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50.20 -1 -54
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LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
v� ROBERT J. BONDI
County Executive
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
October 20, 2004
Levy
429 Ryeside Ave.
New Milford, NJ 07646
Re: Addition — Levy, 20 Trail of the Maples
No Increase in Number of Bedrooms
(T)Putnam Valley; TM #50.20 -1 -54
Dear Mr. Levy:
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 October 20, 2004. The addition is approved with the following conditions.
1. The total number of bedrooms must remain at two without prior approval by this
Department..: _. _ _ .,.. _......:
"
2.' The' area'of -the &Xisting sewage disposal'systeih, -and' its' expanhioin are a,'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 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.
ML:lm
cc: BI (T)Putnam Valley
Sincerely,
DZx
Michael Luke
Public Health Sanitarian
o
LORETTA MOLINARI
Public Health Director
STREET
1 ,
DEPARTMENT OF B EEA.LTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
Environmental Health (845)278-6130 Fax(845)278-7921
Nursing Services (845)278-6559 MW (845)278-6678 Fax(845)278-6085 ® 6
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648.
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
TOWN TX MAP
�t J PHONE yb PCHD # 3 I -O4
LO, q /l �.% TZ.) r i l-d lJ
MAILING ADDRESS �� S ! " v� 6 rv�
DESCRIPTION OF ADDITION
NUMBER OF ENISTING 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., 4 Geneva Rd.;
Brewster, NY 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 IlSE
Comments
Feb 98
LORETTA MOLINARI
Public Health Director
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/Preschool (845) 278 - 6014 Fax (845)278 - 6648
Putnam County Dept. of Health
1 Geneva Road
Brewster, NY 10509
Re: �6A�j
Residence
ROBERT J. BONDI
County Executive
Tax Map 50-20 —1-54-
Town ✓J)yA n^ ALLY
To Whom It May Concern:
According to records maintained by the Town, the above noted dwelling,
is
Y
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:
Building Inspector
houseguidelines
I/
F — 157
39'1
11'6
11'10 'I
- - - -- -NORTH k -4'6 68 47 6 5'8 3'8 3'10-
1 157 I
5713
HaHwall - -- Kitchen 71
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1198 sq rt
Proposed work to: 20 1,-Ia t'
"rail of the Maples
Putnam Valley, NY
10579
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
BEDROOMS /
Signature & Title Date
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Remove reduced height dormer and
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Bedroom 2 4-4
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UP
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L4'2 T3 4'5 7'3 819 73
LIVING AREA
15'10 980 sq ft
39"1
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY,
BEDROOMS
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Signature & title Date
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Proposed work to: 20
Trail of the Maples
Putnam Valley, NY
10579
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C16 4 PUTNAM COUN'T'Y HEALTH DEPARTMERr
* * DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR .SEWhM DISPOSAL SYSTEM REPAIR
ONE'S NAME M 1 L N G q Mo � �I Gbo — 6�PHCNE
SITE LOCATION S (:' I m,l- Lam'- `�itli� MR, Gam- -5 TO
MAILING
PERSON IlNTERTIEfaID PCHD Canplaint #
Name & Relationship (i.e, owner,tenant, etc.) , nn
DATE �� j D I 00 TYPE FACILITY ECG) MMc
PROPOSED INSTMZM U O NLID 1 A sor, 65)L VW (1111C-c PHA _ , l � 7 _��O o (O
REGISTRATION # 2 C -56,0 / WC,-1->t12- -Hqo
Proposal (include sketch locating all adjacent wells):
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location may require s, *;tal of proposal fran licensed professional engineer or
registered architect. W e����
Proposal approved "
Inspector's Signadwe & Title
Proposal Disapproved
M W,0,02-0
wr�
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PAVdi ---
roposal approved with the following conditions:
1. Procurement of any Town permit, if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name.
b. Site Street Name, Town and Tax Map number.
c. Location of installed camponents tied to two fixed points (e.g.,hcuse oorners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner, or r ent of er agree to the above conditions.
r OUJP -eg
SIGNATURE � ��.ls� f-; TITLE DATE LLOL0-0
l�'Gb99?6Gi)
Cam: W11be (PCHD) i Yellow (Ttkn ffi); Pink Dfti +" ant)
:� "Zil
Di OM Vil in IF
TYPE FACILITY
(include sketch locating all adjacent wells).
NwE. Repair must be in same location and of same type as original sewage disposal system.
Different location may require submittal of proposal from licensed professional engineer or
registered architect.
proposal ape ov y-
& Ti
Proposal Disapproved
la k
ste
Proposal approved with the following conditions.
1. Procurement of any Town permit, if applicable.
2. Submission of as built repair sketch in duplicate showing.
a. Owner ° s name.
b. Site Street Name, Town and Tax leap number.
c. Location of installed cxamponents tied. to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank; three precast 61 diem. x 60 deep
drywells surrounded by one foot + gravel).
e. Installer °s name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner, or reported agent f owner gree to the conditions.
SIGATURE TITLE DATE ja 162
MUS. VI-dte MD); Yellow (Tam El)a Pink (Applicant)