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HomeMy WebLinkAbout0217DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www. sca nyou rd ocs. com 631- 589 -8100 4.18 -1 -21 BOX 3 ,.. in Is I F �'I ,., t . '� . ALLEN BEALS, RD., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of EnvironmwW Health May 10, 2013 Luis Sanchez 18 Sunset Drive Patterson, NY 12563 Dear Mr. Sanchez: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Telephone: (845) 808 -1390; Fax: (845) 278 -7921 MARYELLEN ODI9LL County Executive Re: Accessory Apartment, Renewal - Sanchez Three Year Approval - A- 045 -13 18 Sunset Drive (T) Patterson, TM 4.18 -1 -21 I have received and reviewed the plans for the proposed accessory apartment at the above mentioned residence. A representative from the Department inspected the house on May 7, 2013 and found no changes to the structure since the last approval. The renewal for 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 three 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. 5. This approval is valid for three years and expires May 10, 2016. 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. Sincerely, J seph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cw cc: BI (T) Patterson a ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of Environmental Health \ DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 ACCESSORY APARTMENT RENEWAL APPLICATION MARYELLEN ODELL County Executive r-01 i Date: /Z'sl l3 STREET / b SUS/ S r- TOWN A I i ,r)?J J TAX MAP # NAME-P40 S SAA) e-tf t Z N PHONE , =# . D PCH #` 3� 6'5.6 MAILING ADDRESS / 9 :�Vn3S e — .J ,e. MAILING ADDRESS OF APARTMENT f $vac% be, s i �,P�c�cl P NUMBER OF BEDROOMS IN MAIN HOUSE NUMBER OF BEDROOMS IN APARTMENT Please submit this form and the requirements on page two to the Putnam County Health Department at 1 Geneva. Road, Brewster, New York 10509, Phone (845) 278 -6130. Approval is effective for a three year period. The applicant must reapply before the end of each period to renew the legal status of the apartment. Failure to do so will void said permit and, therefore can not be renewed. A change.of owners address or change of ownership for any residence holding a permit will also void said permit and cannot be renewed by the new owner of record'. �v►s �J��c-a Signature of Applicant. Approved Date From: '� ''� / l To: By �1U SL�,fib� S. i��✓�i.�s.d, J(, P, Titles 5�i ��:a� ��2c C/Z �'`�1i'�•zes OFFICE US COMMENTS AccessoryApplication ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director ofEmironmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL County Executive ACCESSORY APARTMENTS — CONDITIONS FOR APPROVAURENEWAL Approval is effective for a three year period. Failure to renew the permit within the three year period will terminate the availability to renew said permit or apply for a new permit. Please submit the following: 1. Certified check or money order for $100.00. 2.. Coliform bacteria water sample results from the apartment drinking water supply. 4. Septic tank pumping receipt plus a letter from the pumper that the tank is in satisfactory condition. 5. Certification from Building Department that the dwelling is in Compliance with Town Code. 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. The permit is void upon change of ownership or change of owners address and cannot be renewed by the new owner of record. AccessoryApartments ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 Re: Residence Tax Map # /' /gz Town:.. To Whom It May Concern: According to records maintained by the. Town, the above noted dwelling, IS\ INCOMPLIANCE WITH TOWN CODE. MARYELLEN ODELL County Executive IS NOT IN COMPLIANCE WITH TOWN CODE. ` LEGAL BEDROOM COUNT IS l' J This information has been obtained from: CERTIFICATE OF OCCUPANCY: 0 3 wil CUSTOMER S ORDER NO P PHONE D DAT 'NAME, ADDRESS y t _ - -' - — SOLD @Y CAST{ C Q.b CHARGE 'ON }tOCT <RADSE RETD PAID'OUT %an 20103 DATE TSMED THIS IS TO C814-MY ON THE PROPERTY 0F Same LOCATED ON 18 Siouet ve HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE REQUIREMENTS OF THE BUILDING CODE, ZONING ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY BE OCCUPIED AND USED AS' Accg;qua-xo Ava-Umnt in a Sinote Fqm Ltw Dwel'Ung Building Perm Dated 10 M -03 Permit No. .... AppiCation N-0. .3.892 ............... , 4. 21 SE CTION .........8...... gLoc ...................... LOT E E _fw $ 25. aO I M q 20103 DATE TSMED THIS IS TO C814-MY ON THE PROPERTY 0F Same LOCATED ON 18 Siouet ve HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE REQUIREMENTS OF THE BUILDING CODE, ZONING ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY BE OCCUPIED AND USED AS' Accg;qua-xo Ava-Umnt in a Sinote Fqm Ltw Dwel'Ung Building Perm Dated 10 M -03 Permit No. .... AppiCation N-0. .3.892 ............... , 4. 21 SE CTION .........8...... gLoc ...................... LOT E E _fw $ 25. aO I LORETTA MOLINARI R.N., M.S.N. Public Health Director 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 InterventioNPreschool (845) 278 - 6014 A 15.J�782 J8 Russell and Joyce Shay 18 Sussex Drive Patterson, NY 12563 Re: Accessory Apartment - Shay 18 Sunset Drive Three Years Approval (T) Patterson, TM# 4.18 -1 -21 Dear Mr. and Mrs. Shay: ROBERT J. BONDI County Executive 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 this Department.dated August 26, 2003. 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 three 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 X - - ...M.... Willi WH:Im Senior Public Health Sanitarian cc: BI (T) Patterson Y � Town of Patterson Zoning Board of Appeals Determination ZBA O�FIC]k. USE ONLY Case # 36 -03 Tax Map: 4.18 -1 -21 Application Description: Special Permit — Accessory Apartment 239m Referal 0 Yes . 0- No Date Sent: Public Hearing :Date: 9/17/03 Site Walk:❑ Yes ® No Site Walk Date: Decision of Board:Granted w /Conditions Decision Date: 9/17/03 Resolution #36 -03 Attached Conditions if Any: Permit is valid for five (5) years, Owner- Applicant shall request the ZBA to review the permit to renew or Owner - Applicant shall notify the ZBA of their intent to discontinue the permit (outlined is §154 -105 Patterson Town Code). Date FRO with Buildipg pajrtment & Town Clerk: 10/15/03 c elissa k Brichta Zoning Board of Appeals Secretary cc: Assessor's Office CHAIRMAN Edmond O'Connor Secretary Melissa Brichta Telephone: (845) 878 - 6319 ZONING BOARD OF APPEALS P.O. BOX 470 Patterson, New York 12563 TOWN OF PATTERSON COUNTY OF PUTNAM, STATE 'OF NEW YORK RESOLUTION # 36 -03 IN THE MATTER OF THE APPLICATION OF Russell & Joyce Shay TM #4.18 -1 -21 FOR A SPECIAL USE PERMIT for an Accessory Apartment Pursuant to § 154 -105 of the Patterson Town Code INTRODUCED BY: Chairman O'Connor SECONDED BY: Board Member Buzzutto DATE OF CONSIDERATION /ADOPTION: September 17, 2003 MEMBERS Mary Bodor Marianne Burdick Howard Buzzutto Ginny Nacerino Town Planner Richard Williams Fax: (845) 878 - 2019 WHEREAS, Russell & Joyce Shay has made application to the Patterson Zoning Board of Appeals for a Special Use Permit for an Accessory Apartment at 18 Sunset Drive, TM #4.18 -1 -21 in the R- I Zoning District, and WHEREAS, the proposed action constitutes a Type II action under 6 NYCRR Part 617, and therefore, requires no further review under the State Environmental Quality Review Act (SEQRA), and . p WHEREAS, a public hearing was held at the Patterson Town Hall, 1142 Route 311 Patterson, New York on September 17, 2003 to consider the application; and WHEREAS, The Patterson Zoning Board of Appeals has given careful consideration to the facts presented in the application and at the public hearing and finds that the Applicant substantially complies with the requirements set forth in Chapter 154 of the Patterson Town Code for a Special Use Permit for Accessory Apartments, and WHEREAS, the Applicant has submitted the Compliance Checklist which was in fact duly endorsed by the Code Enforcement Officer for the Town of Patterson, Paul Piazza, and WHEREAS, the Patterson Zoning Board of Appeals wishes to grant the relief requested by the Applicant; NOW, THEREFORE BE IT RESOLVED, that the Patterson Zoning Board of Appeals hereby determines that the proposed action will not have significant effects on the environment and issues a negative SEQRA declaration for the following reasons: 1. There will be no substantial change in existing air quality, ground or surface water quality or quantity, traffic or noise levels. 2. There will be no substantial increase in potential for erosion, flooding, leaching or drainage problems. 3. There will be no removal or destruction of large quantities of vegetation or fauna. 4. There will be no substantial increase in traffic or the use of existing infrastructure. 5. There will be no significant impairment of the character or quality of architectural or aesthetic resources of the existing neighborhood character. BE IT FURTHER RESOLVED, that the Patterson Zoning Board of Appeals hereby grants Russell & Joyce Shay Special Use Permit for an Accessory Apartment as per plan submitted to the Board. BE IT FURTHER RESOLVED, that the variance granted herein is subject to the following special conditions: a 1. Those conditions that exist in the Town Code for Accessory Apartments which include a renewal in three years. (A copy of that section of the Code is attached to this resolution along with a copy of the Compliance Checklist filled out by both the Applicant and the Code Enforcement Officer of the Town of Patterson. UPON ROLL CALL VOTE: Board Member Burdick - yes Board Member Bodor - yes Board Member Nacerino - yes Board Member Buzzutto - yes Chairman O'Connor - yes VOTE: Resolution carried by a vote of 5 to 0 STATE OF NEW YORK ) ss.. COUNTY OF PUTNAM ) L.: Melissa A. Brichta, Secretary of the Zoning Board of Appeals, do hereby certify that the above is an excerpt/summary/fair representation of the Resolution adopted by the Zoning Board of Appeals of the Town of Patterson at a meeting of said Board on September 17, 2003. DATED: &VI VMlsa A. B#�t Secretary Zoning Board of Appeals LORETTA MOLINARI R.N., M.S.N. Public Health Director 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/Preschool (845) 278 - 6014 A &J-'��78 18 Russell and Joyce Shay 18 Sussex Drive Patterson, NY 12563 Re: Accessory Apartment — Shay 18 Sunset Drive Three Years Approval (T) Patterson, TM# 4.18 -1 -21 Dear Mr. and Mrs. Shay: ROBERT J. BONDI County Executive 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 this Department dated August 26, 2003. 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 three 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 Rush 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. WH:hn cc: BI (T) Patterson Very truly y�u-- ..� -...� ._.......__.... .. William Hedges Senior Public Health Sanitarian - \ (1\ e o� -ce Putnam County ` D Division of Envi onment ert of salt HOalth ery APProved d e n r lical�Ee note for cor�;n�r,tnee ith Put Rules and F3nr� o nam C ealth UePent f e t IgrIature spy I I.j. ot � S.- -) Ault- c".0untj D; -?p:. of mtslth Divi-sion of i,.., . , 0 1; - . t ..1A . Approv t� d -j C+ �ej fc,-, Af- P. u 00, Anckn BRUCE R. FOLEY Public Heclth Director 0 �` LORETTA MOLWARI RN., M.S.N. � Associate Public Health Director. Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environment2l Health (835)278.6130 Fax(845)278 -7Q21 Nursing Services (835) 278.6558 NFIC (835) 278 .6678 Fax (845) 278 - 6085 Early lotervention (845)278-6014 Preschool (835) 278 -6082 Fax (845) 278 - 6648 ACCESSORY APART \TT APPLICATION Date $-_ 0 3 Renewal ❑ ❑ Yes No STREET SWO\C TX 1 � tLW-g- TOWIN �IAP # 6\.\'% PHONE V G � PCHD 4 MAILING ADDRESS \-6 QZ we VM k �. •` L MAILING ADDRESS OF APARTMENT 3a►w�Q NUMBER OF BEDROOMS IN MAIN HOUSE 3 NUMBER OF BEDROOII�MS IN APARTMENT 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 appftcytnt mus reapply .Sure of Alpplicar Approved Date 1a Zso 4a- By Title QFFICE U, E ' Comments R FOLEY Freolth Director . LORETTA MOLINARI RN., M.S.N. �'�► 4� Associate Public Health Director W' YO Director of Patient Services DEPARTMENT OF BEALTH 1 Geneva Road. Brewster, New York 10509 Environmental Health (84S) 278.6130 Fax (845) 278.7921 Nursing Services (845)278-6558. WIC (845) 278 - 6678 Fax(845)278-6085 Early Intervention (945)279-6014 Preschool (845) 278 -6082 • Fax(845)21-6648 O Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re :_ QL Residence Tax Ma Town Sa Gentlemen: According to records maintained by the Town, the above noted dwelling ' 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 Building Inspector BFhouseguidelines _ h DOUG ODELL SEPTIC CLEANING, r39 MAIN STREET Invoice POUGHQUAG, NY 12570 (845)724 -5239 Number: 2531 Date: May 21, 2003 Bill To: Job Site: RUSSELL SHAY 18 SUNSET DRIVE PATTERSON, NY 12563 BIRCH HILL, L ON PANORAMA, RT ON SUNSET, 1ST ON L AFTER BASEBALL FIELD. BLUE--GRAY HIGH RANCH ON L. WHITE BOX Phone # Terms Customer # 878 -9758 C.O.D. 03292 $0.00 Date Description Quantity Rate Tax Amount 5/21/03 PUMP TANK 1.00 180.00 V/ 180.00 5/21/03 SENIOR DISCOUNT 1.00 (10.00) N (10.00) Sub -Total $170.00 SALES TAX 7.25% on 170.00 12.33 A service charge of 1 112 per month 18% APR will be added to all overdue accounts. Total $182.33 Also liable for all legal and collection costs. 0 - 30 days 31 - 60 days 61 - 90 days > 90 days Total $182.33 $0.00 $0.00 $0.00 $182.33 Number of Bedrooms to consist of 1000 Gal. Septic Tank To'be constructed by Owner er Water ter Supply: 0,ubl,ic. Supply From Alpine Acres Water Corp. private supply to be drilled by ;- Address Other Requirements Total Habitable Space Square Feet 300 lineal feet X 36 inch width trench Address Same as above ' represent that I am wholly and completely responsible for the design and location of the proposed system(s);' 1) that the separate sewage disposal system ab8ve described will be constructed as shown on the approved amendment there to and in accordance with the standards, ru les and regulations or_M_e_Wu_ n—.M. Co" u fity Department of Health, and that on completion thereof a "Certificate of Construction. Compliance,, satisfactory to the tommissioner of Healthwill be submitted to the Depai4ment,- and -a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating 6o . ridition any part of said sewage disposal system during the period of two (2) years immediately following the date of the. issu- ance 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 as shown on the approved pl' Of the Putnam I an and that said well will be installed in accordance with th�e>�O. rules and regu County Department of Health.. Date — 11/15/71 Signed P. E. _)L_ R.A. Address R.P. 6. 8. 353, 641, N. Y. 10511 License No. qnq,66 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for .cause or may be amended or modified when considered necessary by the Commissions ealth. Any change or alteration of construction tar �r, ,. requires a new permit. "Approved for disposal of domestic sani ar� a vats w only. Date By . Title f 7, PUTNAM COUNTY DEPARTMENT. OF HEALTH' Division of Environmental ,Health 'Services, iparmel, N.:,,K.10512 CdINSTRUCTION PERMIT FOR SEWAGE DISPOSAL 'SYSTEM Patterson Sunset Drive Town or Village J J Located at Section Block Subdivision Alpine Atres Lot 74, Job Alpine Acres, Inc. Address % E.' A. Rader.. 0r6s, Owner— Frame 'Oscawana LaWk.'.' Putnam Val ley:,NY 10579 Building Type Lot Area Number of Bedrooms to consist of 1000 Gal. Septic Tank To'be constructed by Owner er Water ter Supply: 0,ubl,ic. Supply From Alpine Acres Water Corp. private supply to be drilled by ;- Address Other Requirements Total Habitable Space Square Feet 300 lineal feet X 36 inch width trench Address Same as above ' represent that I am wholly and completely responsible for the design and location of the proposed system(s);' 1) that the separate sewage disposal system ab8ve described will be constructed as shown on the approved amendment there to and in accordance with the standards, ru les and regulations or_M_e_Wu_ n—.M. Co" u fity Department of Health, and that on completion thereof a "Certificate of Construction. Compliance,, satisfactory to the tommissioner of Healthwill be submitted to the Depai4ment,- and -a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating 6o . ridition any part of said sewage disposal system during the period of two (2) years immediately following the date of the. issu- ance 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 as shown on the approved pl' Of the Putnam I an and that said well will be installed in accordance with th�e>�O. rules and regu County Department of Health.. Date — 11/15/71 Signed P. E. _)L_ R.A. Address R.P. 6. 8. 353, 641, N. Y. 10511 License No. qnq,66 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for .cause or may be amended or modified when considered necessary by the Commissions ealth. Any change or alteration of construction tar �r, ,. requires a new permit. "Approved for disposal of domestic sani ar� a vats w only. Date By . Title f c r/ % ✓ J' wi i. K 111 i - Y: -1,�: 'c�1"e!i� t, unt. q °'^^ '"=u -"r*E. V �`k x .5 `�'•7 .5`.%* ..a- °3'SC;�;�. 4 { *" -,r .,...: •: : 0 t:...: - �' " �;..� ' : t .4 a �������..�,,�CR� y���1 �.aT r.. � / "r: -UU :.:_ - ;i;� �! I Ell I s l Ij ALL CON 5TIUCT ION TO CON f KM TO APP LICK IS LE LOCAL %C'0 UN I / STATE KULES1 REGU LATIONSJ ORDIN A NCESf L AWS DEEP T E 5 1 P E R C O L A i l 0 ` G A L C. U L A T I O W S u 0 L E 0-14 T A RD E E D A T A S cRA0E f ANITAtLY SYSTEM [DESIGN DACA� 1 _ f HI INE011,001VIS "' x o rz_ •. GAL. DAY �C� - I' . ~` DE PTN APPROVED SIZE OF SEPTIC TANK. if OEL r '— - --- 3 �.., SIAAT, -- -- - \ I _,¢z� Al •,�; _ •- Ov�4➢aa� PERC 0 A 710 RATE% d MIN I cJ S 1�' �`•t.M A -- - - TOWN Of i; . -puNTT OF r _.. MATE MINUTES LEO 0. � NOV 1971 FILLD LCNGTA 4 W107N i S1A4I �1 oa FILL SECTION i^ } n�?►r - .. AS PER SCNCOULE T ` des Ov I ; 1 PUyNI. OF HEALTH g M z STAR l m A. Owner rr Purr,-tidser of Building Bui ng Constructed by Location- Street ... fen Building Type 7y, ' Municipality -9ection Block -711- Lot GUARANTY OF SEPARATE SEWAGE SYST.8M 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 guaranty to the owner, his succes- sors, 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- r pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of ---n viron_menual Health Ser- vices 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 29 •t4 day of If ev 1912- Signature_ /fie Vqde7 S i'cP Tztl e If orporatio_ , give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP,ETION 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 Z "evrrnang lard B *B R la" eoncrale olvob /t tubs7dvlts: poured LAN , ,,--TYPICAL f/LC' SECTtOAf fOR SLOPING GAOUAI/) PLAN Of FILL SECTION LJ A� E �. F r �• ���. � E ti; T' � F; r de T Laterals of •quv,r 1 to n A A 10caoleura N :° ,3 Oo" E 60 max. L. to.adddomdAdv -*ow rn ... ... " - ► (see' sc tndvk) DDD / g Aormox. for tolollengtA regurredCsee schedule) i + r� . " _ /• + x10 t Ct w, k t, r0 7% 4 e -� i Lin . T-cs f Afmrholes Lobe extended fo sorfoct morder that flow may be odwsArd • i. - , t, I ` to dose of/ lahvwls egA011y. ( ! beegroda �. TO seACe frnrr/xd grade (E "u _.� 114` - - max- u 25. -d Ric/f iG I7t `n I � MPS arty level 36 ,min- V) p. vemp of 4 wrylgiid trle sMPC snftrt ftr»a, -� - orto.r�:parf ytpa is ased 1 - . NOTE ALL CO .NSiRUCTION TE CONF'OkM `TO A.p►LICAbLE lo.CAL COtlN.TY /..STATfr L *LtS pEGULATIONSf ORDINANCES LAWS 9EIAll E© SECTION � l � .. , •t lA sect[ S�M:EDULE CALCULATIONS. :.m0LE DATA joie 0 TA rf -!n.11 u o. A n v/furo/'a11e "It - r DTPr1, G R.A D E OeT y I At TANK dMSl D6 LEgGTN N• E[D ROOMS 4 t3oa - �{ •/�� ' N L o4 c+ S h.0o p ?2' ioP�iall .O.f'TN mom TANK. PNsIne AL.. p A Y u n l5r f, /� wrorN G _ I -r . r Pow— SIZE Iatht 18 /oterol. t10YtD lEr [L 'Ys °. OF SEPTIC TAMt-10 CAe ACITTI%0c, 644 s.P7T- 2 START - _ •R to nest _ 1; ELD PT. REO. D. 9�: PERCOLATION RATE -4, �.; a MAY. - .APPROVE, v.- Du1. Eox. /.ALT /` ,Z. 4W10111 -7p yiNeTES REOD. i STEP Da Lts:. 7 N NA hATEUl3 5 i . =_'— TIELD ILNQTK O WIDTY — .. SL ET S 0•� o/l�o+ �qra 6 OF SHERLITAAMLER; MD, MS, FAAP of Commissioner Kealth LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health ROBERT J. BONDI County Executive Director PE Health DEPARTMENT OF HEALTH 1 Geneva Road.. Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET TOWN 49) TAX MAP # Z, w— NAME X jff�,�/ 3 PHONE r /„S PCHD# yY�-O� `�S/.� �I.�6' 7 / � . MAILING ADDRESS DESCRIPTION OF - ADDITION NUMBER OF EXISTING BEDROOM PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY O 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., 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, to be 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) 47 .. 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 r� Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 5. Environmental Health (845) 278 -6130 Fax ($45) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 . Nursing Home Care Fax (845) 278 - 60.85 WIC (845) 27 &6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 VJ SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive .ROBERT MORRIS, PE. Director of Environmental Health . DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Addition Status - r Re: (Owner's Name) Tax Map .# A'�� ; Address: 4— kL0Z4tAQ1(. Town: Year Built: z/ According to records maintained by the. Town, the above no dwelling, is in compliance with Town. Code. Is not in with Town Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: ` - The plans for .the proposed addition are considered:. New Construction - Addition to existing house only Teardown and /or re =build allowed under Town Regulations Build Inspe. for Date. 6. 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention % Preschool (845) 228 -2847' Fax (845)225-!1580 Sherlita Amler, MD, MS, FAAP Commissioner of Health Robert Morris, PE Director of Environmental Health Luis Sanchez 18 Sunset Drive Patterson, NY 12563 Dear Mr. Sanchez: Robert J. Bon i County Executive Department of Health 1 Geneva Road, Brewster, NY 10509 May 10, 2010. Re: Proposed Accessory Apartment Renewal 18 Sunset Drive (T) Patterson, TM # 4.18 -1 -21 The application for the above referenced project is incomplete. Please note the following: • The accessory apartment application form (enclosed). • An original copy of a water test from an approved laboratory. • Floor plans of the house. Review of your application will continue once the above documentation is received. Please do not hesitate to contact if any questions arise. JSP:kly 7oseph ctfully, S. Paravati, Jr., PE Environmental Engineer 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 Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 CERTIFICATE OF GceuPANM AND COMMANCE on"fix" of Upatters-out, NoW N 20-03 DATE- ISSUED-A-- THIS M TO CERTFFY THAT RwsaeP.E Ioyce Shay ON THE PROPERTY OF Same LOG-A D ON 18 Sit,", et D4,ive HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE REQU1REMENTS OF THE BUILDI-NG CODE, ZON'tNG ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY BE OCCUPIED AND USED AS Accezzoo Apa-fitment in. a Sinate Famift VwMng 6 But�l,,dii,ng,PP,.rm- it-Dat-ed.10-2,0-03 Permit No 389.... Appucatjon No 3892 ............ . ........ . ...................... -ECT.10N ..... 8LOC 4.18 LoT 21 S ....... ......... K ........... I ............ . ........................ XXXX X .1N FEE $ 25.&0 ... ......... LORETTA MOLINARI R.N., M.S.N. Public Health Director 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/Preschool (845) 278 - 6014 AWPP78Z �8 Russell and Joyce Shay 18 Sussex Drive Patterson, NY 12563 Re: Accessory Apartment — Shay 18 Sunset Drive Three Years Approval (T) Patterson, TM# 4.18 -1 -21 Dear Mr. and Mrs. Shay: ROBERT J. BONDI County Executive 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 this Department dated August 26, 2003. 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 three with_ out 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. WH:Im cc: BI (T) Patterson very truly William Hedges Senior Public Health Sanitarian LORETTA MOLINARI R.N., M.S.N. Public Health Director 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/Preschool (845) 278 - 6014 A)fff l;�MA8 Russell and Joyce Shay 18 Sussex Drive Patterson, N IL' 12563 Re: Accessory Apartment — Shay 18 Sunset Drive Three Years Approval (T) Patterson, TM# 4.18 -1 -21 Dear Mr. and Mrs. Shay: ROBERT J. BONDI County Executive 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 this Department.dated August 26, 2003. 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 three 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: William Hedges WHArn Senior Public Health Sanitarian cc: BI (T) Patterson SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ACCESSORY APARTMENT CONDITIONS FOR RENEWAL ROBERT J. BONDI County Executive Approval is effective for a three year period. Please submit th following: 1. Certified check or money order for $100.00. 2. Coliform Bacteria water sample results from the apartment drinking water supply. Z 3. Septic tank pumping receipt plus letter from pumper that tank is in satisfactory �/ condition. 4. Certification from Building Dept. that the dwelling is in Compliance with Town Code. 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. Ac c aptapprovalc onditions 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 DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: ROBERT J. BONDI County Executive • Jo�n� ice. fn VIA TAX MA P# ._ TOWN Accordin; to records maintained by the Town, the above noted dwelling, IS Q IN COMPLIANCE WITH TOWN CODE. IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS � /►'I'Y� �l ��� This information has been obtained from: CERTIFICATE OF OCCUPANCY: OTHER: 1- r Buildin specto/ '. x� Date CERTIFICATE OF OCCUPANCY IM 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 :r SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Date: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York I0509 ACCESSORY APARTMENT RENEWAL APPLICATION ROBERT J. BONDI County Executive STREET l4.; , _,L_ - TOWN A Z2Z,,2 TXMAI'# 4 - NAM - PHONE PCHD# MAILING ADDRESS MAILING ADDRESS OF APARTMENT NUMBER OF BEDROOMS IN MAIN HOUSE —� NUMBER OF BEDROOMS IN APARTMENT 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. Signature of Applicant Approved Date To: By OFFICE USE COMMENTS Accessoryaptapp Revised 6/27/05 lm Title 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 WESTCHESTER SEPTIC TANK SERVICE, INC. 165 Todd Road KATONAH, NEW YORK 10536 Office (914) 232 -3943 Cues SRnC� -eZ TERMS: I PLEASE DETACH AND RETURN WITH YOUR REMITTANCE ��ttU U �111/4lL�LIV L! i DATE NUMBER I I L WESTCHESTER SEPTIC TANK SERVICE, INC. �� PAY THIS IN THIS COLUMN KENNETH MUNOZ, PRESIDENT PRODUCT96•1