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HomeMy WebLinkAbout4416DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.11 -1 -21 BOX 33 T , 1 r t . rdl- 04416 PUTNAM COU DEPARTMENT O NTY F HEALTH Re 3/ 86 Divie[on of Environmental Healtb Services, Carmel, N.Y 10512, . •Englneee Must Pr'ovlde �. � % ' P.C.H.I). Permit c �. �• CERTfICATE,OF CONSTRUCTION COMPLIANCE.FOR SEWAGE DISPOSAL SYSTEM . ✓ u''� a✓- •i�Y.-'T.�t . - f�-�� �.. . +. :a era: :�i :v. v -� �, •a. u ;H !,.�.,..."" %M /7"'� % �:�ro,. ,• •.° p• '•Town or.'VWage v�..;•z9 Located aE ld Tsa"Map �J. ! Blocky _Lot l�ii /,o a�pn G© Fo erl Subdivision Name Lt j'� ✓e, �bbdv. Lot N Owner /appiipant Name Y p Melling Address d, adX :7O' Pte. p/!�p le-4 Date Permit Issued Iteu. Separate Sewerage System built by Q� Address,I'd7 e Coneieting of � y � Gallon. Septic Tank and APA Water Supply: Public Supply From p Address or: Private Supply Drilled by /� /J3 Address Bullding Type '� ! 1 C i° figs Erosl m Control Been Completed? Number of Bedrooms :4f Has Garbage Grinder Been Iu I certify that of which are a Putnam County Date. Any person oc conditions rest available and "t subject to m_q system(s) as listed serving the abode premises.weie c ea), and'-in accordance with the standards, rules and tment Of Huth. c pying premises served by t above systems) shall ng from such usage. A,proval'ot the, separate. approve f the`'jjilvate- water. supply s hall b e' o icagldit,brlchange when, In 'the judgment of the bate v I t' v By_ on the plane of the completed work ( copies ri th filed plan, and the permit issued by the P.E. R.A. � License No Y tess�►y to secure the correction of any unsanitary void as soon as a pubt,% sanitary sewer becomes supply becomes available. Such approvals are Lion, /nogiflutlon or change Is "necessary. ED )rktown Medical a.boratory, Inc. LAB a 32fl KearStreee k Zlorktown He a hes, N Y. 10598 / 2 Dade Tak¢n: Time : /0 R A .. _._ Date Reported: 1 3.1888 hrec}tor. fil6ect H Padovaraa 11!'. T. (ASC1�) Collected By : f Re erred By: /'?,wo Sample Locution: f Phone N cc >17- 1'�18 G Phone 0 Sample Type; ^ {, { Repeat Test ?. I (check one LABORATORY REPORT ON THE'BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA Standard Plate Count (CFU /le.QmL) (Agar Plate a 35 °C) MEMBRANE FILTRATION.TECHNIQUE (MFT)' .Total Coliform (CFU /100mL) V Fecal Coliform (CFU /100mL) Fecal Streptococcus (CFU /100mL) MOST PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN Index (per 100mL) Fecal `Coliform: M,PN•Index .(pe; .1100km ).." • "` OTHER ANALYSES REMARKS (For Laboratory Use) t�lon"pqtable otabl -e _ STP INF _ STP EFF Other: Sample Status: (check each), Outgoing; Na2S203 Incoming LE 4 °C SGT 4 °C KEY FOR TERMINOLOGY RDS = Recommend Disinfec- tion of Source. TNTC= Too Numerous :o Courit ,CON = Confluent ( =TNTC) LE = Less Than or Equal t.o.: -.. GT a Greater Than N/A = Not Applicable THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE E ORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Albert , Director For Lab Use Only: _ H/C to C0G WELL COMPLETION REPORT Office Use Only a, .c DEPARTMENT. OF HEALTH Division-Of Environi4ental.`.Healtb... Services - FW PUTNAM COUNTY DEPARTMENT OF HEALTH r STREET AOURESS: WNW I1. I Y TAX GRID NUMBER: WELL LOCATION Oscawana Heights Rd- Putnam Valley, NY NAME: ADDRESS: 0 PRIVATE WELL OWNER Michael Gi liobianco 6 . Putnarn Valley,XL 0 PUBLIC USE OF WELL ® RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED 1 - primary ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION 0 OTHER (specify) 2 - secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD. SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR ® NEW.SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING O REPLACE EXISTING SUPPLY' ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 1 245 ft. STATIC WATER LEVEL _3a _ft. DATE MEASURED 10/21/8 DRILLING . O ROTARY Q: COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. Q OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH 61 ft MATERIALS: ® STEEL ❑ PLASTIC ❑ OTHER CASING LENGTH .BELOW GRADE 60 ft. JOINTS: ❑ WELDED ® THREADED ❑ OTHER DETAILS DIAMETER 6 in. SEAL: ® CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT 19 Ib. /ft. DRIVESHOF -AYES ❑ NO LINER:OYES J10 SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? DETAILS.. FIRST ❑ YES ONO ROUAS GRAVEL PACK O YES GRAVEL DIAMETER TOP BOTTOM ❑ NO SIZE OF PACK in. DEPTH ft. DEPTH It. WELL YIELD TEST I If detailed um in1ELL LOG It more detailed formation descriptions or sieve analyses P P 9 are available. please attach. METHOD: O PUMPED tests were done is in- DEPTH FROM water Well (31: COMPRESSED AIR , formation attached? SURFACE Bear- Dia' FORMATION DESCRIPTION cooe O BAILED O OTHER C3 YES O NO ft. ft. ling peter I WELL DEPTH DURATION DRAWOOWN YIELD Surface 40 D it ing in overburden clay & bldr It. hr. min. It, gpm. H t Jock. at 40, 24 6 22 EP61 245 D it ingin rock granite. WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE PUMP INFORMATION CAPACITY GAL. TYPE CAPACITY WELL DRILLER NAME P.F. Beal & Sons,, C. DATE MAKER DEPTH ADDRESS PO Box B StGFnfTURE 88 MODEL VOLTAGE HP Brewster,NY 10509 PUTNAM COUNTY DEPARTMENT OF HEALTH � _ I ?IVLSIOt�L:O�F.N.V.IRO�AL-:-L�H ��ERVIC-{r� -G7' ''L ,'.1 .-:C 1t;s !?. �. r � - - 'T,�R • y ,y�•. � t n.ty�.r P�'r :�t•�1 t �7 C l- Owner or Purchaser n -Building iy Building' Constructed by Location - Street j� f Municipality Building Type �% Section Block Lot �� ✓ °� � P�� Clrir�s Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has. been constructed -as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the 9PCertif .aca:te- .o£_.Cc�xistru'ct on..Compli.arce!'- for - -the - sowage - -cl posa% systEM,- -or any........ repairs made by me to such system, except where the failure to operate properly-is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. % p D Dated this day of a` �/ 19 Signature �1'4.9�,� Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) Address Address rev. 9/85 mk IV. v. VI. APPENDIX C FINAL SITE INSPECTION Date 3N &KS-,,6 146L (Ak') Inspected by/ 96,4, '9 OWNER GIGAI'l9ayAluco `R- _TM # OR. SUBDIVISION LC T 4 // 7- 3 - � SEWAGE DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of placement 2:1 barrier. LGTH WIDTH AVG. DPTH c. Natural soil not stripped d. Stone, brush, etc., greater than 151 fran SDS area. e.* 100 ft. fran water course/wetlands. X SEWAGE DISPOSAL SYSTEM . a. Septic tank size - 1,000 =1,250 b. Septic tank installed level c. 10' minimum fran foundation d. No 900 bends, cleanout within 10 ft. of 45' bend ac-'q ov;� at= e. DISTRIBUTION BOX 1. All cutlets at same elevation - water tested K 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f. JUNCTION BOX - properly set g. TRENCHES 1. Length required - installed (YJ-D 2. Distance to watercourse measured:] ft. 3. Installed according to plan •4. Distance center to center 5. Slope of trench acceptable 1/16 1/32 "/foot. 6. 10 feet from property line - 20 feet - foundations 7. Depth of trench < 30 inches fran surface 8. Roan allowed for expansion? 50% 9. Size of gravel 3/4 - 1j" diameter 10. Depth of gravel in trench 12" minimum -XI 11. Pipe ends capped h.- PUMP- OR, DOSE SYSTEMS 1. Size of pmip'ch&nber 2. Overflow tank 3. Alarm, visual/audio 4. Pum p easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Department estimated flow per cycle HOUSE a. House located per approved plans. b. Number of bedrooms WELL a. Well located as per approved plans b. Distance fran SDS area measured ft. c. Casing 18" above grade. d. Surface drainage around well acceptable. OVERALL WORKMASHIP a. Boxes properly grouted b. All ipes partially backfilled c. All pipes flush with inside of box d. Backf ill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall pro ected & dir.to exist.watercourse g. Footing drains discharge away fran SDS area -------- h. Surface water protection adequate i. Errosion control provided on slopes greater than 15%. PON — COUNI Y DEPARTAREPIT OF HEALTH a �, Rev 3/86` Division of Envleonmentel Health $ervlcee :.Carmel, PtrY 1051? Engineer to Prov[de peemltq ` r on CERTIFICATE OF COI'YPLIANCE COPISTRUCTIOIV PE __, - FORrSE GE DISP ®SAL SYSTEM rml pet III -u LOC9tYed atp •'f�''� . ¢` /A TOWn ;' •.: j.. ., is y Sabdivialon Plame Sabtl. Lot T. flg8p, Block Lot - Own ®r /Appllcaat Ptmme _�� �!�rt��� °�i 27 d� /O ✓7 Renewal ❑ Revision ❑ ' Date of Previous A provah - tOlellin Address's i'!/�iiif �j� ff Town _ _......_.._ Building Type Lot Area / Jam = Fill Section y 0 Depth Volume Number of Bedrooms Design Flow G /P /D dC' pCHD Riodficadon Is Re' q' ed ri FW 1a completed' p relge.System -to conalst'of- / Gallon Septic Tank and S,e seat® Seti�e To be constructed by Address Water SnPPU': bllc Supply From Address • orivate Supply Drilled by _Address ,. -. Other-Regtdeementa represent that .1 am wholly and complefely responsible fors, deslgnantl location of th'e proposed system(s); 1) that the separate sewage disposal. .,system above, descritied will be constructed as shown on the Approved amendment there-66 an dh -the stanclards, rules an regu a ions o_. e u nam County Department of Health; ,and that on completion thereof a Certificate; ,of stdGt�o°rrfy*o rice'.' satisfactory to'the Commissioner. of Healthwill be"' =to the Department, and a' wntten:'guarantee' will be. furnished t e►saris PAW eirs or assigns by tfio buildei, that said builder W' ill place in good operating condition any, part of said sewage tl�sposal, system ul:inga�, j A',$Iftw, years immediately following thedate of the issu- ance, of the approval of the Certificate of Constiuctlon Compliance,: of th :ong,ui System or,i'r erg n theretol'2) that the drilled well described above will_ be located`as shown on'the.a i � ',, pproved:plan,antl that said well will be Ustall ,n orda with ,st n args, rules and regu a iu ons of the Putnam County Depa ,tmen of Health., o Date ,g 5lgnerl .:'. A . P:E. R.A. - 9 1 0 Ad License :NO APPROVED FOR CONSTRUCTION his approval; expires one year rom �tfate,'s .. unless3colrs s1c ron of. the building has been undertaken, and Is revocable for cause or may be amended or, modified when consldere Weer ry tr( amriff& 6nyt It h Any change or alteration of construction requires a new permit. Approved for disposal' of tlomestic san Wage 'a ate w r ly. Date Title ` zd� . Y u .�. •+r w -.. .._. �.. ..G w... .., r .. _. .- a .... -..,- 4, � �,- PTO- t .- -. r.. u.. .... •._. s � - ... ..� ...p .Y�a.+ u. ...... .+. ...._..� .....d'y;, - L y .. •Jti: Q1 . 7APPENDIX B - Pumm Cou= DEPARrimn OF HEALTH - DIVISION OF ENVIRUMMU HEALTH SERVICES 7 INDIVIDUAL I-U= SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS DATE REVIEWED: 7i C�Q 0 5 <­_ BY: (Name 6"E10-jer) cation) YES NO DOCUMENTS Permit Application Corporate Resolution Plans - Three sets '.-�S/s Engineers Authorization -4y Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc 3-31 Consistent Perc Results (3) Fill S r Perc Hole Depth cd -- House 'o 'ouse Pl Two sets permit; PWS letter Well Variance Request LF trench provided _ required 13 60 ft. irax. Pa.rellel to contours GENERAL Legal Subdivision Subdivision Amuroval Checked Ex-approval SSDS Adj. Lots Checked Wetland (Tcwn/DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DFL:�, ON PLANS Sewage System Plan - (north arrow) Sewage 'Systen Hydraulic-Profile - Gravity Flow --,Fill Profile & Dimensions - Volume D or J Box; Trendri/Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over -Construction Notes Elesign -Datnrjpe�rc -i deep - -resiilts _ Two-Foot Contours Existing.& Proposed Driveway & Slopes Cut Footing/Gutter,Curtain-Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion 'Area; shown; gravity flow, Buff . size If Pmrped Pit & D Box Shoran & Detailed House - No. of Bedrooms Wells & SSDS's Win 200 ft. of Proposed System Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1/4"/ft. 4"0; Type pipe No Bends; Max. Bends 45° w/cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10- to P.L., Driveway, large Trees,Top of fi' 201 to Foundation Walls 1001 to Well; 2001 in D.L.-O.D, 150' pits 1001 to Stream, Watercourse, Lake (Inc. expa 151 to Drains-Curtain, leader, Footing 35'to catch basin,stormdrain,piped watercour. 101. to Water Line (pits-20') 501 intermittent drainage course Septic TEHE .. 10, from Foundation; 50' to well 15' Well to PL r1 /,I ( I r'!") t'_ -. � . 'CO I Ti;,:; '- . e PUTNAM COUNTY DEPARTMENT OF HEALTH Date ]�)I q ) a 7 Re: Property of M+ C'�g e_) C -, j Located at Fe-el X -5 rj 0 ) r IA-0 1) 0Va1 (JJ C) � j (T) 1C(-M VaG c-S Section // C% Block .: Lot Subdivision of Li Subdvo Lot # Filed Map # Date Gentlemen: This letter is to authorize��', a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the-standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in -- matt-er, and to sup�rvise� t��ow= c "cris�rix�tion; of saici'='� system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P . E . , Ae, # 72,1? 7 Z /�dra C%� > : f NEW Address '° -� r sv 7a'4W� / 4j 'p-, � Telephone Very truly yours, Signed 'LJ� JIAL-7�1 Owner of Pr 1perty c- fr) VA, YA ky A 1`� "�'-t �l V 1 �J PA. Address Town -J/Y- 3"�% - 00 Telephone •' • •• •' is v i �- oal ,:..... =b =.:-- .DESIGNS 'A;SHEET- -SUBSUFAC, .S F4r)�MPOSAL,•.SYSTfz . �:.,� Owner J / z Gllc« Address Q�`G'u cir: r.r t) f��'• ✓� Located at ( Street) r°e�/�:�% / �/o /,9,/- Sec.// J� . Block ' Lot c� (indicate nearest cross street) Municipality / ,e Watershed SOIL PERCOLATION TEST DATA RDQU= TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking Date of Percolation Test HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level 2 -3 No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 5. 4 5 1 2 3' 4 5 NOTES: 1. Tests to be repeated' are obtained.at each for review. 2. Depth measurements to rev. 9/85 at same depth until approximately equal soil rates percolation test hole. All data to'be submitted be made fran top of hole. -o 2 -3 10 4 5 1 2 3' 4 5 NOTES: 1. Tests to be repeated' are obtained.at each for review. 2. Depth measurements to rev. 9/85 at same depth until approximately equal soil rates percolation test hole. All data to'be submitted be made fran top of hole. TEST PIT DATA RDQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES a:Yvf•. t.. , .. Mt.. TH- - G.L. 21 Aljome,- •T 3' vm . r 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' I 14° - _ _ - - -- -- INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE ,OBSERVATIONS MADE BY: d� ��% °� DATE: jV41 4/ Im, DESIGN -- Soil Rate Used fC Min /1" Drop: S.D. Usable Area Provided —A�'� No. of Bedroams .0-4 Septic Tank Capa gals. Type Absorption Area Provided By _ L. F. x 4 "9 a�vOther <�B?� 1 �'�C�I/ �� � c Name Address )05;-/r THIS SF9%CE FOR USE BY HEALTH Soil Rate Approved M1 �• T ,RTMENP ONLY: sq.ft /gal. Checked by Date i -Al Y x 4 r d a jQ ic . r t Fnl�m - Af . . i DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 ' RUC-Z' .tb�T i'&E :�LdELi�;. f. °v ::: •_ _ �_J, _ PCHD PERMITy # 11 WELL LOCATION Street Address Town /Village/ ity Tax Grid Number / vct 1r a --,; — g' WELL OWNER Name A -,"eAe /� . ��i' Address 11 �i G �6? �'�5 �i �`' rivate .✓rr:7 O Public USE OF WELL 1 - primary 2 - secondary eRESIDENTIAL ® BUSINESS ® INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP/ 0 FARM ❑ TEST /OBSERVATION O INSTITUTIONAL 0 STAND -BY v ❑ABANDONED ❑ OTHER (specify, AMOUNT OF USE YIELD SOUGHT le gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING ONEW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY .0 REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL ®TEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE DRILLED ❑DRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES L� NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name K' IYIC� Z! Address:��5 -" r IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _1/ NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE -TO PROPERTY 'FROM: ivEAREST. WATER :MEIN LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON REAR OF THIS APPLICATION Q105N SEPARATE SHEET da e) ..,_. - -J / gnat ) � PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: °"! 19 Date of Expiration: 19 rmit Issuing Official Permit is Non - Transferrable 8/86 - I BRUCE R. FOLEY Public Health Director �.. .-M« r a:: ��♦ ..gaf.V O. Y'•, �1CM \.L�Q ... . �C. ''f l.. . :- p.lR.:r �w :d ri. i LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director 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 (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Ron/Smith 264 Peekskill Hollow Rd. Putnam Valley, NY 10579 Dear Ms. & Mr.Smith: April 26, 2002 0 Re: Addition- Ron/Smith- Peekskill Hollow Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 84.11 -1 -21 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 form this Department dated April 25, 2002 . The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Four without pripr.approval y this department. -.. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 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 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, Michael Luke Public Health Technician ML /ks cc:BI BRUCE R. FOLEY DEPARTMENT OF HEALTH R-ET-FK`M0L-1RA'ki -R�91`1 Associate Public Health Director Director of Patient Services I Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - -6S58 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 'Preschool (845) 278-6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) STTTET2t0q tfi&TOVWL.Vj"rgjW#,6 X MAP#,)5 NAIVIE]������ONE PCHD# MAILING ADDRESS DESCRIPTION OF ADDITION INUTNIBER OF EXISTING BEDROOMS PROPOSED 9 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. s and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY 'Please '�brfiif this form 10509, Phone 278-6130. 1 . Certified check o� forS100.00. ,, �oney:orde roman 2. Sketches of existing r pi an (drawn to scale, all living area including basement) Non-professional sketches are acceptable. 3. (Tvo ets of proposed floor plan (drawn to scale, with name, street, and tax map 9.) *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. QFfiXE USE Comments FeV58 BFhouseguidelines 41' 6• 9 1/2, 48, ol Is' 5• NOTE: 1. 91 1/2' CEILING HEIGHT 2. ELECTRIC BASEBOARD HEAT V ji 24* 0' 14* 3" KASTUK & SONS INC./ GIGLIOSIANCO #3748P NY WAKEFIELD DRWN BY: DACE: CONF BY: GGW DATE: 9 -10 -87 EL PENN LYON HOMES, INC. IST FLOOR 1�' LEV PLAW 161014 SEP 10 1987 10' 10 1/2• 1 4 V2• L 2432 2432 .410, 120 30 2430 (� 2430 �;4 1 w D> ow o LASE" J BATH #:3 3• FILLER ro 0 12' O' 4' Irlol a ^ UTILITY KITCHEN NOOK DINING ROOM 1 2' a. 2/2* FILL 1\A . 1 1001 216 il pmm k a, w no ------- o J_v 11 4 1/2' T 2' fl s FAMILY ROOM LIVING ROOM FOYER L 11 Ni"x < 2' 0 el 77' a, 3* O 9, r H 9' 9" 8* 31 G• Q* NOTE: 1. 91 1/2' CEILING HEIGHT 2. ELECTRIC BASEBOARD HEAT V ji 24* 0' 14* 3" KASTUK & SONS INC./ GIGLIOSIANCO #3748P NY WAKEFIELD DRWN BY: DACE: CONF BY: GGW DATE: 9 -10 -87 EL PENN LYON HOMES, INC. IST FLOOR 1�' LEV PLAW 161014 SEP 10 1987 Real of tne surveyor wtivac ass..m.— -rr----, ---. 16-11 1& 0 to, i U R"ll V E Y SITUAME IN TW6 M ljq� AWL, SCALE: 1" a 501 OATS *. FS B. 2.7119 ST MOUG HT TO DA r t - SEPT: 10, 1951 i5R0UC:zkT TO DATE APRIL ?-01196 CERTIFICATION ADDED AUG-2508 T- i2` IP4 POSSESSION FILE No. p- 4c TITLE NO. CERTIFIED. TO: M-ICWAEL*4: -MARY-' GIGLIOSIAt COy.,.ti.:_, MAHOPAC NATIONAL SANK IN ACCORDANCE WITH THE EXISTING CODE OF PRAC- TICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOC. OF PROFESSIONAL LAND SURVEYORS. L ARE 5l,77'T 5. F - 1. 189 AC. Q CC/ 3� a� A PREMISES SHOWN HEREON BEING LOTS AS sHc rw �v -MAP EW I `ED "6tU&a1VI�i'a,_ MAP KNOWN AS LOVE - PEEK ACRES'; 1 SAID MAP FILED IN THE PUTNAM / COUNTY CLERK'S OFFICE ON NOV l4-11986 �I' N. AS MAP NO. 2186. l r� Certifications shall run only to those individuals end institutions shown hereon under the title policy No. shown above. Said certi• fications are not transferable SURVEYED & PREPARED BY BUNNEY ASSMATES LAND SURVEYORS RURAL ROUTE #2 FIELDS LAME r � 5.67 °02'02 "E ,? 66�3(o'04 "W - (l- r' BRUCE R. FOLEY Public Health Director . DEPARTMENT. OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI .R N, ,:N' .S.N. - Public Health Director Director of Patient Services Environmental Health (84S)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 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re:24 A'g Residence Tax Map j/� / -•% Town According to records maintained by the Town, the above noted dwelling IS 11-f ..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: 10"V BFhouseguidelines Building Inspector oc [_ 202- _ . _ ...:.. _ 'p .4' .�occ. ,a. - Ti. .cr. •Y7' '�.s— V ;'ta•,I' .��-•� .M� �.�7' �M• To Whom It May Concern: Our two primary goals in finishing off the basement-space: 1) provide room for our 2 children to safely run and play; and 2) develop a "closed -off space" that can be used for crafts (sewing, scrpbooking, etc.) so that materials that are unsafe for young children — such as scissors, exacto knifes, needles — can be stored behind closed doors. We would like to ensure that our Craft Room is not deemed a bedroom — and will do what is necessary to reflect the actual use of the room in it's design. We could not afford to do the project if it affects our septic situation. We are currently trying to do the minimum necessary in completing the basement to save on costs. We have attached 2 slightly different plans for the Craft Room for your consideration. They are labeled Option 1 (our preference) and Option 2. Option 1— This option incorporates Bi -fold or French doors into the room. I was told by one of your inspectors that this may be adequate to reflect that the room won't be used as a bedroom. THIS IS OUR PREFERENCE for 2 reasons: 1) lower cost to build and 2) I already have tables that I can use for my crafts and sewing needs. Option 2 — This plan puts a regular door back on the room (to save money), but adds an L- shaped built -in counter top with filing/storage cabinets beneath for my crafting. This al?pears: to. be-more -ex_pensivex so it-- is;oursecor� efereaoe:; • _ Our third choice, based on expense, would be to do a combination of the 2 options above. In any case, we also plan to put bi -fold doors under the stairs with built -in storage shelves . from floor to ceiling. Thank you for your consideration in this matter. kW4,� 07Y-� Karen Ron April 24,- -2002, To Whom It May Concern: Our two primary goals in finishing off the basement space: 1) provide room for our 2 children to safely run and play; and 2) develop a "closed -off space" that can be used for crafts (sewing, scrapbooking, etc.) so that materials that are unsafe for young children — such as scissors, exacto knifes, needles — can be stored behind closed doors. . We would like to ensure that our Craft Room is not deemed a bedroom — and will do what is necessary to reflect the actual use of the room in it's design. We could not afford to do the project if it affects our septic situation. We are currently trying to do the minimum necessa , in completing the basement to save on costs. We have attached 2 slightly different plans for the Craft Room for your consideration. They are labeled Option 1 (our preference) and Option 2. Option 1— This option incorporates Bi -fold or French doors into the room. I was told by one of your inspectors that this may be adequate to reflect that the room won't be used as a bedroom. THIS IS OUR PREFERENCE for 2 reasons: 1) lower cost to build and 2) I already have tables that I can use for my crafts and sewing needs. Option 2 — This plan puts a regular door back on the room (to save money), but adds an L- shaped built -in counter top with filing/storage cabinets beneath for my crafting. This appears .. to be ynore.. expensive;, so it-Iis ,out- second # fer_ehcd . _.. :....:.a - Our third choice, based on expense, would be to do a combination of the 2 options above. In any case, we also plan to put bi -fold doors under the stairs with built -in storage shelves from floor to ceiling. Thank you for your consideration in this matter. 1&41� 14), Karen Ron