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Home My WebLink About2194DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -61 BOX 19 ME . . t X ..'�' . . 71 ly ' 1'` . 44 N 02194 SHERLITA AMIEf, MD, MS, FAAP eqmmislioner of Health ROBERT MORRIS, PE DEPARTMENT OF' HEALTH I Geneva Road, Brewster, New York 10509 Office (845) 808-1390 Fax (845) 278-7921 or (845) 808-1937 Town Legal Bedroom Count & Proposed Addition Status Re: 110 (Owner's Name) Tax Map # so. (a Address: ;)V LAW T40" &00 Town: nmapl ukay, Year Built:. According to records maintained by the Town, the above noted dwelling, is xx in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: 2 -. This in:formafioiihas been obtained from:.. Certificate of Occupancy: Other: Bldg. Records see attached. The plans for the proposed addition are considered: New Construction Addition to existing house only zTeardown and/or re-build allowed under Town Regulations 6. IZ Date t 4� PAUL ELDREDGE County Executive 41------ - - - -.- �_ TOWN OF PUTNAM VALIXt.X-- Application APPLICATION FOR BUILDING PERMIT Zone District_ _7 / .. %1, ....... / n is made to erect (Alter) .........h- V-------------------------------------- - - - - -- ----- r.- P7_ e �� Y a 6 tion of-Premise"treet or Road-- - - - - -- ..... --------- 5 --- ho-'V-0., P-a ........ ................... .•....• ........... ...... • .. ... ................ th ---------------------- d h ... !.tL� ........ R ...... C. BLOGY . ..................... LOT ---- 3A4-5r ...... FRONTAGE ... ZZ� --- Dept ear._O� r6' 8 e.�' /ACRES description) or number'of square ----------------------------------- I ------------- ----------------------------------------- ................................................................................................................................................................... ........................................... OWNER ....................... ADDRESS ................•.....•............ Dimension. of- Building W . �0h D9* # Storl. ' T, a8 x X x .x x Type Founda 12n,,-, = --- ---------- Size .& Use Eae --------- 1�e_r ----------- -------- Room with Window Area:.. 04k ....... ........... ................... V ..................• ..•• Sewerage Type ....... ----------------------- Size of Septic Tank ----- ----------------- Lineal Ft. Drainage-A?P --- / Size of Pry Wells ---------- ................. Additional. Information: -------------------- .............. . ...... . ............... ----- -- -------- This application must be aoco by copy of surveyors map and complete plans, specification, and,aH -informatio - , required by Zoning Ordinance and Sififtary Code when reqil6sted by inspector. ---------- applicant, dO hereby certify that the above statement ------------------ 7 ------------------------------------------------ are true to my knowledge and belief. Pee .............. ...... ... Signature of A ofiml. IN4 ------ ..... . .. It"A USE CONST. ROOFING LAND yam fly e Wood Shingle aved 2 F&nWy Steel —Wood b. Shingle irt Log Cabin Brick Tile Red . Concrete Metal Swamp P ment IStone Brook fow tore tore FNj)TNB. INTMIOR, Lake F. tore tore k Apt. stone 2;i-ooms Dams. .a tor I tore & Office k Concrete Apt. Rooms SW. Pools Office locks Apt- Ten. Courts as Station Brick 4ttic' Open Garage Piers Attie Finished OTHER BLDGS. EXT. WALLS PORCHES Barns. BAS iiEMENT o 6d X Front Shacks I/ fFart Brick X Side Cottages Fail Brick. Van. x ?Rk*r Bungalows Cement Floor P1,09 X Encl. Electric shingle Phone Garage B. In. Colup. I lFurnace Field Stone Dimension. of- Building W . �0h D9* # Storl. ' T, a8 x X x .x x Type Founda 12n,,-, = --- ---------- Size .& Use Eae --------- 1�e_r ----------- -------- Room with Window Area:.. 04k ....... ........... ................... V ..................• ..•• Sewerage Type ....... ----------------------- Size of Septic Tank ----- ----------------- Lineal Ft. Drainage-A?P --- / Size of Pry Wells ---------- ................. Additional. Information: -------------------- .............. . ...... . ............... ----- -- -------- This application must be aoco by copy of surveyors map and complete plans, specification, and,aH -informatio - , required by Zoning Ordinance and Sififtary Code when reqil6sted by inspector. ---------- applicant, dO hereby certify that the above statement ------------------ 7 ------------------------------------------------ are true to my knowledge and belief. Pee .............. ...... ... Signature of A ofiml. IN4 ------ ..... . .. It"A V t Michael Piceirillo Arcldechire nr.... sr.: .sA�r. .e. rr. 1.. �r_v ...! v.,_... ...o �. ia+_� _._ ra... •:T •1 ^+ter, . ^.I BERNSTEIN RESIDENCE 310 LAKE SHORE ROAD PUTNAM VALLEY, NEW YORK 10579 October 4, 2011 Att: Gene D. Reed Senior Engineering Aide Putnam County Department of Health Attached for your records additional copies of revised Site Plan, Floor Plans & Signed Letter from Building Department for the proposed addition to the Bernstein Residence Project. If you have any questions or concerns please let us know. Many thanks loveckas Sherlitz Ander, MD, MS, FAAP Commissioner of Health Robert Morris, PE Director ofEnvironmental Health Michael A. Piccirillo 962 East Main Street Shrub Oak, NY 10588 Dear Mr. Piccirillo: Department of It lr6 neva Road, Brewster, ]Y 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 October 3, 2011 Re: Addition- A- 072 -11 No Increase in Number of Bedrooms 310 Lake Shore Road (T) Putnam Valley, T.M. 30.18 -1 -61 Paul Eldrk4ge, . County Executive 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 October 3, 2011. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two 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. 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. 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 other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley SHERLTTA-AMLER, MD; MS, FAAP Gommissioner.ofHealth < LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI .County Executive ROBERT MORRIS, PE Director of Environmental'Health 8 DEPARTMENT OF.HEALTH l Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Addition Status Re: RF.RNSTFTN (Owner's Name) Tax Map #. 30.18=1-61.. Address: 310. ' Lak.e Shore Road., 'Town: Putnam Val 1 Pv Year Built:. 1954 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: 2 1� This •inform ation- has- beent-obtainedfrom: - _.. _.._._..:.. - ..._.,..... r. _... Certificate of .Occupancy: Other: Bldg. Department Records The plans for the proposed addition are considered: New Construction xx Addition to existing house only Teardown and/or re -build allowed under Town. Regulations ...Date 6. y . 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 TOWB OF PUTNAM V ITIAALMO&-110 &MPUIV46LI1114 6'4%10 - APPUCATION FOR BUBMING FFYJW DishicL::ar__Z4 ......... ation is %@=brmade to erect (alter) __49k ---------- - - . ......... cation of Premise"treet or Road ....... . Or jZC .... ............... BLOC--------------- - - - - -- FRONTAGE. AA's --lop ------ Depth-111 ACRES (other description) or number of square ----------------- - ------------------------- -- - ------- - ---- - ---- ............... — .. ............... . . . . . . ...... . .... . ...... . ......... . .............. .. . .. ..... . .... . ..... . .. . .. . ......... - ..... . . ............................. OW14ER ........... T. Dimension of Building MOO 'e Denths Btqp 4T_ x x x & AA T�j* FouD & OWN Size & Use - ------ fTOL CMft Room with Window AM.A20-- kftk fftkbtd 0 BIMGL .............................. A:& ...... WAW F9xvM 8W= X Fr=6 ftzeko Sewerage Type.:I_W�W -a-•»----------------- x a" CGUMM Sim of Septle Thnk_....A?1E_A VUL x Rem Lineal Ft. Dra1naV-.A?-4!. 'U" F M V� MM" Shb*W R f,&o AA stme OM ip4mb Stathn 0, OPM N%W x am& size of Dry IL ft oboe Fhme Additional This application must be amodianied by copy of surveyors map and complete plans, speciAestion, and all informAU0 -.,-mq*ed by Zoning Ordinance and Sanitary Code when requested by inspector- app licsot, do howeby -may that the abavre atzimmen an true to viy Imowledge and belief. Pee_—.4?_A Sep 18 12 04:16p E 7r-7 R SHERLTI A A1VII,ER, MD, MS, FAAP a PAUL ELDREDGE Commissioner of Health # County Executive Director of Environmental Health DEPARTMENT OF HEALTH 1 GeneYa Road, Brewster, New York 10509 4fFice (845) 808 -1390 Fax. (�45) 278 -7921 or (845) 808 -1937 Re: IV jr:A Tax Map # Address: �fl Town: pia. Year Built: According to records maintained by is xx in compliance with T Is not in compliance with T !A) (Owner's Name) P Town, the above. noted dwelling, Code. Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: I Other: Bldg. Records see attached. The plans for the proposed addition are considered: New Construction Addition to existing hose only V Teaurdown and/or re -build allowed under Town Regulations b. IZ Date Sep 18 12 04:16p I I ) is blade to erect (alter ----------- .............. ...... ,action of Premises—,Street or Road-.-*-- C:__._..__...._..__ ..... BLOOK -- - --- - -------- - --- IA ACRES description) or number of ------ ----- - - -- - - -- --- •-- ---------- - -------------- - ------------ OWNER p.3 OF PUTNAM VALIZY, . Application VON FOR BUILDING PERMIT Zone District.:'-25 ------ .......... .................. — -- — ------------------ I; -Ic tp !Z . ......... T FRONTAGE_ -- Depth ...... ....... Rear - - -- - -. 0., e ------ warefeet ---- ------- - ------ - --- .......................... ...................................... .....................-------=--------- ••-- ..._........- - - - - -.. ............. / ........ .... ........................... Z.......... ADDRESS ------------------ •------ - - - - -. Dimension of- Building k- lh De,5.,, Sto: X x x x Type Foundation . . . ... .... Size & Use Each... - -.... .. ... Room with Window Area --- --------- - ------- AL4 ----------------- Sewerage. Type--71-:;5 p -- ------- Size of Septic Tank ------ A-0 Lineal Ft. Drainage-/1-- Size of Dry Wells----------- _--- .:_- - - -. -. Additional Information: .............. Y...................... 77211-1- ........................................ This app, ibation- M---Uit 6 =-.Acco panied by, ropy- pf Wve.YO7 map and complete plans.. specification, and aU Informs required by Zoning Ordinance and Sanitgy Code when requested. by inspector. ----------------- ------------------------ I ............ ..... ............ the applicant, do hereby certify that the above stateir are true to. my -knowledge and belief. Fee --- 4-1191. .......... Signature of 0 USE. CONST. ROOFING LAND v0d *pod Shingle PiLved Faay t ei Shingle t,-Olrt g Cabin J, rick l e T11- Piled ungaaow Concrete * txl 1Swamp FaAment (stone Brook tore FT4iDTNS. INTPMIOR ke F. c� tore & APL Stone Dams tore ore & Office J,- Concrete 4t. Rooms Sw. Fools Alit. Tear. Courts as Station ricktio open Game ers tic. 4.unlLed OT-HPX HLDGS. XXT. WALW FOFXBES Barns BASMENT k1wood X-' Fron't Shacks art rick X Side Cottages FW1 *ck Van. lBungalows Cement Floor PE-09 X Encl. Electrie Finished shingle Phone E!arage B. In. Coinp, Furnace Field Stone Dimension of- Building k- lh De,5.,, Sto: X x x x Type Foundation . . . ... .... Size & Use Each... - -.... .. ... Room with Window Area --- --------- - ------- AL4 ----------------- Sewerage. Type--71-:;5 p -- ------- Size of Septic Tank ------ A-0 Lineal Ft. Drainage-/1-- Size of Dry Wells----------- _--- .:_- - - -. -. Additional Information: .............. Y...................... 77211-1- ........................................ This app, ibation- M---Uit 6 =-.Acco panied by, ropy- pf Wve.YO7 map and complete plans.. specification, and aU Informs required by Zoning Ordinance and Sanitgy Code when requested. by inspector. ----------------- ------------------------ I ............ ..... ............ the applicant, do hereby certify that the above stateir are true to. my -knowledge and belief. Fee --- 4-1191. .......... Signature of 0 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, PX Director ofEnvironmental Health Michael A. Piccirillo 962 East Main Street Shrub Oak, NY 10588 MARYELLEN ODELL County Executive DEPARTMENT. OF HEALTH 1 Geneva Road, Brdwster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 September 19, 2012 Re: Addition — A- 072 -11 No Increase in Number of Bedrooms 310, Lake Shore Road (T) Putnam Valley, T.M. 30.18 -1 -61 Dear Mr. Piccirillo: This Department has 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 May 7, 2012. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two 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 modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on September 19, 2014. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI (T) Putnam Valley n REBECCA W dTENBIERG, R1, BSN Public Health Director IPE Director of Environmental Health . MARYELLEN O DE L1L County Executive DEPARTMENT . ®E H EAI TH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 May 7, 2012 Fax # (845) 278 -7921 Michael A. Piccirillo 962 East Main Street Shrub Oak, NY 10588 Re: Addition- A- 072 -11 No Increase in Number of Bedrooms 310 Lake Shore Road (T) Putnam Valley, T.M. 30.18 -1 -61 Dear Mr. Piccirillo: I have received and reviewed the revised 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 May 7, 2012. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. . I 2. The area of the existing sewage disposal system and its expansion area must be maintained. 3. All plumbing fixtures must be updated withmater saving devices, i.e., new low flush toilets; restrictoes 6r'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. 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 other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley I MA..J. Piccnrillo A,A1,L6 we BERNSTEIN RESIDENCE 310 LAKE SHORE ROAD PUTNAM VALLEY, NEW YORK 10579 September 29, 2011 Att: Gene D. Reed Senior Engineering Aide Putnam County Department of Health Attached for your review copies of revised Site Plan, Floor Plans & Signed Letter from Building Department for the proposed addition to the Bernstein Residence Project. If you have any questions or concerns please let us know. Many thanks aloveckas Michael Piccirillo architect 962 East Main Street Shrub Oak, New York 10588 914 368 9838 Sherlata Ammer, MD, ISIS, FAAIP Commissioner of Health Robert Morris, PE Director of Environmental Health �+ �H ent of lakilth 1 Geneva Road, Brewster, ICY 10509 Michael A. Piccirillo, AIA 962 East Main Street Shrub Oak, NY 10588 Dear Mr. Piccirillo: Paul Eldridge County Executive Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 June 28, 2011 Re: Addition — A -072 -11 310 Lake Shore Road (T) Putnam Valley, TM 30.18 -1 -61 I have received and reviewed the plans for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: Per this Department's Engineering Meeting held on June 27, 2011: 1. The additions appear.to exceed 50% expansion. 2. The room titled sitting room is considered a potential bedroom. 3. The legal bedroom count for the dwelling is two. The potential bedroom count of your proposed addition is three. ,C Thd addition 'of a potential bedroom iequiies this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than 50% expansion and no more than two potential bedrooms or have a professional engineer or registered architect design a sub- surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. JSP:cw Sincerely, W�� - lzz�� SHERLITA A LER, MD, MS, FAAP c 'Commissioner of Health LORET'PA'1ViOI: ir44 AM; RIN, I S'N r " w Associate Commissioner of Health ROBERT J. BONDI County Executive w:, .- ...:.. b?QBERT,MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH l Geneva Road. Brewster, New York 10509 ADDITION APPLICATION - RESIDENTIAL ONLY =-1.56-su"T STREET 310 W& 10bao TOWN FgW;4ti- VjpJ6 TAX MAP # 70, l o/= / A9 / NAME Ly Atov 10 f mn d iO.WW In�� PHONE ? /I'/- ZD I'M bev-yl 5-6f MAILING ADDRESS 9b2. 6� A 41A) ri?W 7_/ Sh*B oA'k" /Ds DESCRIPTION OF ADDITION_ Mt74C iA,,� &XIPJ741 6 Ud'y NUMBER OF EXISTING BEDROOMS- 3 'PROPOSED # OF BEDROOMS 'Z (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPE(.'TOR) * *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),27&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,arld use of:each. room specified). (See Section 3.c of Bulletin 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) 4. 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 Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 5. Environmental. Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5.186 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 ER1,[V,-p Ai,,,3R, MD; MS, FAAP Comb LsSioner. of Health :)RETTA MOLINARI, RN, MSN Us6dateC6enf is -Ober" of Health"' ROBERT J. BONDI County Executive BERT MORRIS, Director of Environmental'Health DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Addition Status Re: BERNSTEIN (Owner's Name) Tax Map #. 30.18-1-'61 Address: 310 Lake. Shore Rd. Town: Putnam Valley Year Built:. 1954 According to records maintained by the Town, the above noted dwelling, is . xx in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: _ _ 2 This information has been obtained from: Certificate of Other:' Ri dg, - Records see attached The plans for the proposed addition are considered: xx New Construction Addition to existing house only Teardown and/or re -build allowed under Town Regulations John H....Landi 6. 51111 ..pate 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 I.. El If Date.-` A ............ .. TOWN OF PUTNAM VALLEY-. Application No... APPLICATION FOR BUILDING PERMIT Zone District..7;r-211-1. Application is hereby-made to erect (alter)......... ?tKW ................................................ t ... Tom- e / Y. 01 -* -0 2_ ....................... ... ...... 1- ......... . Building ......................... 4 ........ . Location of Premises"--St're"e"t-o-r-Road ........• ...... . .............................. ......... ................... SEC ........................ BLOCK...................... LOT .... 3 A4-r . ....... FRONTAGE.. /r" -el - - - Depth... 3J.J4 ........ Rear..A ACRES (other description) or number of square feet .... 3.4.6 . ................................................................................. ................................................................................................................................................................. ............................ OWNER ....................... ADDRESS ........... 7 ....................... 7* Dimension of-Building DS*g # TN ' fff - 4 X X. X x Type FoundatiqDe- 961WA.*i, Size & Use Eac� ......... Room with Window Area ... 0�4 .............................. ............. Sewerage Type.. v . ............. Size of Septic Tank..... j04. Lineal Ft. Drainage.1Z0-k Size of Dry Wells ....................... Additional Information: ........... .............. ..... ............ Aa-141 ........................................... . ......... ............. ........... ........................... ........................ ..... 23a all inforr This application must be acco panied by copy of surveyors map and complete plans, specification, and --requ-iored-by :Zoning, -Ordina-nee. and Sanitary- Code. when requested. y.anspec: or.. ........... .. ......................:....the applicant, do hereby certify that the above state are true to my knowledge and belief. 006,2 ..................... Fee--Jr C.. Signature of A Heant ?4 .......... ...................................................... USE CONST. ROOFING LAND i i4lnih- y VWood Wood Shingle Paved Family Steel Asb. Shingle i,-Dirt Log Cabin Brick Tile Oiled Concrete Metal 1Swamp p:galow artment IStone Brook tore FNDTNS. INTERIOR, Lake F. tore & Apt. Stone 6Rooms Dams tore & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Courts as Station Brick the Open Garage Piers lAttle Flnished OTHER BLDGS. EXT. WALLS PORCHES IBarns BASEMENT j.Wood X Front Shacks I/ Part Brick X Side Cottages Full Brick Van. X Re#r Bungalows ement Floor g X Encl. Electric hed Shingle Phone arage B. In. Comp. I lFurnace Field Stone I I Dimension of-Building DS*g # TN ' fff - 4 X X. X x Type FoundatiqDe- 961WA.*i, Size & Use Eac� ......... Room with Window Area ... 0�4 .............................. ............. Sewerage Type.. v . ............. Size of Septic Tank..... j04. Lineal Ft. Drainage.1Z0-k Size of Dry Wells ....................... Additional Information: ........... .............. ..... ............ Aa-141 ........................................... . ......... ............. ........... ........................... ........................ ..... 23a all inforr This application must be acco panied by copy of surveyors map and complete plans, specification, and --requ-iored-by :Zoning, -Ordina-nee. and Sanitary- Code. when requested. y.anspec: or.. ........... .. ......................:....the applicant, do hereby certify that the above state are true to my knowledge and belief. 006,2 ..................... Fee--Jr C.. Signature of A Heant ?4 .......... ...................................................... SHERUTA AMLER, IVID9 MS, FAAP Commissioner. of Health t.ORETTA MOLINARI, RN, KSN Associate Commissioner of Health ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Emironmentathealth DEPARTMENT OAF. HEALTH 1 Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Addition Status Re: BFRNSTEIN (Owner's Name) Tax Map #. 30.18-1-61 Address: ' 310. Lake Shore Road Town: Putnam Va] 1 Pv Year Built:. 1954 According to records maintained by the Town., the above. noted dwelling, is . in compliance with Town Code. .1s .not in compliance with Town Code. The Legal Bedroom Count is: 2 This inforrhatidn has been obtained from: Certificate of .Occupancy: Other:. Bldg. Department Records The plans for the proposed addition are considered: New Construction xx Addition to existing house only Teardown and/or re -build allowed under Town Regulations ov.,2o f ng .,.s Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply SecODn (845) 225 -5186 Fax (845) 225 -5418 Nursmg.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 wv&e r r . vvct vv,? '17OWN OF PUTINAM V A Lei aQWb--* "VWjLL1411I 0 — APPUCATION FOR B UnDING PHRKrr Zone DistrieL::I—'-,r-e ...... ation is -haveby-made to erect (alter)._.. -. AO—V ----------- - -.- •••- - - -••- --- ling ....... . .................... . ...... 4P. N. 0 ... A AVAMV.111 cation of ................. .-EC................. - -.._ BLOCK-- ------------ - - - - -- - PRONTAGE-Arl—' ACRES(other description) or number of square feeL-3A-9211, --------------- --------------------------- - . ....... . ........................ — -;:: ... . .... - ", — . ... ...... . . .. . . ... .. .................... ... ................. .. .. . ....... . .......................... ............................. -- 7'--'*-**"--"" — . . . ..... 01 ... Dimension of- tuildin OT stam T, �- .x x x x a -!At Type F ound= Size & Use - ------ Room with Window Area.. 2k -..... .............................. ...... - - -----..»» Sewerage TYPO-2;�-w .. . ................ give of Septic Tank ..... j&E-19 Linea Ft. Dmlnsge--AN L -, Size of Dry Additional /_ - -.... ...... . . . .................... .. . .... . ........ This appikation must be aceoripanied by copy of surveyors map and complete plans, specification, and all informAtiO required by Zoning Ordinance and Sanitary Code when requested by poinsPectohr. -rttFy-tba scanty do erebyce t :,ft, Abovt &-ten an true to my knowledge and belief. Signature of A D IT 7 it W. Irl ■ �. -MNIEI IMMINI NMI OZ.. . . . . . . ■ w ■T 7W X -77 �!-M= I �Imzl .777 71, MINE Dimension of- tuildin OT stam T, �- .x x x x a -!At Type F ound= Size & Use - ------ Room with Window Area.. 2k -..... .............................. ...... - - -----..»» Sewerage TYPO-2;�-w .. . ................ give of Septic Tank ..... j&E-19 Linea Ft. Dmlnsge--AN L -, Size of Dry Additional /_ - -.... ...... . . . .................... .. . .... . ........ This appikation must be aceoripanied by copy of surveyors map and complete plans, specification, and all informAtiO required by Zoning Ordinance and Sanitary Code when requested by poinsPectohr. -rttFy-tba scanty do erebyce t :,ft, Abovt &-ten an true to my knowledge and belief. Signature of A D5/27/2011 09:20 9142347006 BERNSTEIN rHUG rjct uc. T�14 AMD All Owned and ®eoePed b the fiRanfovf _ A y Family srr�ca ! 94� August 12, 2010 Ms. Josephine C ®Ian® 9 �aP�fay�Ra�d Scarsdale, NY 10583 Re: Estate of Favaloro 310 Lake SfiaPo #-094 Putnam Palley, NY 10570 Dear Ma, Calano: On August 92,.- 201 <10, fill®ahapm. 8000 aid a oleeiiino,;Oad i+�a #�1i1�.t7f ft septic tank At 310 acme ad; •Pi aem �/ ►, NIP•. *i W "WAW ; 9at t is approximately 7600- li.60 W. -11104k Tank pP®paPiy. Ti+fO iri8 t7n Il°�ai (1fa>niti ia8 be twk, tnd�'VAUAI y checking the tali a Aft. and the Seppa I*Ak- *Mly; W6 vecommand a dye test ion* on tipa s®pae fields if one hasn't been done d1roody. :. -. on.-.that tide. inset. d - i"s the condition:of the sop-M. tank,. as it. currently exists. �:I o— opatSepefe 693 net wa iqy th:��.sa d: y fie'r;�a Scr anp period of tirme. The septic sysWm requires periodic maid Wee every try® dears. Yours twly, Joseph A. IMentov! President /pal 465 Konni= H111 Rd. Mahopac. FAY 10641 a Telephone 845 -628 -4625 0 Fax 645 -026 -x457 www AAsh ®paceeptia.goM BTU LOT367 LAKE 'SHORE ROAD JOHN J. MULDOON 77 WAN LAWM Raw TARRYIDW, MY. 1091 (914) 01-402 TOPOGRAPHIC SURVEY OF PROPERTY lVaSFXA�� 8A5%V~IVAWD4 Y)VVkraERtAT7M1N 40r-vm cXr1AC4AfC,044V7YAWWMIRK AVM VA=ZCALDAnQfA55VWW PIRSTPLOMAUVAIMN- lOdO' JOHN J. MULDOON 77 WAN LAWM Raw TARRYIDW, MY. 1091 (914) 01-402