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HomeMy WebLinkAbout2273DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -2 -55 BOX 20 02273 .. D a BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 F= (9I4) 278 - 7921 PROPOSED ADDITIONI APPLICATION (RESIDENTIAL ONLY) STREET TOWN TX MAP NAI EE 1k PHONE PCHD MAILLNG ADDRESS IR dufte m e-., ' i § n DESCRIPTION OF ADDITIO�,T � - t0M11.� ©� Oq NI VINIBER OF EXISTING BEDROOISS . PROPOSED-fur OF BEDROO.NSS-3 (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILD NNG L;SPECTOR) *Any addition which is considered abedroom 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 1009, 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 !Cent. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFF ICE E zo :41 1 Zz XV go Comments 4 r� }l r fa - +j- : • JJJ 3 { ._� BRUCE K _. 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 (914) 278 - 6130 Fax (914) 278 - 7921 . Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 . Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 May 22, 2000 J. Pavhk 515 Lake Shore Rd. Putnam Valley NY Re: Addition- Pcvhk- Lake Shore Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 41- 6 -2 -55 Dear Ms. Pavlik: 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 this Department dated _May 22, 2000 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by _n_.. 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 Putnam Valle If you have any questions, please contact me at your convenience. WH:kg cc: BI 0 Very truly yours, William Hedges Senior Public Health Sanitarian ji NYSRPS ASSESSMENT INQUIRY DATE : 05/20/00 372800 PUTNAM VALLEY SCHOOL PUTNAM VALLEY ROLL SEC TAXABLE U PRCLS 210 1 FAMILY RES TOTAL RES SITE 1 / 141.6-2-55 SITE INQUIRY TOTAL COM SITE 0 37280O PUTNAM VALLEY 41.6-2-55 515 LAKE SHORE RD ACOT NO. 15S70011 PARCEL PRPCLS 210 1 FAMILY RES PAVLIK JOHN TOTAL RES SITES 1 LAND 49,50O 515 LAKE SHORE RD TOTAL CON SITES 0 TOTAL 139 CLAREMONT AVENUE 150.000 11 VAND 49.500 ** TAXABLE NEW YORK NY 10027 OLDS. STYLE OLD STYLE 1 BANK ITOTAIL 150.000 COUNTY 150,000i EXTWALL MAT WOOD STORIES 1.01, I ** PRIOR TOWN 150.00011 H PROPERTY CLASS I FAMILY RES HEAT TYPE HOT AIR ILAND STORYN 49.500 SCHOOL ZONING R3 NO. OF FIREPLACES I 2ND I iTOTAI 150. 00C) 1/2 STORY: DIMENSIONS WATER' PRIVATE SALESINFORMATION 3 3/4 STORYo FRONT 165.001BOOK 13S7 SALE DATE 05/27/97 SALE PRICE 150.000 ATT. BAR. CAPACITY FIN DEPTH 372.001PAGE 203 PR OWNER FRIEDMAN ROSE t SAN NEIGHBORHOOD 30801 BAS. BAR. CAPACITY TOTAL SFLAo 92511 CODE AMOUNT PCT !NIT TERM VLG HC OWNICODE UNITS PCT TYPE VIC F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC F6=00 TO INVENTORY F9=GO TO XREF F10=RETURN TO MENU RPS075S1 12:29:27 SUBJECT RESIDENTIAL SITE INQUIRY DATE: 05/20/00 37280O PUTNAM VALLEY 41.6-2-55 ROLL SEC TAXABLE PARCEL PRPCLS 210 1 FAMILY RES PAVLIK JOHN TOTAL RES SITES 1 LAND 49,50O 515 LAKE SHORE RD TOTAL CON SITES 0 TOTAL 150.000 HDATE 05/27/97 TYPE LAND AND BLD I OLDS. STYLE OLD STYLE YEAR BUILT 195511 It PRICI.---. 150.000 VALED EXTWALL MAT WOOD STORIES 1.01, H PROPERTY CLASS I FAMILY RES HEAT TYPE HOT AIR IST STORYN 92511 ZONING R3 NO. OF FIREPLACES I 2ND STORYu 11, SEWER PRIVATE NO. OF BATHROOMS 1.0 1/2 STORY: WATER' PRIVATE NO. OF BEDROOM9 3 3/4 STORYo UTILITIES ELECTRIC ATT. BAR. CAPACITY FIN BASMTP NEIGHBORHOOD 30801 BAS. BAR. CAPACITY TOTAL SFLAo 92511 TYPE SIZE1 SIZE2 QIUAN TYPE FRNT DPTH ACRES SQR FT CH.COVER 8 16 1 101 PRIME SITE 360 349 U====== TOTAL IMPROVEMENT ITEMS 1 TOTAL LAND ITEMS 1 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 BRUCE R. FOLEY. R.S. Acting Public .Health Director Re:��- IC�.�loS1�`���. Residence Tax Map Lj 1- (o -- z - Totixrn Gentlemen: According to records maintained by the Town, the above noted dwelling IS NOT 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 LoT LET L 294 291 _ 111 LOT 289 288 0.00'. 1LLEY �y� 80-461 _ . E I N 0 ran N^ I t l Y to Pi" A,md' bw� an Joe 0.1' S f aw I I at d: Al., a.' w yynrr� ,� �yn.r .14 _ f I �: . t• i NET AIWA Of I ilk AREA = .2.2427 ACRES ( 97,691 SO. FT.) cb i a � ow, �r rowed off Ip O V d I I QQQ+++ Zr � 4` _ �5 ' tai C ( �•�dr.�� ��� 140t" . cc Ar• 1 nw ..v � a' .us °rrMOd ' r Off cal 03 If Ir fjoL �. 0 � ARBU�S SEE F fofi � Lj -derground improvements, structures, utilities or encroachments, and Y easements related thereto, are not shown hereon unless otherwise ted outhorired alteration or addition to o surveyy ,map bearing a licensed On /y copes of the orlptno/ of this wrvsy mold marked with both this Pd surveyor's seal is o violotlon of Battier 7?109 Sub— Division 1 oI surveyors embossed seal and his signature M red ink shall be con — New YOrk Pote E'ducotlon Low. sidered as wild true cop/ss.