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HomeMy WebLinkAbout3850DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -3 -29 BOX 30 lips IN We No No i .. i �. �' 'i �� ri- - t 9 6 No ' 1 �� ,� IN I to b IN me 03850 PUTNAM COUNTY HEALTH DEPARIMENP R � i _9 / DIVISION OF ENVIRONMENTAL HEALTH SERVICES I 1 �PItOPOSA% FOR 'SEVkWE° DISPOSAL SYSTEK - .... ._ ..._._.., - - OWNER'S NAME 6ae-6 R 6 CrL PHONE CZ 6 _ 3 Of SITE LOCATION 'Yq 6tzct44ru R f -Ce"i7 -H Fsi"YE-ru To 5 3. 1 z T 3 — 'gg MAILING ADDRESS Vv�-r V AC-Ca Y , t%�( -Y - 18 PC HD Canplaint # Name & Relationship (i.e, owner,tenant, etc.) TYPE FACILITY Psi PHo NE S' 2 E °�2 Sir REGISTRATION # Pro (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. Proposal approved Proposal Disapproved s Signature & to 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. vocation 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' diem. 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 DATE PIES: Mite (KHO): Yellow (fin BI); Pink (An licant) LORETTA MOLINARI Public Health Director 4L DEPARTMENT OF HEALTH 1 Geneva Road; Brewster, New York 10509 ROBERT J. BONDI County Executive 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 July 19, 2004 Whitmore 44 Orchard Road Putnam Valley, NY 10579 Re: Addition — Whitmore, Orchard Rd. No Increase in Number of Bedrooms (T) Putnam Valley, TM #83.1.2 -3 -29 Dear Mr. Whitmore: 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 July 15, 2004. 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 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:lm cc: BI (T) Putnam Valley Sincerely, Michael Luke Public Health Sanitarian ocbf HOUSE PLAN S APPROVED FOR BEDROOM COUNT ONLY; 3 BEDR8OMS f oy Signature &artle Date'". ,N lu LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, . Brewster, New York 10509 0 ROBERT J. BONDI County Executive 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) 218 - 6014 Fax (845) 278 - 6648 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) 1 STREET `r Ci ��6'���4 U _ TO* WNT ,f V f� . TX MAP # NAME ;�c L f l'� l;✓ 61 r 4 J �� PHONEj L �� PCHD # ZAja - 9 MAILING ADDRESS DESCRIPTION OF ADDITION '' ' -f i U s ^ Ut. f ��. An 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 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., 4 Geneva Rd., 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) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * 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 wells 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. . OFFICE USE Comments Feb 98 y BRUCE R. FOLEY ~ Public Health Director LORETTA MOLINARI RN., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (945)279-6130 Fax (845) 278 - 7921 Nursing Services (945)278-6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 June 28, 2004 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: 44 Or-c- aYa :Ro;;d Residence Tax Map 83..12 -3 =29 Town o-f Puts era ley Gentlemen: According to records maintained by the Town, the above noted dwelling IS ._��_ xx IS NOT in compliance with Town code and the total number of bedrooms on record is 3 This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: XXx OTHER BFhouseguidelines Ass't Building Inspector j s. C� rig Q �j�;�elL �,i iron% Omr r F� �� )� 1� l �E..1� ,, �. �__. . ' DIVISION /VOW 16,37 1,5' ot 41 'j J QL A 0pIr1U 1.1 12 9 ILJ "4 jr -9 S7 FRAME wo SURVEYED & PREPARED BY ALEXANDER BUNNEY LAND SURVEYOR. P.C. 20 WOOOSBRIDGE ROAD I KATONAH. NEW YORK 10536 N. Y. S. LIC. N.. Fidd-7�� C. 40'97 OPCIVA12D POAD 770 1 �V 1 SURVEYED AS IN PO SESS i / OR i FORMERL Y BURC�/ETTr4 37/5 fO .�or9c mock' Of' /V.E Corner I i i 7',17-Z-E d' GUARA,vrr" CO. 3 i 5UPVEY . OF PROPERTY PA.UL DA HIV i F�REF�AREO �"OR .S /TUA TE /N 7-NE M° VM OF PUT NA M VA4 4 Y PUTNAM COUNTY NEW YORK OATE: NOt! 7� CI EYED AS IN Po SESSION FILE No.. °3/•5