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HomeMy WebLinkAbout2502DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.14 -1 -16 BOX 22 02502 IN 911 " r IN 19 6 , i - .O IN 7 ' r- -�� r I. , -.. �. 02502 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Far *(914) 278 - 7921 Janurary 28, 1998 Sandra Veins 5 Northview Lane Putnam Valley, N.Y. Dear Ms. Veins: BRUCE R. FOLEY Public F.eahh- Director. = Re: Addition - Veins 5 Northview Lane No increase in number of bedrooms (T) Putnam Valley Tax # 54.14 -1 -16 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 latest revision date of January 28,1998 and this Department's approval stamp. Based on the information submitted, the above mentioned 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 fixture's must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. 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, Michael Luke Public.Health Technician ML /kg cc:BI (P.V.) V iens Lot 16 Tax Map ID #54.14-1-16 PROPOSED, - FIRST FLOOR Laundry Room al ( 1. CT 'N Office Ln Sun Porch U r-A Entry Patio Covered Porch 41 P7 U u 77 Living Room P Lf) Sinks- r $4 o co up- Den T-7L A Dining Bathroom Area H up it -, Covered Porch. 6' 1 Closet Window. Seat. closet C7ioset Window Seat Closet Ci I o, of g ai F, Closet o5 'Chimney � � �, Wood Stove N r:, rr 1 a ril w i En: w� � �► rn� ro F, Closet o5 'Chimney � � �, Wood Stove N r:, rr 1 a ril w i En: VIENS 5 Northview Lane Putnam Valley, NY 10579 Y.34968 William Hedges, Jr. Department of Health 6 Geneva Road Brewster, NY 10509 Dear Mr. Hedges, January 10, 1998 Per your recommendation, I am resubmitting revised plans for the proposed addition to my home. I have made the following changes to the floorplans originally submitted: 1. Decreased proposed second floor bedrooms from four to three. 2. Created an open entryway between the living room and den. Hopefully, the den will no longer be considered a potential bedroom. I'm a little confused about the office being considered a potential bedroom. According to the Department of Health's House Additions 'Approval Gifidblineg 1--received- from the Putnam Valley Zoning Clerk, (if I'm reading it correctly) an accessory room may be considered a potential bedroom if it's dimensions are at least 8' x 8'. The office I'm proposing is only 5'6" wide. If I am mistaken about this, please let me know, and I'll submit the plans again leaving this area open. Once again, I appreciate your assistance (and patience) in this matter. Thank you. Sincerely, Sandra L. Viens Att. tr a ' BRUCE - FOLEY" R.S. Acting Public Health Director LORETTA MOLINARI; RX ` - -` Associate Public Health Director Director Of Patient Services DEPARTMENT OF HEALTH Division of Nursing Services 6 Geneva Road Brewster, New York 10509 Tel. (914) 278-6558 Fax (914) 278-6085 September 29, 1997 Sandra L. Veins 5 Northview Lane Putnam Valley, NY 10579 Re: Proposed addition Veins; Northview Lane (T) PV TM #54.14 -1 -16 Dear Mr. Veins: I have received and reviewed the plans for the proposed addition to the above mentioned. residence. . The plans indicate that the existing dwelling is a one story three bedroom residence. The plans for the proposed addition indicate a second story will be added consisting of four bedrooms and a bathroom. The first floor will be renovated converting one existing bedroom to a den. The other existing �...�_..bedreoin to:.ari.ofl�ce- and -the third bedr�aom -will Decorne-part- of -an- enlarged living room.- ; Based on the information submitted, the plans cannot be approved as submitted for the following reasons: 1. The total number of potential bedrooms for the proposed residence must be the same as the existing residence, unless the sewage disposal system meets present code requirements for the proposed number of bedrooms a. The proposed second story contains four bedrooms. The present number of bedrooms are noted as three. b. The proposed den and office rooms are considered potential bedrooms. Therefore, the proposed floor plan indicate a minimum of five and possible six potential bedrooms. It 3 3 .... '� rt i c N n Ci Wood Stove -- Closet " Chimney �, rn --5 -91, _ ID' Closet Closet. ' Ln J jjNS(�j I J I f � , ' r} I I W � - Wood Stove N , ' -- -- &oseta Chie y _ rn '(4D ' I � I � I - -16' 5 " -- I I ' Cover@d Porch 6' I � I � I ro ��e Ln Lot 16 1 Tax Map ID #54.14 -1 -16 ,t �1 CURRENT FLOOR PLAN, SINGLE STORY II - -7' -- I II , I �p 1 lO 1 t II I : UP I io Sun Porch /Laundry Room Ln 1 1 =° Closet. Sinks N.. .T Kitchen: Living -r� Room Counter.:. - M 1 1 rn , 1 up- Bedroom _1 M i - I Dining I Bathroom Area -- 8'6 " -- -- 10'2 " -- End, r, 1 u. - -11 '6 i 1 Covered Patio 1 I r, it NI I I 1 -- 13'6 " -- 1 1 a) Bedroom in '1 i 1 Bedroom ao G. 0 U Closet Window Seat.. Closet Window Seat Closet V5 0 b r f I z9h Ln c c e 1 � rn -- 11'6 " -- - -7' -- Closet Chimney .' 4 Wood Stove i i, N I� 1 Closet Chimney .' 4 Wood Stove i -- 11'6 " -- ``Shelves Closet:. - -10' -- 1 01 I I o .rt. i i -- 11'6 " -- ``Shelves Closet:. - -10' -- 1 01 I I o .rt. oflth Attn:_ Kathy 4 Ge a Road Brewster, NY 10509 Dear Kathy, VIEIVS. 5- :Nerthview IAne Pam Witty, 11579 5298 August 15, 1997 ff ids -q7 Per our recent.tekphone: conversation, I:am submitting all of the information-required to seek approval for. our proposed` home:renovations. Atkac�edwe: .1.:: Certif ed;eheck fbr: X100.00 2. Dfawing :ofourcucred.twrplan;wit.h:room- -measurements 3. Drawings.Qf our proposed floor plans (measurements included -for those :a yeas which would; change: froni current size) 4; Recent property- survey in icating size:and'location of sep* tank, and °'locations :_.. of septic &I& 5. Letter from Putnam- Nalle� - own Hall (dated-when we purchased-our-house) indicating 6- pre- exs dwjnon- conkirming structure, in lieu of Certificat; of Occupancy If yowneed any further k&brmation please let mr Imow, and I will supply h. as quickly as possible-.: "Thank you -so- much fbr your help. ;Att. Sincerely, i Sandra L... Viens Lot 16 Tax Map ID #54.14 -1 -16 �I CURRENT FLOOR PLAN, SINGLE STORY II 11 - 1 �I - i 1 1. I `D LO 1 1 Sun Porch /Laundry Room 1 , Covered Patio 1 I 1 N1 Closet. ' � Sinks. i 11 I. I I Kitchen 1 1 in , 1' o " 0; Living ih Room 1 o, , 3 - -13' 6 " -- d' 1 u Bedroom 1 Bedroom 1 1 ° M 00 1' 1 Dining I Bathroom Area 1 :' v I -- 8'6 " -- -- 1012" -- I —10' -- M Entry ti. = M 1. I I 1 , Covered Patio 1 I 1 N1 i 11 I. I I = Bedroom 1 1 in , 1' o " 0; �o 1 3 - -13' 6 " -- 1 Bedroom 1 1 ° 00 rn . v •® hi un I � I 01 I I I I I I (] I I O I N W I I I 0 I O 1 I I I I I I I BRUCE FOLEY, R.S. Acting Public Health Director Sandra L. Veins 5 Northview Lane Putnam Valley, NY 10579 Dear Mr. Veins: DEPARTMENT OF HEALTH Division of Nursing Services 6 Geneva Road Brewster, New York 10509 Tel. (914) 278-6558 Fax (914) 278-6085 r LORETTA MOLINARI, RN. Associate Public Health Direcfor Director Of Patient Services September 29, 1997 Re: Proposed addition Veins, Northview Lane (T) PV TM #54.14 -1 -16 I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that the existing dwelling is a one story three bedroom residence. The plans for the proposed addition indicate a second story will be added consisting of four bedrooms and a bathroom. The first floor will be renovated converting one existing bedroom to a den. The other existing bedroom to.ari office and the third bedroom will become part of an enlarged living room. Based on the information submitted, the plans cannot be approved as submitted for the following reasons: 1. The total number of potential bedrooms for the proposed residence must be the same as the existing residence, unless the sewage disposal system meets present code requirements for the proposed number of bedrooms a. The proposed second story contains four bedrooms. The present number of bedrooms are noted as three. b. The proposed den and office rooms are considered potential bedrooms. Therefore, the proposed floor plan indicate a minimum of five and possible six potential bedrooms. _..._...::.: The�nclosed survey indicates the existing parcel is :42 acres, with a-separatiori diistarice of approximately 45 feet between the existing well and septic fields. The minimum separation distance, based on current code requirements, is 100 feet. The parcel does not appear capable of supporting an individual water and sewage disposal system capable of meeting minimum requirements. Please revise the proposed floor plan showing a maximum of three potential bedrooms. Should you have any questions, lease contact the writer at 278 -6130 ext. 168. Very truly o William Hedges, Jr. Sr. Public Health Sanitarian WH/JP cc: A O'dell, BI (T) PV v OVINAM VAUIT I MARVI�;• O'DELL 1 PUTNAM VALLEY, NY Inspecto, c% (9141 526 '2377 TOWN " OF PUTNAM 'VALLEY BUILDING. ZONING." AND SANITARY DEPARTMENT July 27,, 1987 TO Mom' IT. MAY 0(x3MUNs Our records indicate the structure (s) "or, the above parcel . wass built prior to'our present code and is oo:sidered an pre- exdsting, non- conforming use for one' -fandly prmidec that there has been no exTansion or addition to the structure (s) or change of use. • There are presently no violations or, record and Northview Drive. ...is maintained by the Town of Putnam Valley. Any expansion or change of use r+egiire's a request fora w variance to the Zoning Board of Appeals'. Yours truly, • /O,� Marvin .0 Dell BUIMM, M,7M SX '4ITARY INSPDC'TO&'i . MWD/es -a • I • '.'survey on'Whlch' this map i i. on J :irle:t6, .1997 and th on :June 20,`.1997 and th - j accordance;- with NYSAPLS c N/F SMITH SEC .51.14, BLOCK ,Q LOT 25 CERTIFIED TO: Paul Joseph I OR. WALL S /, 3-04 END WALL 'O7Q "E 7 r .. 27.8 COR. ALL N 36'11'00 "E 0 8 N O,p conk .S72"19'00. ".E 62.49' SAu R.%­ �wA�\ { y �;' 1.6S,13W I. CONCRETE , STEPS /I S67 1 6'30 "E 90 72 ;' R I, << II ti 13.1 1 ' . - — RETAINING WALL K. coNC..RE I WAL I wj -' . (� .STONE t uASONRµ I -..i 1 RETAINING, CHAIIJ LINK FEN'\ - . 7 w ► L - I IRON PIPE STEPS ;' AREA IRRECULAN J FND. k HELD 7 c. S Y M. META .. 1" V .'. .. STEPS o FOR POSITION RAt1N s m 0.42 ACRE. C7 c (TYP.) u ? r I 3I y OR CONC. L441- OD E �E 18209 S F SHED �W co r wnoucNT +1 S. F C t CONCR.T- E -- I 1 STY. i *` .. �09 .Q -N fTlORTFE'd. n° O.SLLN. STUCCO a (TYPICAL) STONE • m STONE '><- MASONRY RETAINING WALL 'Z 3 ERAS. WADS- GARAGE cr:,E J I' 'R N1TF1 IRON WROUGHT 1FENC: ABOVE O'YP- "� O .:I tTYFICAI} }% Q T �. - -- —' 'TON m', yy > r�) N72'19'00" 66.50'. w 9 (T� DO ,: .. � , � } Y I V INT. WALLS S. C WA (p ; J ^o ►- W U .i £ I -�� STONE •�f. ON LINE END OF FEN. 0.1 N. _ O N - Y'�= YIALK I COR. WALL O ,a�"' '" Q,. ' _� :'I STEPS / 1 O.SN, 0.4 W, T1 n A �. rtACSTan - ATS - - - -- z MMTA�.R� �. N F CADDO R'- p ''r ,ri IRON PIP LERK'S PAGE 274 SEC. 51.14, BLOCK 1, LOT 32 T� 6' F F �A,. , "' FOUND STONE k , :LERK'S PAGE 33 I CONC. " uLi B� ` �<i o DC O R WE LL AS. WALL56.06 CLERK'S PAGE 33 ° STONE k Mns wnu w/ GRAIN UNK EN., :JJ W LERK'S PAGE 1158 _- - - = s -- —. = - - — $ -rj630 LERK'S PAGE 142 _ E AS . 69'26'00 "w C.n� , ruv D 5 \Q \� O 0.6 'N. ME ` ✓7 --O�t VERHEAD SVat PC I N6 6 00 "W c m �•NE Res PICgL' _ 16.06' rn o' I accordance with the IRON N/F HECKMAN STONE k Ft on LINE t of the NEW YORK STATE SEC. 51.14, BLOCK 1, LOT 15 MAS. WALL NAL LAND SURVEYORS ( NYSAPLS). tea: .o persons, named J }� I F; i' SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Paul and Sandra Viens 5 Northview Lane Putnam Valley, NY 10579 Dear Mr. & Mrs. Viens: March 17, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition, A -69 -06 Viens, 5 Northview Ln. (T)Putnam Valley, TM #51.14 -1 -16 I have received and review the plans. for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The den is a potential bedroom. There are a minimum of four proposed bedrooms on the second floor. - The - legal - bedroom comet for the dwelling is tierce: The potential-bedro6m count of your proposed addition is five. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. 4. Survey provided is to note the existing septic tank, fields, and well. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Sincerely.,-? JP:lm oseph Paravati Assistant Public Health Engineer 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 FROM YORKTOWN PHARMPK-71' FAX NO. :9149626319 Apr. 25 2006 11:20AM P1, A RAJENDERVENKAT, APh. PAUL J. VIIFENS, RPh. Pharmacist Supervising Pharmaoist Pharmacist -7 YORKTOWN PHARMACY Serving the Comlnunilv Since 1930 Health & Beauty Aids • Magazines e Perfumes 1905 Commerce Street 914.962.2600 YOrktown Heights. NY 10598 FAX: 9 14.982. 6319 �5 cR �A � ��-� ism � �y 6''i`Dm� ov H�X�� ,/%,ms's k1d APR-25-200E. 1 ill i (,-i: 1 TFI:A4c;-P7P-7qPl WOM97 • 01 ITKIOM (-nI nr7rnnm-rmm rr r-.r- r, 4 FROM :YORKTOWN PHARMAC -)* FAX N0. :9149626319 Apr. 25 2006 11:20AM P2 DEPARTMENT OF HEALTH Division of Envirorrmrental Heauk Services 4 Geneva Road Brewster, New Yom 10509 Tel. (914) 278-6130 Fi" (914) 278-7921 Janurary 28, 1998 Sandra VAfis 5 Northvi.ew Lane Putnam Valley, N.Y. BRUCE R. FOLEY Public Heakh Director - 5 Northview Lane No increase in number of bedrooms .(T).Putuam .Valley Tax # 54.14 -1 -16 Dear Ms, V,e#trs:1WO, 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 latest revision date of January 28.1998 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the .f.ollowing._conditiona: 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 neater saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. 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, Michael Luke Public Health Technician ML /kg cciBI (P.V.) APR- a1-';-PPRP. T1 1P l t '1 :: TFI : A45- ?7A -79 ?1 NAMF • PI ITNAM rni INTY nF=PAPTMFNT nP P a FROM :YORKTOWN PHARMAC) FAX NO. :9149626319 Apr. 25 2006 11:21AM P3 Closet Window Sect- Closet reset Window'.. eat "Closed' �. 1= '_ 6N 0, APR -25 -2006' TUE 'LG1 :1 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT nF P_ 7 L5 0 m T i 7 �. d wood.. stove APR -25 -2006' TUE 'LG1 :1 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT nF P_ 7 FROM : YORKTOWN PHARMA!='r' Cl sei FAX N0. :9149626319 Apr. 25 2006 11:21AM P4 Q w (D K •clot� •� Eal Fil, 1 r 1 1 I I 1 1 rt- L J ij I •.1 c.y 1 Wood Stove U 0 a.. t 17J 1 I 1 a{ 1 I 1 I I1 PorCh 6' 1 I 1 I APR-25-2006 rLIF 1.0: 1'� TEL: 845 -278 -7921 NAMF: PI ITNAM f f1i INTY n;=PARTMFNT nP, P a �cr% Cn Cn K 0 SHERLITA AMLER, MD, MS, FAAP _... _...__.: Commissioner ofHWalth LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive. -. ADDITION APPLICATION RESIDENTIAL ONLY p o 00 STREET �( ��7 TOWN.¢"t�.� TAX MAP# %• �� NAME PHONE CHD# -' MAILING ADDRESS DESCRIPTION O ADDITION Sul & Sa ndra Yens 1. 5 NorthtdOW En NUMBER 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 and the following to Putnam Count Health Dept., 1 Geneva Rd,. Brewster, NY 10509, Phone: (845) 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) 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 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 G 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 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: pao9 & Samra vions U1 PLC ern VaHzy, NY 0579 Re: VIEt�.S Residence ROBERT J. BONDI County Executive TAX MAP# (, — TOWN eur 1q V LLt According to records maintained by the Town, the above noted dwelling, IN CO':VPLIA.NCE .WITH TOWN CORE:, IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS 2 This information has been obtained from: CERTIFICATE OF OCCUPANCY: OTHER: As-scsso< Building Inspector Date CERTIFICATE OF OCCUPANCY Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Im 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 I 216 1,1. -- 5'6 " -- Ln � H � n° ro e rr b Ea Ci En �d N :rt. _6 Ira —4 ° -- - -13' 3"— i o Wood Stove Closet t�hmney c� Ln 0 w w Tax Map ID #54.14-1-16 PROPOPM, SEAM FMOR (4, ;;,Bedrooms /1 Bath) --16'6"-- Bedroom 0 0 4J- Bedroan 0 —161611-- Paul & Sandra Vlens 5 Northviow Ln Putnam Valley, NY 10579 —11 . 16"-- --12'6"-- 0 0 • set I Window Seat ICloset Master Bedroom Ln C%j --12'6"-- Patu='Mid)viv, N 10 Y !�-19-" yi,ens Lct 16 Tax MaP ID #54.14-1-16 PR�PMM, FIRST FIOM Paul 8,Sandra Vigns P5 Northview. Ln -3, Putnam Valley, wieS79 Kitchen �7Closet 1 . Oft. t Laundr, O IT I - ---199--- E-Titry Sinks (bunter Patic) Covered Porch 41 Living Room ^-Up 'Te ro 1 1 Den -pw (lovered Por6h 61 5*rtfiview Lane Tutuam'1�4&Y, NY 10579 s Tax. Map ID #54.14 -1 -16 CURRENT FLOOR PLAN, SINGLE STORY Phil SA7up$ �f'lst7 5 Horthvl9w {� Puin" VW18Y. NY 1Qyn =° Sun Porch /Laundry Room Ln I .k I 3' 1° Closet .. Sinks.... ' tv 1 Kitchen I 1 Bedroom _ M Entry M _2 r U p II �I li I II II �o I I i Counter. M i I Dining Area I -- 10''-- Living Room :Covered Patio o: o`a 3 i I I I f I i II I NI I .I I I I Bedroom `n co I I - -13' 6 " -- I I Bedroom o co I I darts 5NprthvdewLaw 10579 Viens Lot 16 Tax Map ID #54.141-16 PROPOSED, I= FLOOR S A PUIMM Valley- NY 10579 Kitchen Closet Lauridx) Entry Patio Covered Porch I 4 Living Room up LO 1-0 Sinks 70 U) o Cot inter up- Den Bathroom T VMS <-- up Covered Porch 61 5N91tfi79ewf-ane Putn= Vqffi�,, NY 1 0-579 -Lot 1.6 Tax Map ID #54.14-1-16 PROPOSED, SEODND FLOOR (4 bedrooms/1 Bath) rj. Ln Pu�m Valley, NY 1(3 79 --16'6"-- O Bedroom rs U Bedroom rs 4-) a) —161611-- Q) Q) —111611-- Bathroom o ,set Window Seat Closet Master Bedroom in C14 --1216"-- V, M-' x 5 5NqMfivicvI.Ca-w, Put-nam-Tafi.r v, NY 10 573' - PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A. WATER WELL - ., - ...... f. please print or type ~ .. ... PCHD Permit Well Location: Street Address: Town/Village Tax Grid # � Map Block Lot(s) Well Owner: Name: Address: Use of Well:_ Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling- New Supply (new dwelling) Deepen- Existing;We11 -- IDetailed Reason 8 ,, for Drilling , Well Type ,[_ Milled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ................ .................. ............................... Yes No Name of subdivision Lot No. Water Well Contractor: ",wQ 2 A24r Address: &411 rx , 111414/ 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:, g Applicant Signatlre:, _�?��� 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 revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well. to be constructed by a water well driller certified by Putnam County. Date of Issue s�e ,,/;17e Permit Issuing Official: Date of Expiration r e- 2 - Title: Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 I Dear 25 APPENDIX E FORMAT CONSTRUCTION PERMIT NEIGHBOR NOTIFICATION LETTER Date RE: Department of Health Review of Proposed SewageTreatment System for Property Name:���� Address: Town: � Tax Map #: Sy. /y / l6 Please be advised that an application for a Construction Permit relative to the construction of a sewage system and/or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call the Health Department at 278 -6130. Very truly yours, By: _ Title: Received By: Address: Tax Map #: August 1997 on .tune 16,• 199/ ana tnls on June 20, 1997 and that accordance with NYSAPLS Cur N/F SMITH SEC 51.14, BLOCK 1, P_OT 25 CERTIFIED TOG. Paul Joseph Vi, COR. WALL S73*04p'00 "E . 0.5'N,0.6 W. / 27.87 END WALL COR. WALL Nut Sandra Wana 0.6 N. u 0.2 E cone. 5 NorthvieW Ln 136 3.11 ' "E COR. WALL PuO Y-bx NY 10Sn 13.11' � S72'1 9'00 "E 62.49' WAL "�I I � 1.65, 1.3'W � CONCRETE STEPS S67'16'30 "E 9072 9& 5-1, I -N6 STONE t MASONRY RETAINING WALL RETAINING S b N. WALL W/ CHAIN LINK *FEN. l� . 3 r STEPS __..AIX ° T, IRON PIPE AREA - IRRM. STE I FN O. k HELD < U r; N 11% I S k M. STEPS FOR POSITION RAILING a o 0.42 ACRE /C7 I H yI (TYP.I U U ? c 3 H s OR CoNC. FR E LA D a) f ¢I j + F1CCrr 18209 S.F. SFI J� v �00 = O Od W N I F II CE "( O WROUGHT NCRETE / t STY V ' (TYPICAL) . . / STONE m 0' STUCCO s Pj tT1 p " l STONE k MASONRY RETAINING WALL I 2 O / WAS. WALLS GARAGE RgGE $ GATE I F> W1 TH IRON WROUGNT LFENCE ABOVE (TYP_) Z U V!Y TWICA} \� O -. TONE Q UZ T PILLAR U m I F � POLE/ 66.50' Z - 3 (TYPICAL) o N727 9 ' 00 Ld >- �1 cry o f >0` INT. WALLS S. fAC WAL O 00 I IC-- W u I —N �_ ON LINE ENO OF FEN. 0.1 N. a N M :n v STONE I COR. WALL p 3 I g f O y WALK STEP 0.5 N, 0.4 W. < P .-� 1 �rl STEPS m i G ONE A i META R ILING O (TYPICAL) � N/F CADDO OD o a IRON PIPE S PAGE 274 16. e SEC. 51.14, BLOCK 1, LOT 32 I � � � � FOUND STONE k D COR. WALL ,"S PAGE 33 'A CONC. y EN ON ' o -C ON NE / MAS. wAL O60" S PAGE 1158 TONE k MA . Wl,LL W/ CHAIN LINK FEN. � S PAGE 142 - — — / = — — — if, 35 30 COR. wAL t�69'26'00 "W 85.34' D ENCASED IN CONC. 0.6 W. i WRE OVER SJRf p,GE% N64 X00 "W �m RES�pICgL�' 16.06' NORSPHP M -m :ordance with the the NEW YORK STATE N/F HECKMAN r \ IRON PIPE _ SEC. 51.14, BLOCK 1, LOT 15 NONE k FNO. ON LINE LAND SURVEYORS ( NYSAPLS). OD T':ALL I Mas. rsons, named as prepared and on A = 97.26'28" - ly, governmental R = 15.00' a;. ' F'