HomeMy WebLinkAbout4669DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
85.15 -2 -21
BOX 35
I
i� r F I ti p'
' �` N! I I L�
I , - � &
1
AN
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E., MPH
Director of Environmental Health
June 16, 2014
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390 Fax # (845) 278 -7921
Ms. Jamal
23 Bonie Wood Drive
Putnam Valley, NY 10579
MARYELLEN ODELL
County.Fxec;,ove
Re: Addition — A- 072 -14
No Increase in Number of Bedrooms
23 Bonie Wood Drive
(T) Carmel, T.M. 85.15 -2 -21
Dear Ms. Jamal
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 June 16, 2014. The addition is approved with the
following conditions:
3.
4.
5.
6.
A Certificate of Occupancy may not be issued by the local Building Department until
such time as the existing septic tank has been relocated and inspected by this Department.
A >iealth Department repair.. permit is.required...:... -._ - : � - - -
' be total number of bedrooms must remain at four without pr or'approval by this
Department.
The area of the existing sewage disposal system and its expansion area must be
maintained.
All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc ...
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.
This approval is valid for two (2) years and expires on June 16, 2016.
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,
�e
Gene D. Reed
Principal Engineering Aide
GDR:cml
cc: BI (T) Putnam Valley
ALLEN bkALS, M.D., J.D.
. Commissioner of Health
sbC311.Dd,l B
81:d \A 16,L�%ae�i6Ai�, S •�. ., .
Director of Environmental Health
�9 4
Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
ADDITION APPLICATION RESIDENTIAL ONLY
MARYELLEN OIDELIL
County Executive
Y�c
@GaQ% E
STREET Z 13c>ti to wcoy Dr. TOWN ( TAx mAP # 69 -t51--2 -2 t
NAME S PHONE M57 -51(g ° 4.52b PCID# ' 0-7 Z — l
MAILING
ADDRESS Se e, d. S t6090 \1C
DESCRIPTION OF
ADDITION V_VV64I N °'t• FA W:L-Y etc M 'V 10 tQ
*NUMBER OF EXISTING BEDROOMS i;_ NU 1BER OF PROPOSED NEW BEDROOMS D
* (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.
Ple?se submit this foarm. and the fallowing to Putnam County Health. Dept., 1 Geneva Rd,
Brewster, NY' 10509, Phone: (845) 808 -1390.
�. Cer if ed check or money order for $100.00.
Sketches of existing floor plan drawn to scale all living area including basement to be
2. S g p ( g g 9
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
CO1QIMNTS
4.
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512 q
CERTI,F.1 A]f �s.T,0%'9T �fW - -�3[, L�4ANCV •POWSEWAGE "DISPCYSAL�•51ISiFfii
Southeasterly side Bonie Wood 1r approx 800 ft Town or Village
Located atweSt- of the intersection of wnn 8t a_ Section �3 Block 1
Owner Tangus Construction Co Lot 5 Job 833 -426
Tangis Const. Co. Lake Road, Mahopac, N.�*
Separate Sewerage System built by Address -
..
Consisting of
1200 416 Septic Tank 416 lineal Feet X 36 Il wwidth trench
Other requirements
Water Supply: Public Supply From
X Private' Supply Drilled By
Address
), Building Type
Has Erosion Control Been Completed?
W.
No. of Bedrooms
Date Permit Issued_
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work (copies of which are
attached), and in accordance with the standards, rules and regulations, plans filed, and the permit issued by the Putnam County Department of Health.
Date July 19, 1.971 By�ge S S krtRel� RE--
Address Gleneida 1ve., Carmel, Y. 10512 License No. V(545
Any person occupying premises served by the above system(s) shall promptly take such action as maybe necessary to secure the correction of any unsanitary
conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon a$ a public sanitary sewer becomes
available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are
subject to modification or change when, in the judgment of the Commissioner of Health, such revocation, modification or change is necessary.'
L /' : Y
Date + �' By jryL ', Titly�
t r
:em, except there the failure
)r negligent act of the occu -.
Bills are due when rendered. Thank You.
A. H. PADOVANI, M. T.
MOORE BUSINESS FORMS. INC.. E
... ..., .:• ..,:.c6pt` a;)"`coricll��it'e..t�i�- de- :'... _..._.� . ,-
' Environmental Health Ser -'
:h as to whether or not the „
r the willful or negligent
the system.
_C, Iatur C�,� J�,,
Title__
f^ corporation, giva nave
ddre
and ass)
-LY
A'T"
D L
1131 'All
TPATTJ4=r. SYSTEiV
-%,4
WA 5 COVEIZE-1) C)VEP. 7 S Y 57"E)
N A 0A tE- W i Thl A L L Ti4E- k? C I L 5 4,,Vn L/1-41 T 0 ,V,,:�
OF -7'NE PUTNAM-COUNTY DLPAPJ,,f%lLNi,- OF* rl4cl--AL-Thl-
EXCFPT101\15 TO THE A80VL 10 IF . ANY NOTED 3,EL-O-W-
I
A-S:. 8UILT PLAN
.........
111
1-and Soree
y Y7Y
JUL2* 9.
PUT NT HEAP"
............. . .. Z. , P. - F,
DIRECTOR. DIVI SION ff
ENVIRGN0644L'Irlg 4 *"!Cfis
x.
DF S EWAGE DIS POSAL 4 Y-3 TEM
b 0,11V
. A-A -IV7-Y Y
T.A/..zl, A.-I VAS UrN 1. COU -N
.........
111
1-and Soree
y Y7Y
JUL2* 9.
PUT NT HEAP"
............. . .. Z. , P. - F,
DIRECTOR. DIVI SION ff
ENVIRGN0644L'Irlg 4 *"!Cfis
x.
...........
t.
AS
UI
6LT PL
AN
IL
...........
t.
...........
ALLEN BEALS, M.D., J.D.
Commissioner of Health
Director ofEnvironmental Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
Phone # (845) 808-1390
Fax # (845) 278-7921
Town Legal Bedroom Count & Proposed Addition Status
�A(Owner's Name)
Tax Map # t 2—
Address: 11
Town:
Year Built:
Tc
According to -records maintained by the Town, the above noted dwelling,
is VI in compliance with Town Code.
Is not in compliance with Town Code.
The Legal Bedroom Count is: H eel_
This information has been obtained from:
Certificate of Occupancy:
Other: to
The plans for the proposed addition are considered:
Addition to existing house only
MARYELLEN ODELL
County Executive
t/0-Af/W
(tee 41//A /,o)
Teardown and/or re-build allowed under Town Regulations
SO j 13
Building Inspector Date
5.
V.ALUY
444 o.r l ormerl ' ,�pt�lA-L
y 'aS •�s'2 -21 •
Terr�'rrc� /% Ca&� -_ _ . P. 7. y}!; ��.• i+ s$" �p.' a+`: s'• v:: i�id�.:r C:.' �• ..�.� @.':y'.i.�,R.•�r'..:�.b':. ,�' �
. v.a�.'?'++5:, pe '..b`.3 ' = .'YET: <.v -a ^t 4'' . a. �R . •. r...,'.:y ;. n iic " � <..... - .�. e: aye'•
�Z�a
OQ K1
\ �j
�r
� � o
IN
�.
� o
�c a
4.3 646 59 Ft
Now or loroerl
COP105 Ri rho„
0'
32. e e
tefl
905rC2 V. MAP OF SURVEY
vtTcar�.) QC� \
'` d: f�c49 v4LK
aS� ,50 yC
O
o/
60/V/E WOOD ESTATES
4 CF/LED MAP lY ° 1149, 714169,
TOWN OF PUTNAM VW LEY
c
\�Qc COUNTY OF PUTNAM
NEU' YORK.
Scale: 1 In. ==,50 Ft. I*r; / 13 1971
I certify that this map was made from an actual
50 surrey o{ th.e property.
W0040 DRI YJ' Su or
ruey, completed' on ,q/, / /0 ,197/
Map completed on ,q r; / 13 , 1y71
MAP R E*04TED Oh UL Y 2-7 1971
i
Certified to F, �.s l f",-- de la / o v �• S �`
Co0,-7 .Associo/�'o --) ondSec6,-;l1y
6ua j-a e) ><y (fa Q.-7 y
BURGESS & BEHR
Note: All eert11xc4ficNS Aerew o ,,e vo 11-q',4r I S Proferrional .Engineering & Land Surveying
/ 1)4,6 and ropiPa lhe-V i01 /y /soil mop tar 11.8 Gleneida Avcnue Car tel, N. Y.
Coo /;!!5 M r fhe im/D/�sSc'd yDf fhPSu�vc�a/'
33 F8.394 h'hoseSiQooture oodcvAq her&o,7 - / -
PU, TNAWCOUN
n yof Enviroom
In gm" a- 6 ,m -n %r; cs 'Am laA,-.AP
lea, �'Setoceq, --Cq i-/-
NTH
P atharm,
"0wn�,or .Vlllagq-
"
;u
ROY BURGESS
PROFCSBIDNAL ENGINEER
8
LAND SURVEYOR
ALVIN H. BEHR
LAND SURVEYOR
... .:%;aim !+�:"" ;�• .: {, � . -4 : , .. -.,, .., .. .. .. *q(y _ - :'> -- _ .. .
.:K °.i. K.'.r.,. ^�..e�:.'r - `�V•RGE�CJ'C`J.��'dSrD�l"1 -Rp ,. �- •.%r- '�'a'•',.t•e.K.'.r'... -y ,Y'o� -::.. - .,,..'...'..,'9•,a:.
N.Y. - #9845 PROFESSIONAL ENE31NEERING & LAND SURVEYING N.Y. - #37707
CONN. - #2509 CONN. - #$394
N.J. - #2524 128 GLENEIDA AVENUE
PA. - #8454E CARMEL. N. Y.
MD. - #3063
LA. - #4522 CARMEL 5 -3312 AREA 914)
July 199 1971
Mr. August Boniello
One Lake Road
Mahopac 9 N. Y. 10541
Dear Mr. Bonielloo
We are enclosing four -prints of the "As Built" system for
sanitary facilieibs on lot 5 Bonie Wood Estates with the
Certificate of Construction Compliance attached.
Pleasefill in missing items on the compliance certificate
and submit this data together with well report and contrac4orps
guaranty, to the County Health Department.
Very truly yours,
BURG SS & BEHR, P.
By°
0
e nc o
AS BUILT PLAN
— NOTE_: TI-1/5 15 TO CEQTIFY THAT T;4E 5F_WAGE O AL
S YS7 -F. M WA$ CONSTRUCTED AS INDICATED ON 71IRS F'��AN
N° i AND THAT THE SYSTEM WAS IIYSPECTEU 8Y n4E aE.FO�E IT
r� (`► WA5 COVLRE.D OVER_ THE SY57 "EM WAS CONS7RUCED
V V\ S
iN ACCORDANCE WITN ALL THE RULES AND 'REGUt-A7aONS
OF THE PUTNAM COUNTY DEPARTMENT OF HE.ALTN- r�
T rc. a .a
vi --•- a. J� aril >�s c��� as EXCEPTIONS TO THE ABOVE, IFANY NOTED 8ELOVV
n•.
w A 6 <4S U/LT- PLAN
G.t ..:D /S#045AL :sY -3rc i9 .�
t
�3ON -i � jNODD. f�5 TA`T�.
: TO.►n1N4•.Q PuT'%/.- ti?.. YQL P,(/TN.4M; CQUNTY:N.Y.
M Fx t N o si z. S Jr°A
... T m •. ��t _ n pt�d
- ' .�7 ,J,45' •, /eo.+o�� $on, / :ro -; -��
.. - l 2 j z 13�°J� � •a � �Y� r� , �' z `:. � _ - �t `i°" _ i
� 7
I-V ' • sstoavn4 M
833 ,4 G,G `?' a �o ess�iono% _En9iii -e eiin9 �j ' -LOno, .Sor✓eyiii9 DtaEttmt wYls�aN of
t EIMRONIA&IAI HEALrA :SECj3'_
t �� r /2 G /Pneido A ✓en e- 40 1-/"
a �
�i
' Y •'. Yi
S�
PUTNAM COUNTY DEPARTMENT '.OF HEALTH
Division of Environmental Health Ser.Wees '.Carmel. N Y, -10512 a �,
Putnam Val
CONSTRUCTION PERMIT FOR SEWAGE_ -' DISPOSAL SYSTEM 4Town of ley
East ', OT11E'. OO rl• f. o Town. or Vnllage
Locatft*.at Qnn ft f pm n 6' -�eC Z100C� Stl'eet Se�fion 1�3 Bloch,
: - s , t
Tonle• �s°E'a-t�e��� A4-, .�
•Subdivision'_ . Lot ilob
_. X33
oW,1e; ' Tangus Gonstruat`ion Crop, Curie 'Lake Road, Ma:hopac, NY �
Address
Ranch .
Building Type _ Lot Area; 1 = acre
Number, of Bedrooms To al Habitable Space Square Feet
Sepaiater.sewerage System to' consist .of__ 12'0 .:.-.Gal ,_Septic Tank lineal -feet—X-- width trench
Tan us Cons
. . •. tructlonCorp - s�.me . as above
To be. constructed by Tank us
Water "Supply: ;'Public Supply From, '
x >._ Tor;lisch
Private. Supply to be drilled by
Address
4rmonk
Other1 Requirements `
I
I represent that I am. wholly and completely responsible for'
the design and I'ocation of; the - ,proposed -sys rn(s); 1) that the' separate sewage disposal system
;above 8esccibed will tie constructed as shown on the approved ameridmenf there to and in accordance with tl estandards, rules an regu a ions o. t e u nam:
County 'Depart;ment of Health, and that on compietion. thereof a _Certificate of Construction Compliance satisfactory to the Commissioner of Health will i
w be subm tted . #o ,the Department; ,and. a .written4`guaran4ee will be`furriishe'd the owner his'.succ"essors hemrs.or assigns liy'the builder, that said builder will ' ,f
place -in. good ,operating_ condition,':any part; of 'said ,sewage disposal system during thei - period Hof two' (2) years- irrmmediately following thedate of the issu-
ance of the r approval of :the' Certificate of Construction.'Compli5rice of the or mginaPsystem' *or'any.repairs 4fiereto; 2) that the drilled well described above i
will be. located as'shown on :the.approved plan and that said well will.be installed „in accordance with the' standards, rules and regula ions of the Putnam
County Department of`- Health. -
oate April. 279 .1971
Signed R.A.
Burgess &. Behr =12 :Gleneida Tarme 1
'Address License No: 9a�
APPROVED FOR CONST:RUCTLON This apprpval'expires' one year from the date .'issued .unless construction; of the building has been undertaken and is
revocable for cause or may .tie amended ,or modified when con sldered.fiecessary by the Commmssioner.of Health. Any change or alteration of'construction
requires a new perm Approved for disposal of dome is sanm swage or priva a wa
PPIy only.
Date ��` �/ _ gy . %0, Title. Y
44,
PUTNAM COUNTY DEPARTMENT OF HEALTH
HEALTH-, SERVICES
DESIGN!VATA SHEET SEPARATE.SEWAGE.DISPOSAL SYSTEM FILE NO.'
—
833 426
..Tang, s bn Itr -Lake,' Dri,�e,.-liMa.h,opac, IT..:Ye'
owner 6n. q-Qrkddr'e*s's On.
ia ve approx
East S e Boni T o 0 C1 Dr i
-Vood
..,St. See. k
Located at- (Street)900 _ft from 123 - Bi-oc
Lot
-
(Indicate nearest cross street)
Municipality. Town of*Putnam ya116,7, Watershed N. Y. City
SOIL PERCOLATION MST DATAREQUIRED-TO BE SUBMITTED WITH APPLICATION
Hole
Number- CLOCK TIME PERCOLATION
PERCOLATION
Ran Elapse, Depth to Water Water Level
No. Tinte:. From Ground Surface in Inches,
Soil Rate
Start Stop.. Min. Start Stop Drop in
Mirx/in.drop
Inches* Inches Inches
13o30 .. -3:'49 19.'.. 19 1
19 Min
2 .40. -.18, 20 2..
:20
3
4
�0
:'55 ki. 14 19 _1� 19
2 -.3..
19
3 4:15 4 31L., -
....... ....
5
J,
2''
3
4
5
Notes
A .1) Tests to be.repeated.at same ddpth until approximately equal soil rates are ob-.'
..,.tained''at each percolation test hole. All data to be submitted for review:
2) Depth measurements to be made from top of hole.
.q
�. ? ....
R.. -,..✓ c. ... -. � ,. ..1r Y�. ,,... -t s.. . -_ '.. ..• =:: se;:; "t S.. r.`�: w-%.,'w',:`�:ci,F.: w.«'•;::: •:a,: gig_:.°; •`•`n �" -ea ..o.:s -.F.
,_r. o- ��a. .,
TEST PIT DATA REQUIRED BE SUBMITTED WITH APPLICATION
.4-0
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH -HOLE NO. �1) �T._ ,HOLE NO. HOLE NO.
G.L 1Rons�i.l Topsoil
_.ater. at..._12_tf "' ;nTater at..•:2'!
12" _
18" Sandy clay /small stones: sand' .clay /sm stones,
,. ..
3 Off
3611 .....' 144 ter 'enc�ant,�red .'.. e..o..es ...
4214 1 . It
481f.
i
If.
5411 PP . IP .......... .....
_ .. .
60"
i
i
66,1 sandy, clay /hd pan, samdy, clay /` pan
72" t!• PI
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
;.
INDICATE LEVEL TO WHICH.WATER LEVEL RISES AFTER BEING ENCOUNTERED,
' -
TESTS MADE BY Bur ess Rc Behr Date Pdrr7 /7,0 "Deep
hole
-
/71
` ..
20 9600
Soil. Rate Used Min 'rop.:.'. ' S.D'...,Usable. Area .Provided
+- SF
I
o 1_-200 Precast
No. of Bedrooms 1i Septic Tank Capacity. Gals.
con.
Absorption Area Provided By 00 L.F.x24" 36" x wid nch.. .0
y well
,:
B Uy
Name Roy Burgess . �:'kop' Signature
5
1