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Home My WebLink About0243DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 5. -1 -3 BOX 3 Ll 9 1- ��. ,� 16 -� so 11 ! '7 :. r 00052 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health John Ruffler Debbie Colarusso 81 Stagecoach Road Patterson, NY.12563 DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health April 2, 2007 Re: Addition — Approval — A- 068 -07 No Increases in Number of Bedrooms 81 Stagecoach Road (T) Patterson, TM # 5.4-3 Dear Mr. Ruffler & Ms. Colarusso: 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 the Department dated April 2, 2007. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four 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. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any 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, Gene D. Reed Senior Environmental Engineering Aide LCW:kly cc: BI (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 f' 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 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET /qCT/ (_, t) A/' j� TOWN ' (^ TAX M�A � — � (JIU I r co (4,.,f V", -S 0 pi/ NAME JO HAJ RuFF&ER ` PHONE �7�''%� % PCHD #�� 6 2 MAILING ADDRESS t� ,M) /v j/' DESCRIPTION OF ADDITION MOL _P,�Q/�UO� SvUT D ��Sf�/,c'�i/ T , 1 iJ1� c1��I Axe �� 40 NUMBER OF EXISTING BEDROOMS_LPROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept.,.1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. Certified check or money order for $100.00. 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. IInclude date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. . 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 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 InterventiontPreschool (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 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI County Executive Re: / (Owner's Name) Tax Maff Address: Town: Year Built: According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: _ This information has been obtained from: Certificate of Occupancy: Other: f ,61 Date A/4 But ding Ins ect r / 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 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Walter & Martin Fischer 81 Stage Coach Patterson NY Dear Mr. Fischer: July 20, 2000 Re: Addition- Fischer- Stage Coach No Increases in Number of Bedrooms (T) Patterson Tax # 5 -1 -3 I have received and reviewed the plans for the proposed addition of the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated _July 20, 2000 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Four 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. 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, Hiam Hedges WH:kg Senior Public Health Sanitarian cc:BI e i" I V? 1lli °y V Z illifw <'1i1�/1 y M DEPARTMENT OF HEALTH Division of Environmzntal Health Services 4 Genera Road Brewster, New York 10509 Tel. (914) 278 - 6130 F= (914) 278 - 7921 BRUCE R FOLEY Public. Health Director PROPOSED ADDITIO \r APPLICATIO\T (RESIDEIN'TIAL OtiTLY) STREET ,&5 & u cco t+ ( Ij T0N)(NN TX hLA2 n ,� s NAME et l'� lr t��r. • t��./ PHONE2 7W, YlI PCHD r MAILL\G ADDRESS � / S L, r DESCRIPTION OF ADDITION ;' l�C` �- e, -,� i2p�H 'o �r NUMBER OF EXISTING BEDROOMS . PROPOSED ;t OF BEDROOILS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDNNG LNSPECTOR) _ /25'63 *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. ; Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 1.0509, Phone 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) Non - professional sketches are acceptable 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 location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments r -L ng DEPARTMENT O. HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 BRUCE R. FOLEY. R.S. Acting Public .Health Director Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: C(% Residence Ta-x Map Tov,n Gentlemen: According to records maintained by the ToNN -m, the above noted dwelling IS IS NOT t - 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'— 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 DRINKING AND RECREATIONAL WATER Adam L. Beal P.F. Beal & Sons, Inc. 4 Putnam Avenue Brewster, NY 10509 Re: Proposed Well JP Ruffler Const. 81 Stagecoach Road (T) Patterson October 3, 2008 Dear Mr. Beal: A field inspection was conducted on the above referenced lot by Mitchell Lee, Public Health Technician. The application to drill a new well is approved with the following stipulation: 1. A Well Completion Report (WC -97) shall be submitted no later than 30 days after the well completion by the permittee. Please contact me at (845) 225 -5186 ext.2233 if you have any questions. cc: file S' e ely, �, L Mitchell D. Lee Public Health Technician 110 OLD ROUTE 6, BUILDING 3 - CARMEL N.Y 10512 (845) 225 -5186 FAX (845) 225 -5418 Qc� �- CkII� —��/ �� i PUTNAM COUNTY DEPARTMENT OF HEALTH (� DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or typePC�IDPertYlltrs #w Sf Well Location Street Address: Town/Village: Tax Map # 81 Stagecoach Road, Patterson Map 5 • Block —1Lot(s) —3 Well Owner: Name: Address: Phone #: JP Ruffler Const. 60 Brundage Ridge Rd, Bedford, NY 10506 14- 879 -7297 Use of Well: Residential _Public Supply Air /cond /heat pump _Irrigation 1- Primary Business X Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily usage gal. Replace Existing Supply Test/Observation X Additional Supply Reason for Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason Water needed for animals — existing well is too far away. for Drilling Well Type_ =Drilled Driven Gravel Other Is well site subject to flooding? ....................................................... ............................... Yes _ No Is well located in a realty subdivision? ........................................... ............................... Yes _ No Name of subdivision Lot No. Water Well Contractor: P. F. Beal & Sons, Tnr _ Address: 4 Putnam Ave., Brewster NY 10509 Is Public Water Supply available on site? ....................................... ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be prow' d o eparate sheet/ . Date: 9/8 /Oft Applicant Signature: Adam L. Beal PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Pul�am County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that witl. thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any revision or aeration of the app ed plan requires a new permit. Well to be constructed by a water well driller certified by Putnam ounty. Date of Issue Mr2 Permit Issuin Official• V Date of Expiration 9 — Title: Permit is Non - Transferable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Own; dnangercopy - Well driller Form WP -97 Rev. 3/06 Addition New deck on piers Existing house 2 f m I uP v F. Expanded driveway N ap u 1 ftj - C 0 %) 0 if 40 (V -0 U) V) 0 r4 W Eq 0 IL k v �-3 All t j(4 7.0 -O ZZ ation Use of Well: 1- Primary Drilli Well Casing Details PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ?Well =P x? WELL COMPLETION REPORT Street Address: Town/Village: Tax Map # u... 41°30.68 N 81 Stagecoach Road Patterson 1Map5- Block -1 Lot(s) -3 073 033.13 W Name: Address: JP Ruffler Construction, 60 Brundage Ridge Road, Bedford, NY 10506 Residential Public Supply Air cond /heat pump _Irrigation Business X Farm Test/monitoring —Other(specify) Industrial Institutional Standby XRotary _Cable percussion X Compressed air percussion Other(specify) _Screened _Open end casing X Open hole in bedrock _Other Total Length 32 ft. Materials: X Steel Plastic Other Length below grade31 ft. Joints: Welded X Threaded Other Diameter 6 in. Seal: X Cement grout Bentonite Other Weight per foot 19 lb /ft Drive shoe: X Yes _ No Liner: _Yes X No Diameter (in) I Slot Size Length (ft) I Dept to Screen (ft) Developed? If yield was tested Feet Gallons Per Minute Pu at different depths Pump Type during drilling Depth list: Voltage _Yes No +-7–�Hours Yield 10 qpm 305' Formation Descri e ii anK Inrorm Capacity_ Model _ HP Volume NOTE: Exact Location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 Screen Details First Second Well Yield Test _Bailed Pumped X Compressed Air Hours 6 Depth Date Measure from land surface - static (specify ft) 30' During y e d test (ft) 265' Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter (in) ft. ft. Land surface 5 Drilling in ov Hit rock at 5' rburden cl 5 32 Drilling in ro k set casi 32 305 Drilling in ro k granite If yield was tested Feet Gallons Per Minute Pu at different depths Pump Type during drilling Depth list: Voltage _Yes No +-7–�Hours Yield 10 qpm 305' Formation Descri e ii anK Inrorm Capacity_ Model _ HP Volume NOTE: Exact Location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06