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52. -2 -19
BOX 22
02578
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SHERLITAAMLER, MD, MS, FAAP ;
'Commissioner of Health
LORETTA MOL:INARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE� < a
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509 e
ADDITION APPLICATION RESIDENTIAL ONLY
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Q <<� 415 l�J $(00
STREET Q� i„/��l a TOWN �c i5•n �� /!�y TAX MAP # �2. - 2 J?
n.n e 4 ,' PHONE 71Y- �( 193 PCHD# 'Q ,
MAILING
ADDRIESS 7 he.,' b I? Z /0s77
DESCRIPTION OF
ADDITION
NUMBER OF EXISTING BEDROOMS' 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 County Health Dept., 1 Geneva Rd,
Brew ter, NY 10509, Phone: (845) 278 -6130:
1. Certified check or money order for $100.00.
.Sketches of existing.floor plan (drawn to scale, all living area including basement, !o be
"shawn and dimensioned and use of each room specified)." (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale - with name, street and tax map #)
* Non- professional sketches are acceptable and preferred. (See Section 3A of Bulletin
� HA -1)
/4. Copy of survey showing all well and. septic locations. on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
•�5. .Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling:
OFFICE USE ..
COMMENTS "
s.
Environmental. Health (845)278-61'30 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 . Fax (845) 225 -5418
Nursing Services (845).278-6558 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention /Preschool (845) 228 -2847 Fax (845) 2251580
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SHERLITA AMLER, MD, MS, FAAP
Commissioner -of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Assis
ROBERT J. BONDI
.County Executive
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
Town Legal Bedroom Count & Proposed Addition Status
Re: KRATTNG (Owner's Name)
Tax Map # 52.-2-19
Address: 89 Oscawana Heights Rd.
Town: putn�m ual�
Year Built:. 1940
According to records maintained by the Town, the above noted dwelling,
is . Xx in compliance with Town Code.
Is not in compliance with Town Code.
The Legal Bedroom Count is: 2
This information has been obtained from:
Certificate of .Occupancy:
Other: Assessor's Records
The plans for the proposed addition are considered:
New Construction
xx Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
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6.
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
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention /Preschool (845) 228 -2847 Fax.(845) 225 -1580
SHERUTA AMLER, MD, MS, FAAP
Commissioner ofHealth
ROBERT MORRIS, PE
Director ofEmdron mental- Health- .
Daniel Keating
89 Oscawana Heights Road
Putnam Valley, NY 10579
Dear Mr. Keating:
DEPARTMENT OF
HEALTH
1 Geneva Road, .Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
PAUL ELDMGE
Cmmty Executive
April 12, 2011
Re: Addition- A- 040 -11
No Increase in Number of Bedrooms
89 Oscawana Heights Road
(T) Putnam Valley, T.M. 52. -2 -19
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 April 11, 2011. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at two 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, Le., new low flush
toilets, restrictors for shower_heads and.faucets- etc. -.. -
�" 4: rl llis Department recomiriends you contact your local Buildiiig'Departinent to ensure -
setbacks and other current codes can be met.
:5. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals
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 (845) 808 -1390, ext. 43261.
Sincerely,
Gene D. Reed
Senior Engineering Aide
GDlt:cw
cc: BI, (T) Putnam Valley
Eastern States Septic Co.
P. 0. Box 161
Mohegan Lake, NY 10547
(9141845)528-6842
Bill To..
Philip Keating
P.O. Box 7
Putnam Valley, NY 10579
Invoice
'
Date Invoic e No
911312008 5122
Remit To:
Eastern States Septic Co.
P.O. Box 161
Mohegan Lake, AT 10547
Please Return Top Portion With Payment
Account Number
Telephone
Due Date
Tank Size
Next Cleaning
Terms
63743/401
845-526-3743
9/13/2008
500 Gallons
04/03
C.O.b.
Job Item
Descriptons
Quantity
Rate
Amount
Dye Test
Dye Test/ Inspection
Job address: 89 Oscawana Heights Road,
Putnam Valley, NY 10579
Thank you for choosing
Eastern States Septic Co., We
appreciate your business!
125.00
125. OOT
Sub Total
$125.00
Sales Tax (8.375%)
$10.4
Charge it, We accept, Mastercard and Visa
Thank you for your business.
FAmount Due $135.47
INDIVIDUAL SEWAGE SYSTEM
Septic Inspecdon
Property Location: 89 Oscawana His. Road Putnam Valley, NY 10579
This statement presents the findings of a visual inspection of the accessible surface areas at the
time of inspection. The inspection was made primarily for the detection of septic failure.
Eastern States Septic Co., makes no representation, guarantee or warranty, expressed or implied,
concerning this inspection and assumes no liability.
The -foll. ing areas were performed at the inspection.
1. Dye Test
As a result of our inspection, the following was noted:
We performed a dye test at the above address to determine the adequacy of the septic fields!
Our test was done by adding a portion of green dye directly into the septic tank and running the
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water directly into the septic for a 15 minute period. Upon doing so, we walk the parameter of
the location and also the fields looking for signs of leaching or green dye coming out of the
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ground, their was none visible at this time. We returned to the property the next day (24 hours)
;
and did a visual inspection of the property once again and still found NO leaching coming out of
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the ground at that time. Also note that the water level inside the septic. tank was at a normal
This property has passed our Septic inspection!
Inspector ',w�l r"° Date q - ! -!�' - v
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VU IiYAIIi UUUNI1' U::",d -I IYEtlVI Ut MALIN
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
REDRGOMS 1 - O /0
VW017 ;2-
_ ALL SUBSEQUENT REVISION!ALTERATIONS TO THESE HOUSE
T- TlITR T .-T C 7� -.F-� �". p -- -- - --
' PLANS MUST BE SUBMITTED TO IiIE PCDOH FOR APPROVAL,
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