Loading...
HomeMy WebLinkAbout3849DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -3 -28 BOX 30 ■ : ■ - '� 96 .IA . 4 �, ti�' G I;■ 1 P L - i ,� ,� PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR C3 ILI FES NQ/ Internal Use Only PERMIT # -071 - 11rJ v ❑ 19, Repair Permit issued in last 5 years LVNot in Watershed ❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. ❑ Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION TOWN f //�/9d� (//9Z40/TM # 3 , 1 a '3 "oeg OWNER'S NAME 1C'eG�� /9 a1* PHONE # fy-- _61 /l MAILING ADDRESS 1 I) TrjjArn.VA't4Fy In APPLICANT 2 - 7a4e 63 PV(. Name & Relationship (i.e., 49k, tenant DATE S-� Y, % f FACILITY TYPESftA r-- PCHD COMPLAINT # PROPOSED INSTALLER Z)j PHONE # I ADDRESS C 1 ,,,/ .� REGISTRATION /LICE SE # 116 7- z �eh jePro sal (include separate sketch locating t�house, property lines, all ac ntwlls within n 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal f proposal from licensed pr fessional depending on the natuu(e and extent of t rep r. f r / r )a40-r— l"'�.yrifJJ �P�D i� _ !► O�v �6�D _Ci 0 Ir� i s a0i �.. I, as owner,agree to the conditions stated on this form SIGNATURE (owner) I, the septic installer, TITLE Is Z-(/] I litions of this permit for the septic system repair SIGNATURE TITLE 00 N4-A, DATE S' y�ll (Installer) (Installer) - mRRaamd with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY PjMprt � f t ® ��posal Denied ❑ 6 r 6 It Inspector's Sig ature & Title Date Ex0iration Date Repair proposal is in compliance with applicable codes Yes No ❑ COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 J } 9 N S1 V V (9 1 ado r 6AX i c - Z ado r 6AX i d- SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI,1N*,*' 9N Associate Commissioner of Health Darrow 42 Orchard Rd. Putnam Valley, NY 10579 Dear Ms. Darrow: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT I BONDI County Executive February 16, 2005 Re: Addition — Darrow, 42 Orchard Rd. No Increases in Number of Bedrooms (T) Putnam Valley, TM #83.12 -3 -28 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 February 15, 2005. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at two without prior approval by this Department. 2 Tho afea-u the exis`iiiig-sewage cristio-a system,- and- ks-cxpans ors area; r ist 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 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. ML: lin cc: BI (T) Putnam Valley Sincerely, Michael Luke Public Health Sanitarian Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool(845)278 -6014 Fax(845)278 -6648 . LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Environmental Health (845)278-6130 Fax(845)278-7921 Nursing Services (845) 278 - 6559 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 PROPOSED ADDITION APPLICATION zi- -fDVQnM.rTAT nXT ROBERT J. BONDI County Executive STREET­0YZV1Q4CJ �acl TOWN Vsj TX MAP # 0.) 1 3 NAME Vejl�4_Day-rvL3 PH0.NE_S2_9'-(o1]53PCHD.# �)7-01- MAILING ADDRESS L42- 0 n_ r P-oacl - -P,+na,,n Val" 63y 10,V1 DESCRIPTION OF ADDITION 1�i 0. NUMBER OF EXISTING BEDROOMS PROPOSED '# OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any . addition which is considered a bedroom requires formal val of pjans (Construction - _Rpro piciTafed'by-a. ProfessloiMlIniiijeet or­Reglftered1ff chiW0fiffWdcdfdMd'd`Witlf applicable sections of the Putnam. County Sanitary Code. Pleasie submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.-9 Brewster, NY -10509, Phone 278-6130. 1. Certified check or money order for $100.00 2. Sketches of existing floor plan (drawn to'scale, all living area including basement) �ssional sketches are acceptable w wo sets o roposed floor plan (drawn to scale, with n_ ame, street, and tax 'map #) 0 sets sketches are acceptable 4. Copy ofsurvey showing well and septic location, to the best of your knowledge. Include date- of installation if known. Label'all wefts and septic systems within 200 feet of the property line. Contact this office with any questions.' .5. Copy of Cert.' of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH I Geneva Road, Brewster, New 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 To Whom It May Concern: ROBERT J. BONDI County Executive Re: `Q- d rG7�►'!� l L Residence Tax Map Town Diu- —* ✓G¢�/ T According to records maintained by the Town, the above noted dwelling, is IS NOT In compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER: Building Inspector housegmdelines L.If % y, tip tj �,Do L. 14 by C 105 P� �� 1► l T4N1 COUN TY DEP HTNIFENT OF HEALTH H011JISE IPLAI v S A f ',IP R D C, illvi 2Wa Signature V Till . Date 0 N P, - I, tr. 0 Li 1^10 1 s. 10 pt IF pf-090,50 K� � LY Da «UW 4 rd �)��4 F�j �11 U-il loc)e -N la - --------- 177 12 1— Aa` --I � (o 1E LQ \j f, �,' o � lloo�e: W m d. i ii of L��e cskbea LP a� 2OTI& rXi9 >' a �Y Lj -� r 3 ( � I f I 1 � I o 1L �' WP Z Ste- i�►�y ! OP ' qb N�Go 3��1 -� _•x S C 4 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York .10509 Tel. (914) 278-6130 Fax (914) 278-7921 October 29, 1998 Ronald Mahnert 42 Orchard Road Putnam Valley NY 10579 Re: Addition - Mahnert, 42 Orchard Road Increase in Number of Bedrooms (T) Putnam Valley, TM# 83.12 -3 -28 Dear Mr. Mahnert: BRUCE R. FOLEY Pu�?ir; 'tirC�f�- vz.pirector I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the latest revision date of October 29, 1998 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must. remain at two without prior approval by this _.Department. 2. 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, restructures for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. WH:tn cc: BI (T) Very t rs, -�— William Hedges Sr. Public Health Sanitarian Y. ilk- DEPARTMEN'T'OF HEALTH Division ,Of Environmental Health Services 4 Geneve• Road, Brewster, New York 10509 *4) 278-6130 - - Putnam Cdunty Dept. of Health 4 fteva, Road Bmwiter, NY 10509 Gentlemen: WWCE FL FOL , EY. At Oth M"T' tine. ie i( I Re:. Residon q2 op orr'kAe4 ' Tax Map I — V--4, Town According to records maintained by the Tovvn, the above noted dwelling Is IS NOT . in com cod and the total number of bedrooms on record phince. %0th OAM e This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER ns (Y 0 Ck) 11-IFIT. ttyls�, � I lco PY I C L 1, q' -14.Flr "Nevi ' die w �n� � /y. � � g� ll�, 41 L-7 14 51.4 o ra <-j � -2 Room s ask 1191-1) / RO Y) ct, I j YY) a 6 � Y-1 �a Or't"A pj. ?'A�a)" vcdle� fu "I 9/q- S-�� -q,33 F Lot * /05- r._ c . DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 August 27, 1991 Mr. & Mrs. Ronald Mahnert 42 Orchard Road Putnam Valley, NY 10579 Re: Proposed addition Mahnert, 42 Orchard Road (T) Putnam Valley TM #116- 5-1.42 Dear Mr. & Mrs. Mahnert: JOHN KARELL Jr., P.E. M.S. Public Health Director I have received and reviewed the revised plans for the proposed addition to the above mentioned residence. The plans indicate that a 141 6" x 12' addition will be added to the existing one bedroom residence. The survey indicates that sufficient% area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the following conditions: 1. The total number of bedrooms must remain at one without prior approval by this 2. The area of the existing sewage disposal system, -and its expansion: area, must be . maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WHljP cc: BI (T) Putnam Valley .i i i I b DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (91 4) 225 -0310 August 9, 1991 Mr. & Mrs. Ronald Mahnert 42 Orchard Road Putnam Valley, MY 10579 JOHN KARELL Jr., P.E., M.S. Public Health Director Re: Proposed addition Hahnert, 42 Orchard Road (T) Putnam Valley TM #116 -5 -1.42 Dear Mr. & Mrs. Mahnert : I have received and reviewed the plans for the proposed addition on the above mentioned parcel. That plans indicate that a 14' x 21' (560 sq. ft.) 2 story addition will be added to the existing residence. The proposed addition represents an increase in living area of approximately 100 %.. The addition, as proposed, can not be approved for the following reasons: 1. Additions of greater than 15% .'of existing f loon erea� � must• "be able `to .. demonstrate that adequate sewage disposal area exists to expand the system to present code requirements. Minimum setbacks of 20' from structure and 10' from property lines severely limit the area available, to expand or repair the sewage disposal system, should it become necessary to do so in the future. Please resubmit plans showing an increase in living area of approximately 15% of existing floor area for our review and approval. If you have any questions, please contact me at your convenience. WHi3p cc: BI (T) Putnam Valley Very truly yours, William Hedges Sr. Public Health Sanitarian �9-17s- f-�p / 1J Ara vi Ir< � �. � �lA i,S i �-,, :smo.1 i -er j r1 1'��t; -�12 - �(i)1`i-�v`. ..i� -t�; °�J- �- t�ll.ri L�•.�5� ��./`i�4Sd'i.'�. �`f'_:� I �: '� - _ +1 6-e- &.- ppava or- rl o+. yr G4iJ i J' -6C L . (q►4 -s - � d 3H - o" 4Rh t c K � 0 • 34d 1�i'* 00x. , o, T y= -8'' { AL 14, W 11. FRoN-r Rnna la M,1 e rt u: Aoo(� 1i l O rc -kcL L door P1atj 2Ns'fde 1�ivyN, �c�tuavr. �j0.11ey� N,y <1oS79 SCAL i ,/4;�_ 1_0., o �q�`f� S18 -433s_ •