Loading...
HomeMy WebLinkAbout0032DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 3. -1 -48 BOX 1 00032 I,yti r rr �`sm J I�� AL IL 1 �L II 00032 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Albeiro Jimenez PO Box 249 Patterson, New York 12563 Dear Mr. Jimenez: DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 April 13, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition — Jimenez No Increase in Number of Bedrooms 294 Route 292 (T) Patterson, TM# 3.4-48 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 April 12, 2006. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by 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. 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. This approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not, obtained proper approvals. 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 (845) 278 -6130, ext. 2261. Sincerely, cz- Gene D. Reed Senior Engineering Aide GDR:cj cc: Building Inspector, (T) Patterson Environmental Health (845)278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 PUTNAM COUNTY DEPARTMENT OF HEALTH LIZ, 0 `. ez z ti r Q• �� ; i� o l TI! N 7 j 3 BEDROOMS � O p ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL 1 I REAL PROPERTY CONSULTANTS Dwelling Albeiro Jimenez „ SIGNATURE d TITLE z,� I DATE PLANS 294 Route 292 I CARMEL, NEW YORK 10512 j ' I 1 'R Ty l rli gTIK is Ld J F 7a Ir I G 1 I 1 I 1 jc a j F. w Irni m LIZ, 0 `. ez z ti r Q• �� ; i� o l TI! N 7 j � O p I 1 I REAL PROPERTY CONSULTANTS Dwelling Albeiro Jimenez 498 HORSEPOUND ROAD PLANS 294 Route 292 I CARMEL, NEW YORK 10512 Patterson, New York IN/F RYAN Z IS 06 -0/'- lO W 200. 00 6S�gE N g3 0A 0 21051 E kk� t4 N/ F RYAN N BI 23 j9 2 E N /F. CASE Y 58 A3 E N 8A-2 . 3 h N N v m Z i to 3 ` N8A,2 ct'\ -- 'y 9L 68 —48 - i0 E 171.32 28. _ N/9 -56 -43 E r. ROUTE 292 Certified To Michael Ryon Peoples 'Westchester Savings Bank, its successors and /or assigns Chicago Title Ins. Co. for policy No. 85 - 10- 492245 SURVEY PREPARED ,. FOR MICHAEL RYAN S1 TTATE IN TOWN OF PAT TERSON COUNTY OF PUTNAM STATE OF NEW YORK SCALE I° = 50' JULY 14, 1,986 JAMES K. DEVINE LAND SURVEYOR 4 CHAS. COLMAN BLVD. PAWLING, NEW YORK 12564 75073 -bl "Guarantees or Certifications Indicated hereon signify that this survey was prepared in accordance with the UNAUTHORIZED ALTI'N,TION OR ADDITION TO existing Code Of Practice for Land Surveys adopted by THIS SURVEY NAP IS A VIOLATION OF SECTION the New York State Association Of Professional Land 7209 (9 OF TIIE OUX 10RILtl' MEOLIOATION cum Yom. Said Parents" Or Certifications Shall run �• - ii�%5s: 'nly to the person for whom the Whey 4 prepared. � of 16I slash fat h1��fAa lad nd on his behalf to the tide cmnpmly, governmental ~ IbIR an be ammo :;ency and lending Institution listed beredn, and tc b�� coM .c assignees of the IelMing Instltutfon. Gu"Mees of : ertifications are not transferable to additional insti. tudons or subsequent owners." ' SHERyLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT 'OF HEALTH 1 Geneva Road, Brewster, New York 10509 D a 6b ADDITION APPLICATION RESIDENTIAL ONLY STREET 6 9.2 TOWN TAX MAP # -3r NA "PHONE PCHD# -161-6 "MAILING v ADDRESS X G) DESCRIPTION OF ADDITION ,�_47 NUMBER OF EXISTING BEDROOMS -3 PROPOSED # OF BEDROOMS O (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUIL,DING.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., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. 1. Certified check or money order for $100.00." 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 3. Two sets of proposed floor plan (drawn to scale — with name, street and tax map #) *Non - professional sketches are acceptable 4. Copy of survey showing well and septic locations 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 Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS 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 �... 0 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI i County Executive Re: (Owner's Name) T ap #: Address: Town: p Year Built: %O According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Cole. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Building Insfector Date 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 N/F RYA N As built distooces ex�s�'nc� ��wel1 1 2 4 5 7 9 Ao A .25 48yz 54h1 '4�i` 5I ' :. 57" 9 97` iov' 3 3I' 31% 36 437 73 76." 79' 48' 57Yx ex�s�'nc� ��wel1 A, Mar 31 06 U3:Ulp To: BU1LUINU Utri U195LbUUUb NOTICE TO INTERESTED PARTIES �� .. P. c Please take notice that the undersigned has made application under the "Freshwater Wetlands, Watercourses and Water Bodies Ordinance", Chapter 144, of the Code of theTown of Putnam Valley, said* notice to interested parties is required under Chapter 144-6 F of said Code. TM 19.-2-17 Name PHTT.T.TPC Address No # Route 301 DesCriptiOn Of pro]eCt r,oposed singles fam; l a rPri r pm-S, Cnn+. ++ thin 100'' buffer tore blacktop) . Presently . bef re' . he Planning Board. A p, ��� fDate: 7 Name o p ent S' re 00 .o 4d go rY r 'R v. 3i PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Must Provide P -12 ^83 P.C.H.D. Penmit # CEROF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Patterson �ted at Route 292 .;Owner /applicant Name Michael Ryan Formerly Mpg A.], Lakeview Drive #8 zip 10541 Town or V e T" Map 1 Block Lot 19 Subdivision Name N/A Subdv. Lot # N/A Date Permit Issued 11/29/84 ae Mahopac, NY Separate Sewerage System built by M & H Custom Homes, Inc. Address East Branch Road, Patterson Consisting of Gallon Septic Tank and 300 LF x 21 wide trench Water Supply. Public Supply From Address or: X Private Supply Drilled by Boyd Artesian Wel dr.. RD 5 Route 52 Carmel Building Type 1 Family Res . Has Erosion Control Been Completed? Yes Number of Bedrooms 3 Has Garbage Grinder Been Installed? No 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 fided plan, and the permit issued by the ,Putnam County De_ pnrtme t of Health. v Oats y'1F �A(�wJ(`� Certified by P. 11 R.A. —� Addre Cashin Associates P.C. Rt 2 Carmel NY 10512Icense No:2600. &I, ss 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 hull•and void as soon as a pubt': sanitary rawer ,becomes available and the approval of the private water supply shall become null and void when a public supply becomes available. Such approvals are subieet to modifiutfon, or change when, in the judgment of the Commissioner .6 Health, ch r ton, modiflut ►on or change Is necessary. .Date ��r, / _ / 6 l y Title = LAS Owner or Purc4aser of Building. Building Constructed by Location - Street Municipality Building Type Pu � e�'Soo Section Block z Lot 19 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 willful or negligent act of the occupant of the building utilizing the system. Dated this day of 9--4 Signature Title Corporation Name if corp. Address p � L -1 THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Division of Environmental Health Services, Putnam County Department of Health �e yf PUTNAM COUNTY DEPARZMM OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES •c -�,9� 2 art/ Owner or Purchaser of Building Building Constructed by 2, Location - Street //-9,Ted f o i✓ Municipality Building Type Section Block Lot Subdivision Name Subdivision Lot # /7 GUARM= 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 inmed.iately following the date of approval of the "Certificate of Construction Compliance" for 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 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. Dated this q_ day. of flldei L 19 E 7 2n"d-ri�y— 2 4-:� General Contract (Owner) - Signature �% Corporation Name (if Corp.) 1 /-0 A c 7 � �. Address D d`9fJ// C> !,j C N-X �oJ- (j/ rev. 9/85 mk Signature /Y�c Title D C., 67e Corporation Name (if Corp.) Address GENERAL BACTERIA _' . " A, Standard Plate Count. per .1 -.O. ml. (Agar plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) Total Coliform ner 100. ml_ Fecal Coliform per 100 ml Fecal Streptococcus per 100 ml MOST PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN Index ner 100 ml Fecal Coliform: MPN Index per 100 ml OTHER ANALYSES THESE RESULTS INDICATE THAT THE WATER SAMPLE WA (WAS NOT) (NOT APPLICABLE). OF A SATISFACTORY SANITARY QUALITY ACCORDING TO,THE.NEW:YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Albert H. Padovani, M.T. (ASCP), Director LEGEND RDS = Recommend Disinfect - ing Water Source < = less than TNTC = Too Numerous Too. Count WALL ; COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF 1HEA1 Division of Environinenal Health Swvlm COUNTY OFFICE BUILDING • CARMEL, NEW YC nTs—rip—or, _1s`t0-y9'6IRM-PrAM1VW­e9 druek-and suti_mhted to County Health Departritent together with laboratory report of analysis of water Semple indicating wow Is of Satisfactory bacterial quality before certificate of construction compliance is Issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWN ER! NAME Hal Barr tt M & H Custom Romes ADDRESS Deacon Smith Hill Rd. Holmes, N.Y...'l: LOCATION or WELL (No• I strool—) own (Lot JVI Rt. 292 Patterson PROPOSED use of WELL BUSINESS FK1DOM1S"C ❑ ESTABL13NMEW TEST Will PUBLIC All SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (speciOTHER fy) DRILLING saUIPMENT COMPRESSED CABLE OTHER ❑ NOTARY All PERCUSSION ❑ PERCUSSION ❑ (Specify) CASING DETAILS LENGTH (feel) 41 VIAMETEI(Inch") WEIGHT PER 11001 - 19 FLI THREADED 13 vwaftDr7 M%'E SMCt-- LXJm NO ff" CA31NO WWUIZU'r L&J YES NO Yino TEST HOUR P A EIIII ❑ PUMPED COMPRESSED AIR* 6 YIELD (G.PW 15 WATER LEVEL MEASURE FROM LAND SURFACE—STATIC(Spectly 28 DURING YIELD TEST It"t) 205 Dopih of Complaw well In lost below Land surfow 205 SCREEN DETAILS MAKE LENGTH OPEN TO loulpek P SLOT gill DIAMETER rem IP GRAVEL PACKM Dle"ter of won I gravel pack (Ine"Int I OR VEL SIZE (IRI FROM ff"fl TO I I 01"" PROM LAND WWACI FORMATION DESCRIPTION skomb OMNI fteaft" of wall with d1fraft". to of Meet two permanent londmarks. FEET to 1911T 0 25 Overburden 003 Ar-16slati WWI _C,_d7,F,j. R. D. 5 -Route 52 25 205 Grey gneiss & quartz. It yield was tested at different depths during drilling. 110 below FEET GALLONS PER MINUTE DATE WILL COMPLETED 6-5-86'.. EPORT IWELL DRILLER (Signature) 9117—Te .. . . v r, --+c ": x*- -•' -' . _ tae':;w.,::- ...::,fir w xn ..:r�,y.e••r'`•x:>„: ..:'P�.�'•ei� .�?�- 5..'" "'._.'s:.�'_+���"'�- '�'*�'`�' r'- �, :.N �L' "�" -a. -• . .-a �K�..s� �c.r.5-"'��,�> •�.w,y, � -�,,-}gig i.•:... . ��ti'r� .�. �. � .-J•.w .t. W M ..F,•'!?T T a 'V .rY.. e�_ .+.� rr[. PUTNAM COUNTY DEPARUIERT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES `. INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS . FIELLI INSPECTION REPORT r1L tti °`n DATE: T21' INSP. BY: (Name Owner) (Street Location) INITIAL SITE INSPECTION YES NO CIONA�TS Wetlands on /or proximate to property........ Property.lines or corners found....... •'•� _ _ Can estimate house location... ... _....... ... Will driveway need cut ............................ Must trees be removed - note these...:............. Deep holes representative of entire SDS area...... Additional deep holes needed ................... .. Sufficient SDS area available considering driveway cut, house location, separation distances,ete... Adjacent wells /septics............................ Artac-, to nrnnosed we-11 location for drillina..... D. H. 1 Lot Depth to G.W. Depth to rock Soil Descri tior 0 ft. 3 ft. 6 ft. 9 ft.1 12 ft. -D.H. 2 Lot Depth to G.W. Depth to rock - 0 ft. u.n. -' Lu=Y rvl(-- G.W. - Groundwater. D.H.'3 Lot Depth to G.W.. Depth to rock 0 ft. Soil Descri• DATE: FINAL SITE INSPECTION INSP.BY: House SSDS located per approved plan ...........:. Length of trench measured 3 b o ' Width of trench average I- Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarlygraded............................. 10 ft. maintained fran property line and 20 ft. fran house .. • ...... Distance well to SSDS (ft.) ....... S�.11........... . Number of bedrooms checks .............. ......... Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally fromtrench ..... ......... .I...... :.............. Boxes properly set ............................... Could surface runoff fran driveway, roads,. ground surface, etc., channel near SDS area.... Does lot drainage. appear OK in area of SDS....... YES NO CCMMEN'TS -Cj ?Z. PUTNAM COUNTY DEPARTMENT OF HEALTH ~� DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE.NO. Owner {_ "_y qEL_ lk>,JAN Address "kc VAZLJ 7`Qa. P-P 1*8 e M A90 i o 541 Located at (Street �7-g. 919:L �' Sec: Block 2 Lot-t9 Indicate neares cross street) Municipality Watershed L° CzoTo eJ 1 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 2 i i o8 - -tz:z6 l 8-- Tole Number CLOCK TIME PERCOLATIONT PERCOLATION Run Eiapse. Depth to Water water LFve 1 :. 18y a No. Time From Ground Surface.in Inches Soil Rate Start -Stop Min: Start - Stop ...Drop-in. _ Min. /in drop l 9 Inches Inches Inches 1 f1:49- p.: o4 15 19" ��� SZ! 3 12: z I -) z: 39 _ n �2 y 3 6 t 4 ti j a i "- l a" <9 I g,,.,.� 1-1, as Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 5 1:01 — 1 :.2 1 tt: 55- IA: 07 1 2 i i o8 - -tz:z6 l 8-- 5 1. �o - 1 :31 1 :. 18y a �., -7A l 2 _ l 9 -� 5 DEPT, O� 1JEAL T H Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. $ HOLE NO. HOLE NO.. G.L. 6" 12-11 =. - 1811 , 2411 3611 _ 4211 4811 LOAD 54 .6611 .. ... .... .. ....... . INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 4_. tq.._ga TESTS MADE BYCT> Date 5 -31- 83 DESIGN Soil Rate Used (,-i Min/l "Drop: S.D. Usable vided �� r S �U A L E�y4i` c No. of Bedrooms Septic Tank Capacity �-o-a �° `�. C Ayy e AsowR L_ Absorption Area Pro ded By., o-o L.F -x24" W tre c er ame astciw Assoc-;AT-m igna u Address. FA — 5 S 0 Vo• 2 C ICvN EL.. T COS { 2� F rHE S7 i''y • THIS .SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Cal Checked by Date As bwlt distances 2 3. 4 5 6 7,:.8. 9 I0 A 25" 48y2` 541, 61" 44y; 51 57 :93� 97" 100' B 3d 31/2 36�z 43 73 76" N/f RYA N . '48' 55' c > ibw 200.00, Y z' AREA= 1..351 ^ acres QO W LKII, stpnewn II we / z . N/ f RYAN - N / -'F CASE Y _ ro'gcp ' I 1 U •Z r x-.:50' �8 VA ., ?IN 9 �_�+ ell lit � � 5 10 1 •. � 7 boX N �, • S. W V: � � p (ryP.� M � � exl5fin Pasea - tn 100. •- d; �1,.` f Ax . .- NO3-,48-30E r .¢� - _171.32. ♦ ,j RourE 292 s .. .S• i .. As bwlt distances 2 3. 4 5 6 7,:.8. 9 I0 A 25" 48y2` 541, 61" 44y; 51 57 :93� 97" 100' B 3d 31/2 36�z 43 73 76" 79" '48' 55' S7%