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BRUCE . R. - FOLEY_... _...... -.._.: _._ .. -.. .
Public Health Director -
Ka.tzban & Farkouh
669 Oscawana Lake Rd.
Putnam Valley NY 10579
LORETTA. MOLINARI R.N.—M.S.M.- .
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York, 10509
Euvironmeutal Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648
WIC (914) 278 - 6678 Fax (914) 278 - 6085 June 10, 1999
Re: Addition - Katzban/Farkouh - Oscawa.na Lk. Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax 4 51.19 -1 -24.2
Dear Mr. Katzban & Ms. Farkouh:
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 10. 1999 The addition is approved with the following
conditions.
1. The total number of bedrooms must remain at Two without prior approval by
this department.
The:area:o£lthe existin gswage disposal system, and its expanstao- rea;
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.
MIAg
cc:BI
Very truly yours,
'4
Michael Luke
Public Health Technician
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5E5 SHOWN 14ERE014 BEING A 46.118 AC. PARCEL AS SM, O►1
✓1510N OF PROPERTY PREPARED POP OSCAWANA ACRES INC.'
IAP FILED IN THE PUTNA► -1 COUNTY CLOP '3 OF-rICE OH
15 50 AS MAP No. 5 67 A.
6120 AC.
PUTNAM COUNTY DEPARTMENT OF HEALTH
]DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVUDAL ADDITION/REPAIR FORM
SECTION A: GENERAL INFORMATION I /
Name of ]Project ' �c q d 5�-6w� L4T)(V) • V �. TM#
Year of Construction Size of Parcel
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
I
1. 1161y ❑Rolling []Steep Slope Gentle Slope ❑Flat
2. ❑Evidence of wetland []Low area subject to flooding Aodies of water
❑Drainage ditches Rock outcrop
YES NO
3. Property lines evident? ❑
4. Water courses exist on, or adjacent to parcel: S '`✓'
5. Existiing individual wells within 200ft of the existing SSTS? ❑
SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS)
I.- Physical character of existin SSTS area.
A. ❑Level Gentle Slope C3 Steep slope
B. ❑ Well drained Moderately well drained
❑Somewhat poorly drained ❑Poorly drained
C. Area available for SSTS. (Primary & Reserve)
❑Extremely limited ❑Somewhat limited equate ft x ft
CM
D. INSPECTION Date c % Inspector
P -
\o evidence of failure lEviden'ce of failure ®Evidence of seasonal failure
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r.�
(1) Indicate location of SSTS J
A. Size and type of septic tank gallons
73%iletal M Concrete ®Plastic
B. Type of absorption area
1. Fields ft. 2. Pits 3. Gallies ft.
(2) Indicate setbacks, front street, backyard, and side yard dimensions
(3) Show location of well
(4) Show location of driveway
(5) Note physical features (steep slopes, rock outcrops, streams /wetlands)
SECTION E. EXISTING WATER SUPPLY
TIPWS []Shared well Individual
rilled []Duo, ®Casino above ground
CO NTS:
REPAIRS ONLY: Status:
As Built Inspection Required: As Built Submitted:
As Built Inspection Done: Inspector:
GERRY KATZBAN and CORINNE FARKOUH
669 OSCAWANA LAKE ROAD PUTNAM VALLEY NEW YORK
SECOND FLOOR PU1N VIEW: EXISTING STRUCTURE
1YG0 V 7 T 4' S
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY'.
BEDROOMS
Signatle
Date
22'9-
TM No: 51.19 -1 -024.2
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[1st FLOOR I
closet
tubby landing
UP
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2nd FLOOR zz
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bedroom
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TM No: 51.19 -1 -024.2
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GERRY KATZBAN and CORINNE FARKOUH TM No: 51.19-1 -024.2
669 OSCAWANA LAKE ROAD PUTNAM VALLEY NEW YORK
1r 6' 0 T 7 3' 4' S
PROPOSED DINING ROOM ADDITION
22'9°
GERRY KATZBAN and CORINNE FARKOUH
669 OSCAWANA LAKE ROAD PUTNAM VALLEY NEW YORK
12'W0 r z T W s
FIRST FLOOR PLAN VIEW: EXISTING STRUCTURE
TM No: 51.19 -1 -024.2
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DEPA.RTNENT , OF HEALTH,
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
BRUCE R. FOLEY
- - - • -- - -Public health _ D „irectgr,.. .
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET &&q DsQAwANA u41ZD- TOWN yvrw'O'” TXMAP # Sl. 19 -t- 0Z4. Z
C. EizraY KArz3Rn1
NAME coraWNE FArzIGOUH PHONE 6u. - 37 I cs PCHD #
MAILING ADDRESS -&(o i OSGAWArIA t.AK,E RD. Py'rr4ANI VA�, My_, /05'7i
DESCRIPTION OF ADDITION DINT N4 tznoM ON E)415 -rJ1V4 DELK AWA
NUMBER OF EXISTING BEDROOMS Z PROPOSED # OF BEDROOMS 2 (szme
(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 sulilriifthis form and the-foilowing to P utnam-eoW4 Health Dept.; 4-Geneva Rd.,_..-. - -
Brewster, NY 10509, Phone 278 -6130.
1. Certified check or money order for $100.00
2. Sketches of existing floor plan (drawn to scale, all living area includ' asement) mwE
* Non - professional sketches are acceptable
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #)
* Non - professional sketches are acceptable
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date
of installation if known. Label all wells and septic systems within 200 feet of the property line.
Contact this office with any questions.
5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling.
OFFICE USE
Comments
Feb 98
s•
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 .Geneva Road, Brewster, New York 10509
(914) 278 -6130
BRUCE R. FOLEY, R.$
Acting Public Health Director
Putnam County Dept. of Health
4 Geneva Road 51 I
Brewster, NY 10509 .1
Re: kE6y� cket4
Residence
y
Tax Map
Town , �allc
Gentlemen:
According to records maintained by the ToNNm, the above noted dwelling
IS
IS NOT
in compliance with To,.vn code and the total number of bedrooms on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER e5
7--
Building Inspector