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Home My WebLink About4296DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.83 -1 -43 BOX 32 04296 :.� 17-2 ., go `�.FIN J J r �y, _ , , 16 r 04296 r BRUCE R .FOLEY • �� •.,F°u6lic :;'Heultii'�Dfrect`or' '� . __ ' ". .... �.. :.`. .. James Pendergast 50 Hewitt St. Lake Peekskill NY 10537 Dear Mr. Pendergast: - 9 - _ ,, =" ..7,. Q - .INARI. RN.,. -M.S.N. 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 September 27, 1999 Re: Addition- Pendergast - Hewitt St. No Increases in Number of Bedrooms (T) Putnam Valley Tax 4 83.83 -1 -43 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 September 24, 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 _. m_aintained. 3. m 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. Very truly yours, -21y'�4L Michael Luke NM:kg Public Health Technician cc: BI ri DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R- FOLEY Public Health Director - dam. A Ke- STREET `5� eW'► tST TOWN ?ce I! TX MAP # ST 83 °- t —`-Q NAMES _ PHONE q `7 PCHD MAILING ADDRESS 10 DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) PROPOSED # OF BEDROOMS *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, apPlrcab �sectwns�sf iiiiFT -ti AJI -1 -deity Please submit this form and th.- following to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $10:0.00 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 Fcb 98 J ' DEPARTMENT OF HEALTH Division . Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept of Health 4 Geneva Road Brewster, NY 10509 Re: Fcvl.y q a 5j Residence Tax Map B 3.- '63 -1 -'+3 To��n Gentlemen: BRUCE R. FOLEY. R.S. Acting Public .Health Director According to records maintained by the Town, the above noted dwelling 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 _n •� 1' T AJACWJR r r FILE No. 7-33 kOOO t o+� Ir IV) 1 �}.'._ , - q- .. - .�^.�..0 -.- r_n _ _ ,� ..o -._... _�.- _ ... �.=.,r c4^^�Ia.� - -�..m a. :a+•: : ,r•- ^.�...::,s�.: :;,t,'.i; ;rte�i•J4/{ ..... _ �. Q 17 t&04;1 vo4 33 9� G�- HOUSE I'3�A"N"'. � ;'Er' . M) IS Signature & ?ilia ate C Wb 8 r � $-T � I ! � a � e w++m 5rt rc e $ '3 , i� ,5 - \ -H3 iVI -iJi i i � 7 .a7 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY: BE'DR0OPk4S a. u &7 5i natu' e & l i.Te Date 0 D. INSPECTION Date Inspector 91N_'o evidence of failure ❑Evidence of failure ❑E-vidence of seasonal failure I---- yl rLI i ----------------------------------------------------------------------------------- ---------- (Indicate North) Y Ho USE < 0 ---------------------------------------------------------------- - ---------------- 71� ------------ (1) Indicate location of SSTS A. Size and type of septic tank gallons ❑MetAl ❑Concrete ❑Plastic B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. (2) Indicate -setbacks,- front street, ba'6kyard,' 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 ❑PWS ❑Shared well Kffidividual well Grilled ❑ Clasing, above ground CONiSENTS REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: . . Inspector: s PUTNAM COUNT' DEPARTMENT OF HEALTH DIVISION OF EI VIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMATION Name of Project T r ()M V TMur Year of Construction Size of Parcel SECTION 'B. TOPOGRAPHY (Please check all appropriate boxes) 1. t dilly ®Rolling : 0Steep Slope 06entle Slope ®Flat 2. ®Evidence of wetland ®Low area subject to flooding ®Bodies of water ®Drainage ditches Chock outcrop 3. Property lines evident? 4. Water courses exist on, or adjacent to parcel: 5. Existing individual wells within 200ft of the existing SSTS? YES N_Q � D L� O SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. [level ❑Gentle Slope ®Steep slope B. ®Well drained 0/moderately well drained []Somewhat poorly drained ®Poorly drained C. Area available for SSTS. (Prima & Reserve) ®Extremely limited Somewhat limited Adequate ft x ft