HomeMy WebLinkAbout3870DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
83.12 -3 -66
BOX 30
03870
or
' '
In
r
T
J
•
M
I
1
■�
-
IJ
'
I
r
03870
Public Health Director
` :ORETTA ' MULTNA R N., M.S.N.' ,
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 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 (845) 278 - 6014 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113 February 22, 2002
Robert McIntosh
22 Edwin Road
Putnam Valley, NY 10579
_ Re: Addition - McIntosh
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #83.12 -3 -66
Dear Mr. McIntosh:
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 form this
Department dated February 22, 2002. 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. 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 Valle
If you have any questions, please contact me at your convenience.
Very truly you
William Hedges
WHIM Senior Public Health Sanitarian
cc:BIPutnam Valley
BRUCE R. FOLEY
Public Health Di4 rector
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA .MOLINAR_= .R.?::,-.:
Associate Public Health Director
Director of Patient Services
Environmental Health (845) 278 6130 Fax (845) 278 - 7921
Nursing Services (845) 278'- 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 —6014 Preschool (845) 278 -6082 Fax (845) 278 - 6
ADDITION APPLICATION (RESIDENTIAL ONLY
STREET TOWN ' X MAP#l��
NA.1ME1,� HONE �({ PCHD# a
MAILING ADDRESS
DESCRIPTION OF ADDITION _W% VV JS L-a cu W �jA Bm
V Vl K6
NUMBER OF EXISTING BEDROOMS Z,-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 s.Armt this form and the following .i c Putnam County Health Dept., 4 Geneva Road, 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 -9)
*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 / n / c/a/
Feb98
BFhouseguidelines
BRUCE R- FOLEY LORETTA MOLINARI RN., M.S.N.
Public Health Director
_7 -7
, �161 �,V bi4ct 0_1r'_� Patient Services
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 (945) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: -?-
Residence
Tax Map
Town
Gentlemen:
According to records maintained by the Town, the above noted dwelling
,
IS j
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
BFhouseguidelines
TMENT
o
DEPAR f M40
PUTNAM Uny
MOUSE PLANS PPROVED FOR o a
BEDROOM COU T ONLY; , ^
«a V
�ROO SLee�l
. ! ;
,.
Si�na•L itle
2,1
tr
5
ti4y�
n/
/2
3.
�... w -' ::- :C�.'': .. .i.. - .. .., _ -�a z- �' <%•y, ..- <. r -<-.•� ... -.A... .i- �A c•.. I-. L -.. .' -. ... s.. .- t ez. t��.i.- -. r-`r,
Q fo
SO
CkA
IQ
°� � ' J 1J • I L' /y ' '
r. GOG. 00 • / W
1� W
7-0 6 reTr
�® C-,a
PU NAM COLWY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL.gM TH SLICES.
..:., . - 225 =0310
PROPOSAL MR SEWAGE DISPOSAL SYSTEM REPAIR
S NAME 'YV D '� -1 d-1 f e9- ? P,(4 1z IL, MM % -l4 S—
SITE LOCATION A v s 1-14 tv) 4 �( mow F's rte, -?l m#
MAILING ADDRESS �;&mC i. ,4 FC-,* -7- -A�TZ,, //
l� C
PERSON INTERVIE ED PCHD C rplaint
Nare & Relationship (i.e, owner,tenant, etc.) s�
DATE 2 't/ TYPE FACILITY F �iSi
PROPOSED INSTALLER %&-4"J PHONE 1, vZ ✓� �'i r
Pra)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
registered architect.
Proposal Proposal Disapproved
Ins r °s Siqnature & Title
Pr000sal aunroved with the followina conditions:
to Procurement of any Town permit, if applicable.
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 cainponents tied to two fixed points
d. System description (e.g., 1250 gal. concrete septic tank,
drywells surrounded by one foot + gravel).
e. Installer's name and number.
Date
(e.g.,house corneres),
three precast 61 diaama x 61 deep
3. System repair to be performed in accordance with the above proposal and conditions.
[, as owner, r reported agent of owner agree to the above conditions.
f
iIG)RE TITLE %Vf ` DATE
ME: ftte (MD); YeUrw (Tcym W; Pir k Lkj2jaant)