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02659
PUIYVAM COWFrY HEALTH LwAraKlp2wr 01
DIVISION OF ENVIROIV MAL HEALTH SERVICES eJ 71yeAM
loSZS'
MPOSAL FOR SEWAGE DISPOSAL SYSTEM. -
�.
OWNER'S NAME L A k �. - r � � - b
_+� � K 7v��E� � kE PHONE �'ZC� 3 ?S'
SITE LOCATION X7510 f U,95(cq( hcc.Lew 11-1 TO 3-1, 3 +( 3
MAILING ADDRESS T f 'q`r!4-fk V d4 -LLe!4 e ' ht.•Y • cs �` 7 S
PERSON INTERVIEW PCHD Complaint #
r Name & Relationship (i.e, owner,tenant, etc.)
DATE &/it / g 7 TYPE FACILITY
PROPOSED INSTALLER Mk w 4" Ci m(a Z 1 " PHONE
REGISTRATION # I3?,
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 a Proposal Disapproved
2.
3.
Inspector's Signature & Title Date
)oral approved with the following conditions:
Procurement of any Town permit, if applicable.
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 canponents tied to two fixed points
d. System description (e.g., 1250 gal. concrete septic tank,
drywells surrounded by one foot + gravel).
e. Installer's name and number.
(e.g.,house corners).
three precast 6' diem. x 6' deep
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
US: White MU); YeUcw (M:kn HE); Pink (Anliamt)
3
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH[
I Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
]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
June 9, 2004
Ms. Altieri
956 Peekskill Hollow Road
Putnam Valley, NY 10579
Re: Addition - Altieri, Peekskill Hollow Road
No Increase in Number of Bedrooms
(T) Putnam Valley
53. -3 -13
Dear Ms. Altieri:
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 9, 2004 . The addition is approved with the following conditions.
- : - l : - The °total -n-amber-of bedi ours -must remain at _2.. without'prior approval liy this V._. .
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 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.
Sincerely,
Michael Luke
ML:cw Public Health Sanitarian
cc: BI (T) Putnam Valley
f
...._ ...�, ,. -B-RUCE' R. 'FOLEY nc_ v .•.. ..
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Roadr
Brewster, New York 10509
fi
D °
LORETTA MOLINARI R-N., M.S.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 Preschool (845) 278 -6082 Far (845) 278 -6648
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET Peel4it� TOWN kimmi to 10.4 TX MAPS
NA-NIE PHONE S45- 52g -31 I Z PcxDg 6 -0
MAILING ADDRESS Pe-6U hb Jooj �u:ilr�6 -vn
DESCRIPTION OF'ADDITION A" /G_ m
\
'LtiIBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS C�
(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., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order foi $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 k)
*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
C
v`
1.
n_ BRI3CE' -R. FOLEY '
Public Health Director
DEPARTMENT. OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.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) 218 - 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
Residence
Tax Map 131
Town :ut k —'
Gentlemen:
According to records maintained by the Town, the above noted dwelling
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:
OTHER
1
uilding Inspctor
BFhouseguidelines ,'`� �j�,
PUTNFfM O Y' 'MEMM, w
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DATE G
my*
PROPOSED INSTALLER
PHONE
A8 STRATI ON #
Pr 'off( include sketch locating .all .-.adjacent wells )1s
...
Id. IS SYS t emvn;�0 4
an ty ,,
ewagev,
'Or..
Different location requiretubmittal. tAI 1661: licensed professiorial, eng'l* neer 6r
propo,. .
3�o4 --architect,%7:
1FI10t(k4 T4H A 4-,*6 F, I- PIC
rtk itcr 140-�mt
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Proposal Disapproved
tr
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laha!
Date
..icipPrdvbdz with '-,.- uons:
n"'Procuremefit''of aij. 1 4 1)0%m f
0- 11, ', peqnit, 1
I.v -
r o S
�2`
fa 'sketch - duplicate e*wing..,,,.
b* -te:S
trdet Tom And Tax.: Map
- 'Location of in s Av caqmn ents'ti6d ''to two fixed points (e.g-.,house corners )i,
41�11 R&Qf
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leep,
VMte (MD); Ye] Low ftb n-bu; Pirk (,Adlicant)
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EDGE PA,,EO
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PEEKSKILL ...
105-00
POLE
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ASONRY
STONE ALL
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aeea
AREA., 1.1201 -+ i
48,7931 SO.Fl
N/F QURT.'H.
miil 6'i: " "R -, A, .50 R,
SWALE t-
6RINTON'/�;i;
.4-1 FORMERLY
MARIE GLANZ
V
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INGROUND
NZI Oj.. POOL
J
NOTES:
I. PREMISES ALSO KNOWN
AS 596 PEEKSKILL HOLLOW RD.
0
W
2.TOWN OF PUTNAM VALLEY TAX
-"4. MAP DESIGNATION: ',t
SECTION - 18
BLOCK - 4 00 ii
LOT -9 0.
3-TOWN OF CARMEL TAX MAP \ !:
DESIGNATION:'
SECTION -35.
BLOCK - I
LOT - N
CERTIFIED TO:
WEST PAC BANKING CORP
KENNETH PREGNO AGENCY LTD.
KPP 3357
JOHN S. ROMEO PC.
Conisdliny Engitwers& Load Siwve.yurs
I NORTHRIDGE.ROAD
PEEKSKILL. NEW YORK All certifications hereon are valid for this
BY: JOHN C.'HOFFMANN L.S. map and copies thereof only if said map or
'copies bear the impressed sea[ of the sur.
c. veyor whose signature appears hereon.
49= , sK6===
tl�k YORK STAWLICENSE NO.48355
R OA MENTS BELOW GRADE. IF ANY. NOT SHOWN
:t` * C'�
"It is hereby certified that this sury
prepared in accordance with the
Code of Practice for Land Survays'a-
by the New York State Associatio'n'
fessional Land Surveyors."
66'8.
H POLE Oo
REr. WALL SO+
\ 9�
15610011E. 49.171 WOOD FENCE
N.83e II 00 E. 68.83'
REMAINS STONE/' \
PrW FENCE RET WALL
N/F WILLIAM SCHNEIDER
& WENDY BOSSENDAHL
fPA OE �
O". tp
Oo, \
FENCE 0.94
' CLEAR •.f- \ �., :,
'FENCE \
(".O.W. AS Ali; �•'' STONE PER DEED ;.
WALK+ 7n1- Pe.261. .b�,d..
11i %k ?' SLATE CONC., }Ci {l
WALK.. _ _ ( - .. BRIDE
. 'n .'1f�..•1.
STOLE y
WALK iL. ILE'ti �OY.CLA, �I1`r•
o Ao .SLATE e �jFO /'{ •I. i
PATIO
Ay��/\ / WELL'
fr t 1 �.': �f l•. i•
GAR840E� STONE RET.
STONE t'
,1r, eIN. WALL.j.
I STORY: ° •ari
"j'- �"•�+iJR+:E:i.: ,. FRANEONC.
y \ RESIDENCE COVER
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PORC
Ply) Erl.
STONE
I
RET. WALL'?
N/F HEINRICH
11SUBDIVISION PLAT KNOWN `
;P AS HEINRICH PROPERTIES11
FM.1640 PARCEL I
QJ i
SURVEY OF
PROPERTY FOR
i
REPUTED TOWN LINE
r�+ c wr ER LINE OF SROOIL
i D
SITUATED IN
TOWN OF PUTNAM VALLEY
:.;•,:'
AND '
�*,Cerf�cations hereon are valid for Bank, ri .; TOWN OF CARMEL
`, tlo'J,Co..;b Owners for this transaction
to PUTNAM COUNTY
lyy7i�Certificationt are not tramFsrable to
iubcsquent Bank, Title Co, or Owners. SCALE 111 =20 SURVEYED MAY6,1991
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PUTNAM COUNTY DEPARTMENT OF HEAL7N
HOUSE PLANS APPROVED FOR;
BEDROOM COUNT ONLY,
2' BEOROOMS
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HOUSE PLANS APPROVED FOR
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Date