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HomeMy WebLinkAbout3888DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.16 -1 -12 BOX 30 A�Nv ... goom ;; r pr , ... PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES ��..i,l���r� AL'i•� S'l�''J ♦1�l?L`•U1k'0SAi A*& ETWELP�'i11�.� -%`. SITE LOCATION / �P�C� /� Ap, OWNER'S NAME MAILING ADDRESS OFFICIAL USE ONLY vklell.A ? TM# _✓" PHONE PERSON INTERVIEWED PCHD Complaint # ame & Relationship i.e., owner, tenant, etc. DATE TYPE FACILITY PROPOSED INSTALLER 4g2 iWR 1/ ,/ �a�10 C c3i� �b� / ✓on/' PHONE Ci /�/� 736 -q010 ADDRESS 6 OV IyAI lk 6,e7Z"tit/ro A/c/E' REGISTRATION# 02 Proposal (include sketch locating all adjacent wells): PC # `� 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. I as. owner, %oar Teport ed agent of owner agree „to the conditions.stated on this farm... . ySIGNATURE ' �✓ f i�%r'+ ` 4� ” . _ -TITLE �L�c% ��/�'`— DATE 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. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved, Inspector's Signature & Title DATE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML Page No. of Pages LZEONAI VI & ,VON CONSTRUCTION, INC. A CAROLYN DRIVE • CORTLANDT MANOR, NY 10,567 Li C;. # WC-31112-,'490 i LIC. # PC-560 PAOPOaAISr • ? "ED TO NE DATE �- - -- STREET B NAMFl %;rte! ..... ........--- ..__.._...__.. - - -._: CITY. STATE t .. zI# C E ARCHI T LA' E OF FLANS WJ'here, submit specifications and estimates for: - ZZ-o Q-% (, 13bw3l JOB LOCtinOlr I I i i1 N t� '41 .r:? P }'ENE 1 � �-% J 0Z r- 'NO LANDSCAPING RESTORATION, OTHER THAN GRADING D19TUPSED AREAS, IS INCLUDED UNLESS SECIMAU`f STATED.' Of PrOpOpt hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: �I dollars ($ Payment to be made as follows: i! A FINANCE CHARGE OF 1'/,% PER MONTH WILL 13£ ADDED TO ALL UNPAID BALANCES. M- STOMER IS RESPOWABLE FOR ANY AND ALL COLLECTION FEES ALL DISPUTES ARE TO BE S�TI - E-St.THROUGH,gJNDING ARBITRATION Ii All material is guaranteed to be as specified. All work to De completed• in a workmanlike Authorized _ manner according to standard practices. Any alteration or da: 3t'.on frog ate, e syaG'lic�rions r,r. /_ , -�''•' / involving extra costs will be executed only upon written oraers, ano will become an extra ' gr.a „I,rC, charge over and above the estimate. All agreements contingent upon vt*as, acci:e;;ts or delays beyond our control. Owner to carry fire, tomado and other necQ c:; :r a :crcc. Note: is proposEll may be i Our workers are fully covered by Workman's Compensation irs"ur3of.a. withdrawn by us if not accepted within — _ days./ i Arreptatirr of proposal— The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature t : 90 -t2- 41 Is to 5 O sjv N MAJ. /Lrr -7 •3 MA0✓4, OR. G TYPICAL SECTION 4 $5ALM I -7;- �14 Jf- 7-1 A ^fps.. 14, 1)9 RECEPIED JR " lim No I OW—MA 000SLUM AT LAW � PIP A P-iqovE •1� f i / S �S Oototftp a m11plwvgQ1 my Om1100M Plaugg Sw"Ic *"FTW ROMEO•ROMANIELU•AMICO, JOc.• 90" MATU PM &4t1 x,,c. •Y 6 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUN -11E -OFFIGE - BUILDING -,- CARMEL; °`N: Y: REVISED DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.- Owner Creed Bros. Inc. Address -1221 Park Strget,,-Peekskill.. N.Y. 10566 Located.at (Street Uppland Drive Sec. 117 Block - Lot 22 6dicate nearest cross street) Municipality. Putnam Valley(T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION RM apse Depth to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 No tests made at this dime. Fill. being brought in and will require 2 time to settle prior to testing. rate of 11 -15 minutes assumed. 3 2 3 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 4 5 --� 1 2 3 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLEPNO. 6" 1Tb holes dug. as fill being brought in is visible.. R.O.B. Aaterial 12" now in to be regraded to lower level in rear anc1 additional material 18" `brought •in, 24" - 301 361f 4211 48" 5411 60" 66" 7211 7811 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John S. Romeo Date February 129 1975 DESICTN Soil _ Rate Used 11- I51;Lin/1 "brop: Area Provided'` 5000'SF No. of Bedrooms 3 Septic Tank Capacit 1000 Gals. Masonry Absorption Area Provided By 236 L: F. x24" y______ x Nr . lvame jonn 5, t?omeo bignature 6 Q_ .. E;. o ©o � Address 1 Northridge Road SEAL e e s i1 _ s ° Wl 2 • a o THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: fl ®� ao ©� °'® Soil Rate Approved Sq. Ft /Cal. Checked by Date_ POTNAN DT'Y)ART,\TF%,IT nr III-ATMI L HFATITIf SPRVTCES DTVTSTnN OF FNVT RON.*-T TIT. Date February 27., 1975 Re: Property of Creed Bros Inc.. Located at UppjanO Drive Putnam Valley. 22 Section 117 Block Lot Gentlemen,: This letter is to authorize, John S. Romeo a duly licensed professional engineer x or registered architect. - (Indicate) to apply for a Construction'Permit.for a separate sewage system; to,.,. serve the above noted property in accordance with the standards,.rules or regulations as promula-ated by the Commissioner of the Putnam County -Department of Health, and to sign all necessary papers on my behalf in. C� connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article,145 or 147, Education. Law, the Public Health Law, and the Putnam County Sani- Countersigned: �4027*846 P.E., 1 Northridge Road Addre Very truly.yours, Signed Peekskill, N.Y. 10566 00. r, #30 0 Q, © ®p 737 - 1056 Telephone ,Aaaress Telephone % R$ AF 27S46 ert Putnam County Department of Health" Division of Environmental Sanitation AFFIDAVIT - CORPORATE OWNER APPLICATION -4. -r ,3 :: « =POR PERMIT APPLICATION .SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT 10: Commissioner of Health - In the matter of application for. LL� _ _ _ -- - _ _ _ , represent that I am an officer or employee of the corporation and EIT authorized to act for _ c �_ 2_ �__ _ _>--� l �•^_. i _ _ — (name — cQoration) _ .having: offices at _ _�. `S F'" Whose officers are President _ ® ILI Name and dress) Vice - President _ � lvautr Secretary (Name Treasurer _ _ �_Q__ - — (Name -------------------- aiid ri UUl and Address)- -.end A,dd�e'ss)- — -- -- — _ _ _ ... a 7. and that I am and will be individually responsible for any or all acts of the corporation with respect to the approval requested and all sub - sequent acts relating thereto. Sworn to before me this 27t�', day of 19.1 Notary Public SUSAN L. ccNKLl'N Nofory Public in she Sto!c of New York Appointed in Uutchess County My Commission Expires Morch 30, 19 V Signed 4� _ Title —� -- - - - - -- Corp cr,.a, -Q Seal. PTJTI�AM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES " PROPOSAL FOR SEWAGE DTSPQSAL' 'EM- REPAI WrIML I J&oj . A. P 1 Z SITE LOCATION I /V1.1; W#Al OWNER'S NAME MAILING ADDRESS 4 TMO —PHONE CAS S2 t,-7 PERSON INTERVIEWED PCHD Complaint # Name I Relations Tilp (i.e., owner, tenant, etc.) DATE_ TYP E FACILITY PROPOSED INSTALLER ZL40Z�,111 T�W (.0D 1T H6NE- 7L4—�,:4nicIC ADDRESS 6 (�V AJA. 06X774e4ir.APWvR—REGISTRATION# Pic Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same " as original sewage disposal system Different location may require submittal of proposal from licensed professional engineer or registered architect. ,PA&,q- / OCA Yv&l 1, as owner, ogftrted agent of owner agree to the conditions stated on this form, SIGNATURE^. z TITLE 2NN/C R- DATE-- PrQR2saI vd=W with the following condition . I. PrOculemOnt Of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. . i Owner's time J. b, Site 't e 1o"andTkxMa pAumb4. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6` deep e. Installers' name, ark vITH—r. 3. System repairtobeperlj --ive,(is Proposal appq Inspector's Signature & Title LATE COPIES: WLu'w k'r%,=); -veulvow (Tow-a BAIL); A PC-RP 99ML rM LORETTA MOLINARI - Public Health Director 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) 279 - 6648 June 14, 2004 Mr. Lucas 7 Uppland Dr. Putnam Valley, NY 10579 Re: Addition — Lucas, Uppland Dr. No Increases in Number of Bedrooms (T) Putnam Valley, T.M. #83.16 -1 -12 Dear Mr. Lucas: 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 June 14, 2004. The addition is approved with the following conditions. -1: - The total-number of bedrooms must remain five without prier 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 Valley. If you have any questions, please contact me at your convenience. ML:cw cc:BI (T) Putnam Valley Very truly, yoursD�� s Michael Luke Public Health Sanitarian �,AsT� 11 Ya / I ("JAq ) C, ft)A s�(Z' fbe I � /Zo Rlfab K�TC N�-N 14A C C UJA PUTNAM COUNTY DEPARTMEWTWI'ft�w HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, BEDROOMS U0 I V//v6 /4' 1 L-UC4;� 1 bur /eT c�TLer I' I � . C�Tl.e't' A,vdQ� sow \� 6fr Avoe�cso.v cl_° aoE*X. i Y: �� • ���.roa✓ C��'�eHEivrs fg- a�gRoc � t�lq w (�.t��•�,a� . CPL�•.��tr�..., 1$ ' ° . f r- Ec Ec PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; BEDROOMS to/// YAJ Ar Signature & Title Date o - rGer s. -,OIL .i i. Ali 9b" iOTe� %�is�P 814/0 � �� ®� !'4•- :..�.P.C�• Z'c'e �loeie`ui�dt�. 5 - ovnttS _ �I :F 3" < PSI 6,q <.4 _I e- 4 VC1001T lu so. 14 - /-I is PUTNAM COUNTY DEPARTMENT 0 F 'H HOUSE PLANS APPROVED FOR BEDROOIV, COUNT ONLY; > BEDROGPg Signature & Title —7 Y oTo T-b it 5e, sr I mvd Roan �.. rWaS���.� �Ry l A\ f -7 CI t- 0 Le -ric b. i1tf1C`'" R. F�OLEY • wo . _ _.. -, . Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLMARI RN., M.S.N. ,4.rsociate Public. Health Director Director of Patient Services Environmental Health (84S)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 608S Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL (RESIDE N TIAL ONLY) STREET / AbVl. 6 / W TOWN &II H) )ldlk'` TX MA Pr cqs.) � —( rIZ PHONE �5 PCHD# A V�J MAII ING ADDRESS al d� ��! '7L,t DESCRIPTION OF ADDITION (aA,40–eC�l, r '1\M -MBER 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 SanAta. Code. Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order fbt $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 0 r- Feb98 BFhoaseguidelines ov,.L.' �n F . d.. E' `,. .. BR,'JQE -n,R, rOLEY-� .. e• ~- Public Health Director - 'CORETTA :MOLINARI�R-N., M.S.N_._ Associate Public Health Director Director of Pntivnt .'Z— i..a.. 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 (84 5) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Prescbool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: J, U Residence Tax Ma ,IL -1 -tZ Town According to r ords 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 BFhouseguidelines Jun 14 04 10:38a BUILDING DEPT 9145268806 P•1 a. BRUCE R. FOLEY LORMA MOLTNARI RN., Ivt.S.N- Public Health Director Xssociale Public Health Direcror Director of Palierrl Services DEP,A-RTMENT. OF HEALTH I Geneva Road Brewster, New York 10509 Environmental MAO (845) 278 -6130 Fax (845) 278 - 7921 Nursing Scrriees (845) 278 - 6558 WIC (845) 278 - 6618 Fax (845) I78 -6085 Early Intervention (945)279-6014 . Preschool (845) 278 -6082 Fax(845)278-6"9 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: L _. U �- S Residence Tax Ma •��^ I �� Town According to r ords 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: BFhouseguidelilies t.i.l _4A -OMMd Mnw 1A:75 TEL:845- 278 -7921 Building Inspector NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 r A 4ALL E-- -4 PI'm s r TS �A.0 8+ �� h1as i� c, PUTNAM COUNTY DEPARTMEhFT0�1#E-iH GFnI DEc K HOUSE PLANS APPROVED FOR Iz .-� I BEDROOM COUNT ONLY, I -Ir BEDROOMS �y J Si9natute &Title pate ; 121 Kl-rC HUA/ hN 4% , qe-- cp , 1 y I-1A C G c,14 y CCo.F. r BPd &,V� #ti / e � T l✓ ✓n�6 /f)n1 Ap' SUAI/q&H T �- - Q 6", 4,1 --,' I1> 20. �LooR Luc AS - -� vPP�.�,✓dD.Pi ✓E R-!3 Z t to f t rv,4 d c-, Is yid CN. f e�osa „dl � i 6ur/eT- 6'-Fr Av oaks -., ./ e r;. C'O�o.✓•,raG IgAJ� i �.$IV- Ct Grra.._ Aarr191 _ WAtI "rs!i!Ris.B PV-�- � CvT(eT- PUTNAM COUNTY DEPARTMENT OF HEALM r HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; BEDROOMS Signature & Title , Date o- rzer 0 q1 ovary- 4 j e - (fl �` (� ��vP�aRfi . Ct.,., et.J�!-5 �v °' �cO Foote J• `2 o ,I -w- tj 16.4 rN t kile-ol p 7 , &ZOO W0 ,07i %eF 53.14) — /-14P PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; s BEDROOMS S' ature � i� Titte / P7 7 1 TASK -4 . J- ,r mvd Rom: r q s trA 6� R A e K�T� o L_ea, T n r to T� S Iq --4 T i 12' -1 Jun 14 04 10:26a BUILDING DEPT 9145268806 p.2 MIN" Taint IRV SEVELOWITZ TOWN HALL Code Enforcement Officer PUTNAM VALLEY, N.Y. (845) 526 -2377 JOHN W. ALLEN FAX (845) 526 -8806 Deputy Building & Zoning TOWN OF PUTNAM VALLEY Inspector BUILDING. ZONING. AND SANITARY DEPARTMENT DOREEN PIACENTE Bldg. Dept. Clerk June 14.2004 Re: Tax Map# 83.16 -1 -12 ( 7 Uppland Drive) Dear Sir!Madam: The use of a fifth bedroom on the above parcel is of no consequence to this department if the Putnam County Health Department is aware of and approves of such use. . Regards, John W. Allen Deputy Building and Zoning Inspector JUN -14 -2004 MON 10:24 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 Empire State MCO 8454404552 06/09 '04 11:58 NO.519 04/04 f-4 State MCo ;5`.54404552 05/20 '04114: NO. 146 03/03 • i• R t �� is.�. i...Yi `� •� �r� �- n •i i JUN -9 -2004 WED 12:10 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 4 a L4,1 tar wag JIN T 0-7 ,A,jvI j, =-J- o y 0 oP1S Empire State MCO LW N a P LW 8454404552' 06/09 '04 11:58 NO.519 03/04 AL dMbliga" wn qpvlwwlo &wX Fee IF r 4 jop Flog M Ease* Mr. 'Aw-ww" or% A A.1 I -solo M qumfth wesswul 0.0 "b" Una-ww" in sower me u1softorno. ftw "up sum NJ :17 • . know be wpm WOMM man& wwo we M moo 1� 46~ "Von mlvllolio� "Woo "=!vMbw ww Paul —Two mom 8n..�l. "aftmkift wl� we hFIft offffims OR wo qw0wiand JUN-9-2004 WED 12:09 TEL:B 45-278-7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 3 -Empire State MCO 8454404552 06/09 '04 11:57 NO.519 02/04 e stato mco e454404552 Q5 /i&u 'V4 14 :d •Nv.,IAM q ilus PtTj't+1A34 COUIY TOW.Ul Li�AA w r Ah d)— !!_© I _a.- F_W. L ai •. vim w L IbL bog P No nre v CAF • 1 n] JUN -9 -2004 WED 12:09 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 'Empire State MCO 8454404552 06/09 '04 11:57 NO.519 01/04 ft L -�a�.. S`+`S `�y�' 4 sag . ... .. . ow ev"jud Permit use P 10 fly do sv® New walk. and having Vold few to Hamden lit d bms Ow NOW — '"— �WW'oempfy'vAft *a rc4 Wr4uwuU of ',I" ss Ig bg"by Wmxmd 11his . -0- 1 day. of ZreAZAM 0 is duo for ago 0 IV -we dhowt.40 .............. ;404-6 or pwnam and 04C -a . 'r _ :�� Ne 3514 JUN-9-2004 WED 12:09 TEL:845-278-7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. I I/. LORETTA MOLINARI Public Health Director May 25, 2004 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/Preschool (845) 278 - 6014 Fax (845) 279 - 6648 Mr. & Mrs. Lucas 7 Uppland Drive Putnam Valley, New York 10579 M Dear Mr. & Mrs. Lucas: ROBERT J. BONDI County Executive Addition — Lucas, 7 Uppland Drive TM# 83.16 -1 -12, (T) Putnam Valley 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: ® An enclosed porch. Based on the information submitted, the above - mentioned addition cannot be approved for the following reasons: 1. Approval of the studio apartment is required (an application is enclosed). 2. Satisfactory results from a coliform bacteria test on the well water is required. 3. A receipt showing that the septic tank has been pumped within one year is required. No additional fee is required. If you have any questions, please contact me at your convenience. Very truly yours, '0�e��4z Mike Luke Public Health Sanitarian ML: cj cc: B.I. (T) Putnam Valley encl. Accessory Apartment Application (Spqz \ A,Vde&.co,v , fl4ft--eA- or. 013 als go' 7 CeAx WA (L 7-H ORA"Xnq t / Cl I / (0 nr qpo IFe 6Pevcolr u..jdne,,. VeFlux Fu-.,,c #jw�j/vos Ale eV T 0 ,)031 IV340 .............................. fA, ef-,7 7 i VH T IV3H :f t .............. 7 Al I ?/ C.,/-) /IV� I IT- rdcd �� 11 --4 �— 0 —zD ---4 Date A ril 11 , tg 89 TOWN OF PUTNAM VALLEY 89 - 571 Zone District R-1 PERMIT RECORD Application is hereby made for Bldg. Permit Work to start Description Open Wood Deck — 16' x 29' Location of Premises— Street or Road Uppland Drive — TM #117 -1 -22 SEC. BLOCK .'LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME Brookdale Heights TEL.528-1307 OWNER. William Lucas ADDRESS Uppland Dr. - Putnam Valley, NY tl d ROOFING LAND Date A ril 11 , tg 89 TOWN OF PUTNAM VALLEY 89 - 571 Zone District R-1 PERMIT RECORD Application is hereby made for Bldg. Permit Work to start Description Open Wood Deck — 16' x 29' Location of Premises— Street or Road Uppland Drive — TM #117 -1 -22 SEC. BLOCK .'LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME Brookdale Heights TEL.528-1307 OWNER. William Lucas ADDRESS Uppland Dr. - Putnam Valley, NY Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type — Size of Septic Tank. Lineal Ft Drainage Size of Dry Wells — Plumbing Description — Well Description Additional Information ,,,j4is application must be accompanied by a copy of surveyor's map *and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $. 15.00 Building Estimated 2 500. Total Livable Area Cost $ $ Sanitary Date Zoning Board Approval $ Plumbing $ Well USE CONST. ROOFING LAND 1 Family Wood Wood Shingle Paved i Family, Steel Asb. Shingle _ Dirt Log Cabin Brick Tile ` ' - "Oiled ' Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Courts Gas Station Brick Attic Open Garage Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement .Floor Log X Encl. Electric Finished Shingle MISC. Phone Garage .8. In Comp. Plot Plan Furnace Field Stone Driveway Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type — Size of Septic Tank. Lineal Ft Drainage Size of Dry Wells — Plumbing Description — Well Description Additional Information ,,,j4is application must be accompanied by a copy of surveyor's map *and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $. 15.00 Building Estimated 2 500. Total Livable Area Cost $ $ Sanitary Date Zoning Board Approval $ Plumbing $ Well ol 71' 0 0:; 310 A7- V-L ED RECEv jejil L.5 S, IICL AN .,v LSUd- --/V-/,5-/O/V- V,Ioq Z. o / >7- A //7A--or I-- vats .......... A8 PUT min K Au. yr. . Mill .................. A............ wuly Qa*v OWN 115V; od iz j. YA vats .......... Too. jj. K Au. yr. . Mill vats .......... ILM4, Too. jj. K s yr. . 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'� '-,.i• n?.- .1>+ -.�' TTTT't"'*'x'" „, �*r 3 uG-x/� a n mil .� S ... n + rT i a r j�� �` : 1 k C •'+ i . y, to - 1 :p ,`((.- {mil <.± b - . 7 9 �I a �,'Zii tW } ''} �,t7 , ?! y a.�`.1 F S 11 - n.. ..: F f a i' t 5 t S 4 1 . t ? ' V Jr C P I .. 1 ,z - 1. r rr. t ' -.::! S 1 z Ge P .. `y� ? S r p . tY o- I } ' .t y r ` 5j ti t � ) # i " -. —. `�y„ � y r' y's a :t' f .� x .. �� ,• 4 �.,I }�Le g ` 1 i � dw 2 a xt .FIii S - t A. - /- A S tr t � -. 71 M rh ' n t �' } _ -, h , ' - 1' vj t t i? fix\ ?, ^. r jla ,yi s rr 7A 4 t; c� y 1 l 13 °zYS k:. l is a r- s y S F s 1. ::j� .� r a �r S�: Y it " vm.'4 r. a'r „5:, .ty�1* h if .��.s. f f ki �5... M r , .!. _ '� =,t"4 .� _`3; -. y. _ ..v..T. --.c. �.e. - -. N .... _..'4.: ..�,_ ... F.! _ _. . r F ` AM PUTN _COUNTY DEPARTMENT OF :HEALTH t r J - U D'Wision of Environmental Health Services, Carmel, N Y 10512 �xtn.ti'al�® C TIFICATE .OF „CONSTRUCTION,.COMOUANCE FOR 3SEWAGE.DISPOSAC Y IEm Creed Bros. Inc. -P. tnam ". Malley (T) :... . Own ?r 61, Purchaspr of building Municipality Building Constructed by Section Upp1and Drive Location Street Block Raised Ranch 22 . . Building Type Lot GUARANTY OF SEPARATE SE4AGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam.County Department of Health, and hereby guaranty to the owner, his successors, heirs or assigns, to'place in good operating condition any part of said system constructed by me which fails to'operate'for a period of two years immediately following the date of initial use of the sewage disposal system; or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing The undersigned further agrees to accept as conclusive the determination of.the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether.or not the failure of the system to operate was - -- caused :by.- the willful or ne " ji ent act. of_. -the- _occupant :of.- .the. build- ing�-.util :zing the. -- system.. - Dated this 2$ day of August 19 75 Signature Title�� (if corporation, give name and address 'THREE (3)•COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF.COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County,Depar.tment of Health 20- is- to- 5- ......... . Rom tq — / I f Fl--Qv Ras'ose -'s -17 l000 e.qL Tape&. Dist V- C-- C 23 Ojo TYPICAL SECTION 1a'° SCALE: QA 0.0 Nl 14 If yf