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Home My WebLink About2517DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.15 -1 -3 BOX 22 02517 si �, riY PUTNAM COUNTY HEALTH DEPARTMENT V/ DIVISION OF ENVIRONMENTAL HEALTH SERVICES , -Q PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR n OM CM USE ONLY SITE LOCATION % �Y -j Gi d TM# I + 0 OWNER'S NAME ' es PHONE MAILING ADDRESS 697 % A/JY'f h 'If _ 170-e— Act VZUl A) L' J � !C]. PCHD Complaint # A'' J AJ� PERSON INTERVIEWED e�lu'�,(,%� l L' vt:{u ame a ations ip (Ev owifer, tenant, etc. DATE / CJ C TYPE FACILITY N 6, PROPOSED INSTALLER ADDRESS 10 /, REGISTRATION# mm'W"Am Proposal (include sketch locating all adjacent wells): I NOTE: 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. o..3er, o eporte- a en. o �..�r awe_ =to ...e ..o o__s.s at�d on tl'_ .ar+� S rl f mp crr'w tli n Tt t 1C_ fl SIGNATURE �� d V "d TITLE — :� DATE Proposal Dproved following 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 components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6 diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved V' Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NIL l0 4,3 �� 3 DATE A 4 ,r. a k. 1�•, AA F JF - ae ifs - , %aN - - - - _ •' -'' •-.s ,, = •• . _ - _ . Juan and Evelyn Reyes 67 North Shore Road iaa O • - • r �/" Putnam Valley New York 10579 �' Tax Map # 51.15 -1 -3 I. SENDING CONFIRMATION DATE : NOV-3-2004 WED 11:35 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845-278-7921. PHONE PAGES START TIME ELAPSED TIME MODE RESULTS : 95282010 : 2/2 : NOV- 0311:34 : 001521, : ECM : OK FIRST PAGE OF RECENT DOCUPIFVT TPANSMITTED... AT)DRFSS __fggait /i e t.4-1- I .. Itaposal (include sketch lutalift all adjacent wells); N(Yll' : Repak must be in some lodntion and of'sma typu as original sewage disposal system .Different location may tequirc . sulmnittal ofproptnal ftni licensed professional engincei or reFtistered architmi. Add A, bew)z Las o Toved em owner agree to tht, ")m ,:rated on this form. v cd mn*th the fallowigg con SIGNA i I rI.Lt. .-A�TF, I - Procurement of any Town parmit, if applicable. Z. %ubrWssiont)fnsbuUt repair siofthin duplicate slw)wiwit-,- fl. Owner's name pitc Street Name.'rown and Tax Map numbei C. Location of lrtstmlled components tied to two fixed points (L.g.,house comes. d. System description (c.g, 1250 gal. Conoco: � ipiir tank, throe precast Odiam. X 19 deep C. Installers' name and ournher, 3. -System repair to be perforated in accordance witb i hi: :,I-t— pmjvwd aml conditions. PrupLmi approved t// fv Insilmetor's Sipauue & Tille DAIE COPICS: VAiltt(PCHD);YeUow(TowUl);PbU.(.ppliwt)- PC-RP �490. PUTNAM COUNTY 4TY Dr.rmlox OF FWRON-Ay %?<� rm.; it..vX!T!.qVRvlrr.S - MOZOSA *42 4. OFMALUSEOMY Rv. ►P-03 .Irrr L(y7ATION .T4 O%WCWS NAMV., -r- PRON1:11 57.-U, W 0- tnuINO AW)RESS vj-i UL,� JIL PERSONINTERVIEW120 (h e, u;,- m4r .� DATF. 1,0 1701: VACILUlY TIU1 AT)DRFSS __fggait /i e t.4-1- I .. Itaposal (include sketch lutalift all adjacent wells); N(Yll' : Repak must be in some lodntion and of'sma typu as original sewage disposal system .Different location may tequirc . sulmnittal ofproptnal ftni licensed professional engincei or reFtistered architmi. Add A, bew)z Las o Toved em owner agree to tht, ")m ,:rated on this form. v cd mn*th the fallowigg con SIGNA i I rI.Lt. .-A�TF, I - Procurement of any Town parmit, if applicable. Z. %ubrWssiont)fnsbuUt repair siofthin duplicate slw)wiwit-,- fl. Owner's name pitc Street Name.'rown and Tax Map numbei C. Location of lrtstmlled components tied to two fixed points (L.g.,house comes. d. System description (c.g, 1250 gal. Conoco: � ipiir tank, throe precast Odiam. X 19 deep C. Installers' name and ournher, 3. -System repair to be perforated in accordance witb i hi: :,I-t— pmjvwd aml conditions. PrupLmi approved t// fv Insilmetor's Sipauue & Tille DAIE COPICS: VAiltt(PCHD);YeUow(TowUl);PbU.(.ppliwt)- PC-RP �490. JUWE2,-2003 10:54 FROM: TO:2787921 P.1 82 0scawana Heights Road Putnam Valley New York 10579 -2304 tel 845 526 0068 fax 845 528 2010 o -mail jklra@bjobAeb.net P For your attention n fax transmittal To; From: J. Lynfieid AIA -PCHD . . 1: Geneva Road," Brewstpr,NY 10509: Attention: Mike Luke Fax: -2787921 des; 3 sheets attached ina this sheet Phones -278 6130 X2127 Dates 1023103 No; Reyes 67 North Shore Road TM# 51.15 -1-3 _ urgent. X For rtevlevr: XPImme Comment XPiemw ltiplyASAP Scope of vuork to be done:. Please find attached application .'.for Sewage Disposal Repair dated 515!03, and a survey showing the relocation of septic tank- required in order to put in addition. I have not heard back" with regards to this repair: Please let me know what, if anything -meads to -be clarified Thank you for your assistance. ` cap T.) kik- 1� Kint 1- 7 -PA04 LICrI I I -A cQ -rrn . r nr" JUN_?, -2003 10:54 FRD7 1: Ti3:27$7$21 P.2 SITE LOCATION OWNER'S NAME_ MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION gROPQSALFOR SEWAGE DISPOSAL SYSTEM RIP _AIR OMMAL USE ONLY l ll� 1 / 57 1, 3 7 Q}/� ' f t � ' R d TM# j� t•! P ( �_�� PHONE Z PERSON INTERVIEWED . J 0 c4 o Grim e L.cd N.1--.,e Ja.4. 9.A PCHD Complaint # AJ 0 AJE -"dame K Relationsbip (EQ ovvAer, ten etc: _:;YPF� PROPOSED INSTALLER `i M/ , AUI-'h 477 PHONE ADDRESS 1 !2 /U rH Mf , PiVA111 REGISTRATION# 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 submittal of proposal froiri licensed.professioriai engineer or registered architect. I, as owner, o eported agent o owner agree: to the con ` o�is siaiteawxi m's fomT: - SIGNATURE TITLE DATE � DDro PrQpQsal V 1. Procurement of any Tomm permit, if applicable. , , -2. Suboussion flf ps buill"repair,Sketch.in duplicate showii}> a. Owner's name , b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to. two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. 'Concrete septic tank, three precast 6 diam. X 6' deep e. Installers' name and.number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved Inspector's Signature &. Title DATE COPIES: White (PCHD); Yellow (Town BI); Pink.(applicant) PC -RP 99IviI. Nnl. l- 7 -pnm4 mpn in - 4q TM • OAC- 0-7o -7oo4 JUM-2 -2003 10:5-4 FROM: TO.2797921 P.3 .: .,,.�� -rte• �: -. :'•.., '. 2��g�� Q�w � ��\ a- --,,F OA 0 P6 ° N ' 4� G t ' y� M� '� V ri1/.S'7 '-97'30-4w .� r °� .� .. .�.t•V ice' y alp. s` /y��+472SEr i S. f OG -� tiyaK, A� !ti f 1 � 4 - i ..+. 1. f d p0 •• • . ._. JY�2°'p i„• "�' E �F, 4-iY�� i :1rri'la �;�'".� � X <.�.R � .>. c«- t .l'i • _..,q J -s� ` ::.�'.► S "^'�i:� — :�.7�,'�.e�: ....__ __^ �•... 1._::h hY A z ; t;_ Jp ;; . ! Juan and Evelyn Reyes . F :�g2 _ 67 North Shore Road •`�� PN Valley New York 10579 T Map # 51.15 -1 -3 NOS)- 3-2004 WED 10:59 TFL:945 -2 7R -7' 21 IJi=MF: Pi ITNAM f fli INTY f1FPAPTMPMT f1F P � Acting 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Reyes c/o Lynfield 82 Oscawana Heights Rd. Putnam Valley, NY 10579 June 16, 2003 Re: Addition - Reyes, 67 North Shore Rd. No Increases in Number of Bedrooms (T)Putnam Valley, TM #51.15 -1 -3 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 this Department dated June 13, 2003 The addition is approved with the following conditions. toj, ld 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. 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. ML: hn cc:BI Very truly yours, 1 Michael Luke Public Health Technician JUL -8 -2003 23:27 FROM:LYNFIELD ARCHITECTS 8455282010 LORETTA MOLINARI R.N., M.S.N. Acting Public Health Director Director of Patient Services TO:2787921 P.2 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 Reyes c/o Lynfield 82 Oscawana Heights Rd. Putnam Valley, NY 10579 June 16, 2003 Re: Addition - Reyes, 67 North Shore Rd. No Increases in Number of Bedrooms (T)Putnam Valley, TM##51.15 -1 -3 ROBERT J. BONDI County Executive 1 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 June 13, 2003 The addition is approved with the following conditions. ...._a ... _ __ .__ 1. T11�t.,ca► l�url,uer of bedraoms-„�ast- re�nam -art t�'7vtth0u:' prtt3r- aPprctel4 y.::3hi -� .:...._ �......_ _ - -- __ ..,........_.. 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. M.L:lm cc:BI Very truly yours, Michael Luke Public Health Technician T111- 9 -?AGt3 WED 10:29 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 Acting 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Reyes c/o Lynfield 82 Oscawana Heights Rd. Putnam Valley, NY 10579 Dear Mr. & Mrs. Reyes: County Executive June 10, 2003 Re: Addition - Reyes, 67 North Shore Rd. (T)Putnam Valley, TM #51.15 -1 -3 I have received and reviewed the plans for the proposed addition at the above mentioned residence. The plans indicate that the proposed addition will consist of the following: . , .ingn2Lroom.extension. A°second storm a. kr a s anddr Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The Family Room is considered a potential bedroom. 2. The legal bedroom count for the dwelling is three . The potential bedroom count of the dwelling with your proposed addition is four . 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. 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. ML: hn Very truly yours, Michael Luke Public Health Technician PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE i)ISPOSAL SYSTEM REPA c OFFICIAL USE ONLY SITE LOCATION OWNER'S NAME MAILING ADDRESS PERSON INTERVIEWED !)Gt.c:.c�t,�r (k'le ��.� ICLI le A PCHD Complaint # j Name a ations ip L , Mier, teen Dt, etc j— DATE PROPOSED INS ADDRESS TYPE FACILITY �, PHONE 4qE� LZg —q3 7e) REGISTRATION# Proposal (include sketch locating all adjacent wells): I NOTE: 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. Add4,N),l lv howi,& wq turf 0_i6 U ol s-eoh;. -OVI e: f d ropeeted agent_ _owner agree.tn the con. 'ons stated on this form. SIGNATURE ` y TITLE �y �/� DATE 6 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 components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC-RP 99NE /0 -3 Z> 3 DATE 82 Oscawana Heights Road Putnam Valley, New_York 10579 - 2304 tel 845 528 0068 fax 845 528 2010 e- mailijklra @bestweb.net transmitt ''a,l` To: Mike Luke, Health Official From: Jacqueline Lynfield County of Putnam Dept. of Environmental Services, 4 Geneva Road Brewster, NY 10509 Fax: 845 278 7921 Pages: 4 inc.this page f i _ Phone 845 278 6130 Date: 04/30/03 Reyes Residence:. ::. Re: 67 North Shore Road CC: Reyes Putnam Valley NY TM#51.1&1 -3 Urgent X For Review X Please Comment X Please Reply X Please Recycle • Comments: Please find-attached:.... - - • Application for Health department',teview and approval. • A -1 DATED 04.26.03: Existing and PROPOSED 1ST & 2"d Floor Plans • Annotated Survey showing proposed addition, existing well and septic area. The <: tank needs to be 1relocated to, put the addition in. <<:. • Bedroom count from Town Hall verifying 3 bedrooms. • Money Order for $100.00 Let me know if you need further clarification. Thank you so much. TJ�W i V►2 Lynfelchitects + %n r'r Putnam Valley, New York 10579 845 528 0068 BRUCE R 0LEY 4 Yubilc ',HA— ill "'I3irec�or DEPARTMENT OF HBALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 1o509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 —i:k6 —/ / STREET or S 00 OW TOW TX MAP # 0 • I ® � NAME �� PHONE PCHD # - MAILING ADDRESS 6 7 t/, S H 0 9 9 40 P )-PJ Arm y LL y J05 �9 ,yY DESCRIPTION OF ADDITION 2. f ry a i A, 0 A / T1 ®� NUMBER OF EMSTYNG BEIDROOMS� PROPOSED # OF (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval ofplans (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. QFFICE USE comments 0, ,,:.•Y., Jvc all 00110; 1 to •,�M1 .af`...:- ��" tin O o, �� to ''�' ,• �/'. i R j e ,'`' 4 ` ' BRUCE R. FOLEY LORMA MOLD44JU R.N., M.S.N. Public Health Director Associate Public Health Director � w I OI Director of Patient Services _ 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 -7921 Nursing SO-Ara (845) 278 - 6558 WIC (845) 278 - 6678 Fax (84S) 278 - 608S Early htervmtlon (845)279-6014 Preabool (845)279-M Fu (845) 278 - 6648 Putnam County Dept. of health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: ROAA& Residence Tax Map 5 d - Town 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 M-91-i 401 BPhouseguidelines a 6 82 Oscawana Heights Road Putnam Valley, New York 10579 - 2304 tel 845 528 0068 fax 845 528 2010 e-mail jklra @bestweb.net transmittal To: 4Ueneva KOM BrewsteF-, NY 1 -WUUI: From: Jacqueline Lynfield Fax: 845 278 7921 Pages: 4 inc.this page Phone 845 278 6130 Date: 06/11/03 Reyes Residence Re: 67 North Shore Road CC: Reyes Putnam Valley NY TNI#k51.15 -1 -3 Urgent X For Review X Please Comment X Please Reply X Please Recycle • Comments: Please find attached- As per our phone conversation yesterday, • A -1 DATED 06.10.03: Existing and PROPOSED 18T & 2nd Floor Plans Revised to show the low wall between the family room and stair. Let me know if you need further clarification. Thank you so much.