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HomeMy WebLinkAbout3866DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -3 -53 BOX 30 S97 16 r.' -ti j T .` L. , ,, • ry , ��. t, la L I U t -r 0 BRUCE R. FOLEY, R.S. Acting Public Health DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, 6rewster, New York 10509 a , (914) 275 -6130 ? A PRO=:)S =D A"DITIONi AP?tpIOATIC ?i _ (RESIDENTIAL ONLY) s . R =ET : ILA N� +tN S� 2e�� TOWN' 1 t�►`+ Ulm ► x r`�;P r 3 t� I �.,' -- 3— �- 3 Fr '?- Ebb i Ck pp P� 526 ,ON= — 14 -33G PCHD PER,KIT r AILING ADDRESS Description of Addition f + 1JISk 1 rASeME. -M+ I:ii~:ber of existing betroc.,s _ ?ropos_d number of bedrooms from Certificate of Occupancy or C=ertification from Eui ldinc Inspector CdAINAle W6.9 Any addition which is considered a b=_drecr. requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with ap?licable sections of the Putnam County Sanitary Code. 100X; . Please submit this form and the following to MRAM COU`TTY HEALTH DEPARTMENT, - _.._ G= cVF;.F,CD,. EPiST- t;�_1.C509,- .P�,c.^ ?75 is0 °�i°itii tne"folinwing �riformation. 1. Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Non- professional drawing is acceptable. 3. Sketch of proposed floor plan. 11 Non professional drawing is acceptableC 4. Copy of survey showing well and septic location, to the best of your -knowledge. Include date of installation if known. Include all yells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of C- rtificate of Occupancy from Torn or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions application August 1995 July 1996 (Revised) A- :- BRUCE .R FOLEY- Public Health Director Jeff Reddick 118 East 60th St. Apt. 6F NY NY 10022 Dear Mr. Reddick: DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 8:?l Associate Public Health Director 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 July 30, 1999 Re: Addition- Reddick - 14 Austin Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.12 -3 -53 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 30, 1999.The addition is approved with the following conditions: bedro-oris:must remii 'a .. �vltheut ` . or a rssdal l✓ R _ Three -p' . rp y 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 Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML:kg Public Health Technician cc:BI r. Rev. 3186_ PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y, 10512 y Engineer Mast Provide _P.C.H D. Permit k - -- — -- - CERTFItA-TE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Al 141 � / e" Town or Village �- l Located st ^r / 1' "�''t� ' ! �'�' T. MaP�Block_ _Loth Owner /applicant Name rmerly Subdivision Namo Sadv. Lot b Mulling Address /�� zip- Date Permlt Issued r Separate Sewerage Sys m built by — !2 � hi ' ' �' i e' � Address ��`�' 3 u jy L - r� Al' Y Consisting of �G'� Gallon Septic Tank and -2 Water Supply:,,. Public Supply Fro m��I J /f 1. /` Address or: ) Private Supply Drilled by Address Building Typo r "M.. ! L /.'� ^Y Has Erosion Control Been Completed? Number of Bedrooms Has Garbage Grinder Been Installed? Other Requirements /i�C/': r r':d "'J "i' • %'' „r,�,� 1/`..4 f I certify that the systems) as listed serving the above premises were constructed essentially as oft of which are attached), and in accordance with the standards, rules and regula,,in acc rdan Putnam County Department Of Health. Oats � • � Cfrtiiletl by ' Gl�✓ 4 Address i %f'.' %.,• ` lr '` Any person occupying premises served by the above systems) shall promptly take such action as may conditions resulting from such usage. Approval of the separate sewerag! system shall become null i• available and the approval of the private water'supply shall become null.ana)vokt when a public watef•, subject to modificatlgqn or change' when, in ,the judgment of the Cf ,missi ner of Healthi revoea of the completed work (•copies and the permit issued by the P.E. R.A: •"•l _ 5 nu No. 7- V Kb correction of any unsanitary /pub,'': sanitary sewer becomes rallable. Such approvals are or, change Is necessary. A !'61' DEPARTMENT OF HEAL'fl-I Division Of Environmental Health Services 4 Geneva P0acl, Brewster, New York 10509 (91-1) 278 -6 "130 UIIUCC It, FOLEY, IT :S. feting public Health Di, t•,; far hulnam County Dcpt. of 1-Icalth 4 Geneva Road Brewster, NY 10509 Residence J t f /P VS71AI Tax Map . •/,2 =1 —,S-3 l own P. L/ GCnticmcn: A.ccord.ing to records mallilaincd by the TOW11, the above holed dwelling 1S `..lS NOT ill compliance with 'I'o\Vn code and the total number of bedrooms on record is ,3 This information has been obtained from: CERTll-'ICATI� 01� OCCUPANCY: ASSESSORS RECORD: 0 TI IEIZ ulf'nr•rMr-.N,r Or HEALTH Division Of I.IIvirOnnlCnll1 He,1101 Services 4 Geneva Roiicl, brcwstcr, Ncw York 10509 (914) 271E -6.130 UIIUCL It. FOLLY, 11 S, Acting Public licalth 1,)u .,:l,,, 1 "Utnanl County Dcpt. of Health Ll Gcneva Road Brewster, NY 10509 Residence /L/ 4 vsTiAI 6'T "Tax MaI i Town P. y Gentlemen: ' According to records maintained by tiro Town, the above noted dxvcllillg IS a( -'.a. ,. ..- .s•... - ..r. .... .. .. .• �_- -. • • .. .. iv r. •. .• :aL y w.. r. �a ... t- -. a .� -. .r .... N .. •. .... - . -.. ..'f .� IS NOT III compliance with Town code and the total number ofbcdrooms on record is 3 This information has been obtained 11*0111: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER ,���� ��f � 4th Cops' -����7 /y� ' � ern ... v � Y. a< � .� n z . y "�. - R � ., -. ♦. .a 'Cx'.• � c 'nv.. .. - -t a Phone: (212)735-4795 Fax (2'!2)735 -49 Ta Department of Meafth a Uke Luke FMM Corinne Reddic k lv (914)278 -7929 Caw July 28,1 M Pasaw 2 Re. Perml for 14 Austin SUM (Redd &r CQ dumefid ® Fear Tow MUOM ® Fla Comment ® Plems Reply ��®eeoegn�a¢ss Mikat: Per our conwasban yaWday, r err► "you 8 copy of the dra wV w4h the stairs =Md. PW= fleet tree to ad me i1 you have any additional questions (212 735-4795). Thanks, Corinne PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMMATION Name of Project �/'^ -S�r`� �G� T Mgt Year of Construction Size of Parcel SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. ❑Hilly ❑Rolling []Steep Slope Gentle Slope Mat 2. gEvidence of wetland Clow area subject to flooding ❑Bodies of water ❑Drainage ditches Mock outcrop YES 3. Property lines evident? LJ 4. Water courses exist on, or adjacent to parcel: Lam' 5. Existing individual wells within 200ft of the existing SSTS? ❑ NO L� SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level Gentle Slope ❑Steep slope B. ❑Well drained LIModerately well drained []Somewhat poorly drained ❑Poorly drained C. Area available for SSTS.. (Primary & Reserve) ❑Extremely limited []Somewhat limited OAdequate ft x ft 0 D. IN ECTION No evidence -ih 0Yl\ I I /J Date -7 1 L2111 Inspector Evidence of failure ®Evidence of seasonal failure V1 (1) Indicate location of SSTS A. Size and type of septic tank gallons 131%9etal OConcrete OPlastic B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. (2) Indicate setbacks, front street, backyard, and side yard dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) North 1J SECTION E. EXISTING WATER SUPPLY 0P vs []Shared well ®Individual well ® []Dug ®Casing above ground CONt SENTS - REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: JUL -28 -1998 11 :20 Phone: (21:473S4795 Fax (212)7354999 WEIL GOTSHAL & MANGES 1 212,735 4999 P.01 To: - Department of Health - Mike Luke From Cohme Redick Fam (914)27 8-7921 date July 28, 1998 Phsae: Pages: 2 Re: pPnnit fnr 14 Arlin %tnl.,M (RPri t*) CCs O Uyeat - H For Yew Auden O Pleats Comment O Please keply VCotntneMs: Mike: Per our oonvoroation yootorday, l am fwdng you a ou" of the do wing with the otaim rmrko& rvaoaa feel bee to ad me if you have any additional questions (212 735.4795). Corinne 4 AJSrOI4 S- Alp ®tai a sa . s ®dCe- t.' /2- �- �m'ta¢o�Y � p ` �41P 404si C-0 4C ZOO •4I.. ._...— .�.�,� -.... "�^`�tt"•`h•• •.�' • ^. ��� - :+moans ...+r,+�. .�_ 111+ 1 f l ID W -..._. D Jul -16 -99 10:31A C H.,i ea L J—t.Loe e-. k A P.01 ml lo(li 1 leP C P -, 'feel 3,14 AJ Jul-16-99 10:31A P.03 Arwqj PuMm lWiellh 1)...... 1XVA1,,TMf-NT OF HEALTH Division (U( L*1 svir cis 1111riltal Health 'Anvices I Cciteva Road, MWACI, New YtWk (914) 2Z11-6,130 PuLliall) COU111Y I)CI)I- Of HC41111 11 GC11CV3 Road Brc%ystcr,NY 10509 L/ jq 145 7—/A/ Tax Mill) GC1111cmen: According to I-cco(d..; 1jjaljjkjIjjjc(1 by tile'l'O%vil, the above noted dwc.11111� 1,`i ...... 11/1' .. IS in Compliance %vjjll'l'o%vlj cock ;,11(i the total number of bud . rooiwi ull record j,; __ -.3 This Information has b(;(;Il oblainal. from: C.17UMFI.CAT E; OF OCCUPANCY: ASSESSORS RKORD'. 0' 1-1-1 C. R 49 goof Buildim, 1115I)cd Jul -16 -99 10:31A DEPARTMENT OF HEALTH Division of Environmental Health Servkes 4 Geneva Road Brcwater, New York 10509 Tel. (914) 278.6130 Fax (914) 278-7921 AlJgust 25, 1998 Jeff Reddick I 1 x East 00th Sit-eel Apartment 6FF New York NY t (1022 Re- Addition- Reddick. 14 Austin Road Increase in Number of Bedrooms (T) Putnam Valley, TM# 83.12 -3 -53 Mr. Reddick: P.02 BRUCE , R. TOLEY Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned resideni -0. The plans indicate that. the proposed addition will consist ofthe following Partitioned finished basement with full bath. The legal hedroom wont for the dwelling is two. The potential bedroom count of your Proposed addition is four. Based un the information submitted, the above mentioned addition cannot he approved for the litllowing reasons: I . The finished basement is considered a potential bedroom by this L)epartment 2. The addition ul'a potential bedroutn requires this Department's approval of a revised septic system plan from a professional engineer Please revise the proposed floor plan to rl -Acct no wore tha i thnee potential bedrooms, or have it prol6sional engincer or registered architect design it sub - surface se.wagu tivatitlent system meeting present code requirements. If you have any questions, please contact me at your convenience. \41 -:m Very truly yours, Michacl Luke. Public I lealth Technician ° �o �.;AJ����� s �.:_�.�:.. - �;;;^ ._.. -- __..:_._ ...._�...- ..,.... • I4 �c,��..... -• mss/ o �/'f•,_,- o�s�.,eK riot 1. fA- _s/ s 4 13 m.S6�rGn 12 I!rC �'srd•rf r 46. .1 r Jow Ae W9 a s. W&W - -.. - i 6 Jul-16-99 10:38A r. P.02 Rev. 3186 ,v! -,v: %p PUTNAM COVM D"ARTrapm OF HEALTH Divicism dEsWwnmftgd "W& Smvlm, Cam,,, Fughwar Rmt Nowfdo Pvnn p- Owww/amild-4tof 0 eYfr W011108 Ad Tall sawf4dau Aimans v. to( tl Date Partaft lacmd s-p--w so-ow System hififif by Vv7*e1d# , �v"FDd&i mr.1-4- 77; /Z, 91.111% A'-". comatafts a %r/4 Z, --Galloss Sep* Tank and V el wo(®a supplys PublIc Supply Fmm ASISIrm, Of. --Ptfvoft Supply Ddfied by- Addmw ..... :-- 17 BU04ka Type .*' ", -�:"4 / J Has EMIGIR cautrd Dorn c4mvic(ed? mm"ItImer of ,-mw carhaae, c.rww moon walaw? I mortify trot the erateata) an hated merwift tho &1*v* Prl= iDdff Were c0h-tbw"d cammet'ally an If WhiCh 090 4MC1144), & M Ln &CCQZ&nC9 W'U& UW atGrAdrds, "la" WA i n of the complet-d ark •veriv. e . and the t4mit iss"d by the Daparwnt of 6011th. :/A -Z apt Data ran gnan p-on"pasw to" um" *"Oman of mmmwe .....rya u...° .ewra..le rem oven ammo. AoarrMrmf yI I.. e.pororn =�ac� cvzma,w ohaft bacarno So caff 064jen of any undSFIRGIV pub!': Wenary 9QVM 6006= orajvcbvw one two opp-or of me swivate water suoply share become oku".4001vold W100ft a pubf .no(ear. arw3ert 10 z In the .1 oft. Cpd(jvngocl?nor go P4034to1 4w4116b1a6 suco sprevals ara So of c"DOGO 10 Jul-16-99 10:38A DLI'A1-.-i,rvwr,r7 oi, HCALTI I Division Of hivir(mment.il 1•1c.1101 scivice" 4 Gm-teva koad, Brcwslcr, New York (91.1) 2 %(3--6-130 PuLilit0l County I)cj)t. of HC;11111 4 (Icticva Road Drewster, NY 10501) Gcnilcmc-n: P.01 URUCC It- NUN'. I(S. Ac.sioU llutl;v. j4,!3,t1, 577-'� -fax Mill) ?,3 3 —413 Town Accardilll; LO I-CC01-dZ; I-11alowincd by thc'Fown, the abovc noted dwclljn�g Is I - NUT ill compliance Nvith,fown code imd the twill number of bedrooms on recurd This information hats becit oblaincd fioni: ASSESSORS RECORD: C)-fJ-1r1rk. ?-Z— .. r-L1F,-4C1'V4 Boddim, 11IS'llcut w Jul -16 -99 10:35A Jc11' Reddick I IS Fast Goth Street Apartment 6F New York NY 10022 N.-Ir. Reddick: DEPARTMENT OF HEALTH DiOvion of Environmental Health Se"ices 4 Geneva Road Brewster, New York 10509 Tel. (914) 279-6130 rax (914) 278-7921 August 25, 1998 Re- Addition .. Rcddick 14 .Austin Road Increase in Number of Bedrooms (T) Putnam Valley, TM# 83.12 -3 -5; P.02 Public Health Director I have received and reviewed the plans fir the proposed addition to the above mentioned residence. The plans indicate that the proposed 'addition will consist of the lirllowinp;. Partitioned finished basement with full bath. The legal bedroom count for the dwelling is two. This potential bedroom COUnt of your proposed addition is four. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 'I The finished basement is considered a potential bedroom by this Department 2. The addition of a potential bedroom requires this Department's approval tit' a revised septic system plan from a professional engineer. Phrase revise the proposed floor, Ian to r0lect w.) wore than three potential bedroom., or have a processional engineer or rel istered architect design it sub - surface sewage treatment system meeting present code requircments. If you have any questions, please contact me at your convenience. M I .: rn Vc:r.y truly yours, Michael Luke, Public Flcalth Technician Jul-16-99 10:34A P.01 mll-r -�f ea'a toll V f�f u .9� ll.�- G'ru' ��C4i's � c}� S' . �t%/ !�� .� i .•rt.E�'2.&.. l � 0 C U c e �N @ C/c✓� •P� SrSF �/ "'j- A %a r� C �i4 G e, i,v c C ✓.e).,✓` N1 R. it i. a, JUL -28 -1998 11:23 WEIL GOTSHAL & MANGES 1 212 735 4999 P.01 TOTAL P.O; JUL -28 -1998 11:25 WEIL GOTSHAL & M"ES 1 212 735 4999 P.02 TOTAL P.O� A, zo 'd Idiol (T) P io-61W C7 4 C) co . .................. PUTNAM COUNTY DEPARTMENT OF HEALTH -HOUSE PLANS APPROVED FOR D R 0 0 N1 C 0 U N T ONLY; .—BEDROOMS signature Tije Date Milli ®®■ El momi Im■ In ■■l El ME Ism , �■ �:1 Ems ON ml 191M 0 ■■�.� , �� �® Ims ®■ ■► „ ■ Ism too EM MEN m ■ MEN 1 PARM MAN �o ■ Imm IS IN ■ . RE I ION ■ ■ ME! INN p IVA"" Tr ldE LAo'st, Ap PI)R . ..... ... BED Date DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 August 25, 1998 Jeff Reddick 118 East 60th Street Apartment 6F New York NY 10022 Re: Addition - Reddick, 14 Austin Road Increase in Number of Bedrooms (T) Putnam Valley, TM# 83.12 -3 -53 Mr. Reddick: BRUCE R. FOLEY Public Health' Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that the proposed addition will consist of the following: Partitioned finished basement with full bath. The legal bedroom count for the dwelling is two. The potential bedroom count of your proposed addition is four. Based- on the info_r_>:n t si btr�itlA, the ,above "mentioi ed addition �a�ti�e, 1 � app= ae -lor the- a following reasons: 1. The finished basement is considered a potential bedroom by this Department. 2. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML :tn Public Health Technician :i It �i:f' .R. •�, _:1j', y. - :♦.\{: i ... •i: '3"''w':'•.� :4r•: • ,Y •ri. �,�' }..{�`:�_. iiw'�'j':t•t ..•�ti.{rY ;i• ss +' mm atom • :.) - : ,+: �- � ::+s' ,,' ,iwTf?-: ;� .`/ L. •s.. -i.'�. �� � .x.. •r /��'1���^ • .`! ;' C '•.`_S��! �zf.'.'•r.�r �� .' .- +h. {. .�•! -t'r Kv • S �•a .. •<.»��s�+ � �..r :•'',i: y: r:i �• - •s ~:7�'Sa '. �e :i�.; :4r r� :Y'. ?►'•S..f f. :)f. ♦, +y ._ r•rr�. '' i..,+:_ �'1'::Y 'i`F'! •�'�\'•�' t .i : ,.s. ^' tt. _ _ � :a; •. Y:. ♦. � "r'' •a: i : •'$i` \�.• .�" # s �; 2...<. +'it . ; ... 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R. 23' -3" Pipe Chase Ask Plumber to install New 14'- 0" ; ' Toilet Outdoor Water spigot Shower _ Fan/Light �0 fD ; 17' pipe chase � t �,Vah duct CD o> Sink. 0 Furnace Water Heater c� rj milli ;.. 1 71 _ R Garage ry' 15'- 81 /2" c' 0 • to N ' }v { 3 N ' �D t �f1fP�e,✓T t a j 4 . 4 14-01, 5J' -81 1 'S 23'-3" 12" pipe chase Pipe Toilet J Shower 'an/Light �O vith duct CD Sink 0 1 zv 4 } a \� t 1 } a 1 . 1 ' 1 CV In Furnace Heater Water N Garage Ask Plumber to j install New Outdoor Water spigot 1. �i i'i •I� :.i .I' i.` a, G. 1' t I . ; i n i Cam C ex aw- V-4 r iP Ui i. .1 • 7 7777 4 T T Yo aw- V-4 r iP Ui i. Am� .1 7 Am�