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02247
ALLEN BEALS, M.D., J.D.
Commissioner of Health
- ROBERT MORRIS,�P.E., MPH
Director ofEnvironmental Health
February 4, 2015
Paul Corwin
962 East Main Street
Shrub Oak, NY 10588
Dear Mr. Corwin:
DEPARTMENT 'OF HEALTH
1 Geneva Road,. Brewster, New York 10509
Phone # (845) 808 -1390 Fax # (845) 278 -7921
MARYELLEN ODELL
County Executive
Re: Addition- A- 004 -14
508 Lake Shore Road
(T) Putnam Valley, T.M. 41.6 -2 -2
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
Based on the information submitted, the above mentioned addition cannot be approved for the
following reasons.
1. Plans submitted show one bedroom in the basement, one bedroom on the first floor and one on
the second floor. The room titled playroom is also considered a potential bedroom.
2. The legal bedroom count for the dwelling is two. The potential bedroom count. of your
proposed addition is four.
�_- . -..._, ._. 3.__ The- addation.o.fpsitential.bedrooms requires this _Deparhnidnt.'.s. approval. 6f a- revised septic.
system plan from a professional engineer.
Please revise the proposed floor plan to reflect 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 (845) 808 -1390, ext. 43261.
Sincerely,
Gene D. Reed
Principal Environmental Engineering Aide
GDR:cml
J s,
ALLEN BEALS, M.D., J.D.
. Commissioner of Health
w ... _
ROBERT .. MORRIS, P.E.
Director ofEnvironmental Health
DEPARTMENT OF HEALTH
Geneva Road, Brewster, New York 10509
Phone # (845) 808-1390.
Fax # (845) 278 -7921
ADDITION APPLICATION RESIDENTIAL ONLY
MARYELLEN ODELL
/County Executive
o' D
to t ShfK� iZo
STREET&V aw AS -TOWN �vtnm VAge TAX MAP # 4 1 f 6-2-Z
PHONE 3 e' - r
NAME Pc�1 Cocr, I. z qIH- 68- y a3� PcxD# - o
MAILING 1 U5
g
ADDRESS
DESCRIPTION OF I '
ADDITION K>�chenl olddi�►`U�1 S :,:.:2."`� r�ionl, W-W, dc{�o�r..-
::. Ww 2aUF ova add��wv
*NUMBER OF EXISTING BEDROOMS NUMBER OF PROPOSED NEW BEDROOMS 3
* (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; ICY 10509; Phorie: (845) 808=1390:
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)
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
4.
ALLEN BEALS, M.D., J.D.
Commissioner of Health
_]R QBEIt _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
Town Legal Bedroom Count & Proposed Addition Status
2 _2 (Owner's Name)
Tax Map # ��'► W I�
Address: nc . �l t�(C% 6zW
Town: Rlkomn Vwa�q
Year Built: PSI
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:(
The plans for the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
Bk(41 rs,., . A , W e) (q
Building Inspector Date
5.
MARYELLEN ODELL
County Executive
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
' "APPLZCAI`ION TO CONSTRUCT'A WATER"WELL
PCHD PERMIT #
WELL LOCATION
S
Town
it Tax Grid Number
/• :;�
WELL OWNER
Name
M iling Address
rivate
O Public
USE OF WELL
1 - primary
2- secondary
® RESIDENTIAL
® BUSINESS
O INDUSTRIAL
O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED
O FARM O TEST /OBSERVATION O OTHER (specify
0 INSTITUTIONAL O STAND -BY O
AMOUNT OF USE
YIELD SOUGHT
gpm /# PEOPLE SERVED /EST. OF DAILY USAGE _gal
REASON FOR
DRILLING'
O REPLACE EXISTING SUPPLY O TEST /OBSERVATION CIADDITIONAL SUPPLY
O NEW SUPPLY NEW DWELLING EEPEN EXISTING WELL
DETAILED
REASON FOR
DRILLING
,
WELL TYPE
DRILLED
®DRIVEN
ODUG ®GRAVED
OOTHER
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REAL SUBDIVISION,_TAME O SUBDIVISION:
A/ ��� - ` (/,e7T � � i?�i. Lot No.
WATER WELL CONTRACTOR:
ress:
90�—El v7 Cm -3 / / A ' "Y i o —.& i V
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
.._..,_...DISTANCE_ TO.
MAIN,:...._._.__.. v _: .... _ ....�._ .... ,
LOCATION SKETCH &'SOURCES OF CONTAMINATION PROVIDED
111 i
O ON SEPA E2S �I
(date) �- ��:,' (signature)
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the provisions
of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within
third, (30) days of the completion of water well construction, the applicant 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 attached to this permit.
3. Submit a Well Completion Report on a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant shall take appropriate action to assure that
any and all water or waste products from such well dri g operations be contained on this
property and in su h a manner as not to degrade or of a se contam' to surface or groundwater.
Date of Issue: 19 �`
Date of Expiration 19 gf- Permit Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
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M29M Bxhling ParBeon
to be removed
Remove Rattling Stone Bmb
Remove existing Porch Root
fatntaln A 4lnium.
Imenslon Ot 11.21
rom Side M=k
rt true
28400 Or N
FLOOR 1 PLAN
Proposed
2
Kramer /Zable
Residence
Bml Lake Shore Road
Roaring Brook Lake
Putnam VaUoy, Now York
Revisions, 222/91
SCALE
DATE January 16,1991
Arnold S, Kollan
Architect
4 Columbus Circle -
6th Floor
Now York NY 10019
212 246 -6767
212 541 -5414 (FAX)
Now Partition
Rxistlao Partition
to be removed
BASEMENT PLAN
Proposed
3
Kzamer /Zable
Residence.
Bast Lake Sham Road
Roaring srook Lake
Putnam Vanes, Now York
Revisions
SCALE, 3/16' 1'0'
DATE, January 16,1991
Arnold S. Kotlen
Architect
.. 4 Columbus Circle
6th Floor
Now York,NY 10019
212 246-6707
212 541 -5414 (FAH)
New 7 a V header
Remove Exbuno Root
Arnold S. Kotlen
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7z6• Pramino
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212 346 -6767
BuildIn pPu6WBall
212 541-5414 (FAX).
nla ion
Sheathing
dlno
Drum Boardhung
II
7x4• Deck Railing
7x0•. Deoklag
7 is' Floor Joists
4•x4•' Post
Hxisting Grade
Concrete Pier
concrete Fooling a
t'
Finished Floor '
! �• Pl7rwood Bubtioor
ew S :B• Floor Prmmlno
Match Rifting Morah Existing Finished Floor
Floor Height
Rxisling. Construction To Remain
C
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DETAILS
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Kramer /Zable
Residence
Hatt Lake .bore Road
Roaring Brook Lake
Putacm Valley. New York -
t
Revislons-
SCALE• NOT TO SCALE
DATE, February 13,1991
6•
Arnold S. Kotlen
Architect
4 Columbus Circle
6th Floor
New York,NY 10019
i
212 346 -6767
212 541-5414 (FAX).