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HomeMy WebLinkAbout2367DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.14 -1 -53 BOX 20 17--tf C61% irs r� .io" i 7a 0 02367 r -- e d SHERLiTA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County-Executive- ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET �� � ��i�lS TOWN ]+FJAM V IIN TAX MAP# q m 1 °s3 NAME '�;. Moa C • . 90RTCU s PHONE Ni) CIS -536 q . PCHD# MAILING t ADDRESS �0 A9841S �. 91AIVAM V�d W ply, lOS7q DESCRIPTION OF ADDITION Ye.VIUV!✓41 A 4 Oi ARA4B. 1A. ON room 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 •1.0509,'her {845} 27i3i�130: 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 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 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. 5. 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 SH_ EdaI,ITA ANII.ER S,AA�. ,..... ...., Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health. .,�...�...,�.,...,._...:,: �.,..:, - �..,wROBERT•J: i6O1�FIDi-- . County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: �y����4 (Owner's Name) Tax Map #: `c� - 2 3 Address: 2_1 I`—__9 L4 TLA.4, Town: igA-rNA iv\ VAL Year Built: According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not- ... r _ ._- incompliance with Town Code. - _ - The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: ' (y % /j Other: ` Eult -pt i+ l,— `DleP:r , fE ILF_S Building Inspector Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 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 'D SHERLITA AMLER, MD, MS, FAAP Commissioner of Health - - LORETTA>MOLINARI, RN, MSN Associate Commissioner of Health Simon Porteus 21 Arbutus Street Putnam Valley, NY 10579 Dear Mr. Porteus: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County,Executive ROBERT MORRIS, PE Director of Environmental Health November 13, 2008 Re: Addition- A- 212 -08 No Increase in Number of Bedrooms 21 Arbutus Street (T) Putnam Valley, T.M. # 41.14 -1 -53 I have received and reviewed the revised 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 November 19, 2008. 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 plurmbing..fixtures must be, up dated-with -water saving devices, i-.e- ;, now- low - flush. - toilets, restrictors for shower heads and faucets etc. 4. 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, 7 Gene D. Reed Senior Engineering Aide GDR:kly cc: BI, (T) Putnam Valley 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 T LIF -TA L- e etrs iq C ewit "ATION JTNAM VALLEY CODE Are a— L1Y 4 5�-O ,Height vp/ Rear /00 i Use �dg• HEREBY AGREE THAT THE DIITANCE AND NET YORK STATE R THE SAME ARE SPECIFIED ANY OTHER LAWS RULE OR 0 VA Or Agen 10rdinance of the Town of L L, jbject to further approval he State Building Code and is any other law, rule or Bureau or Department - ----- -- - Building; Zoning I Sanitary Inspector Paid: Building .Aermit ZO." Sanitary Permit 10 121 i5o 132 �l UR VE OND 5 -IT L/O f CIN AIV_L ; � D ROA R1AC TOWN SCALE '0, 2.; ..;'yid map filed Dec. 9,1949 h/ed IV 08- J 1, ✓0472r C Ec'qeff, t,r,r surveyor who mode this -moo hereby �erfifl r.,igl the survey of th ;' , fy shown here as completed Aprif 7 1"i-tv Ybrt License N237r?12 Conn. Registration N-95632 V, Office of James C. Edgett Lond Surveyors 93 Main Street, Brewster New York Certified to: Security rifle and Gjoro,,7 ty Co. Peekskill Sovings Ban Job Ne 67032 .... .. ...... 0 6. /0, ............ ve UR VE OND 5 -IT L/O f CIN AIV_L ; � D ROA R1AC TOWN SCALE '0, 2.; ..;'yid map filed Dec. 9,1949 h/ed IV 08- J 1, ✓0472r C Ec'qeff, t,r,r surveyor who mode this -moo hereby �erfifl r.,igl the survey of th ;' , fy shown here as completed Aprif 7 1"i-tv Ybrt License N237r?12 Conn. Registration N-95632 V, Office of James C. Edgett Lond Surveyors 93 Main Street, Brewster New York Certified to: Security rifle and Gjoro,,7 ty Co. Peekskill Sovings Ban Job Ne 67032 .... .. ...... V } I M. I'T 14 ti ;1 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY 3 BEDROOMS 7,,14 "A W i ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE PLA14S MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL ge S1 NATURE E TITLE DA4E z I ,N +I lit m C � LA 5, LA LZ �s I , I li I i I1 cn I t: I -I II r� /v ._.l. Trr lu bu (:r H ifl tf I I I / I i � I 1 �a f p ` . PUTNAM COUNTY DEPARTMENT OF HEALTH j HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY Frye BEDROOMS�./�1.'fY /. /'f� - /-� ...---......._....-.._.._.---'--- ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE j PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE 3 T!T1 -E �VATE BRUCE R. FOLEY Public Health Director - LORETTA MOLINARI R-N.. M.S.N. AssoehiM`Public Health Director Director of Patient Services DEPARTMENT OF - HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION. (RESIDENTIAL ONLY STREET % ,C� l f t✓C� TOWN 2 9Q, TX MAP# N MAILING ADDRESS WE 115 ,kPCHD# W7 & Ile )M*e;-�' DESCRIPTION OF ADDITION rte= G✓ ,*� \TUBER OF EXISTING BEDROOMS 3 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- andthe f llo.virg=to Putnam County Health Dept.; 4 Geneva R6A Brewstei,N7 10509, 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 Cert. Of Occupancy from Town or Certification from Building Dept'. with legal bedroom count of dwelling. OFFICE USE Comments C' Feb98 BFhouseguidelines BRUCE Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New .York 10509 LOREn)A MOLINARI R.N.; ' M. S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 July 24, 2001 Mr. & Mrs. Celentano 21 Arbutus St. Putnam Valley NY Re: Addition- Celentano- 21 Arbutus St. No Increases in Number of Bedrooms (T) Putnam Valley Tax 3 41.14 -1 -53 Dear Mr. & Mrs. Celentano: 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 July 24, 2001 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at hree 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. 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 your convenience. Very truly yours, William Hedges WH :kg Senior Public Health Sanitarian cc:BI BRUCE R. FOLEY Public Health Director DEPARTMENT 1 Geneva Brewster, New LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director... _� , �.•..• :�*�Jireci'rit""bj'' Ftltieiit�er'vices .,. _ _.. <.... -> OF HEALTH Road York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 -6014 Preschool (845) 278 -6082 Fax (845) 278 -6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: 2. 1 Residence Tax Map. 0, - 3 Town .(i��^' Gentlemen: According to records maintained by the Town, the above noted dwelling IS 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: V OTHER Building � BFhouseguidelines PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _. APPLICATION TO CONSTRUCT A.. WATER WELL please print or type MID `Permit # � W11 Well Location: Street dress: To ill 1"4 Tax nd # - ._- / 02( . J� �� �. • MapY/' Block Lot(s) Well Owner: N P� Address: Use of Well: Residential Public Supply Air /Cond/Heat Pump I 'gat' n 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5" gpm # People Served Est. of Daily Usage =gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason ' for Drilling Well Type ><' Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes - No Name of subdivision Lot No. Water Well Contractor: Address: S Y Is Public Water Supply available to site? .................................. ..............:................ Yes No >< Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date:. 3/2 o .3 ___.Applicant Signature: M PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED, FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revo ble for cause or may be amended or modified when considered necessary by the Public Health Director. y r vision or alteration of the approved plan requires a new permit. Well to be constructed by a water/ e 1 ' er certi d by Putnam County. Date of Issue :� L'. Permit Issui icial: Date of Expirati a Title: Permit is Non-Tran-Aefraifie White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 ` : . ' NYSR9S ASS ES3MENT NQUIRY DATE � O3/25/O3 ^ �372GOO PUTWAM VoL"EY` " ' ^ SCHOOL PUTNA VALLEY ROLL SEC TAXABLE � PRCLS 210 1 FAMILY RES TOTAL RES SITE l ' - . '4l 14-l-53 - TOTAL COM SITE O � ;T i,��_ &1 OWNER & MAILING INFO DDB MZSC D SSE88MENT DATA � :PORTEUS SLMON & RACHELLE AR8 - SS�T ** CURRENT ** RES PERCENT � :21 ARBUTUS ST 31 3LAND 34,200 ** TAXABLE QUTNAM VALLEY NY 10579" 3 BANK J7OTAL 170,000 COUNTY 170,000^ � ^ 3 PRIOR TOWN 170,000: JLAND 34,200 SCHOOL 170,000� J7OTAL 170,000 � QD DIMEN3IONS. SALES INFORMATION :FRONT 125.0030OOK 1570 SALE DATE 10/29/01 SALE PRICE 275,000 � :DEPTH 216.083PAGE 402 PR OWNER CELENTANO, AAYMOND;NANCY � BDDL�lDD SPECIAL DISTRICTS 6 'EXEMPTIONS :CODE AMOUNT PCT INIT TERM VLG HC OWN3CODE UNITS PCT TYPE VALUE � :41854 ` Z9"3GO 2 3FDO14 � SIPOO5 � - ' 3 � TOTAL EXE� �PTIONS I �/TOTAL SPECIAL DISTRICTS 2 /�( F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4zPREV EXEMPT/SPEC F6=GO TO INVENTORY F9rGO TO XREF F10=RETURN TO MENU F�PSO75S1 � ` 11:08:26 � ` � �L ru �' -- ' `^ I oi R"AN Go tC FF .... .... . .. x. IYOUSE PLANS APPR(o) BEDROOM CC)., ONLY; VEZ ooms l4gnatur T TI it tle is k 2502 T E St Sf IYOUSE PLANS APPR(o) BEDROOM CC)., ONLY; VEZ ooms l4gnatur T TI it tle is k 2502 T E St a fi .\ , 1 i �'' We �) ti• J i I � � I •, ! � � ! is � DEPART!ffiNT OF MWO i _ r HOUSE PTAN 3 AP ROVED FOR BEDF.001'1•, 7;T qLY; �T: �'! -r fit•"' � ��` °J'-^ — — .._, i �. i 4;. BEDRD S r _ _ Signature & Tits Dale j "1 ZL- I I 4 � 4 - ,1 �--�- rt--+, - - °^ -- ---- .—�.--1t I •� i • psi �c 26oa i :