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HomeMy WebLinkAbout0019DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 1 -1 -19 BOX 1 00019 'M E1 I , IL LIU L LL , 00019 PUTNAM COUNTY HEALTH DEPARTMENT / DIVISION OF ENVIRONMENTAL HEALTH. SERVICES �✓ PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY - /�0 SITE LOCATION TM# OWNER'S . NAME 11h,1, ty2':s" ' PHONE MAILING ADDRESS o h DiL- PERSON INTERVIEWED 4541v PCHD Complaint # ame & Relationship (i.e., owner, tenant, etc. DATE TYPE FACILITY PROPOSED INSTALLER PHONE ADDRESS REGISTRATION# o sal (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, as owner, or r9pVed agent of owner agree to the conditions stated on this form. SIGNATURE ' TITLE -�—+ _ DATE l �:I 0, 0 l ID ay L0C,A7rl0t,J 6,14AIZ-r THIS 15 TO CERTIFY THAT I DISPOSAL SYSTEM WAS C014ST INDICATED ON THIS PLAN At! SYSTEM WAS INSPECTED UNOE SUPERVISION BEFORE IT WA5 QVER. THE SYSTEM WAS C01i IN ACrnn.9A.110E WITH ALL S' RULES AND REGULATIONS OF PUTNAM COUNTY DEPARTMENT AND. THE NEW YOR1 4,TATE DE NE OF HEALTH. ko Z N t\ �o r I �IBIA /? 0, A - F A -el GI A -14 Cos A A - r- 71 6,'l le A- C, 40 A-V 351 -[4 ep - i 111 Y-w W lb 12 41 46, 53 5- THIS 15 TO CERTIFY THAT I DISPOSAL SYSTEM WAS C014ST INDICATED ON THIS PLAN At! SYSTEM WAS INSPECTED UNOE SUPERVISION BEFORE IT WA5 QVER. THE SYSTEM WAS C01i IN ACrnn.9A.110E WITH ALL S' RULES AND REGULATIONS OF PUTNAM COUNTY DEPARTMENT AND. THE NEW YOR1 4,TATE DE NE OF HEALTH. ko Z N t\ �o r I �IBIA /? 0, r— e p PUTNAM COUNTY DEPARTM ENT OF HEALTH R8 "� "`3186 V\ Division of Environmental Beath Services, Carmel, N.Y. 10512 Engineer Must Provide P .14 -88_ P.C.H.D. Permit Il-- - - ---- CER TE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM PATTERSON Town or Village Ideated at MOONEY HILL ROAD Tax Map 1 Bloc)1 1 Lot 19 Owner /applicant Name H Om e s i t e Assoc, Inc. Formerly Subdlvision Name F� i r y i P IN Subdv. Lot # 21 Mailing Address P.O. Box 185, Thornwood, NY Zip_ 10594 Date Permit Issued 3/2/88 Separate Sewerage System built by Helka Construction, Inc. At sBudksHol 1olai Road, MahoP.n, NY 1n541 Consisting of 1250 Gallon Septic Tank and 667 LF of 24" Trench Water Supply: Public Supply From Address or: X Private Supply Drilled by TOrlish Address Armonk. New York guflding Type Single Family Has Erosion Control Been Completed? N/A Number of Bedrooms 4 Has Garbage Grinder Been Installed? N/A Other Requirements 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, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. VJ , Date 8/30/88 Certifled by - — P.E. � R.A. Addresia al diAd n Rr rnrnp l it Is P _ f' _ Rrewstpr , NY 10509 License No. v ! Any person occupying premises served by the above systems) shall promptly take such action as may be 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 as a pub(': sanitary sewer becomes available and the approval of the privaWwater supply shall become null and void wham public water supply becomes available. Such approvals are subject to modification or change• when, in the judgment of the Commissioner of Healthsuc tton, modification or change Is necessary. Date" J B �� Title Jam, a w tij WLLL UUrlrLLiiULN rtLrval DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only i WELL LOCATION WELL OWNER STREET ADDRESS: To WPVILLAWC11Y TAX GRID NUMBER: �AME: : ` Aooa ss: t v -. �� g�/� p PUBLICS USE OF WELL 1 - primary 2 - secondary XaRESIDENTIAL O PUBLIC SUPPLY ❑ AIR /COND. /HEAT PU P ❑ ABANDONED ❑ BUSINESS O' FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) O INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT --- gpm.1NO. PEOPLE SERVED / EST- OF DAILY USAGE gal. REASON FOR DRILLING %&,NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑. TEST /OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. STATIC WATER LEVEL ft. DATE MEASURED41 �-? , DRILLING EQUIPMENT ❑ ROTARY '`COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL_ POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING, `OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTHS ft MATERIALS: STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE s--- - ft. JOINTS: ❑ WELDED ',THREADED ❑OTHER DIAMETER in. SEAL: ❑ CEMENT GROUT O BENTONITE*1 ,OTHER WEIGHT PER FOOT Q Ib. /ft. DRIVE SHOE ❑ YES`EkNO I LINER: O YES ❑ NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (It) DEPTH TO SCREEN (f t) DEVELOPED? FIRST ❑ YES ❑ NO HOURS SECOND GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping P P 9 METHOD: ❑ PUMPED i tests were done is in- COMPRESSED AIR , formation attached ?. ❑ BAILED C1 OTHER ❑ YES El NO WELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE water Bear- ing Well Nat- meter FORMATION DESCRIPTION CODE. It ft. WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD gFm. Surface (� , WATER -9, CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? L9,YES ❑ NO ANALYSIS ATTACHED ?'1S YES ❑ NO STORAGE TANK: TYPEW1f rip CAPACITY 'n 166 GAL'. PUMP IHFpRMATIOH TYPE' A- �'� CAPACITY t2 MAKER A' ,v " DEPYTH '` `� MODEL -' �- — VOLTAGEa- HP wEL_ D LLEIIjNAME QA a ` pi . A' � S J mil- �q �, S SIG? RE 14 �i ' °� -' u-' Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovani M. T. (ASCP) r TORLISH WELL DRILLING PO Box 271, Armonk, NY 10504 1 L -1 LABORATORY REPORT ON THE QUALITY OF WATER .. 32.015211 . LAB N - — Date Taken: Tide: Date Rc' d : Tim-e: / is Date Reported: JUN. 0 g 1988 Collected By: Duane Torlish Referred By: Sample Location: 4 % c2/ AJ Phone # 273 -344x8 Phone '# - I Sample Type: Repeat Test? (check one) INORGANIC NON- METALS (mg /L) MICROBIOLOGICAL (CFU /100mL) _ Acidity _ Alkalinity _ Chloride _ Detergents, MBAS Hardness, Total _ Nitrogen, Ammonia Nitrogen, Nitrate Phosphate, Total Sulfate Sulfide Sulfite METALS (mQ /L) _ 'Copper Iron Lead Manganese _ Mercury _ Sodium Zinc MISCELLANEOUS pH (units) _ Color (units) _ Odor (TON) Turbidity (NTU) GENERAL BACTERIA ✓Standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE Total Coliform D Fecal Coliform Fecal_Streptococcus MOST PROBABLE. NUMBER TECHNIQUE Total Coliform Index Fecal Coliform Index KEY FOR TERMINOLOGY N/A = Not Applicable LT = Less Than ( <) GT = Greater Than (>) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR = Non- reactive REMARKS /COMMENTS (For Lab Use) Potable _ Non - potable _ STP INF _ STP EFF Other: Sample Status: (check each) Outgoing — HNO3 HC1 H2SO4 NaOH ZnOAc Na2S203 Other: Incoming _ LE h °C GT 4 °C pH LE 2 DH GE 9 pH GE 12 Other: THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH W YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTIO•�� THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N /A) MEET THE SATISFACTORY CHEMICAL.QU.ALITY STANDARDS OF THE NEW YORK STA E DR KING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Lx1 �( �G?yt -���� / 2/86 (Rvsd7 /87,) RWE Albert H. Padovani, M.T. (ASCP), Director Owner o; Purchaser of Building Building Constructed by " le. 12 4 Location.- Street Municipality 5 1A_)G /e Fo r ^►; :/_f Building Type I Section Block Lot M Subdivision Name Subdv: Lot # GUARANTEE OF SEPARATE SEWAGE 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 success- ors, 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 initial use of the sewage disposal 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 occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determin- ation of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willf� �oV egligent act of the occupant of the building utilizing the system/• / `\ Dated this day of 19 Signature \\X Title l HEKLA CONSTRUCTION INC. Excavation • Trucking • Equipment Hauling • Septic Systems Specialist Top Soil • Fill • Gravel • Black Top Buckshollow Rd. RFD 9 Box 474 — — — — — — — — — — — — — — — — — — — — — — — Mahopac, New York 10541 (914) 628.5738 THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES CERTIFICATE OF COMPLETION WILL BE ISSUED. UARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. vision of Environmental Health Services, Putnam County Department of Health II. IV. V. VI. FINAL SITE INSPECTION Date ' Ins .tool b%QG�_G ;CPiT: {ON l O4vZQ2 �!�%%1'i ?O.O,If 4 I IM 9 OR SUBDIVISICN LOT u. 04& '�& YF5 NO CA TS SEIiP_C?. DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of placement 2:1 barrio,-• LGTH WIDTH AVG.DPM / c_ natural soil not striped '71-7-71 d - Stone, brush, etc., great er than 15' from SDS area_ e. 100 ft_ free water course /wetlands. SE<+vEly DISPOSAL SYSTEM a. Septic tank size - 1,000 1,250 .b_ Septic tank installed level 10 ' minimum from foundation No 90° bends, cleanout within 10 ft. of 45° bend d* e. DLSTRIBUTICN BOX 1. All outlets at same ele? ration - water tested 2. Protects below frost 3. Minimum 2 ft. oricirall soil between box and trenches (�I f. JUNCTION EOX -- proms ly set . g. =\'= i 1. Le_nath rya i.re i - Lenath installed 2. Distance to watar-ccurse measure ft. 3. Installed according to plan 4. Distance center to canter 5. Sloes of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet from prcreertv line - 20 feet - fcurdati cns ...- 7. De^th cf i+anch < 30 inches fran surface 111 8. Roca allc-,. °ed for e z nsion, 50% I �I °. Size of c avel 3/4 - 1�" diameter 10. Depth of cravel in trench 12" min== i 111. P1T'2 ends carne 1 � 1 h. F T OR DOSE SYSTEMS 1. Size of piam c1na-mber 2. Cverflca tank 3. Ala=n, vi sual /audi 4. Pump easily _-ssible manhole to grade- 5. Firs t "fled I 6. 07cl i t_ essed by Health Der)arume_nt imated flow per cycle HOUSE, a. Ecuse located per approved plans. b_ NuncEr of berrccros WE.�T L a. Well locat=e as r approved plans b. Distance fram SDS area measured ft. �. c. Casing 18" ahcve grade_ d. Surface drairacre around well acceptable_ OVMQj -L WORKM.A,SnTp a. ECXeS ropily grouted _ b. P11 p#es partiailly backf filled c. All PiDes flush with inside of box d. Eackf ill uate--al contains stones < 4" in diameter � f e. C::rtain drain installed accordinq to plan f. Cartain drain cutfall protected & din. to exis-t-wate-rccurspK j Footinq drains discharge awav from SDS area Surface water protection adequate i. er=osion cont::ol provided on sloces greater than 15 %. I j` 04& '�& ��r6l IF O� fad on A's - PUTNAM COUNTY DEPARTME Rr OF HEALTH AN,,.0 Div1eMa o f Eov rdomental Health Services. Carmel,; N.Y.10512 Engineer to Prsit fde Permit M' on CERTIFICATE OF p� . k N PERMIT FOR SEWAGE DISPOSAL SYSTEM - PATTERSON Iontea at Mooney Hill Road Town of vfitirse Subd)vbion Name Fairview Manor cnbd. Lot x 21 Tax Map 1 Block 1 Lot 19 - otrner�ApplkaneNun Homesite Associates, Inc. Renewal_ ❑ Revision ❑ Date of Previous Approval Melling Address P.O. Box 185 Town Thornwood, NY _ 10594 Bunding Type Si nol e Family Lot Ana 2.68 Ac/ Fm Section Only ' Depth volume Number of Hedre.oms — 4 Design Flow G P D 800 PCHD Notification is Repaired When Fill is completed 1250 667 L.F. of 2411 trench Separate Sewerage System to consist of GaOon Sepik Taoll and To be constructed by To, be determined Address Water SaPPl': - Pdblic Supply From Address orl X Private Supply Dil lied by — Address Other Re4uirement� 1 represent that I .am wholly and completegiy responsible for the design and location of the proposed system(s); 1) that the .separate sewage disposal system above described will be'constructed as shown on the approved amendment -there to and in accordance with the standards, rules an regulations b e u nom County Department of Health, and,that do completion thereof s "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be Submitted to the Department,, and a' wri4ten guarantee will be'furnished -the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition, any part-of'-said sewage disposal system during the period of two (2) years immediately following thedat• of the issu- once of the approval' of the Certificate .of Construction Compliance.of the original system or any repairs thereto;2) that the drilled well described above will be located si shown on the approved plan and that said well will be installed in accordance with the standards, rubs ind regu a' aTronsoof . the Putnam County Department of Health. <-- Date f ' /! /8,�% Signed TTTria Trn P.E._ R.A. _ Addreufor:Bal"In & Cornelius,'P.C.:RD 6.; Rte.22,Brewster,NY10549 43191 �eense No APPROVED FOR CONSTRUCTIOW.This approval expires two Years rom date issu unless construction of .the building has been'undertaken and is revoC:aDl0 for cau or aY be amended or modifietl when considered y by the ommissione of ea change or alteration of construction repuires a n w ermit pr for_,disposal ot - domeriic sanit ge, and / ry to a s pl I Rev. pee d_e ^�- 1/87 Date BY Title �_ DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL Pr WD PRPMTT I P-149 WELL LOCATION Street Address Town/Village/City Tax Mooney hill Road Patterson 1- 1 Grid Number - 19 - WELL OWNER Name Mailing Address Private Homesite Associates, Inc., P.O. Box 185, Thornwood,NYOPublic USE OF WELL 1 - primary 2 - secondary IM RESIDENTIAL ❑PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP O BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL 13 INSTITUTIONAL O STAND -BY 0ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT 5+ gpm /# PEOPLE SERVED 4 -5 /EST. OF DAILY USAGE 800 gal REASON FOR DRILLING ONEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O REPLACE EXISTING SUPPLY. O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING New Res- ence WELL TYPE LL DRILLED ODRIVEN DDUG OGRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Fairview Manor Lot No. 21 WATER WELL CONTRACTOR: Name (To b e determined) Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: over 1 , 000' LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED OON REAR OF THIS APPLICATION QO SEPARATE .S ET (See SSDS Plan) (date) (signature') ��ilW 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 s.hall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance 'th the requirements of the Putnam County Heal t Department attach to this pe it 3. Submit a Wel Completion Rep on a form proi,�ed by the�{unar� C�t� Health De pr ent. Date of Issue: �-- 19 Date of Expiration: 19� Permit is Non - Transferrable 2/87 ssuing White copy: H.D. File Yellow copy: Building Inspector Pink Copy: owner Orange copy: Well Driller 3�8 1 • APPENDIX B PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERMIT -� DATE REVIEWED: BY: (Name of Owner) (Street Location) YES DOCUMENTS • �� I r� : U WMEMM NNE _ ilk -�1�� U trench . . -. .0 Parellel . � to urs 0001 MEN WON IN P-1 410P 1 L[ �� 5� e,M if M � Mal PM —.- -MIE mom MINIM NNE Permit Application Corporate Resolution Plans - Three sets'---s /s �- Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc a f Consistent Perc Results (3) Fill .— Perc Hole Depth cd House Plans - Two sets Well permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes (grinder rate) Design Data: perc and deep results 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,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Proposed Systems 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 fill 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains - Curtain, Leader, Footing 35'to catch basin,stormdrain,piped watercourse 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well to PL 9 P PUI`NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT- CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Calmnissioner of Health In the matter of application for: �=m III !u represent that I am an officer or employee of the corporation and am authorized to act for Homesite Associates, Inc. (Name of Corporation) having offices at P.O. Box 1:85 Thornwood, New York 10594 Whose officers are: President: Daniel A. Amicucci, P.O. Box 185, Thornwood, NY 10594 (Name and address) Vice - President: Anthony J. Amicucci , •P.O: Box 185, Thornwood, NY 10594 (Name and address) Secretary: (Name and address) Treasurer: (Name and address) and that I am and will be individually responsible for any and all acts of the oorporation with respect to the approval requested and all subs ent acts relating thereto. ` Sworn to before me this � /day Signed: Of �o v 19 Title: - `Ccj BETTY L. ESPOSITO Notary Public, Stave of New York NO. -26 3 Oaai /% i;it in i u m,.m County O! i�.Oniti:ic-Cn, Expirs April 30, 19. Corporate Seal 20 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health . LORETTA MOLINARI, RN, MSN Associate Commissioner of Health October 11, 2005 Jon Tursi 58 Manor Road Patterson, NY 12563 Dear Mr. Tursi: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Re: Accessory Apartment Renewal - Tursi 58 Manor Road (T) Patterson, T.M. 1-1 -19 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 from the Department dated October 11, 2005. 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 total number of bedrooms in the main house must remain at four without 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 Patterson. If you have any questions, please contact me at your convenience. Very truly yours, ��- -- Gene D. Reed Senior Environmental Engineering Aide GDR: cw cc: Building Inspector, Town of Patterson Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 �M - Q 'k , 4m- C-4-0( 0 AT 105 J 'PA0e4xx-&77 /.2 5-a 3 77� Y07,( . . .. ................. . . ......... .............. ..... ....... ........... / :.­­­­: _­­ ................ ...... ..... .. . 1-4 ... . ............ (9ta- &Z -- 0 w r MENT .OF HEAL'T'H HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, iJ BEDROOMS l �}pcLr-E-w..ewf ALL SUBSEQUENT REVIS ONIALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL & TITLE TE J to PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, # Aouv% U.0se ZJ BEDROOMS ` flpo�rfi�ev► L LL SUBSEQUENT I.jEVISIONIALTERATIONS. TO THESE HOUSI i"Cus —L BE SUi)"hlhT LD TO 'niii. PCDOII FOR APPROVA- to i �S �IGIYATURE & ITL - - - -�I'J) A TI; V1101v bmK L tl P�� z ti � agar W�1j �Qp�,vtn I-- 0 ---XWNAM COUATY-DEPARTMENI-DY-MAKIN- HOUSE PLANS APPROVED FOR -BEDROOM COUNT )00 r 15_ -BEDROOMS ttov5e ALL SUBSEQUENT TO THESE HOUSI PLANS MU_-S'j: PCDOil FOR APt ROVAI T SIGNATURE & TITLE FE 0 (A 0: a ca SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health October 3, 2005 Jon Tursi 58 Manor Road. Patterson, NY 125.63 Dear Mr. Tursi: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Proposed Accessory Apartment — Tursi 58 Manor Road (T) Patterson, T.M. 3. -1 -19 ROBERT J. BONDI County Executive Review of plans and other supporting documents submitted at this time relative to the above mentioned project has been completed. The following comment is offered: As per our conversation of September 30, 2005, this Department is considering the room labeled "Den" a potential bedroom given the dwelling a potential bedroom count of six. Kindly revise the accessory apartment plan to show no more than one potential bedroom; or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting. present code requirements for six bedrooms. If you have any questions, please contact me at your convenience. GDR:cw Sincerely, Gene D. Reed Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 19, 2005 Jon Tursi 58 Manor Road Patterson, NY 12563 Dear Mr. Tursi: .DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Proposed Accessory Apartment — Tursi 58 Manor Road (T) Patterson, T.M. 1-1 -19 ROBERT J. BONDI County Executive Review of plans and other supporting documents submitted at this time relative to the above mentioned project has been completed. The following comment is offered: • At this time this Department has not received any information as to the accessory apartment renewal states and is presumed not to be a renewal. Please note that applications submitted for accessory apartments are not being accepted by this Department as of June 6, 2005. This application was received on May 18, 2005 and has hereby been accepted for review. Proof of the cleaning and septic inspection must be submitted to this Department for final approval. If you have any questions, please contact me at your convenience. GDR: cw Sincerely, Gene D. Reed Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Presc600l (845) 278 -6014 Fax (845) 278 -6648 N Ar' - y1y: SHERLITA AMLER, MD, MS, FAAP Commissioner of Health. LORETTA MOLINARI, RN, MSN Associate Commissioner ofXealth ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 o , D ACCESSORY APARTMENT APPLICATION Date: Z 7 b� Renewal ❑ (,�I Yes No STREET MAOD� �-U TOWN khC')o1" TXMAP# NAME . )0 Iy I v��4:°�' PHONE 1I�b �j PCHD# 01-k I Y Z 0 MAILING AD D RESSG�O`� . MAILING.ADDRESS OF,APARTMENT - NUMBER OF BEDROOMS IN MAIN HOUSE " I NUMBER OF BEDROOMS IN APARTMENT_ 1 Please submit this form and the requirements found on the back of this page to the Putnam County Health Dept., I Geneva Road, Brewster, NY 10509 — Phone (845) 278 -6130. Approval.is effective for a three -year period. The applicant must reapply at the end 'of each period to "renew the legal status of the apartment: 0// I /m S Signature of Applicant Approved. Date To:... By- ,��(L��: Title OFFICE USE COMMENTS Accessoryaptapp Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing - Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS,, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health tr DEPARTMENT OF HEALTH 1 Geneva:Road, Brewster, New York 10509 f v - ► ROBERT J. BONDI . County Executive' Approval is effective for a three year period. Please submit the following: ✓1'" Certified check or money order for $100.00 2... Sketches of floor plans for both main house and apartment (drawn to scale, all living area Including basement) *Non - professional sketches are acceptable ✓3.. Coliform Bacteria water sample results from the apartment drinking water supply. — A. 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 property line., v,_,6. Copy of , Certificate of Occupancy from Town . or Certification. from the Building Dept. 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 of drinking water or failure of the subsurface sewage treatment system mayresult in the immediate revocation of the approval by "this department. Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558. WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 l "y u DEPARTMENT OF HEALTH Division . Of Environmental Health Services Geneva' Road, Brewster, New York 10509 (914) 278 -6130 . Putrmm County Dept. of Heart" 4 Geneva Read f Brewster, NY 105 C9 Re: My Tax Map ! �� Town C:ehticmen: BRUCE R._FOCEY, A g AeVMQ PUhl16 MQAIih According to records maintaxed by the Town, the above noted dwelling :s NOT in corn. 1, With T VI T. Code and tfte total nurn!be_ r of bedrooms on record is� This :tLforr.tatien ;ins been obtained froir.: CERTIFICATE" Or OCCUFA2yCY: AMESSORS R:.ECORD: !D _ U HER Building insc:cA r, Decolores Construction, LLC Pty Box 293 Carmel, NY 10512 945-225-4520 . May S 1 2004 , Yran & Jon Tursi .58 Manor Rd. Patterson, NY 12563 Decolorrs Construction, LLC has performed the following septic,repaiar on the property. listed above. Contractor had to locate septic boxes with three laborer's. After probing located five boxes and uncovered them. The last box was flooded. Installed two new plastic boxes. Installed 170' of ex*sion fields with gravel. Backfilled area. GrA4 hayed and seeded the area. . Initial day to diagnose the actual -problem - $450.00 Septic Repair $4,500.00 . Labor to hay and seed $362.00 Hay .$18.00 Total due and payable upon - receipt $5,330.00 Health Department approval letter for repair is attached with this invoice. Thank you! YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 9,500963 CLIENT #: 58433 NON STAT PROC PAGE: 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ TURSI, JON F DATE/TIME TAKEN: 05/13/05 58 MANOR ROAD DATE/TIME REC'D: 05/13/05 11:40 PATTERSON, NY 12563 REPORT DATE: 05/17/05 PHONE: (845)-878-7415 SAMPLING SITE: 58 MANOR ROAD, PATTERSON SAMPLE TYPE..: POTABLE : KITCHEN TAP PRESERVATIVES: NONE COL'D BY: JON TURSI TEMPERATURE..: < 4C NOTES...: COLIFORM METH: Ml::' DATE FLAB PROCEDURE RESULT 1R)RMAL -- RAN(BE HETHEID 05/13/05 MF T. COLIFORM ABSENT 1100 HL ABSENT 1008 ' COMMENTSg BACT WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD HE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: ovani, M.T.(ASCP) ELAP# 10323 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health June 8, 2005 Jon Tursi 58 Manor Road Patterson, NY 12563 Dear Mr. Tursi: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York. 10509. ROBERT J. BONDI County Executive Re: Proposed Accessory Apartment — Tursi 58 Manor Road (T) Patterson, T.M. #3. -1 -19 Review of plans and other supporting documents submitted at this time relative to the above mentioned project has been completed. Comments are offered as follows: 1. A field inspection was conducted on May 23, 2005. It appears that the septic system is marginally working and that there were past failures of the system. 2. The accessory apartment application notes it is a renewal. However, there is no record of a previous accessory apartment permit being issued by this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered -further. RM:cw Si ely, Robert Morris P.E. Senior Public Health Engineer Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner o-f'fleakh . LORETTA MOLINARI,_RN7 MSN Associate Commissioner of Fiea&h June 8, 2005 J-16 :Tursi 5'$ Manor Road Patterson, NY 12563 Dear. Mr. Tursi: DEPARTMENT OF HEALTH 1.Geneva Road, Brewster, New�York 10509 :ROBERT J. BONDI County Ezewive Re: Proposed Accessory Apartment — Tursi -58. Manor Road (T) Patterson, T.M. #3. -1 -19 Review of..plans and other supporting documents submitted at this time relative to the above mentioned project has been completed. Comments are offered as follows: 1. A field inspection was conducted on May 23, 2005: It appears that the septic system is marginally working and that -there were past - failures of the system. _2. The accessory apartment application notes it•is a renewal. However, there is no record of a previous.accessory apartmcntpermit being issued by this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered, further. RM:cw EvMronmmtat HeetW (845) 27&6130 fox(845)278-7921 -- I-' .. a reeo 11rir roACN 0)79 4412 iev fpActj 77R.Mjtj _ . ......_r..y....�r /.nry�'rY•v...:iy.:. ,� :- iY%M.e',TI�T,WJ7urs' >�^4. .. . .n 3 All County ®►v►e► n A North Star Waste Company Inv: 'Nina i In 1 =800428=6166 Date: SEPTIC PUMPING • REPAIRS • INSTALLATION Site Address. Y"�4t tq h1; tt. V.9 Name:juas Address: 15$ Prn & &0 City /State: �t�Yc ,1C.,04 j L4 Zip: Home Phone: Work Phone: . Cross Street .--County-.-- TwP. SYSTEM INFO: Map Coord Billina Address Name: Address: City /State: Home Phone: Zip: Work Phone: Cell Phone: Payment: Check # 2Vo V'2____ Credit Card: Amex o Discover o MasterCard o Usa.o_Other_o. Card #: Rp. Date: Septic System Evaluation & Proposed Action Tank Type: Cone Metal o Plastic o Cess D Tank Size:... Shape: Depth_to•Top: J�- to Access: 1 Drainage System: Fietdt : ° Trench-P, Pits ❑ PD o Other Dousing Tank I Pump: Yes o No D CONDITION RECOMMENDATIONS: Operating Leval `, 0' Above. Below Recommend Additive Y Drainfield Run Bade Yes No Suggest Aeration Yes Heavy.Sfudge Yes No Suggest Outlet Cleaning. Yes System Saturated Yes jNo Suggest lntet Cleaning. ....,.. ,Yes., "'Yes Suggest Tank Replacement Toilet Flushed a No Suggest Lid Replacement .,,, -;: =Yes Outlet Baffle Bad Suggest Riser Yes Inlet Baffle oo Bad Suggest Reg Maintenance es No Clogged Inlet/Outlet Yes Next Date: -6 Comments/Notes ' ,, ,. rmu,.A •. ip • .�.. . . �.r a ►. s �.t . .,t r rT a.� �ustoinei 5 gnat Coo �rtyer a Stgriature �' � V �i :usmmer Disclosure: jo- dw evdtt of .payment deiirWUencY, EAR11iGtRE IS a consumer reporting =npany. In accordance with the Fair Debt Reporting and Fair Debt C.ollectbn PradkM teasonabie costs assoclawd with the oulectian of past due or deNnquent accounts are the full espons i fty of the customer. ARrHCARE, An County Division, win not assume respons b ty for dmnage to driveway or arty N road damace. 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PI. -ix :M'rr,•”! °q :l „ r:7f ::r I:— r.,.. -r. y,.s} f.Y_v .T {r,.J��QCW iuw.rdrP.t{tr._....t.9f _„LbJ..:±15.id,'Ilc,.S,P1 1u..u. dulsTarr1F52tJ4_.IL,L...:13244 (u_i dls! •1.. nrh,`: )ti. y(n311�Sr.2letdt,.P.1,�:j A, C. 1 .tN .rgvt��,.PkzeiiA.sh DEPARTMEv i OF HEALTH Division of Environmental Health Services 4 Genava Road BTewster, Naw York 10509 Tel. .(9114) 278.6130 Fax (914) 278-7921 BRUCE R FOLeY Public Hecid , Direc :c; REE TOWN- 4 7/--7/ L P ivLkaZ(a ADDRES DESMIPTION. OF ADDITIOw,�� NUNEBF.R OF EMS TEN G BEDR0O:VLS PROPOSED 4 OF BEDR OtiLS� (FROM CE.-M o: cC,Lr--A C-t OR CERTIFIC ATIMN morn BL'ILOLNG IN-SPECTOR) S *Any addition -,which is co='der od a bedroom requires formai approval of plans (Coas=ction Permit) prepe ed by a = rcfessional Eaginee. or Registtired Arc'n tect in accordance with mplicable sections of the Purun Co:;-1ty Sanita*y Code. Please submit this farm zr4 he foloMng to Putnam County Heahh Dcpt., 4 Geneva Rd., Br, w3ier, NY 10509, ?",one 278-6130- 1. Cenified*check or money order for 5100.00 2. skttches of existing floor plan (drawn to scale,. all living area Including basement) * Non- professional skeic'acs are acceptable 3. Two sets of proposed floor plan (&,-awn to scare, with name, streeit, a :d tar. map T) * Non- profcssionai sket,hes are acceptable : 4. Copy of sizvey showing well and septic location, to the best of your k,owledgP. Inc11.1de date of insTallation if knotivn: Label all Nvells aid septic systems within 200 feet of the p:ope7ty line. Contact this office writ any questions. 5. Copy of C en. of Occupancy frcm Town or Certificatiot from Building Dept. with 'legal bedroom court of dwelling. OFFICE Z r3F Conmlews r:b va EA3100 REV 2/91 NEW YORK STATE AUDIT CONTROL CODES SWIS/SBL/CD J ACTIVITY DIVISION OF EQUALIZATION, AND ASSESSMENT CARD ND OF N = NONE L = LISTED SITE INFORMATION SECTION SITE NUMBER PROPERTY CLASS Z RESIDENTIAL, FARM AND VACANT LAND PROPERTY RECORD CARD M =MEASURED ONLY ENTRY INTERIOR INSPECTION NEIGHBORHOOD CODE SWIS TAX MAP NUMBER co ! OWNER / s� ��� ECLASS 7 n 2 = INTERIOR REFUSAL 3 =TOTAL REFUSAL 4 = ESTIMATE 5 = NO ENTRY ZONING CODE SEWER 1 NONE 2 PRIVATE 3 COMM/ PUBLIC SOURCE WATER 1 NONE 2 PRIVATE .3 COMM/ PUBLIC LOCATION NIL LOCATION SCHOOL DIST _ SALE PRICE SATE DATE LOT SIZE 6w �2 /1 /O /9 d �% ' �D 1 = OWNER 4 = OTHER 2 = RELATIVE 5 = NOAH 3- TENANT 6 = ASSESSOR DATA UTILITIES 1 NONE 2 GAS 3 ELECTRIC 4 GAS & ELECTRIC SITE DESIRABILITY 1 INFERIOR 2 TYPICAL 3 SUPERIOR SALES INFORMATION CODES NEIGHBORHOOD TYPE 1 RURAL 2 SUBURBAN 3 URBAN 4 COMMERCIAL SALE TYPE 1 = LAND ONLY NEIGHBORHOOD RATING 1 BELOW AVERAGE 2 AVERAGE 3 ABOVE AVERAGE TN- 2 = BLDG. ONLY 3 = LAND & BLOG. ROAD TYPE 1 NONE 2 UNIMPROVED 3 IMPROVED LABEL CORRECTION AREA SW6S TA% ', MAP ♦ OWNER PROP CIASS lOC' ♦ lOC 5171 WS lDT SIZE VALID 0 = INVALID SALE AUDIT CONTROL SECTION 1 = VALID SALE DUALITY CONTROL REVIEWER BATE NOTES: 1996 _ SO REJECT CODE ASSISTANCE CODE SIGNATURE BELOW DOES NOT MEAN CONTENTS VERIFIED, ONLY THA LLECTED IN YOUR PRESEN .j� SIGNATURE DATE `i Zir C �. _ CO M# DATE (MMDDYY) TIME. : ACTMTY- ENTRY '• SOURCE ^� 7' `P SALES INFORMATION SECTION' DATE (MMODYY) SALE PRICE TYPE VALID Z . . LAND BREAKDOWN SECTION LAND CODES LAND TYPE FRONT FEET DEPTH ACRES . SGUARE FEET SOIL me WIFI TTP Off m INFLU• ENCE % LAND TYPES 01 PRIMARY 06 PASTURE 11 ORCHARD` 02 SECONDARY 07 WOODLAND 12 REAR 03 UNDEVELOPED. OB WASTELAND 13 VINEYARD 04 RESIDUAL 09 MUCK 14 WETLAND 05 TILLABLE 10 WATERFRONT 15 LEASED LAND, . ' SOIL RATING: INFLUENCE, CODE P POOR (05) 01-10 .. N NORMAL (06) 01 -10 1. • '.,TOPOGRAPHY 2 LOCATION ,. �. G .6000. '. (07) : 01-04 (09) 01-04 3 SHAPE' . 4 RESTRICTED. USE (11) 01 - 10 (13) 01-10 5 VIEW - - 6 WETNESS ' ' 7 OTHER ' WATERFRONT TYPE 1 POND 3 LAKE 5 OCEAN: Oruro ''A Peuei - ' 9 RAV " . • ' MAP 3� LOT ADDRESS r ` L S 5 ,�,_y� • y� � 9 SC ie :N CJ L 6-r # . CARD NO. ASSESSMENT SUMMARY LAND AL DATE VOL. PG. OWNER OF RECORD SALE REMARKS °f rL - a rs /ter h,.R S s`sO L Q4 q 6 -- 12/10/90 1110 261 Tursi John & Frances Manor d. Patter on . $425,000 `.: LAND ' ..DWLG LAND RECORD ACREAGE SCHEDULE REV. BO. OR D �� WATER LEVEL CLASS OF LAND ACRES RATE TOTAL DEP. VALUE A UJ. % DWLG /J / SEWER HIGH LOT F [ T GAS LOW ELECTRIC ROLLING TILLABLE TA " STREET LIGHTING ROUGH ROCKY_ _ u � .0,26 .i .. ,AND DIRT ROADWAY SWAMPY PASTURE " HARD SURFACED RD LOAM ` DWLG SIDEWALK SAND GRAVEL q WELL DRAINAGE WASTE ' TOTAL SPRING OR BROOK LOCATION TOTAL LAND i. FARM TYPE LOT VALUE COMPUTATION REV. BD. OR DAIRY FRUIT FRONTAGE DEPTH. RATE TOTAL DEP. VALUE ADJ. % DWLG LIVESTOCK POULTRY TRUCK' 01 TOTAL OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOOVO COMO.- RKPL. VALUE PNY. Der. PH YS. VALUE FUNCT. Da, ACTUAL VAL sO ASSESSMEN DWLG. ROW 7 W 4 _ , 5 , FOUNDATION ATTIC � TO T A L Ar q C��� �1fiL'AGG lbs. '!V' S' 6 (�, - S' , t DEG /C I4-X Z*� �' 2� 1!( t . v �i .' .. ' Dr � � \�(�J //rK�� � A v'� I�.V /� /� PGI"' '. /( IU ! r� 3 I"' .��� y. �_..._ -✓ "• •, •., �3L qR p �— L$r. ' %.. '. E�.C_� V`�n %� JT I 5 LJvLi , ' ...�/'Z�`( , ; �,'`�. . 2L ' �r . lsYJ , ` - fL!(„L(jI� /71 d f40 �7 /�+'�CI��C';y C'� ... l G ( ,[�, ¢ .. . .. .. . .. - . STONE FLOOR.s STAIRS., _., BUILDING COMPUTATION @RICK - i1N, AREA CONCRETE. INTERIOR -. -i. 2 A s. F. TILE OR C. BLK. ROOMS STONE WALLS .. OWLG. UNITS SSMT. OR CELLAR AREA ' ►LAS. OR ECI'L N0. /fi F . PLASTER SC. Zq I S. EXTERIOR t' WALLS WALL SO. /..2 �_ S. F. C/`(t� .SIDING ON SHEATHING KNOTTY PINE L�( ,1 zo Q SII3GLE SIDING .. ..UNFINISHED e*MPO. SHINGLE SSMT. GAR. ..WOOD SHINGLE CONDITION E G F P .Af @[STOS SHINGLE BASE PRICE I YOUNISH -COM. @RICK STRUCTURE FACE @RICK HEATING' DWLG. UNITS • NOT AIR .. ... SSMT_ AREA - TILE OR C. BLK. PI►ELESS WALLS . / STEAM - INSULATION NOT WATER OR VAPOR_ INSULATION BLANKET WINTER AIR CONO. ROOF ROOF OR CEILING OIL FLOORS ROOF TYPE jFjMfH G GAS STOKER ATTIC FIREPLACES S SMT. FINISH ASPHALT SHINGLE STACKS INT. FINISH WOOD SHINGLE PLUMBING TILING NOTES -OUT 8LDGS.j 1 2 1 3 I S FIELD WORK ASBESTOS SHINGLE ' BATH ROOM BATH FLR. A WAINSCOT SALE S YR. I 'WALL iQ, MEAS. HEATING SYST. SLATE - STALL SNORER BATH FLOOR CA►. IM ►R. S SIDING LIST FIREPLACES 0 FLOORS B 112 1 A I TOILET ROOM - TOILET RM. FLR. WAINSCT MODERN BATH -SHED CONST. PRICE PLUMBING CEMENT WATER CLOSETS TOILET ON. FLR. MODERN KITCHEM DARN CONST. KEY, EARTH SINKS HEATING EARTH FLR. OFC. WORK TILING PINE KITCHEN FLOOR ROOFING CEMENT FLR. AREA TOTAL 5 51A +e HARDWOOD LAUNDRY -FACILITY 'KITCHEN WAINSCOT SIDING ►RICEL COST FACTOR T 5 -, SINGLE ELEC. WATER SYSTEM FLOORS OM DOORS SEPTK TANK OR CESS. IMITATION GRADE CHECK REPLACEMENT VALUE WN ERSO� BOARD OF APPEALS ROUTES . 164 & 311 PATTERSON, NEW YORK 12563 (914) 878 -6319 R E S O L U T I O N r.AG>:. 4AIA On a request from JON TURSI for a variance for an accessory apart- ment for his son due to the applicant's medical hardship. Property located at 14 Manor Road: (R -80 Zone). WHEREAS, this Board has made an intelligent review of the question and has considered all the information; and WHEREAS, there will be no substantial change produced -in the ,character or any substantial detriment to any adjoining properties created by this variance; and WHEREAS, the spirit of the ordinance is observed and the essential character of the immediate.locality is not altered; and WHEREAS, this Board deems this to be a Type II Action under Section 617.13 of the State Environmental Quality Review Act ( "SEQRA "). NOW, THEREFORE, BE.IT RESOLVED that based on the size of the house this action would not have a negative impact on the neighborhood; that.'failure to grant the variance would cause a very serious hard- ship on the applicant; that the variance is granted contingent upon the Putnam County Health Department's finding that the septic system is appropriate or is made appropriate as long as the son shall re- side in the•apartment and that the ownership be in either /or name of the present owners, Frances Tursi or Jon Tursi. The granting of this variance is not to be considered a precedent and*that this resolution pertains to this subject matter only. RESMUTTON MADE. BY! Edmond P_ O'Cnnnor_ SECONDED BY: Marianne Burdick. ROLL CALL VOTE: Marianne Burdick - Yes Mary Bodor - Yes Howard Buzzutto - Yes Edmgnd P. O'Connor - Yes Gerald Herbst - Yes DATED: March 15, 1995. .. JOHN N. CAL60 Building' Inspector TOWN OF PATTERSON Telephone PUTNAM COUNTY 878 -6319 PATTERSON. NEW YORK 12563 MARCH 21, 1995 RE: JON TURSI.- MANOR ROAD Verbal O.K. as per Bill Hedges (Department of Health). One bedroom upstairs not to be used.. New Bedroom in basement to replace it's•use on a temporary basis. The dwelling-will-never be more than 4 bedrooms unless it receives Health Department approval. cs