- .�,,_ ^,�.,. 2d =Sketch•.of- exist- ing-- fboor.._pl:an. -(a11 ].iva.ng,_areaanc ] ud_ing basementif _any).:_ Non - professional drawing �s accep�AbT0;- 3. Sketch of proposed floor plan. Non prof essi onal ' d rawi ng is acceptable. 4.:Copy of survey showing well and septic location, to the best of your - knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property, line. Any 1=?-' -questions please contact this office. J 5. -Copy of Certificate of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions _ application August 1995 July 1996 (Revised) 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 Re: Residence . � t Tax Map: To`Nm Gentlemen: r According to records maintained by the To\vn, the above noted dwelling IS 15 Nuf in co lance with To,,Nm code and the total number of bedrooms on record- is L This information has been obtained from: —CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER Building Inspector' i TOWN OF PHILIPSTOWN BUILDING DEPARTMENT Kenneth J. Tornann, Building Inspector 238 Main Street P.O. Box 155 COLD SPRING, NEW YORK 10516 (914) 265-9668 TO TO WHOM IT MAY CONCERN: DATE August 4, 1992 SUBJECT Holmes, Marie B. T.M.#69-2-22 New#83.6-2-6 Canopus Hollow Rd. formerly �t'rottt Bru-'.- Rd. M A search of the Town of PHilipstown's Ac-'ords shows a single family residence built before zoning laws took effeq*'_t in April of 1957, and no C.O. required. Canopus Hollow Road is a town maintained'Iroad. No violations on record. o. Kai M C O"V-V .- - ME 5VAR"A" I - I I w "VI r C •r•. v1 ifi ••: N�F E" I y1��g4, �YV/ V �, r 0 w N f,,,• or . PUrNAM VAL L Y ro W N '., ,___ PNIL 1psrow ggwr ` ,� t � .Jr /SJ•P %i NJIO %.I1YtlJ/ q r� •~ � C4 O "fir' ���•...�•--- �... -.... , •�i%l _ '� i V ��OW�., �OA_�.. `pJp-�ttly'ipoUJ fir. o! A /•! � ' PMi '.+� 11 ,' -4 } i _ '6 . _ - ! M W14 - J ._ <•?e' •+w4•: ^..- .a •rsa! - B ' h•':- d ..:.. - 4. .. .w_ "Ctb ' c. - 's. .� � ^r: -1-. <AG".� �. ".:' ::' � .. `.. PAGE 03 I ' :, !, •, `. ¢i:Jti' .. . ;..' ...,...,•,... : • •4 09/01/1992 11:20 9149628145 ALBERT CAPELLINI ,, at• ; �ORM LANDS NOW OR CONTINENTAL. V ILL AOE . ( NCI i � e'sap y,• I. 05 JUL.18 L987 • / M •r•. v1 ifi ••: N�F E" I y1��g4, �YV/ V �, r 0 w N f,,,• or . PUrNAM VAL L Y ro W N '., ,___ PNIL 1psrow ggwr ` ,� t � .Jr /SJ•P %i NJIO %.I1YtlJ/ q r� •~ � C4 O "fir' ���•...�•--- �... -.... , •�i%l _ '� i V ��OW�., �OA_�.. `pJp-�ttly'ipoUJ fir. o! A /•! � ' PMi t P .. ' - lb ::i�y r•l;:rttk + mss. 1 Proposed Addilon Fcr .:. +'•��t. , r; ;. t..f .,. flat fiat•,.., Kenneth MCGo1/erT1 > 518 Sprout Brook Rd :0,00'0:':0: • 'r`::•[::. Ramm messy. NY 1 tt379 Houm 3 -7x14' Mcrokm Odge-Sean 2200 Asptxft Shingles ` Ice Shield As Regjkod 15f Felt Paper 1/2* CDX Plywood l= Provkie Air 9aMe n10' Ral1'ei 16'oc For Venting R-29 kwjtlatton k* Siding 1 i Vapor Barrier 1/2' CDX Plywood 1s !� 2'x6Vude 16'oc R•19 k>subtlon ' 1/7 Gyp. Bd. 27 1a 4 7x6' Pressure Trued S' All, --- 8' 8' 8' S8 Plate Rrished Grade Conc. Slob d 8' Cone. Sk. 31/2' loly Cokarm'on I Ok20' Conc. Ptng. 24'x24-x17 Conc.; Ftg. Sectlon 'A A' i Scale: 1 X =1'-T �8 t; I fr iL is 2-X12- go BC 2401 Ag*w# es ft ShkOd As Roquked IS# Q Paper 1/2' CDX R, ywood 2,x 10' Rdt&s 16'oC Vl �o gdhg VqDc!r Boift 1/2' CD)('PY*Vod TxMeO 16*0C R-19.hiukton 1/20 Gyp. Bd Prommij Trode so Plate Sectlon'B-ff Scale: 114!=I'(r is -111 ---s,%TFT .0 if 4 ------------- I First Floor Man Scale: I= Second Floor Plan ra Scale: 1/4'=1'47 R P n%M COUNTY HEALTH DWAR24M DIVISION OF ENVIRONMERM HEALTH SERVICES 225 -0310 PROPOSAL FOR DISPOSAL SYMM REPAIR R id9 �a OWNER'S NAME A141,61- A /JO/,-,4f 0-r PHONE SITE IACATION GgN Pit s k6D.4J -Q A✓'N 'IM# _Zf)rOX? f� MAILING ADDRESS IT ,�� c.14 %;. Al- Z // 00J`' PERSON INTERVIEPW 14 PCHD CcWlaint # N /} Name & Relationship (i.e, oaner,tcnant, etc.) DATE TYPE FAMLM. PROPOSED INSTAUM —F6 BE 42 e 74M e2 " r-= D � ^�T PHONL Pr sal (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 rmni C *PYLYA Proposal approved --- Proposal Disapproved ,T� to 1. Procurement or any xown pent, 1I appiicanle. 2. Submission of as built repair sketch in duplicate showings a. Owner's name... b- Site Street Name, Town and Tax Map number. c. Location of Installed caL onents, tied to two ffixed 'Point' $ (e.g.,house corners). d. System description (Q,g., �25Q T4. concrete sePt4d tanki three precast 6' diam..x 6' deep drywells surrounded by one f9ot + gravel) e. Installer's name and number.. 3. System repaiz to )fie perfoMmed in accordance with the above proQgsal and conditions. I, as owner, or repgrted agent of'owner agree to the above conditions. SIGNATURE /�� �© •� 6• =TITLE �- yam- : 5: V&te MD); YeUcw q= Pffi); Pink (ARZOant) DATE - ` I)AQUINO and IlJONAI-IUE CONSULTING ENGINEERS i m� ER ❑ V D'A P E f� J D ah P E John quino, . . Darnel . on ue, . . 314 Oscawana Lake Road 200 Breckenridge Road Putnam Valley, N.Y. 10579 Mahopac, N.Y. 10541 9//14 -526 -2039 / 914- 628 -75766 TO Pr14X n �rJ ✓n r�� ��� �� M �At` 0 Q� 1-14 WE ARE SENDING YOU A Attached ❑ Under separate cover via_ ❑ Shop drawings rPrints ❑ Plans • Copy of letter ❑ Change order ❑ DATE For approval ❑ Approved as submitted ATTEN '4 4 Lv RE/0 f s's O tl ��►r C4 40 ,� r `-0 Ipce As requested ❑ Returned for corrections st'ia►de 3 z "?-Z For review and comment ❑ the following items: ❑ Samples . ❑ Specifications COPIES DATE NO. DESCRIPTION • -C Coda ��/ /f/1/ /� e•% THESE ARE TRANSMITTED as checked below: REMARKS If enclosures are not as noted, kindly notify us at once. For approval ❑ Approved as submitted ❑ Resubmit copies for approval • 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 If enclosures are not as noted, kindly notify us at once. PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES . John M. Simmons, M.D. Deputy Carnnissioner of Health - FIELD ACTIVITY REPORT - 5 ADDRESS M NO. MAILING ADDRESS P.O. Box Post Office Zip Code 6_5_ 51* • I Sheet of INSPECTION Orig. Routine Orig. Canplain Orig: Request _ Canpliance Canplaint Canp Final Group Illness Construction Reinspection PERSON IN CHARGE Field, Sampling Only OR INTERVIEWED Field Conference Name and Title Other .—TV: .B-- rTACi�L 3 i _. _. . _ _ ,».. _..... a .........- .r............._...�- a ....� - ... ...._ .... =. . TIME TIME LEFT Explain FINDINGS: ® oz A \ r •F - INSPECTOR: PERSON IN CHARGE OR INTERVIEWID: I acknowledge this Field Activity. Report. SIGNATURE: 6/86 TITLE: TELEPHONE: ` D'AQUIN® and DONAHUE CONSULTING ENGINEERS ❑ John V. D'Aquino, P.E. Daniel J. Donahue, P.E. 314 Oscawana Lake Road 200 Breckenridge Road Putnam Valley, N.Y. 10579 Mahopac, N.Y. 10541 914 -526 -2039 914- 62/8� -7576 y� TO P446 4 WE ARE SENDING YOU ❑ Attached O Under separate cover via • Shop drawings ❑ Prints O Plans • Copy of letter ❑ Change order O DATE �y �� DATE JOB NO. ATTE TION RE. Ep G�JTk�G1�ak �.,s G moor Dt°f'�ie die IT the following items: ❑ Samples . O Specifications COPIES DATE NO. DESCRIPTION /z� yG G�JTk�G1�ak �.,s Dt°f'�ie die IT THESE ARE TRANSMITTED as checked below: 9 For approval ❑ Approved. as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑, For review and comment O • Resubmit - copies for approval • Submit copies for distribution • Return corrected prints ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS h G J-� �° " UT a f 4'r AV d' i 1 COPY SIGNED: If enclosures are not as noted, kindly notify us at once. 4 / Mew +,. of. As jSM e � •8 l ` , FIT R�YYA 1 �. + '.,, r .s i MOO CN O" xxv f _ '1 t f Y 4. [ r x �rt t . P`, i ,t..� j 1 # r \• t „}!�`_ t`� 7 eiT?� -, 1 k �• 00 011 gyp. - t b 4 60:.; py ¢� �11 lot Mot y f1r �fi� STN , p ! { '� � .. � •� � ( , � w � ` f� 'rte: TA � •�� ? .RL R5 ...- r . .. . r .,.. � -per:, • _ ... lJ�f {1