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HomeMy WebLinkAbout4226DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.81 -1 -65 BOX 32 04226 f.; qF6 16 04226 PUTNAM COUNTY HEALTH DEPARTMENT - -- �-` DIVISION OF ENVIRONMENTAL HEALTH SERVICES 0 _ .E-7 D PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR Internal Use Oniv PERMIT ❑ Repair Permit issued in last 5 years LZ of in Watershed ❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. 2 Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION ' ( 0014 AD TOWN LAKC PC69SP411 TM # 0o Q6 ° ° LOT OWNER'S NAME -- 610MAS A. CAP 5"; PHONE # $*5- S4g -0361q (Hoelt ) MAILING ADDRESS / AVON A> . i�AKC PECKSKil tai /O5"3 APPLICANT -- omps k Cokes, o LJtirA Name & Relationship (i.e., owner, tenant, contractor) DATE Z- ®i ( FACILITY TYPE A6SiDFrr1-AI_�4ftPCHD COMPLAINT # PROPOSED INSTALLER -ISi�© {iu�� �(Na�t PHONE # M5-5! -14 53 \C t a� ADDRESS SAME Ar5 66 avF-., REGISTRATION /LICENSE # Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. _ "SV6 /` r'.j I. IQS� -r:�. �-t.��k o�•►_.� ; �uc �-io v� % ®� I, as owner,agree to the conditions stated on this form SIGNATURE _ TITLE #00- OW P- C,1�, -DATE Vida (owner) I, the septic installer, agree to comply with the conditions of this permit for the septic system repair SIGNATURE TITLEdo g:OWAJAP, DATE g �� (installer) Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. ICIIRir►r_Li9l_7;&A1i1_% Proposal Approved IT Proposal Denied ❑ Ins ector's Signature & Title DatEf / ExplatioK Date Repair proposal is in compliance with applicable codes Yes Cd" No ❑ COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 ALLEN. BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH. `" " ' �Dir�ctor ofEnvii•onmenfal F1'ealth� �'' y' V '� DEPAR TMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 August 2, 2013 Thomas R. Cobelli 41 Avon Road Lake Peekskill, NY 10537 MARYELLEN ODELL . County Executive Re: Addition — A- 087 -13 No Increase in Number of Bedrooms 41 Avon Road (T) Putnam Valley, T.M. 83.81 -1 -65 Dear Mr. Cobelli: This Department has 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 2, 2013. 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 niaintained: .. , ... . 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc ... 4. The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on August 2, 2015. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, A� 1Z4� Gene D. Reed Senior Engineering Aide GDR:cw cc: BI (T) Putnam Valley ALLEN BEALS, M.D., JD. Commissioner of Health ROBERT MORRIS, P.E..i Director of Environmental Health ]DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY MARYELLEN ODELL County Erecutive a STREET �l A �b� l�� T0WNG4KC P%CK*// TAX MAP It 83, $1 j � sus -sag- 03dY NAME i f bM�s k �QE[LZ Sit PHOA Sy 5 - s46 -1�S".3 PcHD# r.; MAILING ADDRESS Avnv► R� L P "�Ku� N y /a .� 3� ADDITION IION OF ZNb 67b2 y AD b. iM*i *NUMBER OF EXISTING BEDROOMS NUMBER OF PROPOSED NEW 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, Brewster, NY 10509; Phone: (845) $08 -1390: 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including 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. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS oz �z O �O 0 -z -j §,, 0 V DBL. 1 1/4" MOCROLAM RIM J015T DBL. 1 I14" mocRy M RIM J015T EX15TING J015T 14" TJI PRO 113 n KITCHEN 3 -1 3/4"x 14" N 4X6 POST 4X6 -� P05T TRU55 J015r 14" TJI PRO 3GO —' FLOOR JOIST @ I G" O.C. g O ING v JE INEY 4XG �- P05T ---� �z w a O —O o � x 4XG I G" O.C. LVL 1.9E - - - - -- ----- DUTY STAIR DINING ROOM 4XG P05T -�7 2 �r �—WOOD HANDRAIL W/ I X I BALUSTERS @ m 5" O.C. MAX. P05T c� 3 -1 3/4" x`F* NTI R M LVL 111J .9E REMOVE EX15TING DOORS AND PORTION - OF: WAL ' _ _ T ... �.... PUTNAM C TRU55 J01 5P M 4" TJI PRO 360 FLOOR J015T 16" O.C. HOUSE PLA S APPI ENTRY LIVING ROOM - BEDROC REMOVE EXISTING P , , BEARING WALL AND ; PLANS MUST BE SU CEILING JO15T5 IN LIVING ROOM A5 i b SHOWN, i _POST SIGNATURE & TITLE DBL. 1 1/4" MOCRObW RIM J015T f K5T PLOOK PLAN SCALE 1l4` _ ' -0 FOR T/Y J /ALTS 0 TO DBL. I Ii4" MOCROLAM RIM J015T A bb 4(0/t N� Oz 'M o�Z lu O X30 z J � V 4XG P05T REMOVE E. CL05ET .D( AND PORTI EX15TING Vt FRAME WAI O z AND REPAII w AFFECETED oz p MATCH EXI; FIN15HE5 A �o -zz fl @) 4XG POST'.:. RENT OF HEALTH 3OOM COUNT ONLY A -017 :g?r�?i-f -G JIONS TO THESE HOUS PCOOH FOR APPROVA ATE l� cr. C T EXTEND EX51TING MA50NRY CHIMNEY TO M1N. 8 ABOVE NEW ROOF FRAMING, PROVIDE METAL FLASHING A5 REQUIRED. I. Jv "t iv wtriv , SECOND FLOOR PLAN 5CALE 1/4" = 1' -0" p ®Dc oh O_ mot' O M s DRYER 1 ' EXSM CAST RON ! HWH WASTE LICE ! a OEXISTING J UN- FINISHED i BASEMENT E OSTNO 42 HIOH cpiC, ! BASE LOCATED DIRECTLY EXInNG 4• DIAMETER BELOW FM PLACE ABOVE STEEL LOLLY COLUMN -- - r7o MOF4) RBd 9N I V' EMSTING WOOD STAIR I BOILER - -- - -� E)aSTWOIA'HCONC. l h L -- -- D WALL IIOONOFOF E7Ci8T7Ka 4? HK H CONC. FOUNDATION WALL) FOUNDATION) IOEE WALL ALONG INNER I PORTION OF CONCRETE FOUAATION WALL Z oa Ma.ECTIOCAL PANG_ t FRAME TO REM" 111 OIL TANK EX1STLiIi e' X C CONE. CONCRETE CURB NP°' _ ......... _ FLOOR LEkB • ' �` EXISTING BASEMENT FLOOR PLAN SCAM3V-110 FIXTURE LEGEND: NWH OILTAW BOILER �70BTNC;tFDCTtlAEBj O ORYL3t POSrM FIXTURES) r 4: 'ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster; New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Town Legal Bedroom Count & Proposed Addition Status Re: " I hOM AS �% 6 -1-L L Ttz. (Owner's Name) Tax Map # 3 " Address: 4yoti R b Town: LAKf— PCCKSKT-U- Year Built: ' / 7 6;L According o records maintained by the Town, the above noted dwelling, is in compliance with Town Code. 1s not • in compliance with Town Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: 11 44 The plans for the proposed addition are considered: Addition to existing house only Teardown and/or re -build allowed under Town Regulations /o 020 /3 wilding Inspector Da 5. MARYELLEN ODELL County Exeeutive_ 4 . EXISTING BASEMENT FLOOR PLAN SCAM 3M%4*4r clv" lac I ct=mn- i i � f v� II 1 i i Z r4 07 "YON DRYER \—EXISTNGCASrIRON }IWH WASTE LINE OEXISTING UN- FINISHED BASEMENT EXISTING 4r HIGH CONO BASE LOCATED DIRECTLY EXISTING 4' DIAMETER BELOW FIRE PLACE ABOVE STEEL LOLLY COLUMN - - -- (TYPOF4) - - -- EXTST9IGWRWOWS - - T'O RELV1fN i - -1 - EXISTING WOOD STAIR BOILER -- - - -- - EXISTING 7A' H CONC. KNEE WALL (ALONG INNER PORTION OF FOUNDATIONWALL) FXOSTHVG 4T NIGH CCNC. UP FOUNDATION) KNEE WALL ALONG INNER PORTION OF CONCRETE IF FOUNDATION WALL ExisTiNG @ECIRICAL I! PANEL HOSTING DOOR AND FRAME TO REMAIN OIL TANK CONr J,' FMW"NGWX CONCRETE OLIRS AT FLOOR LEVEL EXISTING BASEMENT FLOOR PLAN SCAM 3M%4*4r clv" lac I ct=mn- i i � f v� II 1 i i Z A ,- i' 3� Standard NMAT.U. Fm SM -20AI –tlupin and Sale Uecd, wi,h C.—s— again Gomm 1 Aru– Individ-1 r Ca"Istlm,. (single rhnQ ;y,C�QjtJ IF— THIS YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY IZl■E HISS INDENTURE, made the day of C/t i_ nineteen hundred and n i ne t y — three :.BETWEEN- - hRENE DE-' RONDA; re's i' d i n'g ;a Ems' 2 6' Mam i •1 'to'n 'Ave . , Os s in i n g , rt NY 10562, CLAUDE CATHCART, residing % Curschmann, HCR 53, Rte.14, Hardwick, Vt.,05843, and CAROL CATHCART,residing %Oliver; 9 Fiddlers Elbow, Port Jervis, NY 12771, as Sole Distributees and heirs at law of CLAUDE T. CATHCART, who died in Dutchess County on March, 22 1993. party of the first part, and JAMES JACKSON, residing at 53 Bell Hollow Road, Putnam Valley, New York 10579,and RICHARD SHEDDEN, residing at 53 Bell Hollow Road, Putnam. Valley, New York 10579, as Tenants in,Corrmon.without rights of survivorship. party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and other Valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Putnam Valley, County of Putnam and State of New York known and designated as Lots 33, 34, 35, 36, 37,38 and 39 in Block 51 on a certain Map entitled "Lake Peekskill, Section E owned and developed by McGold -rick Realty Co., Inc., 1921, 225 West 34th Street, New York, surveyed by Hudson Valley Engineering Co., Inc., Peekskill and Carmel, NY Apr.il 1929" and filed in the Office of the Clerk of Putnam County on May 28, 1929, under File No. 185 Section E. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants . that the party of the first.part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the salve first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indentpre so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: No5c mil. ('ADrlt P"A Tr"r'A(1 FRONT of HousE 'w wit CEyciNG Rig . �� INSIDE ' D1 ENsioNs 22 �3" WIOE X' 341511 LONCr -- j4PP&X..675 �. ji CPqc,. 6L,-k IT ret. wall C z - dl 0 �j S 76"1$'9 bl! clear Hedge on Is In /J ` TO R v-RAME v. ..... tn ..... .. ... ------ . . ......... . . 0 WE I, < IN O k1 lite, Z,(., "-z 0 > 1"in Faunct ------- O fn 14 7 IF,' W 7Y in r,,--k Ti e ,-c, e- 16' I-Jo✓e-mber- 1Lfj 1993 Cer�i�iezl -to ,+-Ie Co. c. P tlew York in accordance, WTt-A -the- Min - LmltJM S-t0ndcj1-d5 •For Vile Surveys 0 4' the_ IV-r- t / Y/cj or k- St,2jf I -ond -ri-tte Assn. JOHN J MULDOON, L.S. 77 TAPPAN LANDING ROAD MAP OF PROPERTY TARRYTOWN, N.Y. 10591 SITUATE AT —, (914) 631-4232 . tnmm Malley, New ,k premises hereon beirig Cots 33 -39 in Block 51 In-le f2LAinorrl 1�o, Clerk� (Offir-e- -rl 4711 0- d May 28, 1929 as flap r'j° /65 D. Survey prepared 4r iZlchora ciihe-d8en zt Jame-, Jac*-,on