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Home My WebLink About4813DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.33 -1 -31 BOX 36 I I { - , �. L -, IN go �.ri . I . � �� 04813 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES --225 -t;-0310 PROPOSAL FOR SEDGE DISPOSAL SYSTEM REPAIR i i oNNm' S NAME /?in RP PHONE ? C ; y o SITE LOCATION TM# MAILING ADDRESS ( C o PERSON INTERVIEWED PCHD Complaint # A.) �tq Name & Relationship (i.e, owner,tenant, etc.) DATE TYPE FACILITY PROPOSED INSTAUM L(/&L.i PHONE �. `� S O 7 5- 7 Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. i 77/0JLdLre+`171nt/ 0 I (�fI fd14 6/2 1 i • 5e/1 -tom 4,6 1Z t4 T-In s %ST f/1.1 11Jb coos 15a Tv xj r �� S o Itroposa ed Proposal Disapproved spector' s ' gna e & Title A,efNe o� s . Date proposal approved with the following conditions: w C t � 1. Procurement of any Town permit, if applicable. 2. Submisgion of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed eanponents tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, .three precast 6' diem. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or repo .gent If owner agree to the above conditions. SIGNATURE TITLE 7PW: %bite ODD); YeUcw Cbai BI); Pink (Anl cwt) I DATES y I V_ $RtjCE R jFOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845)278-6130 Fax(845)278-792i Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085 Early Intervention/Preschool (845)278-6014 Fax (845) 278 6648 November li, 2002 Richard Knapp 19 Chestnut St. Lake Peekskill, NY 10537 Re:Addition - Knapp, 19 Chestnut St. No Increases in Number of Bedrooms (T)Putnam Valley, TM #91.33171 -31 Dear Mr. Knapp: 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 October 31, 2002 '.The addition is approved with the', following conditions. 1. The total number of bedrooms must remain at-three without prior approval by I a _...N __. -... -. _r. amiss. d. epartanent ,- .._:......_._.,._e_. �_- .....� -.._ .-.. .. �._ -N _ _ . � .. �� .___.._ . -,•-' : .._.....�.._�. _- .w........... -... 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:Im cc:BI a 1 BRUCE R,FOLFY Public Health Director DEPARTMENT OF HEALTH i;ORETTA MOEFRARl RN., M.S.N. Associate Public Health Director Director of Patient Services 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 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET 1 TOWNS . P��sK i �X MAP# NAB G AR�I ��PP PHONE • •-W l.� PCHD# A q q a -o 2. MAILINTG ADDRESS t DESCRIPTION OF ADDITION 1� )R(:;C)VV) NL =VIBER OF EXISTING BEDROOMS 'J _PROPOSED # 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. Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY 10509, Phone 278 -6130, i Certified check or money order for $100.00. . Sketches of existing floor plan (drawn to scale, all living area including basement) *Non-professional sketches are acceptable. 33� Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) 'Non- professional sketches art 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. f5. Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb98 Khouseguidelines F I BRUCE R. FOLEY Public ,Health Director. li 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: I Re:l�� , Residence Tax Map Town I According to records maintained by the Town, the above noted dwelling IS in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: i ASSESSORS RECORD: I � OTHER I AB ding Inspector ! BFhouseguidelines� v a < I TGHEN LIVING ROOM NEW PAIR OF WOOD DOUBLE HUNG BROSCO WINDOWS REMOVE EXISTING WINDOW AND PATCH LAUNDRY ROOM _C1i_III SCALE: <NAFF RESIDENGE Iq CHESTNUT STREET LAKE PEEKSKILL, NY 1/4" = 1' -0" NEN UTILITY ROOM =ir NEW EXTERIOR FLUSH DOOR W/ `� .0 SELF CLOSE + + HINGES- Lr, L _C1i_III SCALE: <NAFF RESIDENGE Iq CHESTNUT STREET LAKE PEEKSKILL, NY 1/4" = 1' -0" rn rn �, tl '� 70 it m z NEW ADDITION NEW ADDITION zrn NEW WINDOW -,-NEV4 DOOR LLLI Fn SIDING TO MATCH EXISTING -, ON MAIN HOUSE REAR ELEVATION", SIDE ELEVtTl,:� SCALE: 1/4" V-0" v_ 1. `4 ■•4. 4 ... I \- ^�'7 • _ V ., i -' ... _ _ .. •- 4.. 'n. ..9 .r ors. ,� •.i •-t w? ,.. 4 - . -"I ._ _ .. f:. :1 .� a.. � •-. -I TYPICAL ROOF ASSEMBLY. -30 YEAR BYRD ARCH SERIES FIBERGLASS SHINGLES (MATCH EXIST•) -ICE 8 WEATHER SHIELD AT EAVES -1541 FELT PAPER LAPPED 18' -3/4" GDX SHEATHING -2 X 8 RAFTERS ® 16" O.G. DRIP EDGE ALUMINUM 06EE GUTTER NEW FASCIA MATCH EXIST. CONTINUOUS SOFFIT VEN1 TYPICAL WALL ASSEMBLY: - CERAMIC SIDING TILES TO MATCH MAIN HOUSE -TYVEK -1/2" COX SHEATHING -2 X 6 STUDS ® 16' O.G. -R -14 INSULATION -5/8' TYPE "X" 5HEETROGK TWO LAYERS THOU6HOUT MINIMUM FOOTING DEPTH FROM GRADE 2 COATS WATERPROOFIN6 OVER CEMENT PAR&E� It R -30C IN5ULATI Z -14 INSULATION 2 X b STUDS ® 16' O.G. NEW UTILITY ROOM ,--(2) 2 X 6 PLATES `-4" CONCRETE SL A� GRAVEL ,,-8' GMU WALL 415 REBAR TYPICAL FOOTING DRAINS TO DAYLIGHT 3/4" GRAVEL W/ FILTER FABRIC SEC,710N SCALE: 1/4" = 1' —O" 414 VERTICAL BARS ® 48' O.G. MAX DOWELED INTO FOOTING AND WALL CELL GROUTED SOLID AROUND ( ANCHOR BOLTS ARE TO. 60 INTO THESE CELLS) SEE DRAWING 1 /5.0 FOR REST OF NOTES 1) ELECTRICIAN TO PROVIDE CONNECTIONS TO NEW BOILER 2) ELECTRICIAN TO PROVIDE 6FI SERVICE OUTLET 3) ELECTRICIAN TO PROVIDE SWITCHED LIGHT FIXTURE <NAFF RESIDENGE Iq CHESTNUT STREET LAKE PEEKSKILL, NY "All certifications hereon are valid for the map and copies thereof only if said map or copies bear the impressed seal of,the surveyor . whose signature appears h'ereon." C�eT /F /moo ro �,pgNsfr.t�E,cz /cF+/Y egviTVES Goan. /2 /GNf7R0 .CNgPP N. IOR 7 -1 II I j / 9 4 Sra.cE ' rvn cc - O. /O N.' Q z4 z3 z2 2/ p W S, S Q Q UT-I WTY Rl� o/vc eETr =+ U Q �Pr477 /O JIQ R 95 \ ` `U / s�'oRY I '••OSO HOUSE � �Q t Z 0 .-995 ' D"P, o. * I. �. -- ------- H `- fI S PHAL T i P/E'EM /SES SHOWN /- rE.2EON BE /NG - e.: r PUTNAA4 COUNTY DEPARTMENT OF HEALTH HOUSE PLPJS A "PROWD FOR " BEDR00M, C0'UNT GNLY; CvfG�.A%T 10 13 /�., Sajnetu@e Date TTT I I I , %Z"I - -MI -- FIRST FLOOR PLAN SCALE: KN F'i� RE.515ENGE Iq CHESTNUT STREET, LAKE PEEKSKI,L.L, N*('