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631- 589 -8100
85.07 -2 -22
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Public Health Director
Eugene Cascioli
84 Wood St.
Mahopac NY
Dear Mr. Cascioli:
DEPARTMENT OF HEALTH
.1 Geneva Road
Brewster, New .York 10509
Associate Public Health Director
Director of Patient Services
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 - 66A8 gust 29, 2001
Preschool (845) 228 - 5912 Fax (845) 228 - 6113 U
Re: Accessory Apartment - Cascioli
Three Year Approval- 84 Wood St.
Town: Putnam Valley Tax # 85.7 -2 -22
I have received and reviewed the plans for the proposed accessory apartment at the above -
mentioned residence. The proposal for the apartment has been approved as per plans bearing the
approval stamp form this Department dated August 28, 2001 The apartment is approved for three
years with the following conditions:
1. The total number of bedrooms in the apartment must remain at One without prior
approval by this department.
2.. The tptal:number of bedrooms in the main house_ must remain at_oilr thoul;.prior:......
- approval by _this department.
3. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
4. 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,
William Hedges
WH:kg Senior Public Health Sanitarian
cc: BI
u
84 Wood Street
Mahopac, NY 10541
William Hedges
Senior Public Health Sanitarian
4 Geneva Road
Brewster, New York 10509
Dear Mr. Hedges,
August 20, 2001
On the evening of April 8, 2001 my house, at 84 Wood Street, burned in a fire. It
was a two family house with four bedrooms. I wish to rebuild my two family house on
the same foundation utilizing the same septic system and well. My new house will have
five bedrooms. Please see the attached plans. Thank you for your consideration.
r
Public Health Director
LQItGi`Pk
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 Preschool (845) 278 -6082 Fax (845) 278 - 6648
t3 Zoo
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509 0/,
Re: ,.�
Residence
Tax Map �'� Z ^ Z
Town j��zTa ✓�fl /�
Gentlemen:
According to records maintained by the Town, the above noted dwelling
AS
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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 %l - yi G W
Building Inspector
BFhouseguidelines
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MMIS MM � C ti - g �v r PHCM SITE IDWION 54 wool VAS LL'j 240
Ian ADs 9 4
PEA DaMUEMM Pty dint 0
Name & Relationship (iae, otwner,tenant, etc.)
DATE ��'®7' TYPE FACILITY
Z- 11�lidSfM-cJs
REGISTRATION # � 31 RaR tit���e:
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( include sketch locating all adjacent ma wells).-. j _ i __. s 1OSU
o Repair must be in same location and of same type as original setwage disposal t ®a
Different location may require submittal of proposal from licensed professi=1 engineer or
registered architect.
See, a
Proposal approved approved Proposal Disapproved
Inspector °s Signature & Title te
royal approved with the following conditions
to Procurement of any Town permit, if applic ebl
2. Submission of as built repair sketch in duplicate showing.
as Omer °s name.
bo site Street blame, Town and Tax leap number.
co Iiocation of installed carponents tied to two firm points (e.g. ohouse corners).
do System description (e.g., 1250 gal, concrete septic tom, three precast 61 dim. x 61 dasp
drymlls surrounded by one foot ¢ grad),
e. Installer's nazi and number.
3. system repair W be performed in accordance with the above proposal and conditions.
0,J517A4-(--T-
1,, as owner, itirl ag of owner agree to a above conditions.
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PROPOSAL FOR S39M DISPOSAL SYSTR4 REPAIR
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NAM �dC�� 1. ti PaE Q r `i —7�►� — t�
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MIIIM ADDRSS
PEFSON INTERVIEWED PCBD dint 0
/ Name Relationship (i.e, owner,tenant, etc.)
DATE �I �I ®� TYPE FACILITY f9i ivarfAl" - n� p�L)4
PROPOSED n&7AI "M UdU 7ef7T� St�S ptic '
REGISTRATION # 11-01
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Proposal (include sketch locating all adjacent wells). s _o
NM: Repair must be in same.location and of same type as origi.na] sewage disposal cyst ®m
Different 'location may require submittal of proposal frczn licensed professioral engineer or
registered architect. /
Psaposal approved Proposal Disapproved
Inspector's Signature & Title 7 &te
Pr� a&rowed with the following conditions:
to Procurement of any Tour pemit, if applicable.
20 Submission of as built repair sketch in duplicate showings
ao Owner ° s name.
bo Site Street Nam, Town and Tax flap number.
co Lotion of installed components tied. to two fib points (e.g.#house corners).
do System description (e.g., 1250 gal. concrete septic tank, three precut 61 dimmo x 61 ftep
drywells surrounded by one foot ¢ gravel).
ee Installer °s nam and numbero
3. System Irepair performed in accordance with the above propolditionso
I, as ownee ag of oumer agree 4:o a aksove 6onditionso
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SIGR IM TITS
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BRUCE R. FOLEY
Public HeclA Director
IORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
I Geneva Road
Brewster, New. York 10509
Environmental Health (845) 278-6130 Fax (945) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (345) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax (845) 278 - 6648
Date.
7—f
STREET S/4- TOWN
0 - '11Y 76,3 411,1
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N AM-. E I PHONE
MAILING ADDRESS .
Renewal 11 11
4;1114 Yes No
TX MAP N S 7-
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MAILING ADDRESS OF APARTMENT k
NUMBER OF BEDROOMS IN MAIN HOUSE
NUMBER OF BEDROOMS IN APARTMENT
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Please submit this form and the requirements on page two to the Putnam County Health Dept., 4
Geneva Rd., Brewster, NY 10509, Phone 278-6130.
'Approval is effective for a three year period. The applicant must rea--pply''afthe end of each
period to renew the legal status of the apartment.
L
ignature of Applicant
Approved Date' to, <3 Z11
Title itle
OFFICE USE
Comments
- -BRUCE R= _FOLE':':_�• .:�. -:..
Public Heclth Director
-- LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTINENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845)218 -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 Fat (845) 278 - 6648
ACCESSORY APARTMENTS - CONDITIONS FOR APPROVAL /RENEWAL
Approval is effective for a three year period. Please submit the following
errti'f ed eheck•or- rnoney-order for 5100.00
2. Sketches of floor plans for both main house and apartment (drawn to scale, all living area
`'; 2d including basement) -
a-o * Non- professional sketches are acceptable
GJ t 3.,Coliform Bacteria water sample results from the apartment drinking water supply.
,Septic tank pumping receipt plus letter from pumper that tank is in satisfactory,condition.
5. Copy of site plan showing well, septic, and parking area. Include date of installation if known.
Label all wells and septic systems within 200 feet of the..propertyaine.: -
�.
6:. opy:of Certificate of Occupancy-tom i own or with legal
bedroom count of dwelling.
Approval by this department is for the water supply and subsurface sewage treatment_ system
only. The applicant must apply for and receive approval from the individual town to occupy the
accessory apartment and must comply with all applicable rules and regulations set forth by the
town. ,
Failure to supply adequate quantity and quality of drinking water or a failure of the subsurface
sewage treatment system may result in the immediate revocation of the approval by this
department.
Pg. 2
Nov. 2000
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