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HomeMy WebLinkAbout4085DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.72 -1 -23 BOX 31 ir .I r �'� ' ' . ` r Public Health Director QLINARJ ..R_.N , MI S. J1::, . Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 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 June 7, 1999 Timothy & Alice Scolpini 23 Hillair Rd. Lake Peekskill NY 10537 Re: Addition- Scolpini- Hillair Rd.. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.72 -1 -23 Dear Mr. & Mrs. Scolpini: 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 7, 1999. 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 . _.... _ �....:.....,. .. � lramtalnPd. ._...- .:_ ......_. -�, w _ .... � . _........... e ......Q.. ., . _ ...... -� -... .� ...... _ _......... 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 pemdts or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Val lev. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML:kg Public Health Technician cc: BI w .i DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 BRUCE R.: FOLEY , •y.: , "Public 'Healtti- 77irector PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) STREET,.] / /kyd' �Zl� TOWN yfi ti'✓w_ TX MAP #. �o°� 't�� 5— Zvi' NAME2,wA ft 1, c e S-ca% w PHONEY1W.�70-? /', PCHD # MAILING ADDRESS orb ` rd D r_r DESCRIPTION OF ADDITION —fro b ej t✓a0A,.5 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 DEPAR' WENT OF HEALTH - Division Of EnvirollllleriUfl H.C,111.11 SCrViCCS 4 Geneva Road, Brewster, New York. 10509 (9-14) 278-6130 1"LlUlaill COUIlLy DCj)L- OFI-1calth 4 Gcncva Road - Brewster, NY 10509 Re: Rcsi(Icilr,c Tax mill) Town Gendelliell: UIIUC• It. FOLEY, 11 S. Acting Public Ileall1i Uirt•,:in, According to records mainialilcd by the "f own, [lie above noted dwelling is IS NOT ill cornpli'llice \viLll,i'o\vll code and the total iltinilm- of bedrooms on record This in . formation has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RE-CORD. OTHER - Retmtk BUilding Inspector Pb Nib ir,S37 a a- oar T NAP f- c� N F Y - l._ F'U7NAPM1 CDUPJTY DEPARTME T 0 HEALTH �• t, Y HOUSE FLANS APPROVED FOR ` y ' BEAOM COUNT kr [ - L G r 3 BEDROOM &- t � � /S� - - i Nj i Signature Ate I. 2 1 Fr�.•'r moor - -_.'. Z .9. i� f• r i. d£Lb vim, 'T J•v r y fi AgIr _. $ d: v� i . ­,� �l L' �z All s, 4 4�f j.. r i IV :K =7i �� � �"a5 Six (�. $ si► �e�s . 3 a i rte'- ea'`c..;n�,. f .. f'• Y Fi: % "!�F�J�iNAM COUNTY DEPARAIENT OF HEALTH i j Y t NOOSE FLANS APPROVED FOR .. " t. BEDROOM COUNT ONLY; BEDROOMS - ,� �.,�. b � � Tom•, �... Signature 8•Tiile F Slla �r+ \wOmw w23 !7j rv,a ��Cpc. Oy�� •.. _ - l�at r R.V L%�`°_�' %Cj�l(' �T k 6 7/4X w1�P $3•7aP:l- a3 n •q` , � 2 i i. I • i' ti 1' i si pit yrq s�, .z�_s�•�' r y fi =7i �� � �"a5 Six (�. $ si► �e�s . 3 a i rte'- ea'`c..;n�,. f .. f'• Y Fi: % "!�F�J�iNAM COUNTY DEPARAIENT OF HEALTH i j Y t NOOSE FLANS APPROVED FOR .. " t. BEDROOM COUNT ONLY; BEDROOMS - ,� �.,�. b � � Tom•, �... Signature 8•Tiile F Slla �r+ \wOmw w23 !7j rv,a ��Cpc. Oy�� •.. _ - l�at r R.V L%�`°_�' %Cj�l(' �T k 6 7/4X w1�P $3•7aP:l- a3 n •q` , � 2 i i. I • i' ti 1' i si I. ,_• .... '.i .r.• - .. r :�r: +- . .. �•�.ae �• ?:. -,... _. .. -, o .�c .� �: ... ., -r .- .. .. .•�. .r,: e- • > -�,. - purr- ..a�•, PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITLkL INDIVUDAL ADDITIONIREPAIR FORM.,`.. SECTION A: GENERAL INFORMATION Name of Project M7 �� (T)(V) TM# Year of Construction Size of Parcel SECTION 'B. TOPOGRAPHY (Please check all appropriate boxes) 1. Hilly ❑Rolling axteep Slope 06entle Slope ❑Flat 2. ❑Evidence of wetland OLow area subject to flooding DBodies of water ❑Drainage ditches Itock outcrop 3. Property lines evident? 4. Water courses e,,dst on, or adjacent to parcel: 5. Existing individual wells within 200ft of the existing SSTS? SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of a 'sting SSTS area. A. [)Level 7 Gentle Slope Steep slope B. ❑Well drained Moderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) DExtremel limited ❑Somewhat limited Ade uate ft x ft y Q — — a D. INSP . CTION Date ?Inspector t 1. c'o evidence of failure ®Evidenc . e ®Evidence of seasonal failure I I - -- - -- - -------------------------------- - (Indicate North) ------ - - - - -- - --- - -- - - - - N h �I mac, f �1 - 1 FIOUSE .- = (1) Indicate location of SSTS A. Size and type of septic tank gallons Illetal ®Concrete nPlastic 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) SECTION E. EXISTING WATER SUPPLY CIPWS OShared well ndividual well. 06rilled 0Dug oCasing above ground COMMENTS: (i✓e �( w h emu, - /�� ( ®I� f ✓�. REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: MW ;4 ie -.,t*.I!!!!!!! 00 r7t yjmIjx.I zA: 22, 1312" L4 ytf# cuts jas a.. Mug . *g'r LI to JQ, 41; Cy lot, —TWO............... LZ 41' 3 7 Vv_ C)g. 10 "1 `e IT, Ui t 1, An wAS ,(. LI to JQ, 41; Cy lot, —TWO............... LZ 41' 3 7 Vv_ C)g. 10 "1 `e IT, Ui t 1, s MOW t €k b r? r_ W Y y )MI �" EN, e - -x j � � \Jx`T.lh d .t i � a Ar oil e 'F n s , �. 1 e ink Et . Cho a .y t w � 4 Ste• p _ _ _ MOW t €k b r? r_ W Y y )MI �" EN, e - -x j � � \Jx`T.lh d .t i � a Ar oil e 'F n s , �. 1 e ink Et . Cho ..•� .. � ..::u:fc•,!•_., ac`s ��•�' ( r. 1.11,. :.u`.:: V..1 ,.:1 � ...,. � N r.i 1 l.::I:.1.iiij: �'', ; i1fC • Cv d 1 � � eF °® D 0 4 � � S gEe o °.•.. �4/ Q 'wF�er Bpi FEwCe •olt l% i% � ®lorx• * �� / o � OAC•B ii S: � f.�1 17 • R1.Art � JI tpJ O ' S er ,.aB><�• -nom 7 -1'/ � � • � u .16ITALL', l%LR16 FD, .. � CP4•NTeD W.4LL� � ` c, 19 � 4 � • ezG P, �p6'll NOTE: ' vHNIGuLA Q, A PPA e.6 -7-L Y ALOtiG eaA4> kti1,19 1A 6TEP5 •R '1 v Ahaw R Y 0 ?U d PL V B21GIG E � FFL,AT..E • \ 0, 0 _, JL�L.V 17 ,GOa• !• ����� �JTd K.E tlk7..A TU L•...1E 17 • R1.Art � JI tpJ O ' S er ,.aB><�• -nom 7 -1'/ � � • � u .16ITALL', l%LR16 FD, .. � CP4•NTeD W.4LL� � ` c, 19 � 4 � • ezG P, �p6'll NOTE: ' vHNIGuLA Q, A PPA e.6 -7-L Y ALOtiG eaA4> kti1,19 1A 6TEP5 •R '1 v Ahaw R Y _, JL�L.V 17 ,GOa• !• ����� �JTd K.E tlk7..A TU L•...1E Rrcq a+E6T- UVOAre � � • 60 1 � � eCb)N �/ 99/;7'' it : 19FA� I HEREBY CERTIFY TO THE �F jo ReeAe2 6 p Fftm PARTIES OF INTEREST LISTED BELOW i '*Q- nT �}, ft w. •, ,,,• .j.,- 1,11.,,1,,,,,. 1 THAT THIS MAP AND THE ACTUAL FIELD SURVEY SGT r td: l.', °'' ''. 1:Ir a :I;: ..,, msNez � , ON 14HICH IT WAS BASED WERE PREPARED UNDER `p MY DIRECTION AND THAT BOTH CONFORM TO OR I %v Y,.1 EXCEED STANDARDS SET BY THE NEW YORK STATE ASSOCIATION OF PROPIMSIONAL LAND SURVEYORS y� y, yi. " rLifte:u•wn :e,;,,. AND THE NEW YORK STATE LAND TITLE ASSOCIATION: " 4° t "' P'' t >.d, I'bP wriullk T.,.,' . X11 IIIS D(!ll:,ll I i ;. rl. , GE4N /L JAaJiL.• 4iv N 111. .. n. l- w-fi0 /GLAND GG3a//T /E S 11J.zPOL�.d�TiOn ; , •. ,.. - /.AwO RE6Pi4RC / /E..e� [✓ter /TE,� •, .,1:•L�I;,rl::•1:1.,:1•;. .. GARRISON W. SCOTT, N.Y.P.L.S. f 49150 m nwnl.r¢.. "ITLE: -t)0 mV of v¢QCvBp_Ty P¢EVS¢6o God; rZ[� � E T D ,.1 A v r-t A � �. ►�! e. C. � 2 t_l I �. D J.d U M A ti N DORESS: 2. Q- 1..11 LL Al2. Q -OA O TITLE µ: L2G I 1 2q rpUTAJAM .VALLEY COUNTY OF: OLJTNA," STATE OF:rlEW V02 SCALE I I1 -!3'�::> , SURVEY DATE:D�gHBEZ. 4 19i8 It1:VISED:JUL`/ 17, Ig84. TAX MAP SECTION: Li BLOCK: e) LAT. REFERENCES: oemo L,GCrL �`B PA4E 274, LIBEfz 700 PI*CaE 7Z.-:1% AO--lOIti1-LC„ OEEO3y ASS w_IOT60 Ati0 F1UCD HAP st 165 E ' LA. e- r-- 9- E3 E. L.p l[ -I L.L •' '.S EGT1C N -E BLDG IC-. Go l �TLL�J. 40 cIL_6D — -rwr. PLi- r"A4• -1 Lo.Uti TV GL -E¢IG �j Oa =C'1G6 GARRISON W. SCOTT - PROFESSIONAL LAND SURVEYOR 19141 374.6666 1 REFER TO P.O. BOX 406, RT. 17 M - NEW HAMPTON, N.Y. 10958 u76•14q �v��' for S v'�c PUTNAM:COUNTY DEPARTMENT OF HEALTH COMPLAINT OR.SERVICE REQUEST RECORD )WN Putnam Valley DATE x7/23/84 REFERRED TO .Charles Gabriel TAKEN BY C.J. TELEPHONE CALL X IN•PERSON LETTER CONFIDENTIAL REQUEST FROM Mr. O'Toole. TELEPHONE 528 -2188 ADDRESS End Place, Putnam, Valley ENVIRONMENTAL HEALTH:.Home Sewage ­X Rodents Refuse Public-Water Food Service Migrant Camp Other: COMPLAINT OR REQUEST Sewage:going; onto his property from.Hilda &'Rob ert Joeman's,­ residence, Hillair Rd., Putnam Val-ley.© Take Morressey Dr.,, turn left and go 2: -blocks 'to ,Johnson, .left on ­ .Johns'onb`lSo`ck to Becker,turn_right, stay on Becher.'and go to'Tangelwild- then.'crossroad on.Tanglewild, left.onto Crossroad, 2'bolcks to Nardin Rd. make a,right.;at.Nardin,A` straight up to Unior. ACTION TAKE agj, left:,. l block up Hillair left on Hillair, l block down, green house, yellow DATE FINDINGS . FOLLOW UP INSPE( DATE - �t FINDINGS Q . !li IFM=7. ESTIMATED TOTAL MAN HOURS SPENT 77 .... MARVIN, 0.'DELL. ., Inspector TOWN HALL ...:.= -- PUTNAM VALLEY' N. m (914) 526 2377 TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT * MEMORANDUM RE: O'Toole 'IM 92- 5 -7,8, & 9 Jaumann TM 92 -5 -17 7/17/84 - Mr. O'Toole came in office camplaining of neighbor Jaumann had tile fields extending onto his property, which he proceeded to excavate because of encroachment. Claims.tile field installed approximately 20 years ago. Advised Mr. O'Toole that if .there existed a violation, this office should.have been notified. Mr. O'Toole claims there'now is a health hazard due to faulty. Sanitary Disposal System. .7/19/84 Site inspection was made (Mr. O'Toole present), Found survey stakes newly installed by Mr. Jaumann's surveyor clearly showing - property line at .point where .tile fields exist. Affluent exposed to surface caused by excavating which Mr, " 0 °Toole claimed to have done, thinking it was on his property. Mr. Jaumann not in,.card left on door to call this office. 7Z20/84 - Received a call from County Board of Health regarding same. :Received request from supervisor Sypher about same. Re- ceived call frcxn Mr. Jaumann who wants time to discuss with his awn attorney. Advised Mr. Jaumann he would be responsible for correcting - he agreed to apply. i No action taken at this.time as owner agreed to have situation corrected. /111J PUl'NAM COUNTY HEALTH, DEPARTMENT \I DIVISION OF ENVIRONKRMkL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OW[JE'R' S NAME 6`J /%� C, ( c o 4 2 i PHONE 45 SITE LOCATION c/ .7 / .2 — 5-'_ MAILING ADDRESS G- PERSON IN FIEWED Pa]D Canplaint # Name & Relationship (i.e, owner,tenant, etc.). DATE TYPE FACILITY PROPOSED INSTALLER PHONE Proposal (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. Al Proposal approved Proposal Disapproved 'roxml aooroved 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 d. System description (e.g., 1250-gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. � J (e.g. house corners). three precast 6' diam. x 6' deep 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 ZPPgS: Vihite MD); Yellow 03a1 HI); Pink (Applicant)