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Home My WebLink About2551DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.19 -1 -38 BOX 22 I 1 I ILI f r LL. I 02551 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health 9 'G. ►l ► 1 OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET CJ 5 C6► wcw%o, Lcl k e- Qoa-TOWN Fq+n4m Jkll TAXMALPC�1,64_?-,��' 90 -ZzS— 1� S 1\fAME_� �- e,v c,n La w re nce PHONE �� `15,294-21-735 _ PCHD# -� MAMING ADDRESS CJ 9 0 SCAwA�d L-a 1Ce o g Fuha, Vkll4zj NH: 105-79 DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS 3 ' PROPOSED # OF BEDROOMS 3 (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 Dot., 1 Geneva Rd, B,- ewster NY.1- 0509,.Phone: (845)278-6136.-- Certified check or money order for $100.00. 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. 1 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 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 InterventioniPreschool (845.) 278 -6014 Fax (845) 278 -6648 6 '4 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MS-K. Associate Commissioner of Health Steven Lawrence 659 Oscawana Lake Road Putnam Valley, NY 10579 Dear Mr. Lawrence: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Fxecutive - ROBERT MORRIS, PE Director of Environmental Health April 14, 2008 Re: Addition — Application Incomplete — A- 055 -08 659 Oscawana Lake Road (T) Putnam Valley, TM # 51.19 -1 -38 Review of plans and other supporting documents. submitted at this time relative to the above regarded project has been completed. The following information is requested in order to complete a full review: 1. Please provide a ceiling height on the proposed plans for all rooms to be constructed along V,rith the playroomr: ._ ... ... .... ... .. ... .. .{ . ..- -r ... y _ .. -. 2. All rooms need to be labeled as to their use. 3. The playroom indicates "not finished ". If this note is in error, please remove it from the plan. If it is not in error it will be assumed that the room will not be finished. Upon a receipt of a submission, revised to reflect the above comments, this application will be considered further. GDR:kly Sincerely, Gene D. Reed Sr. Environmental Engineering Aide 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 14 y SHERLITA AMLER, MD, MS, FAAP Commissioner of H&1th `" ` ` - ' LORETTA MOLINARI, RN, MSN Associate Commissioner of Health. DEPARTMENT DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 16509 Town Legal Bedroom Count ROBERT. J.. BONDI . - `County Executive - - Re: LAW R EW ('_� (Owner's Name) Tax Map #: 1. - 1-35S Address: %4 C- L Town: PJ k Year Built: Accord to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: "Y- 1 l.E' Building Inspector 4 A loa/ Dat Environmental Health (845) 278 -6130 Fax (845) 278 -7921 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 O 1 1 l 1 i CERTIFICATE OF OCCUPANCY 'Certificate of Occupancy No ... ?.P.., %.? .. Applicatign. No.;w. G' ,r',.�...... ation of remisesj-:.a. r......... :.:�: «i� �„_t - 1 :....: ............. ' <�.. t: sir.... ....r...s..,- :.......f ............. of .Gl............. JJ ......1 .. ,r ...�. having heretofore filed an application for a building permit pursuant to'. the Zofung Ordiifdnce, Sanitary Code and the Laws in effect in the Town of Putnam Valley, Putnam County, New York, having paid the required fee therefor and the undersigned, having by personal inspection ascertained that the applicant has subsequently proceeded with the erection or improvement of the proposed struc- ture in compliance with the requirements of the laws as aforementioned and that the said work *' and materials met every requirement of the laws as aforementioned and that the premises have now been fully completed and are ready for occupancy pursuant to the provisions of law, Now, therefore, this certificate of occupancy is hereby issued under the seal of the Town of Putnam t Valley this ....r... ... day of ... ,. ✓:, .. :........., 194 Not valid unless signed in ink by a duly authorized agent TOWN F PUTNAM VAI.I� Y,W YORK of and under the seal of the Town of Putnam Valley. �� f !�"';"�'" !` r. a 0 0 2 .............. 1961P 'ine District ....... TOWN OF PUTNAM VALLEY PERMIT RECORD N2 W- 293 'ion is de for..... ................................... -to - s I art..,...:: :.047 1 ...... A .................. 010 ........... ..... 'C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of Premises–Street or Road .......... .......... (;........ ... 41� ......................... BLOCK ........................... LOT ....... 3.,r. ........... FRONTAGE ............................................ Depth ........................... Rear ........................... iS (other description) or number of square feet .... .......... ........... 3 .. ...... .......... L .......... ...... ................................ ...... ..... hl ................. . . ............... )WNE .... ........ ROOFING LAND USE CONST. I I Dimension of Building 6) /Depth Stories Type Foundation .................. /.R .... Size & Use Each ................................. Room with Window Area ....... A'? ................................................. . �.. ........................... ....... W "N - Sewerage Type ................ t..4; - ''. 44 Size of Septic Tank .......... .. % /00 .. ........... Lineal Ft. Drainage ..... .... ................. I - k�e�� Size of Dry Wells ... ......... Plumbing /."..� Description)3..r- .......... `.. /..f Well 70 Description/ ' ........... . . . ....................... Additional Information30,2, I ........................... ............................................. �!rs Y"''' ................ --This -applicati�n must be- ac;i6mpanieiclby a c'Zpy surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ ........... Building $.... ....... . .............. Sanitary C " I AUI�_ - $......... ......................... Plumbing $ .... ..... r—I .............. . Well 0 ''t'i m Z W Uj Uj :) Z T_ Will W X Ln Z 0 LO CD 7- .1Z1 0. 3�u I Family Wood' Ycc Wood Shingle Paved 2 Family Steel Asb. Shingle Dirt Log Cabin 1 Brick OZ Tile Oiled Bungalow W U Concrete Metal Swamp Z Apartment Stone Brook Store FNDTNS. INTERIOR �z Lake F. Store & Apt. a Stone Rooms Dams Store. & Office Concrete Apt. Rooms 0 0 W o ! Z i Sw. Pools Office Blocks Apt. Ten. Courts Gas Station Brick Attic Open Garage Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns BAS ENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement loor Log X Encl. Electric Finished Shingle misc. Phone Garage B. Comp. I Furnace Fiefd Stone 6) /Depth Stories Type Foundation .................. /.R .... Size & Use Each ................................. Room with Window Area ....... A'? ................................................. . �.. ........................... ....... W "N - Sewerage Type ................ t..4; - ''. 44 Size of Septic Tank .......... .. % /00 .. ........... Lineal Ft. Drainage ..... .... ................. I - k�e�� Size of Dry Wells ... ......... Plumbing /."..� Description)3..r- .......... `.. /..f Well 70 Description/ ' ........... . . . ....................... Additional Information30,2, I ........................... ............................................. �!rs Y"''' ................ --This -applicati�n must be- ac;i6mpanieiclby a c'Zpy surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ ........... Building $.... ....... . .............. Sanitary C " I AUI�_ - $......... ......................... Plumbing $ .... ..... r—I .............. . Well 0 ''t'i m Z W Uj Uj :) Z T_ Will W X Ln Z 0 LO CD 7- .1Z1 0. 3�u Ycc 05 0 0 1 _Z OZ W U Z, O i Z �z 1.J 7 a Z Ce C� Uj 3: L) 0 0 W o ! Z i VMLL LOCATIC Draw a ground, loca areas, swamp systems for and distance Q IM VALLEY - Department of Health = Division of Sanitation DESIGN DATA SHEET dated at... ..... .. CArNERINOde o.�':��:.. tArshed,FfeoNTi:t 4�CE17, ,E�L Location:. QSC.A Block... c . _..... . -_. . Lot....::. , 3 9 Lot Area:.. 30 a 43 S. Bldg.. Type Occupancy. irce of water supply: Llled- driven -dug well- spring - public OF ROOMS: .. <r....... Bedrooms_-. ,.. _.... Future.t ! ,Y.*.,V! . " L 'TURF,S: Kitchen- dishwasher. .. Garbage - grinder...... Bathrooms. . Automatic laundry.l.`.:. Other. . .................c............ .AGE FLOW: 200 gal. /bedroom).......... .. ................... Increased capacity required for garbage grinder -� � 50% ) IK Cb.P�1CITY: -/AW . gallons below flow line; depth air space......... X, M&TERIkL: total depth.......... liquid depth......... width length ............... partition............ L TESTS: lst ...........min.; 2d ...........min..; 3d ...........min. 1 to 5 -foot depth ...........................how known.............. is made by ....................................... when............... ORPTION RATE allowed ........ g.p.s.f.p.d.; Checked by ............. loos....... Rate....... Requires.. -�A sq.ft. botto)y area in trenches vided by (describe absorption field)cv2,`�0 ............ distribution box provided..'; ..... 3LE AREA AVbILABLE ON PREMISES: .....�....... ................ INAGE OF LAND..(show on artificial ............. curtain drain...................... drained usable area MUST be rovided before aigproval is issued. M-18 OU D an must show all pertinent features, north point-, -- lines, existing structures, driveways, water or gas lines, :r courses, wells, springs, dry wells or drains for roof or area .nage; DISTANCES BETWEEN SUCH FEATURES: COMPLETE PLANS FOR ADEQUATE :NAGS OF SE7AGE DISPOSAL AREA -all details of workable sewage system. SUE'MITTED BY: �2 date Signature !r(''S; Builder( ); if corporation, give title existing field ked by: records ( ): inspection ( ) by date I� j:'�� 777G•�o.JD�/ 'JG /_- �.,•L7fJ1� �svn.. .6 ob ii / r.c� o3�a /'d•cuo� sa•„% c- o� ✓��r v�,Y ;� f/�.� O'o is dr fo ha��ns ai/f f �Yr' �f �a�qa ,ZqY °/o '✓D(.Gr sifr� .�/oow c�:,^ �v ;�a��rs' :y,: ✓ ✓o�%,' %��Dci�'c/ 7�,t ^,-.;'c?7/j.'sn d� fE7S��d /J (,I"'OJCuoufnd ay�ui/5��f „-) v;' "s »�y f° y 10 S p, T,d d;.3 �:2d go x 3lldns . 67b�n_ { i's �., "I `n c� r� � ` •� v 6f 107 \ �� r. - /1 i. j ") 7 > p 1i i t ! t t. s! nUtiA N U O 04-5 q gg q A ' �idOH o ' � N Z: 111 !1 OF AL 23Sas- .d,s/JYdC7 ArtSZWD / if / v" AMA" "FIC !U /sr,W EN S/LSVG omck- SfiEAr,V /N[ SNSl�UJ770A, a N zry raccE swxz� /IV „PL stiaz Pew S�-eVcv� LE1wrCV%c,L 1e S9 dSco wanes �q kC �da �. Pu4,t- vh 1(<j w Ll. e-5-19 5-•S/u 9 =8'� .O- y_ E, G "P/IR %I % /D.I� K /TGNEU SETS ?t 41"Y X :Y4 M'ULUON I a Q a N 9 i 112 C.D. 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