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Home My WebLink About2520DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.15 -1 -10 BOX 22 02520 r 1 r J 02520 OWNE SITE MAIL: PERS( Name & Relationship (i.e, owner,tenant, etc.) DATE TYPE FACILITY I A&Z PROPOSED INSTALLER PHONE 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 from licensed professional engineer or registered architect. Proposal approved Proposal Disapproved J � 's Signature S' T 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 Map number. c. Location of installed camponents 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 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 of owner agree to the above conditions. SIGNATURE TITLE DATE FUS: WAbe (FCfD): YeUcw (Tam ED; Pink (Appliamt) /Date 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 Map number. c. Location of installed camponents 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 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 of owner agree to the above conditions. SIGNATURE TITLE DATE FUS: WAbe (FCfD): YeUcw (Tam ED; Pink (Appliamt) Oct 12 07 01:35p BUILDING DEPT 9145268806 p.2 BRUCE R. FOLEY Public Health Director LORETTA MOLINA —xU R.N., M.S.N. Associate Public Health Director Director. of Patient Services DEPART ENT OF IMA.i.,TH I Geneva Road Brewster, New York 10509 i 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 August 28, 2001 Emily & Henry Martinez North Shore Rd. Putnam Valley, NY Re: Addition- Martinez - North Shore Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax #51.15 -1 -10 Dear Mr. & Mrs. Martinez: 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 August 27; 2001 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three Maid Residence & 'two in Guest . : louse withoui p'rio'r approval by this departineiit. , - .. . - .. . " . + • 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 Putnamm Valley, If you have any questions, please contact me at your convenience. Very truly your ,_ -- ---- William Hedges WH:kg Senior Public Health Sanitarian cc: BI Cfj;�! Oct 12 07 01:35p BUILDING DEPT 21. Substitutions or equipment or materWs Wier than those shown on the Drawings or In the Specifications shall be made only upon approval of the Architect or Owner as noted on the Drawings or In these Specifications. The Contractor shall submit his substitution for approval before releasing any order for fabrication and/or shipment. The Architect reserves the right to disapprove such substitution, provided in his sole opinionr- the item - offered Islioi the. equal, of the.item. spa; i Qd: ;; lLyhgtp a. optirolflt pr3�i;sc s to' ' _- •use eriit$rii'other titan that specified or detailed on the Drawings, which requires any redesign of the structure, partitions, piping, wiring, or of any other part of the technical, electrical or architectural layout, ail such redesign, and all new drawings and cetailing required therefore shall, with the approval of the Architect be prepared by the Contractor at his own expense. 22. All work shall be installed so that all parts required are readily accessible for Inspection, operation, maintenance and repair. Minor deviations from the Drawings may be made to accompllsh this but changes of magnitude shall not be made without prior written approval from the Architect. 23. Upon completion of the Work, the entire project is to be completely cleaned and the site restored to existing condition, including, but limited to, the following, Complete sweeping of all areas, and removal of all rubbish and debris, except that caused by Owner or others doing N.I.C. Work. All wet mopping not in this Contract Removal of all temporary enclosures and barricades, all temporary offices, telephones, sanitary facilities, etc. Removal of all labels from the glass, fixtures, and equipment, etc., and spray cleaning of all glass/mirrors. Removal of stains and paints from glass, hardware, finished flooring, cabinets, etc. Final cleaning of all chrome and aluminum metal work. Re -g: ade affected areas In prepartion for seeding and or planting of shrubs. Contractor to provide new grass seed In affected areas and protect it until growth r egins. C-0 PUTNAM COUMDEPART!►lPMT 02t TOUSB PLANS -OPR0 FOR BEDROOM COUNT ONLY; —14--BEDROOM Signature & Title ... - . Daft ttr� 91��`' :sea, designs, arpsngvmants Tana Indlcatod or ropheaa0tad s drawing am owned by, and a property of Rc.ler W. Hoffmann, :eel and were created, evolved and ')sod for use am and In connecttoa the apedlled project Nona of such 08518113, 8rrangeme I3 or plane ;a used by or thsdosed to any purpose wevor without the written permlaslon Pr W. Hohmann. Architect, written dimenalono w, PJS drawing Shall have preeedonce ovor scaled dimensions. Contraaors shall verify and be responsible for, all drnlensions and cond 1'ons an tra job anti this omco must ba nofinad of any variations from dirnanslons and conditions shown by these drawings. Shop details must be autvnlhod to thla Draw for approval before proceading with fabrication. Copyright 2000 Roger W. Hoffmaaa, Architect All rights rosanet . LEGAL NOTICE; Artorations, by any parson, in any way of any Rem contained on this dotx ML unlass .::xtng undo, ,ho dlmcUon of tte kcensud Architect whose professional seat Ib affixed hereto, is a violation of Tble Vlll, Section 89.5 (b) of the New York State Law. 9145268806 p.3 4 a � C T IS nl m y 't m a O I �•t o w z CD U F o Q 1CD E 7 C 130 C •Cr lu Ju +# v7i viii n �� T 1CD E 7 C 130 C •Cr Sheet of� PUTNAM COUNTY DEPARTMENT OF HEALTH I3iiliii OF ?.Ni .'II:CNMENTAL HEA -II-SERVICES ;Sf3Ti�'i�t,5 - FIELD ACTIVITY REPORT T11T A x AT7. 7�kA�� 70- ----- - - - - -- Tel: - - - -- Street PERSON IN CHARGE Iv, sweizc Ao Pvr&1vm V,4119c Town State Zip ow!5 MOM -E7 ba : X� /el 7 .te _ -- Name -and Title TYPE OF FACILITY: CO3eV &4J,N 7 (/P,6 / #/— /,�y ao ,4 fit, o/v J&� —ilc- i zJi r 6ey,0 _ /0L) F ayo ,pu, ri Ate" 0 A � If-ulZ. ,0 /9�a mjr 00CA 4 t)D Je1F.QA Cwr P4914rN Sib A-0 I acknowledge receipt of this report: SIGNATURE: 02/96 Rev. Oct 12 07 01:35p BUILDING DEPT 9145268806 P.1 TOWN OF PUTNAM VALLEY FACSIMILE TRANSMITTAL SHEET TO: FROM: J. PARAVATI DOREEN COMPANY: DATE: PCHD 10/12/2007, FAX NUMBER-- TOTAL NO. OF PAGES INCLUDING COVER-, 278-7921 3 PHONE NUMBER: SENDER'S REFERENCE NUMBER: RE: YOUR REFERENCE NUMBER: MARTINEZ TM#51.15-1-10 ❑ URGENT X FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES /COMMENTS: HI JOE: I GIECKED FURTHER IN OUR BUILDING FILE AND FOUND T14E APPROVAL FROM YOUR OFFICE (PLANS) AS WELL AS THE IHITER APPROVAL. IF ANYTHING FURTHER IS NEEDED, CALL ME. DOREEN- 265 OSCAWNA LAKE ROAD PUTNAM VALLEY, NY 10579 (845) 526-23776/FAX (845) 526-8806 •.BRUCE' K. -MtEY Public Health Director DEPARTMENT OF B EALTH -1 Geneva Road Brewster, New York 10509 LORETTA ` MOLINAM' it.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 August 28, 2001 a Emily & Henry Martinez North Shore Rd. Putnam Valley, NY Re: Addition- Martinez - North Shore Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax #51.15 -1 -10 Dear Mr. & Mrs. Martinez: 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 August 2727, 2001 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three Main Residence & Two in Guest House without prior approval by this department. . -.- :.: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 your William Hedges WH:kg Senior Public Health Sanitarian cc: BI 4 . „,_., BRUCE R. FOLEY Public "'iealth Director _ - -..- LORETTA MOLINARI RN., M.S.N. Associate 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 ,4Gc aa-9 , 7-? 200 1 ADDITION APPLICATION (RESIDENTIAL ONLY STREET /No 41 N sH4oxcc- yep . TOWN p1, j � X MAP9,3r/. is -- / -/o NA1ME MHR>' /y,�z ¢�E�vRY� PHONE &Ys - -Sz&- 2 °7i'L PCHD# o7'O l MAILING ADDRESS DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMSROPOSED # 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 ' l bmit this form acid the following to Putnam County Health Deptt., 4 Geneva Road, Brewster, NY x - 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 naive, 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 Feb98 BFhouseguidelines BRUCE R. FOLEY Public Health _ Director.. - -- - . DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. = Public- -Health -� ctor 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: " Vk Residence Tax Map J� •I5�—�- Town P &- According to records maintained by the Town, the above noted dwelling IS —N"- in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECOR D: �° OTHER ' , u � IA-? J'� Building Inspector BFhouseguidelines