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HomeMy WebLinkAbout2289DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.09 -1 -8 BOX 20 02289 ' i- 11 IN is ININ IN Iwo + :: 1 1109 �. 1 16 IN I 1 Mr . ` - 02289 ALLEN BEALS, M.D., J.D. Commissioner ojHealth - ROBERT, MORRIS,JP.E: Director of Environmental Health , DEPARTMENT OF HEALTH MARYELLEN ODELL County Executive Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 RW Fax # (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY + 06 STREET ( n I�-P� �✓ k46M— CL_V TOWN Fu Tt4 Ps)4 VAI,I,t:Y`rAX MAP # " 1 25 NAME S4m U5L/t/ • L6C� PHONE 3!Y2 Z12 9Zl4 PCHD# A -b 74 _t n5S 2TY 70lo MAILING ADDRESS DESCRIPTION OF 4 .,uT ;'t�'itnt,1 01' S� -Cz�1 ('��tA -rl - I;Efe M1 'r �.au 1/ ADDITION A L"relz, % LpQ XDQ -5aNS, T-b W acs 9 P tgG.V.. *NUMBER OF EXISTING BEDROOMS ✓� NUMBER OF PROPOSED NEW BEDROOMS * (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; N�{ -L.10- 09;•P one --(�45).80� =1 9Q . _. _ .:� ______�..:.__ _ ..: • __ 1. Cet-tified 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 -- i1OB -ER =CORMS, p.E: Director of Environmental Health 4 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 Re: F (Owner's Name) I.F. Tax Map #,., . 41.9­1;'' 8 , . Address:: , 159 Lake Shore Rd. Town: Pi j to : M Ila 1 1 p7 Year Built: 1965 According to records maintained by the Town, the above noted dwelling, is � X in compliance with Town Code. MARYELLEN ODELL County Executive Is not in compliance with Town Code. The Legal Bedroom Count is: 3 This information has been obtained from: Certificate of Occupancy: C06531 /C08889 /CG2012 -410 Other: The plans for the proposed addition are considered: xx Addition to existing house only Teardown and/or re -build allowed under Town Regulations Ql&.W-o411Il11 V11ing Inspector John H, ndi Date 5. ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERTs MORRIS, P.E., MPH Director of Environmental Health July 18, 2013 Samuel Lee DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 159 Lakeshore Road Putnam Valley, NY 10579 Re: Addition — A- 079 -13 No Increase in Number of Bedrooms 159 Lakeshore Road (T) Putnam Valley, T.M. 41.9 -1 -8 Dear Lee: MARYELLEN ODELL County Executive 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 July 18, 2013. The addition is approved with the following conditions: The total number of bedrooms must remain at three without prior approval by this Department. - 2 The area o_f the existing sewage tlis osa.l system and its expansion area. 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. This approval is valid for two (2) years and expires on July 18, 2015. 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 119-86 TOWN OF PUTNAM VALLEY 86 102 Application is hereby made for Bldg. Permit Work to start DescripsRrh�_ Deck Location of Premises — Street or Road Lake Shore Road — TM #10 -1 -6 SEC: BLOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME Roaring Brook Lake TEL.528 -6839 OWNER Doris & Melvin.Scher ADDRESS RD#1.- Putnam Valley, N.Y. USE CONST. ROOFING LAND Dimension of Building 1 Family Wood Wood Shingle Paved 2 Family Steel Asb. Shingle Dirt Width Depth Stories Log Cabin. Brick Tile Oiled Bungalow, Concrete Metal Swamp 1 1 1 TVDe Foundation $. Plumbing. - $ Well / ! ��TL = J��aPp t/,�,—() PAID: Building Permit Sanitary Permit $ Plumbing Permit $ Well Permit $ Rev. 1/85 BZS A h 1 TOTAL $ 02 "_0 v 2BA Approval �-- ABAICA Approval 111\.. 4FFUNauI 11 (LV111, uC- iL 1� c 111cu QCI }1It.QL1,VII PVC d DU11CilII perma.z� UlSuani Lo L 1! Wn Ll oae, Jamtary Code, the Umfo °rm3�tui & Fie C'adt, dKkhe,ai�vs in effect m e TOI�i OF PUTNAM ALL x� t, a -P_utmaam Count . h a ith �g ed fee °thoxe� ar a d theT% der igned lx n b p � -se al- pec ion ascertained that~am rcveetthe "" W r 50 � stnzct mph ance vv th the r`'eq r tnepts Hof the laws as aforementioned; thsaid,or1adsit�,mee ev�re�rement cif the laws as aorerrientioned; and $ —vat a t "� "� e ..aj '+ fit 1 - -� as that the premises have n been `Il�ondazrad�ou 'pursuant to the provisions of law. Now, therefore, the Ceificat�avonpl�aiee lsh��eb isst`e °the seal} othe TOWN OF PUTNAM VALLEY. t r; 0WN OF PUTN 4M VALLEY r/ BY Code Enforcem fficer ' - ,....^'^. .... ..^...~.~~.~~n��. TOWN OF PUTNAM VALLEY N96o-0325- BUILDING PERMIT RECORD -' Location of Premi$es—_-Street or Road ----- ' ) ER , - ~, Dimension of Building �0� / �r / f/�' �l�� Depth / Stories USE CONST. ROOFING LAND I Family Le"Wood Wood Shingle Paved 2 Family Steel Le LL* Shingle �--'Dirt Log Cabin Brick Tile Oiled Bungalow Concrete Metal Swamp Dimension of Building �0� / �r / f/�' �l�� Depth / Stories 194a TOWN OF PUTNAM VALLEY 2 5. No 3 io istrict/r,-�-.tpimxj BUILDING PERMIT RECORD plication is hereby made to erect (alter) .................. /j/ Work to start ..... 22y ---- building --- A—U..A.7 ......................................... --------------- ------- �--- 6 -------------------------- Location of Preiliqe"treet or Road ----- ...... . --- --- ............ ................................................ @K .....•................ LOT ...... ,6-6 ------ FRONTAGE-.-,/-/��J` .......... Depth--.'1/-YiL^ ..... Rear—M-A . ....... ACRES (othifi2 escription) or number of square feet .................................... ---- ------------ ---------------------- ..... .... . 7. ................... .......................................• ......... ..... ........ - — ----------- OWNER ........................ ADDRESS ......... N Dimension of Building /Width S i " Depth / Stories Type Foundation ------------- 44e;:.C- Size & Use Each --------------------- r-." ------- Room with Window Area.-Z i� ------------------------------------------ :,:-- ---- ------- Sewerage Type------ - - - - -- - ----- -------- --..r : -- S :- z, &-of -S Dtic Tanis...:. Lineal Ft. Drainage ... s9 -"7 ................ Size of Dry Wells....... ..______________. ....... Additional Information .� ... � .................. ......................................................................................................................................... application must be accompanied by a copy of surveyor's map and complete on required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Fee . . ........... plans, specifications and all infor- Valley when requested by inspector. Owl U on AVG er, 6entials'. ni t-fle .by heff 3 J, 'd n may. be I e d it incorrect- inspectOlS of the B03' 0 return to the office manner; t be altered in, anyy. This Certificate Must nQ nce with the requirements of this Board as of this date.. J i i. A7 Union Aveam ,tagft4*#kL11# CONST. ROOFING LA" Wood Shingle Paved 12 Steel A* Shingle in Log COW.— Brick Tile Oiled Concrete Metal Swamp Stone Brook FNDTNS. ]INTERIOR Lake F. Apt. Stone oms� Dams Office 1,-/ Concrete Apt. Rooms Sw. Pools Blocks Apt. Ten. Courts a ti on Brick Attic Open e Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns SEMENT Wood x Front Shacks 'Brick X Side Bungalows ent Floor Log X Encl. Electric hed Shingle Phone rage B. In' Comp. Furnace Field Stone Dimension of Building /Width S i " Depth / Stories Type Foundation ------------- 44e;:.C- Size & Use Each --------------------- r-." ------- Room with Window Area.-Z i� ------------------------------------------ :,:-- ---- ------- Sewerage Type------ - - - - -- - ----- -------- --..r : -- S :- z, &-of -S Dtic Tanis...:. Lineal Ft. Drainage ... s9 -"7 ................ Size of Dry Wells....... ..______________. ....... Additional Information .� ... � .................. ......................................................................................................................................... application must be accompanied by a copy of surveyor's map and complete on required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Fee . . ........... plans, specifications and all infor- Valley when requested by inspector. Owl U on AVG er, 6entials'. ni t-fle .by heff 3 J, 'd n may. be I e d it incorrect- inspectOlS of the B03' 0 return to the office manner; t be altered in, anyy. This Certificate Must nQ nce with the requirements of this Board as of this date.. J i i. A7 Union Aveam ,tagft4*#kL11# . TOWN OF PUTNAM VALLEY, A atio - 0 Q p r Putnam County, New York. Date....... .."...1.... ..... to .......... . ................. I, health officer 4L-the above ow by cer ify that the installation of onel.t. ��.�.4.�..... ...... on the property of �e -1 is in accordance with the provisions o the banitary code of the above Town, and is in all respects satisfactory, and that the information on said application and said blue print or sketch is correct; 'and do hereby grant said owner BILL OF OCCUPANCY. �.� c= �............ ......... ... Healtn Officer REMARKS........................................................................................................:.......................................................................................... .................._............ ........................................................................................................................................................................................ .............................._ .......................... ......................................................................................................................... ............................... ...... TOWN OF PUTNAM VALLEY, Application lr 1988 Putnam County, New York. Date..... .... G... (.... q ............................... Pursuant to the jS�' itary ode o the abo a ,own, the undersigned hereby makes APPLICATION to install one %,�� ra .. �j( ..�Ga .. . Name of owner.r..X . .. .. .......:........... P. O. Address. (L! .11 .. ... SPACE Location.......... ......................................................................... FOR Block No ... ):fVgotL .6 ............ Lot No .......... Y4 ..................... Area of Land..................................... Acres .... e,..t� f'.....Sq. Ft. SKETCH Maximum No. of people expected . to use facility........ ............. GD to iiistalatio will be started ...f... —:4 .......... NOTICE: A BLUE PRINT OR SKETCH showing (1) boundary lines of property (2) buildings (3) lakes, streams, wells, cisterns, springs, etc. (4) proposed location of facility, .including drains, MUST BE FILED . WITH THIS APPLICATION: Nameof Plumber.....' ....................................... ............................... P. O. Address ................................................................................................ ............................... Signatureof Applicant .............................................................................. ............................... REMARKS.........................................................................................................::........................................................................................ ............................... .......................................................................................................................................................................................................................... .................,............. ' ........................................................................................................... ............................... ......................................................................... ...............r ................ Putnam, VaRey, . NY MLS# 2509047 List Price $399,900 Status Active Rooms 7 Year Built 1965 Style Ranch Bed 3 Est SqFt 1629 Acreage 1.0 Baths 1­­ Garages__.- 1. Car Garage, Underneath Badiffe-fif FCN-u6fiffM6a-,- 728-sq. -ff. Witfi ITT-ai riKgV Sunday, May 15, 1:00 - 3:00 pm Showing Agent: 159 Lake Shore Rd, Putnam Valley>TAcomc PARKWAY NORTH TOR ON PUDDING STREET, L ON LAKE SHORE RD, HOUSE ON LEFT. 159 LAKE SHORE RD. Listing Agent Henry Trabucco Licensed Salesperson Houlihan/Lawrence- Mahopac 845.828.3401 Ext. 384 (Office) Mobile: 914.447.6198 HTrabucco0houllhanlawrence.com WESTCHESTER AND PUTNAM+S BEST ADDRESS IS WWW.HOULIHANLAWRENCE.COM Information Believed Accurate But Not Warranted. Prepared By: Henry Trabucco SINGLE FAMILY `"'5112/2005 9:35:27 PM MLS #: 2509047 St: A Type: SF Area: 9 Zoning: R40 LP: $399,900 Addr: 159 LAKE SHORE Rd Zip: 10570 PO: Putnam Valley City/Town: Putnam Valley Village: None Grid: G6 Map #: 5 Elem Sch: Putnam Valley High Sch: Putnam SchoolDist: Putnam Valley Valley Rooms: 7 Yr Bit: 1965 / Acres: 1 Taxes: $9,083 Bedrooms: 3 Style:. Ranch Front: 113 Heat: Hot Water A/C: None Baths: 1.1 Est SgFt: 1629 Depth: 446 Parking: 1 Car Garage, Underneath Amenities: Deck, Lake /Pond /Stream, Skylights, View, Water View, Vaulted /Cathedral Ceilings, Beach, Lake Assoc, Privacy, Water Access Rem: Don't miss out on this one. Adorable 3 bedroom, 1.1 bath ranch on one acre. Additional 1/2 acre included in sale price. Hard wood floors throughout. Three<seasonYroom=With. vaulted -ceilings'deck pine,floors and4`'8giights Owners are ready to move after spending 34 years in this lovely home. Large 1.5 car garage. Full unfinished basement with 10' ceilings. New furnace and well pump(2years). Roof 8 years. Priced to sell quicklyl TAXES without STARII Dir: Taconic Parkway north to right on Pudding Street. Left on Lake Shore Rd. House on left. #159. © Copyright 2005 Westchester - Putnam MLS, Inc. - Data believed accurate but not warranted. All data subject to verification. Prepared By: Henry Trabucco SINGLE FAMILY x"511'21206V 9:39:58 PM MLS #: 2509047 Active SF LP: $399,900 Addr: 159.LAKE SHORE Rd Area: 9 City/Town: Putnam Valley Grid: G6 Map: 5 Village: None Sch: Putnam Valley Rooms: 7 Est SgFt: 1629 YrBlt: 1965/ Bedrooms: 3 Elem School: Putnam Valley Baths: 1.1 Jr High School: Putnam Valley Levels: 2 High School: Putnam Valley Style: Exter: Ranch Model: Clapboard Color: Level. 1: entry foyer, LR, DR, Kitchen,full bath, M BRw/half bath enclos6d1h'ree season' Living: 14 X 26 room. Leve12: Dining: 12 X 10 Leve13: Mst BR: 16 X 13 Basemt: Full unfinished, 728 sq. ft. with 10' ceilings. Attic: Pull down Neighborhd Assn: N Additional Fees: Y/0 Homeowners Assn: Y Att/Det: D Complex: Roaring Brook Lake Est Tax$: $9,083 Front: 113 Tax ID #: 2800 - 041- 009 - 0001 -008 -000 Tax Year: 2005 Depth: 446 Shape: R Zoning: R40 Assmt: $339,900 Est Acres: 1.00 Amenities: Deck, Lake /Pond /Stream; Skylights, #View, Water View, Vaulted /Cathedral Ceilings, Beach, Lake Assoc, Privacy, Water Access Water: Includes: Call UA, Ceiling Fan, Curtains /Drp, Dishwasher, Dryer, Light Fixtr, Microwave, Range, Refrig, Screens, Shades /Binds, Storms, Washer, Windw Treat .Garbage: Excludes: Call UA, Curtains /Drp, Light Fixtr Rem: Don't miss out on this one. Adorable 3 bedroom, 1.1 bath ranch on one acre. Additional 1/2 acre included in sale price. Hard wood floors throughout. Threeseason room withRvaulted}ceilings deck pine floors.and skylights + Owners are ready to move after spending 34 years in this lovely home. Large 1.5 car garage. Full unfinished basement with 10' ceilings. New furnace and well pump(2years). Roof 8 years. Priced to sell quickly! TAXES without STAR!! Agent To Agent Rem: Well maintained home. Priced to sell. Owners are ready to move on after 35 years in this wonderful home. Taxes do not reflect basic STAR discout 1,262 Showing Instructions: Easy to show. On lockbox. Call listing office to make appointment. Directions: Taconic Parkway north to right on Pudding Street. Lefton Lake Shore Rd. House on left. #159. Owner: Melvin & Doris B Scher Possessionmego Modif /Excl: M3, M4, M5 Elec CO: NYSEG Heat: Hot Water Fuel: Oil A/C: None Parkg: 1 Car Garage, Wall: Sheetrock, Panelling Roof: Asphalt LA Email: htrabucco@houlihanlawrence.com Underneath Water: Well Sewer: _ :Septic - :: .Garbage: Co -List Agent: - ERS Rem: Don't miss out on this one. Adorable 3 bedroom, 1.1 bath ranch on one acre. Additional 1/2 acre included in sale price. Hard wood floors throughout. Threeseason room withRvaulted}ceilings deck pine floors.and skylights + Owners are ready to move after spending 34 years in this lovely home. Large 1.5 car garage. Full unfinished basement with 10' ceilings. New furnace and well pump(2years). Roof 8 years. Priced to sell quickly! TAXES without STAR!! Agent To Agent Rem: Well maintained home. Priced to sell. Owners are ready to move on after 35 years in this wonderful home. Taxes do not reflect basic STAR discout 1,262 Showing Instructions: Easy to show. On lockbox. Call listing office to make appointment. Directions: Taconic Parkway north to right on Pudding Street. Lefton Lake Shore Rd. House on left. #159. Owner: Melvin & Doris B Scher Possessionmego Modif /Excl: M3, M4, M5 List Office: HOULAW03 Houlihan /Lawrence Inc. 845 -628 -3401 ext. 354 LD: 4/22/2005 List Agent: 16990 Henry Trabucco 914 -447 -5198 Fax: 845 -628 -0701 LA Email: htrabucco@houlihanlawrence.com CLA Email: Co -List Office: MID: Co -List Agent: List Type: ERS Sub Agent Comp: 2.5 Buyers Agent Comp: 2.5 Negotiate Thru: LA 0 Copyright 2005 Westchester - Putnam MLS, Inc. - Data believed accurate but not warranted. All data subject to verification. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: Address: 15-9 4eLlte- S6re 1 � Located at (street): TM #/, 9 Municipality: u]LV� Va Ile( Watershed: /7/Ud:L- � SOIL PERCOLATION TEST DATA Witnessed by: Date of Pre - soaking: Date of Percolation Test: Hole No. Hole depth (Inches) Run No. Time Start —Stop Elapse Time (min.) Depth to water from ground surface (inches) Start - Stop Water level drop in inches Percolation Rate min/inch 1 2 3 4 _.... ,_ 5 1 2 3 4 5 1' 2 3 4 5 1 2 3 4 5 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97, pg 1 of 2 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH FbY"�" HOLE HOLE # HOLE # HOLE # G.L. 0.5' 1.0' 2.0' S 2.5' 3.0' ` 3.5' 4.0' w 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' Indicate level at which groundwater is encountered Indicate level at which mottling is observed 3,0 Indicate level to which water level rises after being encountered - Deep hole observations made by: 6.1 i Date t Design Professional Name: Address: Signature: Design professional's Seal Revised July 2013 - ••_.. ft- .._ 2 1k 9 LINE OF BUILDING SETBACKS ! PROPOSED ADDITION TO WOOD DECK W/ / ii STAIRCASE APPROXIMATE LOCATION OF SEPTIC FIELD i� APPROXIMATE LOCATION OF WELL • �.. mss• rA = 1.597 Add SCALE V = 30'-0" i i I EXISTING WOOD DECK EXISTING SCREEN PORCH_ TO BECOME; PROPOSED FAMILY ROOM 1 T �.. �J io Ip l �m : °h 1 lu O In z U � � o