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Home My WebLink About0296DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -1 -35 BOX 4 00105 ., '' �vml . ' r. 'r y' 1 im 116 00105 BRUCE R. FOLEY Public Health Director Katrina B oltj a RR2 BOX 67 Patterson NY 12563 Dear Ms. Boltja: DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI RN., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 July 6, 1999 Re: Addition- Boltja- 67 Baldwin Rd No Increases in Number of Bedrooms (T) Patterson Tax # 13 -1 -35 & 11 -2 -13 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 Julio, 1999 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. 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. ML:kg cc: BI Very truly yours Michael Luke Public Health Technician PUTNAM COUNT.' DEPARTMENT OF HEALTH.:.' - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITIONIREPAIR FORM SECTION A: GENERAL ItiFO%NIATION Name of Project -7 (T)(tiD TM# Year of Construction Size of Parcel SECTION •B. TOPOGRAPHY (Please check all appropriate boxes) 1. ❑Hilly ❑Rolling []Steep Slope LLve"n"tle Slope ❑Flat 2. ❑Evidence of wetland Clow area subject to flooding ❑Bodies of water ❑Drainage ditches. ❑Rock outcrop Y NO I Property lines evident? LirY 4. Water courses exist on, or adjacent to parcel: ❑ l� 5. Existing individual wells within 200ft of the existing SSTS? ❑ SECTION C. EXISTING SUBSURFACE SEWAGE TREATitiIENT SYSTEM(SSTS) ] . Physical character of existing SSTS area. A. ❑Level Gentle Slope ❑Steep slope B. ❑Well drained L I oderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) []Extremely limited ❑Somewhat limited qkdequate ft x ft I PUTNAM COUNT.' DEPARTMENT OF HEALTH.:.' - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITIONIREPAIR FORM SECTION A: GENERAL ItiFO%NIATION Name of Project -7 (T)(tiD TM# Year of Construction Size of Parcel SECTION •B. TOPOGRAPHY (Please check all appropriate boxes) 1. ❑Hilly ❑Rolling []Steep Slope LLve"n"tle Slope ❑Flat 2. ❑Evidence of wetland Clow area subject to flooding ❑Bodies of water ❑Drainage ditches. ❑Rock outcrop Y NO I Property lines evident? LirY 4. Water courses exist on, or adjacent to parcel: ❑ l� 5. Existing individual wells within 200ft of the existing SSTS? ❑ SECTION C. EXISTING SUBSURFACE SEWAGE TREATitiIENT SYSTEM(SSTS) ] . Physical character of existing SSTS area. A. ❑Level Gentle Slope ❑Steep slope B. ❑Well drained L I oderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) []Extremely limited ❑Somewhat limited qkdequate ft x ft D. INSPECTION Date Z / -( Inspector nsp ctor U \o evidence of failure ®Evidence of failure ❑Evidence of seasonal failure ---------------==-------- --------------- ----------=---=--------------=---------=------------ (Indicate North) V y GG `i 1 C•} HOUSE jc f (1) Indicate location of SSTS 1 A. Size and type of septic tank gallons ❑Metal ❑Concrete ❑Plastic B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. (2) Indicate setbacks, front street, backyard, and side yard dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXISTING WATER SUPPLY MPWS M Shared well OIndividual well IlDrilted []Dua� OCasin-cy above ground COMivIENTS : /b S REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: PUTtdAM COURITY HEALTH ®EPT � ' Y J � �� 2,0 S � -Z r �x 4 Geneva -Road (914) 278-8130 } Brewster, NY 10509 ve WThe Surn Of _ /�-G�� = Dollars $.......... 4Forr� - _❑ Cash [] Check `�1 M O :; ❑ Coedit Car`.d By i `�� ' D BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services �J aA 4 Geneva Road am Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) STREET WdV) Y1 TOWNgA -V TX MAP #. NAME \0_ BO PHONE&a q"gHD # MAILING ADDRESS P_iz_ DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS PROPOSED #. OF BEDROOMS 7:f- (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County. Health Dept., 4 Geneva Rd., Brewster, NY 10509, 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. - t�5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 DEPARTMENT OF HEALTH Division . Of. Environmental Health Services 4 Geneva' Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: � � Residence Tax Map Town PL-14,--s C>h Gentlemen: BRUCE R. FOLEY, R.S. Acting Public .Health Director According to records maintained by the Town, the above noted dwelling IS d- IS NOT in compliance with Town code and the total number of bedrooms on record is v rG, This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER Building Inspector to CU 'd.. irrdicafes dd /lhofe 03 ♦ and /cotas moo pm indicates wires Shy v fmbryFroms 30.9` O 4%Gl3' Tl. aj Q O' 53' co R=3299, Q L= 52.38 � N �n h I 64t. 36' =o s2922'40 ;F conc.mon. 150.00 ROA D, BALDW /N SURVEY OF PROPERTY PREPARED FOR .. HARRY A. 8--ANNA RAMBADT B£!NG LOT Np29 SHOWN ON "MAP ONE - MOONEY HILL HEIGH75" S/ ruA re /N TOWN OF PAT TERSON PUTNAM COUNTY NEW YORK SCA L E 1 "= /Go' Sold mop filed March 22, 1.961 as Mop N9908 AREA 2.182 ACRES Nnte.Atleertifieotionshereon ore Valid for MIS ma and copies Misr -6.7 /y if said mop or CA-AS tomes C. Edge", the suroeynr who mode '6001. the imps Ssed sew' ofm�e sunwjor ffAase MOP, do 1A9sby certify Mot mw survey of slQnahnu appears hereon. bnotrfhorizedo /terattonoraddition ha th /s mop wperty shown hereon was completed aw 1.s a violollon oi" Seaton 7Z09(Zl of The New Z8, 197? York Shr1e Education L ow. Cerfifiedon/y to: Harry A. and Anna Rembodt and Security rifle and Guoranfy Company for rMe Ns RGP 441- 449 in accordance with the jWniman standards for s urveys adopted by the YorA.Llcense N4 212 .Westchester- Pufnam Assoclatton of ffice of ✓otnes C. £dpett Professlonal Lond!SurVSyors. Land Surveyors 'M Street, Brewster, New York - -- Job Ns 72101 S