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HomeMy WebLinkAbout4203DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.80 -1 -60 BOX 32 i ; Is r , me is, . 16 Vo F.9 . 04203 ¢l Re: r5 PUTNAM C0QN ,, DEPARTMENT OF HEALTH DIVISION OF 'ENVIRONMENTAL HEALTH SERVICES Date February 7. 1973 Property of .Aplanis FALZONE Located at Section D Block` 50 Gentlemen:' This letter is to authorize-----,d. STANLEY 1. LANDER a duly licensed professional engineer ( Indicate j-- to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules Lots-" 36#37038 &39 or regulations as promulgated by the Commissioner of the'Putnam County icyaii iuc%tt of 11—a n t 1, and to sign all riecessary papers on my behalf in.. connection with this matter and to supervise the construction of said system or systems in conformity with the.provisions of Article 145 or -� = ~ =1A17; dizcatiori= I w;� the Public Health 1iiw -, °anc the Putnam ounty� Sari tary Code. Very truly vQurs. Signed_ Counte. signed: §TANL&LJI Owner of Aerty� 654 E. 224th Ste Address 1 r� OL• 5-*4072 e ep one RUTNAM COUNTY- DEPARTMENT .OF...HEALTH _ DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner /t;�oe�Iits , - LGaa/�- Addres "s g �d- � G�? � :vr, ,�,yde,y",c S� _ i4x Located at (Street) /14 Ao Block � ('Indicate neae r t cross s ree Municipaly AI e- -4x Watershed _E& L a vo SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS hole Number CLOCK TIME PERCOLATION PERCOLATION. Run Elapse Depth to Water Vater Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop. Drop in Min. /in drop Inches Inches Inches 0 4 5 �Z, 1 /��� l'sJ�� d� _. '7i� ... ��� �'0 2 �•:�� 2 - "tom /�% y ��'-� 4 5 2 A ot;n� ° _ v 4 Lest /C I'd AWO. ode 0 41,0 5 Notes: 1) Tents 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. y '7t l TEST PIT DATA REQUIRED TO BE SUBMITTED WITS DESCRIPTION =• OF. SOILS - �NC:O RED'� IN� `N DEPTH'.' HOLE "N0 `` f'f HOLE. NO. RX" 2'ii:. 9 30 ��r� 361 .42" 4 8" 54 60" 6611 7x211 It 78 CATION HOLE N0. H OIL ti f '8411 w . �- •__ _TNDI,CATE ,LEVEL AT WHICH GROUND WATER IS ;ENCOUNTERED : .. .. ..., .- .. , . .• ... - . INDICATE LEVEL TO WHICH WATER TEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY ��: L ®�/ Date �`% 6`-- °% DESIGN „Soil Rate Used_j_Mirvi Drop: S.D. Usable Area Provided 3J,0''r' No. of-Bedrooms '�j Septic Tank Capacity 5C) 42 Gals. Type i°ccu Absorption Area Pro —� By L.F.x24 "j' '� idth trench. Other STANLEY I LANDE 4- Name � -- Env %7- - Signature � Address, THIS SPACE FOR USE BY HEALTH Soil Rate Approved Sq. by Date ?URED C11EX' K LIST INITIAL. SIZE I1'?SPrCT16__f4 lns . T Property lures or corners found'. Can estimate nouCe location drive -va rie'edw #: cut �- fifias� trees be »&,roved noter�' th ©se. as deep' hole ro 2 °esentat�s of entire �,'S area Addii`± ona.l deed holes ne.E'd:ed. 6-Liffi c ent SL8 ar ;a a ra table cons derlrlg . . driveT�ray cut, house location, sepa:rat on .. . . :'distances, etc. DEEP HOLE DATA - 3�pth : Waae.-r elevation: Rv, .elevation: Sails description: Date: FINAL SITE INSPECTION Insp. tv 7:.J.7oi� House located where shown on 'approved :plan. f STG l oca:terl i -li -re s9prrovaa Width- of trench_ aver? e �! ✓fjG -- �.. Slope of t, le line and trench acceptable . L/ _ Room al1.o�,.ed for expansion trenches :.....:,...Over. .- 0.. f.t.; :. from swamp- ; Utercourse_ ?natural `sbil` :not` stripp?d arT area ` / w ecessarily graded `.. . ` . .. . 10 Ft. r aintained frog; Prop .1i, ° and ,> 20 ft. from house , . . ... .. ... Separation of tree- -h fron house, well etc. follo:as plan �, • Numlber of bedrooms checks .. . ; . . Stones, brush, stiimps, rubble, etc.: greater than 15 ft . from rear ' st trench .15 In. of peripheral soil horizontally from trench .Junction boxes propePly set �-{ — Gould surface rim, of­"' from dri .tewal y, roads, ground surface,: etc. channel near' SDS , area. _ — Does lot drainage appear 0: : i n area of SDS —. ^! F_hAL GRADLVG . OF SITE ACCEPTADhE. _._. I OP SHERLITA AMLER, MD, MS, FAAP Commissioner of Health I. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive., ROBERT MORRIS, PE . Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET I D AMOSq & TOWN q TAX MAP # NAME "rum PRONE SqS -M- ZDo g PCHD# - 0 t f MAILING S 1D MI' MbSO S-f Lk61"eek0), �j DESCRIPTION OF i ADDITION Faml I q Tnn m �FX,417,q NUMBER OF EXISTING BEDROOMS �J 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., 1 Geneva Rd, Bre ster, NY 10509, Phone: (845) 278 - 6130. r m . 1. Certified check o money order for .'$ J.00 00, Ske chns of fisting #lour plan' (drawrr'to= scale; =ill - 1i*i4g-- area4►elndidg basement; to• be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non- professional sketches are acceptable and preferred. (See Section .3.d of Bulletin HA -1) 4. Copy of survey showing all well and. septic locations. on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. S. .Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling: Environmental. Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 . Fax (845) 225 -5418 Nursing Services (845).278-6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225.1580 A­ ti" CERTIFICATE OF OCCUPANCY Certificate of Occupancy No..71.46.90........ Application No ... 7377;2Q81_C1._ Family) Location of Premises ... Milk... Rd ............................. w...``' x..: a. 4.- .....::� ........:...:::.of�. . L: Pkskill �..N*Y..:..............: -havin��:;,;- -.. .. ..................................................... heretofore filed an application for a building permit pursuant to the Zoning Ordinance, Sanitary Code and the Laws in effect in the Town of Putnam Valley, Putnam County, New York, having paid the required fee therefor and the undersigned having by personal inspection ascertained that the applicant has subsequently proceeded with the erection or improvement- of 'the proposed struc- ture in compliance with the requirements of the laws as aforementioned azid that ._the said work and materials met every requirement of the laws as aforementioned- and that the 'pr'emises have now been fully completed and are ready for occupancy pursuant to the .provisions of law, Now, therefore, this certificate of occupancy is hereby issued under the seal of the Town of Putnam Valley. this ....7L'....... day of ....J 4rY ................. 19....24 1 Not valid unless signed in ink by a duly authorized agent TOWN OF PUTNAM `VAL ,NEW YORE of and under the seal of the Town of Putnam Valley. PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM ?JTQAM NtAL-LE Town or Village NA Located at NA (i sectnori � � Block } Owner Lot ; �+ Job Separate Sewerage System built by d :.�- t�"i1'i�'°`I/Lr �-- Address Consisting of��" Gal. Septie Tank lineal Feet X l width trench Other requirements 4 �1 ._.._°.Water4Sup0W-' II Public Supply From Private Supply Drilled By Address S -6 �4 - . Building Type —Q e `J t VE 017i h1 (1-- No. of Bedrooms Tt Q E Date Permit Issued Has Erosion Control Been Completed? 1 certify that the system(s) as listed serving the attached), and in accordance with the standil Date 71 14 Any person occupying premises served by Aa conditions resulting from such usage. A � available and the r"approval of the private subject to modification or change when, in 4 essenti ly as shown on the plans of fhe completed work (copies of which are filed, a d/the permit issu�dd by a Putnam County Department of Health. C P.E. R.A. A A i'� VA6 t a S'O License No. 32 7 Z G r take such action as may be necessary to secure the correction of any unsanitary system shall become null and void as soon as a public sanitary sewer becomes_ void when a public water supply becomes available. Such approvals are ;loner of Health, such revocation, modification or change is necessary. Date By Title ,U-- 1 ­t;. WMUtWAAN 1XR, DR%.M3, FAAP Coni7 dwioner ofSealth ROBERT MOR tK PE ZAP DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 March 9, 2011 Mr. Lopuzzo 10 Mimosa Street Lake Peekskill, NY 10537 Re: Addition- Approval - A- 014 -11 No Increase in Number of Bedrooms 10 Mimosa Street (T) Putnam Valley, TM 83.80 -1 -60 Dear Mr. LoPuzzo: PAUL ELDMMGE fiwawie 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 the Department dated March 9, 2011. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at 3 without prior approval by this Department. 2. -The area of the - existing sewage disposal system,, and its expansion area, must be maintained. 1 -Alh plufn1ing fixt&Yi' must `lie updated with 'witer- 'saving devices; i.e., new`Iow flush "toilets, restrictors for shower heads and faucets, etc. 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. The approval is for the proposed, changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. 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. Respectfully, i Gene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley i �Duz z0, D, + E I'D Mi iMDSa yJ e �� ��ksk►ll, I - 51`nce 19 73) r In BEDROOM \ f r - -- — i4 1 G�91aT' i POTENTIAL BEDROOM BI Elj(j,QQljl�_ j� 71, _. r PUTNAM COUNTY DEPARTMENT OF HEALTH ' 4 HOUSE PLANS APPROVED FOR BEDROOM COUNT ONEY 3 BEDROOMS ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE 8 TITLE DATE P� i•. GItls27 ] �• i• r 1 It , a' a lG 4 . Y V� S , t , ilil i3 Stf e et PUTNAM COUNTY DEPARTMENT OF HEALTH 7:p COUNT ONLY HOUSE PLANS APPROVED FOR BEDROOM BEDROOMS ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE < xisiin� Since PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL �Ayy►11�'� ° °r'''r'i�r�� mg T b- L -g a Y) SIGNATURE UKI: & TITLE fDATf to ---� Z Z wpr 00rA f sox t46 m r 10 �'l i mo�u gr e; 'f •• f Oe, �of1 t6eolei- f Z-0 :4D jo U zl- I-PU lb w 6rlufj 4ML uw, Msaw Sywrd was cmimcw didted an ft,!-) W1 the SMIWI-I Mae Ntj 1, 0 In