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41.11 -1 -11
BOX 20
02346
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02346
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E.
Director ofEnvironmmW Health
May 9, 2013
Michael Galasso
1 Daned Road
Emerson, NJ 07630
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Telephone: (845) 808 -1390; Fax: (845) 278 -7921
Re: Addition — A- 037 -13
MARYELLIEN ODL`LL
Comity Executive
No Increase in Number of Bedrooms
117 Pudding Street
(T) Putnam Valley, T.M. 41.11 -1 -11
Dear Galasso:
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 9, 2013. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at three 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 May 9, 2013.
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
ALLEN BEALS, M.D., J.D.
Commissioner ofSealth �. :^x NdARYEI,I:EN OD
CoumyB '
ROBERT MORRIS, P.E.
Direc1urofEnv lHcd1h
�... 080AWN -W VT QF'- HEALTH _ -
1 Geneva Road, BOwshir, New York 10509
Telghone: (845) 808 =1390; Fax: (845) 278 -7921 I J
ADDITION APPLICATION RESIDENTIAL ONLY
STREET Ct d �- i b�0 TOWN ,� ��' �'� AX MAP #
NAME iC(.w -1 ` `rte -t�� PHONE &, I._. U1/ LigI
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PCHD# ,;F n,
MAILING
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DESCRIPTION OF
ADDITION
*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, NY 10509, Phone: (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
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
COMN ENTS
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PUTjS,;s "dl COuf' TYiDEi- „� T iMENt OF iEA TH
;HOUSE PLANS APPROVED. FOR EDROOf I CrygUNTij0 dY
3 BDROM (i�
i 4 i :► I XL'SUBSEO0EM' REVISIOI~J /ALrERRTIOIiIS T THESE OU I
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iPLAEVS MUST BE SUBMITT D TO THO PC;6OH OR APP OVAL
i i �boFe C .1 f" s- SIGNATU}�E � TITLE i i DATE
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Legend 1-certif y that this map was made from aq actual
O- /nd1cores /-IT prn marked "Burgess survey of the
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Now or lormerly Home Guordion Company
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J, MAP (QF PROPERTY,
BRA ;;✓. G -OGKNER.
S T TOWN OF RuInom valley
' �t �� ►-tt , v ";; .. COUNTY OF Putnam .
t'
NEW YQRK
Scale: l In. 50 Ft. August 29 llGq
°Y . � �..., : >; ' • . L,c end � '
'I certi /y that this map 4.as etude /rom"an actual
��1' ® -, %. /n Co /os iron in marked "Burgess,- - surve o the ro crt
.�� '� Y I N P Y. .
SVway Pprnl 9 ,; Survey completed p.,, . August. 2e ; l9 <, a
rt ' _ Map completed on August 29 19(14
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Certtfted to: Abekskil/ Sorvngs Bonk
and Securil y W/O. Fj Gvavonty Compont-
RRG 22385
BURG£SSf B£HR
ftfesstonol £nguteermg Land S.rveymg
70 Glene/da Ave. Corm e/, • N. Y.
I Ina/ / \ . „', —, 11 - ii;V,q'. 17.
REBECCA WITTENBERG, RN, BSN
Public Health Director
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF REALTR
1 Geneva Road, Brewster, New York 10509
Phone #.(845) 808 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re: GalAsso
Tax Map # 41.11 -1 -11
Address: .117 Pudding St.
Town: Putnam Valley
Year Built: 1959
(Owner's Name)
According to records maintained by the Town, the above noted dwelling,
is xx in compliance with Town Code.
LLEN ODELL
ity Executive
...... - -- - --
--
The Legal Bedroom Count is: 3
This information has been obtained from:
Certificate of Occupancy:
Other: Building Dept. Records
The plans for the proposed addition are considered:
xx Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
,,�A ;/c44,-,s�,
8129112
Building Inspector, John ndi Date
5.
Town of Putnam Valley - Department of Health - Division of Sanitation
DESIGN DATA SHEET
SEPARATE SEWERAGE SYSTEM
Located atpappijyd -5 -T
Owner IVII'C h w�/_ AL j2S5 d
Watershed
Source of water supply:
dril,Led- driven -dug well- spring - public
Location..
Block.....
Lot....... C
Lot Area.. 1-3 °
Bldg. Type ` ; j if 0u t
Occupancy.ti�.
NO. OF ROOMS:* ... ;3........ Bedrooms ... �...... Future ... f« :'.'. / • .
—�11XTURES: Kitchen- dishwasher.:1� G Garbage - grinder.:.. Bathrooms.f...
Automatic laundry f: � .. ... .
�EWAGE FLOW: (200 gal. /bedroom). .7�:` ' . .................._.........
(Increased capacity require for garbage grinder 50/)
. ANK CAPACITY: ."t'.G�.g lions below flow line; depth air space.........
. ANK MATERIAL: �:. total depth..'". r; .... liquid depth. t::::...
width.. t :�. �'.... length../."..� ......... partition.. �/ ��...... .
1; OZL TESTS: lst ..........min.; 2d ..........min.; 3d ...........min.
itto 5 -foot dep ....... ... ....... ...how known ...............
J ��---- j
osts made by.... :•..�fi:� .. .:r.:..:�Tawhen.., . /. �.� :.... .
_WO
RPTICN RATE-- al 90-p.
allons........ Rate........ Requires......sq.ft. bottom area„ trenches
rovided by (describe absorption field)..:�5.�.... 0 �0... 1 T:. : �� e '6
....... .............. .....a ...... ..... distribution box provided.....
I
SABLE AREA AVAILABLE ON PREMISES: ................. a .......
......... '
RAINAGE OF LAND (show on sketch): natural ...........................
artificial ............. curtain drain.....................
ell- drained usable area MUST be Drovided before approval is issued
ETCH IS REQUIRE and must show all pertinent features; north point,
roperty lines, existing structures, driveways, water or gas lines,
- ater courses, wells springs dry wells or- draitO for roof or area
rainage ; DISTANCES � MVW, i401t_;F9ATtIR 30 F'L T PLANS ??'OZ .11DEQUATE
RAINAGE OF SEWAGE DISPOUL , det 1* of kable sewage system.
ATA SUBMITTED BY:
wner( ) ; Builder(-) ;
existing
hecked by: records
corporation, give title
field
); inspection( ) By
date
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