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HomeMy WebLinkAbout0700DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.12 -1 -21 ILI so T 1 T rj. I r ' r I ?j -I! T 7 .... 1 C; cz;f - 4nvioe' DEPARTMENT OF HEALTH Division Of Environmental Health ServIces 4 Ger.e4 Road, Brewster, New York 10509 (914) 278-6130 - P.utrazr. Co*urity Dept. of Health 4 Geiieva Road Blewstc-' NY 105C9 Gentlemen: Re i fz� 'ResidencO, Tax Map TownA���� BRUCE R-FOLE%', R.S Aet1mg Puhlla Mealth Mezv3t According to records maintained by the Tov �L, the above noted dwelling IS IS NOT in compliance with To%ti -n cod.- and the total number of bedrooms on record is This information ►a3 been obtained from: 'C'ERTIFICATE OF OCCUPANCY:. ASSESSORS RECORD: 4. ng, Inspector e F'. DEPAR T NEIv 1 41 IJEAi,TT-i Division of Envirommntal Health Services 4 Genava Road BT6Wstsr, Naw York 10449 Tcl. (914) 298.6130 Fax(914)278-7921 STUET TO X MAP Lv_.Z 1 NLAILIN(a ADDRESS BRUCE R. FOLEY Public Health Director DESCRIPTION OF ADDITION NLKBER OF EMSTLNG BE ROOMS PROPOSED # OF BEDROOMS.6 (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BLILDLNG RNSPECTOR) *Any addition v-hich is considered a bedroom requires formal approval of plans (Conmuction Permit) prepared by a rrofessional Engineer or Registered Architect in accordance with aaplieable sections of the Pumam County Sanitaq Code. , Please submit this farm and the fo'lowing to >'uutnam Coulaty Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278.6130. 1. Certified check or money order for 5100.00 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 tai: map 14) /* Non- profcssionai sketches are cceptable - ,4. Copy of suNey showing well and septic location, to the best of your knowledge. Include date of installation if xnb*n*. Label all^weLrs and septic systems within 200 feet of the propaiN line. �ontact this office with an; y questions. It Copy of Cen. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFF[ CE UHF Comments Feb 9% • ,....__ �-- '^mot# : r-- +-t- -. .,+.., -ti.- _ +...�^ t.�'�`�" � � - r L7 ,.� a K' r•x';5'X -, �L. d E s'�u "�} 1�" Yc, .'r,%�' Cz.ra`,,i I ir}�yX. 'n,• "''_ ,,,.._r�'(_•1G'�''.1'a'{ n •'�' "1^ -tt. TiTe ii ��� 3s- „zE'•"`�s".Ss...r* o s a rt'�`�°•!” 4 ror � � PUTNAM�000NTY��HEAL "TH DEPT x - , + ''GLc -..'e- z•4^ r3".. y�.. a,.- -x• t...,v's -w.z t.,, 1r i914 278- 6130�,�, 3 g�= M�? 4 Geneya Road�•z( ) �l ._ } -fit• -- Li "'c�a.y.., �e• ,;z?;8- r ,..�.c -k'• �r•�s• e. Ys. J r 7' > i 'xy; A'���tc r. BreW3teF, NY,1 W09� "� "�� >' �/6 �7" ggm -Date "-�w' 'x' It e", "4•rr "rem xr h., c>, k w -.,r 'c`�c #wz'''r. "�"'"a... n;,a ..7.�w. `'r: =. `` `f"� .w""'f'�r..a�„ r t .�^�+.' .,�.,-" '" wa,,,,xsrr M. : rc r •'c `, s. 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I . r.+.Y 'r'�r� 2 � �' 1 t 4_ �3 ��M:'�n r 3 -tY� ' �� �jDCJ'� �� l -3" "�, '.r.'S� x. r.- a.*a�" �� •.•� r-�'�? 3'' � i�5c," + 4 £ w� For`' � �t in,— .z•-�: r �.r "'-r•� � rn .��G ,E r•-� a� } �•,r�zs',•a.,- �.._s'.,'fi_�r�`" �:r,� •�x,.a -L, `,(•a Fc7 S -"z,-�a'.t-i rte.- `'rk,"- .1'2�-xr, �'G.. �'s�.•r"�".,.E'•a: », „n �`"s � 'ice ��».. -E:, '�•� a:� G��. /9��c ay ...I$ i µ3.y" -�'- �.-1,�- "F.,ar'','�- c•,.`- '''"'i'"'�- .�3�'3�. *ati }` STHArN���O U'Tr''`� "'�'? ' "• Lt c ..r �w '?tki.�t-�r � '^f.. e ,,,c f} r ate- -7• �'" ,cv�:- .�a�„3^ �' wE.. -c""s" � ,� ra ��8��� I r � _�_« F :.�, �,, � � ���7 -rte"•` �{''' `' '"�" C` Y y �,�' _ � `T :-x� `��`•�'�' ..;a*"'���._ -� �"�.� �''a � ��r� ti ' ��j.� � �'cs- *�`"'� �2-"r , r�'� y r- �- �� -�.'- �s„:.�`� -''- 'c. �7�,r � c 7�q ,may E yt .<•' �'� •.r ,, r "�"�= ' ^ai����.�r^i'y3t� �„n '>L, ' � - �-- - -''�O, Gash�-� O�Check'��. �M O > C�7 Credit Cartl� -�-��, �- By .� �%%� -�r� •� � •>�:�; . '•tty:�{�. -s_, >-e: �. ..� ;�; ^ci= ... -'T..- ...- ._- .s -e.��t .'+:.h .,. ,..�s�r'...E .... r»r+.,. G,.+: "•?:t'." _- .....,.:I'i'. c. �', -m -:-r . ...m mt,,; -„ .. ;r, _- ..�•.7t, I_r.•�a ,.-i•� 4 :: -Y.il I L, r . I rl: a =4 ?Vr:; ��t BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of patient Services DEPARTMENT OF HEALTH :1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921,. 1. Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax, (845) 278 - 6648 April 20, 2001 Finer - 21 Mountain View Rd. Patterson NY 12563 Re: Addition- Finer- Mtn. View Rd. No Increases in Number of Bedrooms R (T) Patterson Tax # 23.12 -1 -21 Dear Mr. Finer: 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 form, thisDepartment. dated April 19, 2001 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(T) Very truly yours, . Michael Luke Public Health Technician 3 PREM M 0 UIV 77.1-17. IN ,//V 1-5e.5. H6-A7--0/V,66-1fV6 L 0 r,5 5,EC7-101V Dj AS 51,(0I-VIV 01V -,5,Y8D1V1S 10A1,rf,4p OF A Polr7 Tlo" OF A4o4llv -r,4 /,v vl�-I-v i-A Wye" PUTNAM COUNTY DEPARTMENT OF HEAL11i HOUSE PLANS APPROVED FOR BEOROONI COUNT ONLY; BEDROOMS Signature&' I IND Date, RV D sr 77 rte.- PIAO Tp,x ).4p 30C g,� 76 IV. - -iffr - MIS i ........... v MOUA17AIN ?1,1,6'cIIV6 LO TS ON 11,5 -11-10WI"I L1,g DI V/,5 /0',V ,5EC7-10/`V 0, A's SHOWN VIE -r JV -/ON OF MoellV oc j pop 7 CLERK S F14- ED -417-IVAA�f 6G A OFF /CE 0/,/ AREA 0.685 4C. = 29 8 63 Go r (33 '10 -H6 7-UA U %-IVA Ae. v MOUA17AIN ?1,1,6'cIIV6 LO TS ON 11,5 -11-10WI"I L1,g DI V/,5 /0',V ,5EC7-10/`V 0, A's SHOWN VIE -r JV -/ON OF MoellV oc j pop 7 CLERK S F14- ED -417-IVAA�f 6G A OFF /CE 0/,/ AREA 0.685 4C. = 29 8 63 Go r (33 '10 -H6 7-UA U %-IVA PU TNAM COUNTY DEPARTM; F Dfvisron of • Eniiironmenca/ Hea/ih Seryic CONSTRUCTION', .PE:RMIT ,FOR •SEWAGE ,'DISPOSAL1 SYSTEM Lorated at s s a Subdwis {on MTL��AA��IVC -� '+ owner /AddiessAc�� „ � r r Tti •y , f . � y •4 z. Builtling Type4-- z= ����1�T1 —` Lot�Area. ,:. 4 - • a. ,.Number.of Bedrooms .�G— �.:Desagn Floe G /P /D r � f Separate "Sewerage System to consist of �� Gal Septic Tank' ti t� To be; constructed by �� T�1= TeAt /A)w �:water,`SupPIY r. Public Suoply From 1 Prwate Supply.4'o be drilled by, ' rr ^dtlress Jti other Requirements J ►epresiint�thait Calm- wholly a rid ;comp lit el'y ►esponsible for the design and location ofd above dpsc ilb" -will be constructed as shown,on; the approved amendment theie tosand,l "County r Department of Health„ ,and that on co'mpI tiori fhereof a Certificate of "Con J be'submittid 'id .the Department; and a'.written• guarantee'will be,,furnished the•owr lace in good -operating 'condition any'part of saitl sewage disposal system during: ;•ranee of,'the.,approval ot',the Certificate of.Construct ion, Compliance of ttieoriginal will'ke focated_as shown on the approved plan and that said well willbe;instaileG in deco County. Department of Health } OateFr 1 {T ,' J �' 5ignetl`- Address ¢ APPROVED FOWCONSTRUCTION This approval expires orie yeai fiom the date is �' evocable for reuse or' may be Iimentled or modified -.when cons erect, necessary by the requires 'a new permit ppp(oved for sposal of domestic n ary' ewa °a /or i .Rev; 9-81/ 1 ` 'i OF t HEALTH, Permit ^armel N. Y 10512 Town or Village iX :Map _ :•Block Lot newal ❑ `� 16n' ❑ ` .x ite'Of Prevaous�Approval ," •' � • • y X11 9ectaon only ❑ � � C.H D Notifacataon Requird e - cA L ti t •.i �roposetl iystem(s) 1) thatItie,•sepaiate sewage disposal system i .oidance with the stanIdaids,,.rules <an ►egu a, ions of e . Putnam tion Compl,'iance 'satisfactory td'the Commissioner of Healthwill ! is ;successors, h'eirs'oi',assigris''by' the builder, that said builder will er.iod of twor (2) years immediately following the'date of the issu r anyiepairs•fhereto 2) that the 'drilled well described above ' pe %with the st ndards' ules an la ons: of" the' Putnam _ . R'A' r i:, License No.C-- T"r1001..�,� 7 u . ess const ction` of the �tiuilding, lies been undertaken :and is is loner of Health ` .Any change' -o '' eration of construction t pply only i v B ' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date IqLPA Re: Property ofa 9J�l.Ll�'l�Q� Located at ( _ \��/• (T) ( Te�—:>—CIct( Section Block Subdivision of Lot Subdv. Lot # 1 , 2 Filed Map # �� A,,Date_r2J17jzV Gentlemen: This letter is to authorize a duly licensed professional engineer or registered architect (Indica e to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signe 22=�&3:, Countersigne caner of Prop t Address OF NE pp�� 3 I 7WM.3% _1CT? Telephone �o `�o 04860 Address Town Telephone 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 Address Located at (Street))Jr Sec, � Block -Lot ("Indicate nearest cross streeET Municipality. Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS , Hole Number CLOCK TIME PERCOLATION PERCOLATION . RM No. Start -Stop Elapse Time Min. p th to-Water From Ground Surface Start Stop Inches Inches Water Lev-el in Inches Drop in Inches Soil Rate Min. /in drop 1 1©: kQ 04 i`�4 2 11 3 IZ', Do -17,116 5Z Z3 aro T 1� . 31 S1v - I Z'1S6 6yo Z3 1 .2 3 5 Notes: 1) Tuts 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 TQ,,BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS -ENCOUNTERED-I-N-TEST'ftOLES DEPTH HOLE NO.'--... HOLE NO HOLE 'NO. G.L. 6" 1211 1811 2411, fl 30 '0 3611 4211 48 54 :6011 66 7211 8411 INDICATE-LEVEL-AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER.LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date DESIGN Soil Rate 'Used Min/l"Drop: S.D. Usable Area Provided. SZ5eo No. of Bedrooms 3 Septic Tank Capacity jC>cxD Gals. Type Absorption Area -Provided ,ByLiF.x24"! width trench. I Othu 7- 77-- Name K . V 1011 Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Ap- Ft/Gal. Checked A A �V§.. 4 o 4 S ..--e-07F . 5 e John M. Simmons, M.D. PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Deputy Cammissioner of Health - FIELD ACTIVITY REPORT - Sheet of -S' P ��, John M. Simmons, M.D. PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Deputy Cammissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME /� d,�:. !. f cal / U . ,., _ Orig. Routine ADDRESS i� f �`. �2y 1 /� %°a , l s v Z 3l Orig. Canplain Orig. Request No. Street Town qM No. Compliance �- u _ Complaint Comp MAILING ADDRESS ! Final P.O. Boat Post Office Zip Code Group Illness Construction TELEPHONE PERSON IN CHARGE OR INTERVIEWED / I-� NE[me,,00 Title Q v 1 DATE Z TYPE FACILITY ®\ V TIME ARRIVED G/ TIME LEFT Reinspection Field, Sampling Only Field Conference Other FIND W: �•_ �! / GCS "o /f' a/ . c.' S ./ G Explain INSPECTOR: PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: TELEPHONE: tj rf`1 t :` t `GtI+7�k1/d��_ Jf41 °Di`AlL CAi f S ti +ttl0 STrCr^•� ♦: t - t',: i t ., of •�. . pq. /''. -, c�,. ;•i' _ ',�. .r /. rJ.: 4 �, S t i ' ik t .;i r E .w:". cr ...•t s. „.. i`i 0� r; x, / tee;. ._ ,,. .y: t' rt mss., •./ f 4Lz 'y' t 't = =' 'i r7•- ""' \x =i .3 ^? be: €. "r•;�j ✓ i "/ a: /N r:, !. x 7 :,2 d-.� :lt ;�: .r': .7, 4a? � H � •t.- 4. .1'; S / / :i `�S -p d. § <!' '. 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