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Home My WebLink About3973DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.58 -1 -30 BOX 31 1 ro a I�yS. I - '� % ry �lml *� 4 , .;. X T - �` L 61 1 16 , 03973 SITE LOCATION 3 OWNER'S NAME-4 MAILING ADDRESS PERSON INTER DATE PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR PROPOSED INSTALLER o TM# ovn OFFICIAL USE ONLY , �� 1-30 Q- xi WA &tiA Ov-n , PCHD Complaint # —Name & Relationship I.e., owner, teuant, etc. TYPE FAC/I }LITY PHONE ADDRESS i REGISTRATION# Proposal (include sketch locating all adjacent wells): /a '' 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. as. owner, .or reporte agent of owner- Agree to the conditions stated'on.this.form. SIGNATUR TITLE . i : DATE L Proposal annroved 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 erformed in accordance with the above proposal and conditions. Prop al approved ov pector's Signature & Title ATE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML y 1 °'I'DRTTA" N1bLINARI " °IN.,'Nl'S:N: , Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONE 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 August 7, 2003 Ed Monigan 366 Lake Drive Lake Peekskill, NY 10537 Re: Addition — Monigan, Lake Dr. No Increases in Number of Bedrooms (T)Putnam Valley, TM #83.58 -1 -30 Dear Mr. Monigan: 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 August 6, 2003. 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 -.0 _� .ing_f1Xtgrgs, - ; he updated ,with matexs savin ;deu c . i ° , new-Jow.. 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 yoours;" _ Michael Luke ML:lm Public Health Technician cc:BI . a Public Health Director DEPARTNMNT 1 Geneva Brewster, New M.S.N. Associate Public Health Director Director of Patient Services OF HEALTH Road 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' Preschool (845) 278 -6082 Fm (845) 278 - 6648,' G' 03 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET X�446-__ 1 "3 'lI� TO NAME r,l� l� "l�° fj (ail+ PHONE �I��5 �< A P CHD# d- 2 .3 Cf d . . DESCRIPTION OF ADDITION 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 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 #) *Non- professional sketches are acceptable. 4:1 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 Feb98 BFhouseguidelines 771 M M Ft LORETTA MOLINARI RN., M.S.N. Associate Public Health D&rctor Director of Patient Services DEPARMVENT OF HEALTH I Geneva Road. Brewster, New York 10509 Environmental Health (349278-6130 F&%(845)279-7921 Nursing Services (845)278-6558. WIC (945) 27846711 Fax(845)278-6.09S Early Intervention (845) 278.6014 Preschool (845) 278-6082 • Fax (845) 218 - 6648 Zoo.3 Putnam County Dept. of Health: 4 Geneva Road Brewster, NY 10509 'Re: Rtsidence Tax Map Town Gentlemen: Accofding 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 BFhouseguidelines Building � jai %J ' - ' . .... _ i _IAI -- -- ----?c"_ _ o ,942 is /766�� o-t 3 y � x w n ,r. w.- .. �..�.'�. /� /,, .��.�. {. .. .... ... .....,_,_. ra -... r. -Ta A4c wrr.+�v+n — a •`a,1. •..n' av �..,Y,�.r h w.- �. �. -. r.4+p K.. ..... ....rF -w. r r.l L ' GOO A)Qcv Zk� SCE- �ua T14C 1/12 Cl- t 8 ,, -� is 6 _ •3 'i / 41- �/- - 41 4��Z) r °p 95 �' o 9' L9` BZt Cie 99- Ocz 99 , B!e A� b9 ZEt �` �� ° Zic ,0 eat` ! 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Je- ig-nat I I 1 ! i I , H Af_Tlfl ! T DE A;ti ivtErl�T�L F I ; -- �— { PUT .. -1 I! - R00 I I }— '2--BE R0� -- ! ! ! ate inn tultie 1 I ! I i I , , 2,2 Olt 147, ------ 1 -roll - -- - CD i n Lq 147, _I. I : : I _ I- 1 _ r _ I , I : I , �I I I , , I I - : ! il I- j 1 I - I I II , I } I I _ II( , , ) ....1 i � r r I ` i 1. , I r-t' �' .._J._._�__ -- -( - •- - - I _I : 1 : _I IL __....._.. -' t. _ - - -�- -T--T--l--|--�-- '-L- - - - VT LORETTA MOLINARI R.N., M.S.N. rf. .� ROBERT J. BONDI Acting Public Health Director [ij Y 04 County Executive 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 August 1, 2003 Ed Monigan 366 Lake Drive Lake Peekskill, NY 10537 Re: Addition — Monigan, Lake Dr. (T)Putnam Valley, TM #83.58 -1 -30 Dear Mr. Monigan: I have received and reviewed the plans for the proposed addition at the above mentioned residence. The plans indicate that the proposed addition will consist of the following: A new entry and home office. Based on the information submitted, the above mentioned addition cannot be approved for the _. following reasons:... r.. ..:.:.._ . . 1. The home office is considered a potential bedroom. 2. The legal bedroom count for the dwelling is two . The potential bedroom count of the dwelling with your proposed addition is three . 3. 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 two 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:lm Public Health Technician NS 3� 6 Nq t _ S .. �• :i• Yom_ t ,3 s :. )� ,r 1 a lya �,. � i =f � �y� S; ✓ ,... -\p 11.x`4 + - `•�'}•. scst � �: i'„ .,. �. -p�yl� �' ; j�` �.� �' �„lW 1'PS i.( &W j i lam',, 4'' �1 �' •. t ��'• , as ` ' srm� - Ail lle an� V 1C '� 4 •.I� 's fjtt .0