HomeMy WebLinkAbout2313SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA_MOI�IN.
Associate Commissioner of Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
ROBERT I BONDI
County Execulive
Director of Environmental Health
ADDITION APPLICATION RESIDENTIAL ONLY
STREET TOWNII.S/Y TAX MAP#
NAME PHONE PCHD #
tii� y
MAILING
ADDRESS 7 Ze.0 . gi7 "r, 5 �.t.✓1 � //E -, r
DESCRIPTION OF
ADDITION Z'`671
NUMBER OF EXISTING BEDROOMS PROPOSED # OF 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, NY 10509, Phone: (845) 278 -6130.
'1 Certified check or money order for $100.00. V/
Sketches of existing floor plan (drawn to scale, all living area including basement)
"31 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 locations 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.
15. Copy of Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
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 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
May 16, 2008
Jason Mitchell
Mission Arts Design Group
2 Raymond Drive
Carmel, NY 10512
Dear Mr. Mitchell:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
BERT J. BONDI
Coun Executive,,
[)BERT MORRIS, PE
.'rector of Environmental Health
Re: Addition- A- 052 -08
No Increase in Number of Bedrooms
527 Lake Shore Road
(T) Putnam Valley, T.M. # 41.10 -2 -24
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 May 16, 2008. The addition is approved with the following
conditions:
1. A Certifcate of Occupancy can not be issued by the town until such time that the septic
tank has been replaced and inspected by this Department. The old metal septic tank
shown under the proposed deck must be replaced, preferably in an alternate location as to
not obstruct access. Please be advised that at separate Septic Repair Permit must be
ubiiiitted :to'this Department for.review prior to -the tank - replacement. - - -
2. The total number of bedrooms must remain at two without prior approval by this
Department.
3. The area of the existing sewage disposal system and its expansion area must be
maintained.
4. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets etc.
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) 278 -6130, ext. 2261.
Sincerely, -
Gene D. Reed
Senior Engineering Aide
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
GDR:kly Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
cc: BI, (T) Putnam r%jj ervices (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
w..... - -` _ : "I -' s - —N- s, e_a...- .wc-.. _ _. »r. -..• .. ,s;e, .t
LORET'fA 1VIOL1NAR1, RN, MSN
Associate Commissioner of Health
Jason Mitchell
Mission Arts Design Group
2 Raymond Drive
Carmel, NY 10512
Dear Mr. Mitchell:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
April 15, 2008
Re: Addition — Application Incomplete
Murphy — Lake Shore Road
(T) Putnam Valley, TM # 41.10 -2 -24
Review of plans and other supporting documents submitted at this time relative to the above
regarded project has been completed. The following was not submitted with your application:
• Copy of survey showing well and septic locations to the best of your knowledge. Include
date of installation if know_ n. The survey has been returned for you use. Contact this
office-with any questions.
Upon a receipt of a submission, revised to reflect the above comments, this application will be
considered further.
GDR:kly
Enc.
Sincerely,
Gene D. Reed
Sr. Environmental Engineering Aide
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 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648
MlssloIIArts Design Group, Inc.
2 Raymond Drive.
Carmel New York 105 12
Phone:84'228 =2333
Fax: 845 -228 -2594
e -mail: JmSinisi@MissionArtsDG.com
TO: Putnam CoupU Dot. of Health
1 Geneva Road
Brewster, NY 10509
LETTER OF TRANSMITTAL,
Date: March 28, 2008
RE: Murphy Residence n =: .
527 Lake Shore Rd.
m Town of Putnam Valley
Tax Map No. 41.10 -2 -24
Project #: 3229
We are sending you attached under separate cover, the following items via
• U.S. Mail ❑ Overnight ❑ Pick Up ❑ Hand Delivery
• Originals ❑ Reports ❑ Plans ❑ Colored Prints
❑ Prints ❑ Photographic Exhibit ❑ Specifications ❑ Other:
Copies
Date Dwg. No.
Description
1
3 -24 -08
Health Department Town Legal,
Bedroom Count Form
1
Health Dept. Addition Application
2
3 -28 -08
Proposed First Floor Plan
2
3 -28 -08
Proposed Second Floor Plan
2
3 -28 -08
Existing First Floor Plan
2
3 -28 -08 S -1
Proposed Plot Plan
1
1 -24 -85
Copy of Original Survey — Created
by Richard H. Gorr
These are transmitted:
❑ For approval ❑ Approved as submitted ❑ For your use
❑ Approved as noted ❑ As requested ❑ Returned for corrections
❑ For review /comment ❑ Resubmit copies for approval ❑ Submit _ copies for distribution
Remarks:
SIGNED: L.
Jason K. Mitchell
Copies to: Mimi and Timothy Murphy
Joseph M. Sinisi, President, MissionArts Design Group Inc.
File
SHERLITA AMLER, Mb, MS, FAAP
Commissioner of Health
°' -- ' LZ112` Ei'T'�`h'COiTt�Alj.I.12N,1VISlV - • `� . - '� - • " - - --
Associate Commissioner of Health
ROBERT I. BONDI
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York-] 6509
Town Leal Bedroom Count
Re: /1) -7 )�V(Owner's Name)
Tax Map #: _ l 1-0-
Address:; % �-�% 5� /p,4� ! -
Town:`
Year Built:_, S C
According to re ords maintalT d.by the Town, the above noted- dwelling,
is in eom P hanc e with -Town Code.
is not. - in compliance with Town Code.
The Legal Bedroom Count is;
This information has been obt,;.ined from:
Certificate of Occupancy:
Other: fir'565-50 5
Building Inspector
3`� Y/ "P--
Tate
U
E' llvil- OnlnentAl Flealth (845) 278 -6130 Fax (845) 278 -7921
Nursing ScrviccS (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Maine Care Fax (845) 278 -6085
Early )n ltrvention/Preschool (845) 278 -6014 Fax (845) 278 -6648
TO /T0 39Vd -100HOS 3QISCOOM 6E06LELbT6 0S =0T 800Z /LZ /E0
APR-30-2008 12:50 MISSIONARTS DESIGN GROUP 8"7:--2e2594 P.02
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APR =30 -2008 12:50 MISSIONARTS DESIGN GROUP 8452282594 P.01
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missto n its esfSn ro u.
"Architecture on a Finer Scale"
To: Gene Reed from. Jason K. Mitchell
Fax: 278 -7921 Pzveti:
Ph.onez 278 -6130 ext. 2261 Date: 4.30.08
Re: Mai.-phy Residence C;C -. File
TM # 41.10 — 2 -24
❑ Urgent ❑ ror. Review ❑ Please Comment ❑ PIease Reply ❑ Please Recycle
Attached please find the approximate locations of the existing well, septic tank and fields for
Tian and Mimi iVfurphy's Residence located at 527 Lake Shore Road., Town of Put11am Valley,
as per our your request.
Thanks.
11
J _
■ 2R...,J twCffv1,tlY (051.9, K... 845.228.2333 a iF.u: 84 '3.228.4,594 a
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ALLEN BEALS, M.D., J.D.
Commissialer ofneafth
4 ROBERT NORRiS,'MrWR =
pirector of&vironmeWd Health
September 20, 2013 DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Timothy Murphy Phone # (845) 808 -1390 Fax # (845) 278 -7921
527 Lake Shore Road
Putnam Valley, NY 10579
Re: Addition — Approval —A- 103 -13'
No Increase in Number of Bedrooms
527 Lake Shore Road*
(T) Putnam Valley, T.M. 41.10 -2 -24
Dear Mr. Murphy:
MARYELLEN ODELL
County EaaeCUd"
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 the Department dated September 18, 2013. The addition is approved with the
following conditions:
1. A Certificate of Occupancy cannot be issued by the town until such time that the metal
septic tank has been replaced and inspected by this Department. Please be advised that a
separate §gptic Repair Permit must be submitted to this Department for review prior to
the_ tank eplacement.
2. The total number of bedrooms must remain at iwo without prior approval by this
Department.
3. The area of the existing sewage disposal system and its expansion area must be
maintained.
4. All plumbing. fixtures must be updated with.water..saving devices (i.e. new low. flush.. .
toilets, restrictors for shower heads and faucfs, eic - :. }... .
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 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. 43157.
Respectfully,
Gene D. Reed
Sr. Engineering Aide
GDR :cw
cc: BI (T) Putnam Valley
ALLEN BEALS, M.D., J. D. MARYELLEN ODELL
Commissioner of Health - County Executive
ROBERT MORRIS, P.E. M H
Director of Environmental Health
RAI
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
ADDITION APPLICATION - RESIDENTIAL ONLY
-� PCIEID#
Owner's Name: l 1 c�� �� 1 u
iM� U Owner's Phone �
Site Address:��� l-4 e SI t � T. wn: Y1C.t 1,h I 0 I ICS ax Map
*Number of existing bedrooms: o Total number of bedrooms (existing + proposed):_
* (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR)
* *Any addition which is considered a bedroom requires formal approval of plans (Construction permit)
:pre . Ared..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 Department of Health, 1 Geneva Rd,
Brewster, NY 10509, Phone: (845) 808 -1390.
1. Certified check or money order for $100.00.
2. Two sets of 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 RA -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. 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.
Rev. July 2013
ALLEN BEALS, M.D., J.D.
Commissioner ofHealth
ROBERT MOR.RIS,,PX., MP_H
. ire4.tor ofSmironmental Health
September 18, 2013 DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Timothy Murphy Phone # (845) 808 -1390 Fax # (845) 278 -7921
527 Lake Shore Road
Putnam valley, NY 10579
Re: Addition — Approval — A- 103 -13
No Increase in Number of Bedrooms
527 Lake Shore Road
(T) Putnam Valley, T.M. 41.10 -2 -24
Dear Mr. Murphy:
MARYELLEN ODELL
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 the Department dated September 18, 2013. The addition is approved with the
following conditions:
1. A Certificate of Occupancy cannot be issued by the town until such time that the septic
tank has been replaced and inspected by this Department. The old metal septic tank
shown under the proposed deck must be replaced, preferably in an alternate location as to
not obstruct access. Please be advised that at a separate Septic Repair Permit must be
submitted to this Department for review prior to the tank replacement.
2. The total number of bedrooms must remain at two without prior approval by this
Department.
j.; �;ne. area ottne existing sewage-- cusposai. system,ana its °expansion area must ne
maintained.
4. All plumbing fixtures must be updated with water saving devices (i.e. new low flush
toilets, restrictors for shower heads and faucets, etc ...).
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 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. 43.157.
Respectfully,
�D, Tz°eex
Gene D. Reed
Sr. Engineering Aide
GDR:cw
cc: BI (T) Putnam Valley
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HOUSE P ANS APPROVED FOR MEDROOM COUNT ONLY
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ALL SUB" EQUENT REVISION /ALTERATIONS TO THESE HOUSE
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ALL SUBSEOUENT REVISION /ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED T O THE PCDOH FOR APPROVAL
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