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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62. -1 -22 BOX 23 ma Ull, m ir I ru ,. J [ , , Ir r r . 02758 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 Located at 4 C Owner— Separate Sewerage System uilt by Consisting of 141400 Gal. Septic Tank Other requirements ?Iyc: vl/Al Town or Village Section /� Block Lot __Td3 Job Address r lineal Feet X 7� width trench. Water Supply: Public Supply From Private Supply Drilled By Address J Building Type ° d 4W !�" IF / No. of Bedrooms Date Permit Issued Has Erosion Control Been Completed? I certify that the system(s) as listed serving the above premises were constructed essentially as shown on a pF f lompleted work (copies of which are attached), and in ccordance with the standards, rules and regulations, plans filed, and the p mit he� rq,?- County Department of Health. Date Certified by • P.E. R.A. Address Liceynse No._, I Any person occupying premises served by the above system(s) shall promptly take such action as ne �t(q cure the correction of any unsanitar,,',' conditions resulting from such %usage. Approval of the separate sewerage system shall become vo o asi ,a pu1511c'sanitary sewer becorr, available and the approval of the private water supply shall become null and void when a public ply,' becom es . avaiieble. Such approvals subject to modification or change when, in the judgment of the 'oner of Health, such rlia mbdifiibmon, .— change is necessary. Date © By v �� Title s; PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 RESULTS OF EXAMINATION OF WATER OWNEE DATE RECEIVED CITY, VILLIAtE, TOWN VOR NAMt: OF SUPPLY DATE REPORTED BACTERIA PER ML. (Agar plate count at 350C). 4 COLIFORM GROUP (Most probable N6./100m1.) Its-% HARDNESS, TOTAL -ppm DETERGENTS - Ppm NITRATES (as N) - ppm IRON, TOTAL - ppm I FLOURIDE (F) - mg./l. These results indicate that the water was �(�L of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) e'. +' n> we •. = �..,�, .. --::. �.w:- 1.T T - rb..•,•.t =..V. K.::we'fn•r as h•MVA+..•0. vr:d :e>T'•iv 4 �' 6 M•� .•rpn�N .w /. /.J1 .w >I+�, .'. t. r... Owner or Purchaser o 7 Building Municipality Building Constructed by Section Location - Street Block IZ- Building Type Lot GUARANTY OF SEPARATE SEWAGE- SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his succes- sors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the-de- termination of the Director of the Division of Environmental Health Ser- �.i:ts 4' 'l'- ��llldii.{t) 2.t nFa t �i t.> C?_ -�- _. .J ui v :De r,. rr f 1Pa�� .:t'r..ro failure of the system to operate was caused by the willful or negligent act of the.occupant of the building utilizing the system . Dated this day of d 19'')& Signature ,2,- Title If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of-'Health Vr� ']PV'H1�IWI ®vrr��r �D]E� 'It'g'1�YE1�1'd �� A1L'd'18[][, = J Division of ,. Enwronmental Health Services, Carmel N. Y 10512 CONSTRUCTION .PERMIT .FOR ,SEUVA,GE ..DISPOSAL. SYSTEM i e Town or village wZ ` G t�d'a: •^^`n'%" <r1a: r'`- �EJG�i �'ntc./ 3 iii �_''•./.� 'Ri: �1;_[ Subdivision .Lot .. .43 J0 .. .; a owner r�e� f:G�Grd /w.4�P.f Address Building Type 1' d er! T!! Lot Area, 7 •` Number of Bedrooms ! Total Habitable Space Square Feet Separate Sewerage System, t, consist of VO Gal. Septic_Tank 24 0. lineal, feet X. '� width trench To be constructed by Address Water Supply, Public Supply From Private Supply to be drilled by , Address Other Requirements t I represent that I am wholly and completey responsible for:the design and location of the proposed system(s); 1) that the above - described will be constructed as showy on the,approved amendment there to and in accordance with the standards,.rulgi County Department of Health, and that oq completion thereof a "Certificate of Construction Compliance" satisfa ct,%o ' 4 be submitted to the Department, and a written. guarantee..will be furnished the owner, his successors, heirs or aa�-0�,�,,r���y place in good operating condition, any part of said sewage- disposal 'system during the period of two (2) year ArrQ' At ance of. the approval of the Certificate of Construction Compliance of the original system or any repairs the #eto_b��,¢'���t j will be located as shown on the approved plan anp•thit said well will be installed in accordance. with the standee, i' s ar County Depart ent of. Health. Date -� Address aU "12 %144101 APPROVED FOR CONSTRUCTION: This approval a pir revocable for,cause or may be amended,or.modified wheh requires :a new permit. Approved fo disposal of dome. e Date By _ Signed / .. • one year from the date issue .unless construction' nside d nec nary - by,tne Co Toner of Health. Sa ita►age pr' a Title er of Healthwill said builder will date of the issu- described above t the .'Putnarri Do �.._LZ__ R.A. ;nse No. $s,ndertake and is e011 el n of co struction 9 o. i m e PUTNAM COUNTY DEPARTMENT OF HEALTH Re: Property Located a Date of Jek- fr 13/9K r Lk Section Block Lot Gentlemen: 0 el, f� This letter is to authorize a duly licensed professional engineer or registered architect (Indicate) . to apply for a Construction Permit for a separate sewage system; to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County. Department of.Health, and to sign all nece$sary papers on my behalf in k:V1111CL1.1V41 wlirl. Liii5 ma[i.er anti to. supervise the eurlstrucciun of said system or systems in conformity with the provisions of Article 145 or ,y'7�= i"d2T�`at5r`i?- a�v� iiC" 2Tu' iii" i a-L A tary Code. • A s., r ddress Very + ;•Attobitbbbbbb Signe as +fit OF NEW yo s;.•'Fa�nc�s s�. �� A Countersigned ��Q� Gee P.E ., . k , A Telephone t 1 urs, pv� ne� of Pro er"ty Q-.-4 Address Telephone P' PUTNAM COUNTY DEPARTMENT OF HEALTH r q, - U r T COUNTY OFFICE BUILDING,_CARMEL, N. Y. 10512 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. e...-- Address Located at �lsitreet�g.:feAw"A� &"'SecIPo3P Block Lot 1-3 TH-Fi-c—aTe nearest cross �s4treet) Municipality/��/'�,O,.,., � ey Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION RM Elapse Depth to Water Va-ter LFv—el No. Time From Ground Surface in Inches Soil Rate Start-Stop Min. Start Stop Drop in Min./in drop Inches Inches Inches 1 I:Jry 1?10./ 161�' J_3�lx Ael-2, 13 2 22.*3_5-5-'vg 2,9 5 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 1117 3 32.V 7' Z-3.41 -3 /—'o V-12- �- 22.*3_5-5-'vg 2,9 5 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. , 5ii _V% A. REQUIAEM TO. BE .�,WMIrrE IjITII APP-LiC T16N:' SST PIT:DAT D DES&fk1ION 'OF :SOILS tNCOUNITFA-M) AN-17ST POLRS 2. NO. DEM MOLE 9Q; LE 'No. d 610 12'2 24 IV .36" 4201 6011 6610 7211 78" 84PI INDICATE LEVEL AT WHICH GROUND'WAT,ZR IS ENCOUNTERED INDICATE LEVEL FOR WHICH WATER LEVEL RISES AFTER BE114G AME BY a TESTS 6'y DATE /V Y DESIGN Soil Rate Used F� %P Min/1-1- Drop: S.D. Usable sable Area Provided. No. of.Bedrooms 4/ Seoti ' 'TaUk Capacity ale. Mbsonry' eta.1' c xM --1 Absorption Area Provided Byj%a L.F.x2411 361' A-'o width tr of NEw "T I Name 14 Add'ross r Cot'inty Health Departtfteat Soil Rate Approved Sq..Vt./Cal. S .Signature SEAL, 49" cpo I - - Checked b Date Applii Detcri ' OWNER 77 '77-_:7�— 7-_-�---'---'���p-,��`��-- ROOFING LAND Wood Shingle Paved 12 FamiIj:-"` tee a -once Dirt A. � Tile, Oiled Bungalow Concrete ' � _OT�. Apartment Stone Brook ADDRESS AAMP FNbTNS. Dimension of Building ' Width Depth Stories � , ` ^ � Tybo Foundation � Size & Use Each � Room with Window Area � Sewerage Typo � Size of Septic Tank Lineal Ft Drainage Size of Dry Wells Plumbing Description �-�\Ad��__~��-'�_���-���-~___'_'�_'_�� Description Additional | This application must be accompanied by u copy of surveyor's mop 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 Estimated Total Livable Area Cost $ $ —Sanitary Data Zoning Board Approval $ Plumbing If Corporation, give title ROOFING LAND Wood Shingle Paved 12 FamiIj:-"` tee Asb..Shingle Dirt ric Tile, Oiled Bungalow Concrete Metal: swamp Apartment Stone Brook Store FNbTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams jStore & Office concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Cou s Gas Station brick Attic Open Garage Piers Attic Finished OTHER'BLDGS. EXT. WALLS PORCHES barns BASEMENT Wood X Front Shacks Pa rt Brick X Side Cottages Full Brick Van. X Rear Bungalows Finished Shingle misc. Phone Furnace Field Stone Driveway ' Width Depth Stories � , ` ^ � Tybo Foundation � Size & Use Each � Room with Window Area � Sewerage Typo � Size of Septic Tank Lineal Ft Drainage Size of Dry Wells Plumbing Description �-�\Ad��__~��-'�_���-���-~___'_'�_'_�� Description Additional | This application must be accompanied by u copy of surveyor's mop 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 Estimated Total Livable Area Cost $ $ —Sanitary Data Zoning Board Approval $ Plumbing If Corporation, give title m TOWN OF PUTNAM VALLEY UZPARIMENT OF HEALTH DIVISION OF SANITATION OWNER: �� 5= /�i� = /�/�L l� TES. # MAILING ADDRESS: Ad /�t� % n.�4+•� �/� / /�� S� # OF FAMILIES TM # J y� ^ 3 • -Z NO. OF ROOMS. BEDROOMS y FUTURE FIX'T'URES: dishwasher � Garbage Grinder (50% increase Bathrooms Laundry Other ��.-- ES TANK MATERIAL ' >0 S TANK CAPACITY CO, MATERIAL O DESCRIPTION OF FIELDS OR PITS (,� /00 0:244 s Gv e! /.S DISTRIBUTION BOXES NEEDEDL k'1S n C�: USABLE AREA ON PREMISES Well drained usuable area MUST be provided before approval is ussed. SKEiCIi and ,mast :show ?11 per property features,- nor-tth point, property lines, existing structures, driveways water or ga`7��ines; wt�r" courses, wells, springs, dry wells or drains for roof or area drainage: DISTANCES BMIEEN SUCH FEATURES, COMPLETE PLANS FOR ADEQUATE DRAINAGE Or SEWAGE DISPOSAL AREA - all details of workable sewage system. DATE SUBMITTED /2 � OWNER ( ) CONTRACTOR If Corporation, give title FEE: 0.00 G!� - % t . Date 3/27/84 , 19 TOWN OF PUTNAM VALLEY No 84-7323 Zone District R -3 PERMIT RECORD Application is•hereby made for - r ry Permit Work to start Description 2 dry wells 1,,000 gal. 67-S C, Location of Premises- Street or Road Ugimoa6a-J� r Rd. TM 34 -1 -13.2 SEC. BLOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME TEL. OWNER Jeff Pepper ADDRESS RAMP- Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type — Size of Septic Tank Lineal Ft. Drainage Size of Dry Wells - Plumbing Description Well �.. Description - -- — -- - -- Additional Information This application must be accompanied by a copy of 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 Estimated Total Livable Area Cost $ 30000, $ 10,00 Sanitary Date Zoning Board Approval $ Plumbing Y, USE CONST. ROOFING LAND 1 Family Wood Wood Shingle Paved 2 Family Steel Asb. Shingle Dirt Log Cabin Brick Tile, Oiled . Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Courts Gas Station Brick Attic Open Garage Piers j Attic Finished OTHER 'BLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement:Floor Log X Encl. Electric Finished Shingle MISC. Phone Garage B. In Comp. not Plan Furnace Field Stone Driveway Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type — Size of Septic Tank Lineal Ft. Drainage Size of Dry Wells - Plumbing Description Well �.. Description - -- — -- - -- Additional Information This application must be accompanied by a copy of 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 Estimated Total Livable Area Cost $ 30000, $ 10,00 Sanitary Date Zoning Board Approval $ Plumbing Y, T-0 leewwe 46 Jul 27 06 01:14p BUILDING DEPT 9145268806 �pel�py •p�� ®7q� �ff��� ]/T 9� r A J3 E ®� OCCUPANCY CERTIFICATE NO: 2005 -267 DATE: 11/18/2005 PERMIT ISO: 1981 -5632 TAX MA? 4 : 00/62.4-22 LOCATION: 589 0SCAWANA LAKE ROAD ISSUED TO : PFM.LIPS '{ U LbkM J 589,0SCAWANA..LAKE RTC.., PUTNAM' VALLEYS NY 10579 This cer t fficate covers &e constn oan off: BLOCK AND FRAME ADDITION TO EXISITNG DWELLING AS PER VISUAL INSPECTION BY JOHN ALLEN ON 11.19705 TMRE `APPEARS. TO. BE NO OUTWARD VIOLATIONS. The applicant having heretofore filed an application for' a building permit pursuant to the Town Code, Sanitary Code, the Uniform Budding & Fire Code and the Laws in effect in the: Town of Pu#iam Valley, Putnam County, RTY having paid the required fee therefor and the undersigned having by ;t 'w' r a vr� ut 4lyn oipr, i . ' P!i 1 P 1 t9' person' lldJ��l+tlutl W1 KµiIG�A 41at aaaat�ii �1 ilexaa�►aa va' W..: p.a'upv.7. v ....�.^ L -e is in compliance with the requirements of the laves as aforementioned; that the said work and materials meet every requirement of the laws as aforementioned and that the pi°einises have now fully completed and are ready for occupancy pursuant to the provisions of law. Now, therefore, the Certificate of Occupancy is, hereby:issued.under the seal of the Town of Putnam Valley. p.2 ITL1(1M !'nl lk1TV n=0nDTMC'h1T M- P p Jul 27 06 01:14p BUILDING.DEP.T 9145268806 P.3 ' BUILDING PERMIT APPLICATION \ �_ .„ 4- Owner Pee -Tax Map 5 Mailing AddressRO 3 aLa,_im Tel. # Location of Propert wo L(�A 4 Nearest Inter. � L W146 Subdivision Sec. Block Lot Zoning Size of lot (sq.. ft.,) Height of Yards Front Description of Construc No. of Bldgs. Estimated Cost of Bldg i'M a00 DO HEREBY AGREE THAT THE BUILDING CODE. WILL-RE-COMPLIED WITH.--WHETHER -.THE SAME ARE SPECIFIED OR NOT: AS WELL AS THE SANITARY CODE q'PLUMBING'WDE AND ANY OTHER LAW, RULE OR REGULATION-AFFECTING.SA ; TRUCTURE OR BUILDING. 1" I find ple)t plan, to-conform to the-Zoning-Ordinance of the'Town of Putnam Valley and hereby,.approve same; 'Subject to further approval and compliance with the.requirements of.the.State Building Code and the Sanitarv.,Code of. this;.,..Town, plumbing code, as any other. t 6k Buribgid k own, Departme t thereqf..*.:. Date �`� n, Building. Zoning Inspector Paid; Building Permit Sanitary Permit':.'"': Plumbing Permit, ZBA Approval Well Permit ABACA:° ,,Approval 1',A.'S - 1-77 JUL-27-2006 THLI 1'7:06 TEL: 845- 278 -7921 NAME: PHTNAM rni INTY nPPQPTMPKJT np, P 7 Jul 27 06 01:15p BUILDING DEPT �)s a 1 --v 9145260806 p.4 Pit (A)(A LL Q4 �uc&, -6acl wik" COW" la, IRA( wad. \-M A ,� a �.`y L}.RA , 'off . U�. BMA :il fi 1 �1: � �, w 4 CVtA, OjAik, -paA a4 w mo T' b (A 1&41 J i Kinmr-- • cm MkiOM rni IKITY nr:P0PTMFWT nF-- P. 4 Jul 27 06 01:15p BUIL.D•.ING.:DEPT. 9145268806 p•5 f) L4jo - .ur.. -s u• r �: % _: ":.,. c -.. r..:Y �-- .--r. rf :'r ' ... v, �.-�_ -v yr � -. . , K •t... wT a': ��m,.�. .. .k c7JI K O? N iL -m LCrZcr� L e; ., ;. .., ..�•i �� pow • ji i '$�etilyc.V. l I NAME:PUTNAM COUNTY DEPARTMENT OF P I Jul 27 06 01:15p BUILDING DEPT 9145268806 +1 P.6 8 o i 0 s ®0 IV i JUL -27 -2006 THU 13:08 TEL:045 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 6 Jul 27 06 01:15p BUILDING.DEPT. 9 . 145268806 p.7 Nov6dber 20 1 9_�6 Date TOWN OF PUTNAM'VALL.EY 86 1 31 2 Zdne<l trIct.___ PER MIT RECORD c hereby made for 9- Permit Work to start Appli'a on Bldg- Description surwocm Location of Premises–Street or Road Okawana Lake Road TH04-1-13.2 SEC: BLOCK .LOT .-FRONTAGE Depth Rear ACRES (other description) or number of square feet—.----.. SUBDIVISION NAM— TEL. 526-3895 OWNER Jeffrey Repper ADDREss RD112 Box 476 - Putnam Valley,NY PEPPER, JEFFREY 3.2. —'ffoscawana Lake Road sunrpom PERMIT f86-1312- 11/10/86 APPROVED: PAPERS-i. RMNALS CERTIFICATE OF OCCUPANCY Sunroom Certificate of Occupancy No... Location of Premises ...... 0.s.c,aw.A.n6..,.Lak.e Road: ..,,,..'TM#,6.2.-...--l---2.2 ............................................. ..... .. ... Jef f ey.jq�pp r having ..................... ...... .... ... heretofore filed an application, for a. . tiuiWng permit pursuant to,!the Zoniikg Ordinance, Sanitary Code and the Laws in effect in the Town, of Putigni Valleys Piinam County, New York, having paid the required fee therefor an&.'the,,..unders1gned having by personal inspection ascertained that the applicant bw Subsequently proceeded . -with the erection or improvement of the proposed strue- ture In —In C.0!1 lance with the requirements of .the ' laws , as - aforementioned and * that the said work 'd mo t .6varrar Mquire rent ,of the laws as aforementioned and that the premises have Oka otcu PW now been fully com and -ire: ready - for FAMWy- vjaut t6 the -j-rr%.-#AZ1a therefore, this certificate of occupancy is hereby issued under .the -seat of the Town of Putnam Valley this .... 19 ....... day of 2 ................... Not vad unien d9ned in ".by a duly authorized agent TOWN C MPAM VALLEY of and under the seal of the Town of Putisam Valley Y. .... -.-.- . a............... 0.t PAID: Building Pexifit'.t. Sanitary Pe rnd t Plurribing Permit ZB . A Approvaj. Well PenAt $ mcA Approval T1 11 -rl 11 fnr-, Jul 27 06 01:15p BUILDING DEPT 9145268806 I� p ,a �. It l rrl .nnc ^»n "nn4 kinmr -. n1 lTk inn ^n1 1k ITV Mr- mnoTMCA 17 nc, D O Jul 27 06 01:16p BUILDI.NG DEPT 9145268806 p.9 Address' other Requifements sed sytem(s)t 1) that the roved;amendment there td avid in accordance with the standards, rules 1 represant'that 1 am wholly and comDtetely responsible for the de ;tgn and )ocafti d of the propo above described will be can as shown on the app er;' his successors,: heirs Or assigns by�l above (°Department of Health,. and that oneornplbtt it'thereof.a ��ertiflGati,, of. Conifiudton Compliance^ satisfactory o be'submltted,• to the Department, and a written'9uirantea, will be tslrtl during the period Of two (2) years lmm Place. in good operating condition any part Of`.Seitl'sewa9a dBp atom or any repairs theretoi2�l ante of the approval of the Certificate of Can struct(on CaIwiilbei installed orlginel•sy will be located as shown on the approved plan •and that said well will be installed in suordance wfth the standards, r. of Health. C County.. 'Department e ` i/ pig % 7 <� uric -� G %:Y7•s Address ,zy�,.:. APPROVED•FOR CONSTRUCTION: TNS:i .Prow ,. expires one ye revocable, for cause or may be amended .dr mOdifieA,rihen eonside'r requires 4l now permit_ Approved for disposal of domestic' sa t Oy, Date PUTNAM COUNTY DEPARTYIENT OF HEALTH. Dlvision of. Envrronmental Healflh { Serryuet: CaMe N Y • 10512 CERTIFICATE' OF CONSTRUCTION COMPUANCE FOR !b 'SEWAQEISPOSgL .SYSTEM y l A G 'A t+'1 Town _ 1 r b or village Located at( CO'f✓rIN A•,. I C } u i :SecfrOn V f Owner e •r aa/� Block' +I Lot•_ Job ! Separate. Sewerage System u(It by bir " Address _ • Consisting of , �' Gai. "Sepflc'Tank •- •'�a'� � • w lineal _ �� trenc Other requirements Feet X, width ���`�• Water. Supply Public Supply From y Private Supply ptilled By_`:` Address f Building Type Id —� No Of. .pate Permit Issued Has; Erosion Control Been Completed? H . l 1 certify that the systems) as listed serving the above premiseiwere constraeted'essientiaiy ' as shown on apt ns of the completed work (copies of which are attached), and in eeordance with the- standards, rules ard, ceyuWtwrrs,, plans fttad, and the mil. ;;, :• th nim County (Department of Health, Date _ Certified by ' P.E. -R.A._ Address /�wrY C/' _f /�i /L' � � � �� �9. License No.��, Any person occupying Premises served by the above systeni(s) shall promptly take such action as may bs necessary condtttons resulting from such usage. Approval of the. separate sewerage. shad De to secure the correction of any unsanitary.' available and the approval of the cOn* null and void -as soon as a public sanitary sewer becomes private water supply shall become Wulf and void when a public w ter ry becomes available. Such approvals are subject to modNication or change when, in the judgment of* f the RRP? Isa(((na of Htalth,1suchoration) modification or change is necessary. T1 11 -n-• _1(1 rn� Ti u i a - ^..ar. Tn . o n= KInMC101 ITK InM rni IKITV r1C0C10TMCIJT nC' D CI p.10 a 7- aMMC-. NAME! PI ITNAM rni INTV f1FPAPTMFNT nF P. in Jul 27 06 01:18p BUILDING. DEPT 9145268806 p.11 D 3/27/84 . 19 TOWN OF PUTNAM VALLEY ave . Zone District It .i Application is hereby made for Sanitaly' Permit Work to, start at once Description 2 dry wells 1 000 al. 07.5 C, KD Location of Promised Street or Road a $ TM 34-1-11-2 SEC. BLOCK LOT ;FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME TEL. — OWNER Jeff Pepper ADDRESS sane Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type - Size of Septic Tank . Lineal Ft. Drainage Size of Dry Wells - Plumbing Description USE CONST. f rROOFINIa' - -� . •`� LAND :.'' ' ' Well I Family Wood Wood .Shingle Paved _ 2 Family Additional Information steel i4et% S,Wngle by the Zoning Ordinance and Sanitary Dirt Log Cabin Estimated Brick Tile;. , $ _._____Sanitary Oiled •Date' Zoning'Board Approval Bungalow Concrete Paz i ) Metal r. - - - -- -- ___ -- - - -_- -- - Svramp `'• giye,.t tl:e Apartment Stone PEE: la. Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt_llopms Sw. Pools Office Blocks Apt. Ten. Courts Gas Station — Brick Attic Open - Garage Piers Attic Finished OTHER;BLDGS. -- EXT. WALLS BASEMENT Wood X Front' "''`::''...: Part Brick X.;Side::+.'•.:" Cottages Full _ Brick Van. X'Reai ';_ Bungalows Cement:Floor Log -- X`Encl. Electric Finished Shingle " " misc. Phone _ Garage B. In Comp. ; PIot.P.lan........- Furnace .._ .._,.Field ;..Driveway:, Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type - Size of Septic Tank . Lineal Ft. Drainage Size of Dry Wells - Plumbing Description -i i `I �• 1 Ti a MM r_ T NAME: PI ITNAM rni INTY r1FPAPTMFNT f1F P. 11 Well Description ._..___...._.... -.__, Additional Information This application must be accompanied by a. copy of.surveyocs 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. Estimated Fee $ _Building -` Total; Livable, Area Cost $ x,000. $ _._____Sanitary •Date' Zoning'Board Approval $ _ . Plumbing . Paz i ) COMIRACWR - r. - - - -- -- ___ -- - - -_- -- - if corporation, giye,.t tl:e PEE: la. -i i `I �• 1 Ti a MM r_ T NAME: PI ITNAM rni INTY r1FPAPTMFNT f1F P. 11 Jul 27 06 01:18p BUILDING DEPT 9145268806 uEPARTMW OF HFALTH 9Z 3 TOM OF PuiNAK VAUdd. DIVISION OF SANITATION TEL. MA 2NIG ADDREESS:�S��4w OF FAMILIES TK. # 15 t. NO. OF ROOMS BELROO14S Ll F13TURE FIXTURES- dishwasher. Garbage Grinder (50% increase Bathrooms _ Laundry Other TANK 1aTRTAL LS./ ;: TANK CAPACITY ' O0 f IR G DESCRIPTION OF FIELDS OR PITS � � %�� '�/ � T Gci e! /S DISTRIBUTSON BoxEs NE®EDL-.k tYT? cl uSABU -AREA ON PREMISES - p.12 Well drained ''suable area MUST be provided before approval is ussed. P. SKE'I Fr IS--R",,. "� �v a .�st s:rr - -,ilk pertinent features,, north point, ..d_:...:_.- -Y--.. a. .. ..... property lines, existing � tk6ciau+es, c�rivevaays v�'►:er- or-yai 'li► ►es; water _. F.. _ ,.._. wells or-drains for roof or area drainage: courses, wells' Spr1n'gs,:`;dxy q DISTANCES 56TWEEN SUCH: IFEWIRES, COKPLEM PLANS FOR ADEQUXN DRAINAGE OF SEWAGE DISPOSAL AREA -'all ileta .ls, of. vaorkable sewage system. DATE SUBMITTED ` SIGNATURE T... 00inc TUB + • + _I TGi • Qdc�_a7A -7(PP1 NAMF: PI ITNAM rni 1NTY nFPARTMFNT OF P. 12 TI 11 _07- 'Drarac Tui 1 1 I :! TPi - A4�- a7R -79P1 � NAME: PUTNAM COUNTY DEPARTMENT OF P. 13 SHERLITA AMLER, MD, MS, )FAAIP - - C01;7:G7 /S'SOnP.rnfF/nglth _ LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Heather and James Molloy 589 Oscawana Lake Road Putnam Valley, NY 10579 Dear Mr. & Mrs. Molloy: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: ROBERT J. B ®N®i County- Execuxive ROBERT MORRIS, PE Director of Environmental Health May 31, 2006 Addition — Molloy 589 Oscawana Lake Road (T) Putnam Valley, TM # 62.4-22 I have received and reviewed the plans for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The proposed game room is a potential bedroom. 2. The legal bedroom count for the dwelling is 4. The potential bedroom count of your proposed addition is 5. J llle auul�iUli Uf' a ' 45 T t i7 � =3 at o - r.0 l 0+ � � ._ _ -... _.....o. septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than 4 potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Respectfully, /- oseph S. Paravati, Jr. Assistant Public Health Engineer JSP:kly cc: Putnam Valley, BI 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health . -. �_ c. n. anRs +b+dMSr.b:F•Mnz:iv'�'f.�is •. ro' r..t_..+�v {-:���:u� ^...'�'.��!. _•1.!��`•:.C�-:vY.sa�:.al.. LORETTA MOLINARI, RN; MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH ® a 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET5bc j l>>SCEiyJii✓�GiLi;,i{C..i�:.t1 • TOWN Pwticl ,,VeLl,le�j TAXMAP# NAME Rutty � . o v� ) CW%Cs 41 o j t ufX PHONE MAILING ADDRESS �r� uSG�i�J(1✓ibl I,Gik� ft�G� �j Pi:��V1GiW►�:vl,�CU�,I�� ��'7��� DESCRIPTION OF rzmc,,° c Suinvoi,,v% cf fvv,,i- of L?,O e) ADDITION adliirni, %I, , i, V1,.0yV W a d ua w� li a �. t (; ►'hC�✓ N p,i tti(n2.i� 4�:'�;; � � of � . NUMBER OF EXISTING BEDROOMS--J_PROPOSED # OF BEDROOMS I (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 folio_ wing to Putnam County Health Dept..,. I _Geneva Rd, ,. 1. Certified check or money order for $100.00. 2. 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. 5. 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 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax(845)278-6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health 5 Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: According to records mai i5.. TS NOT Re: M 0 L u3y Residence ROBERT I BONDI County Executive TAX MAP# �, 2 • - ( - Z Z TOWN qQT-N App VA L LE `l ntained by the Town, the above noted dwelling, IN COMPLIANCE WITH TOWN CODE. ..... �.. �. �... _� „�....- .. -.r..� -.tea.- q,..��. «.�.. -�... �..s ..r �.-a.. �_... _.. - -� ..� _...- ...... .. .`�. •. IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS 4 This information has been obtained from: CERTIFICATE OF OCCUPANCY: OTHER Building Inspector S 12— 12-1 W/ YA4 4(1 Date A CERTIFICATE OF OCCUPANCY Im Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 CERTIFICATE OF OCCUPANCY - C'FRTTFT_C.�TF,..NO.:..2.00S -267. .DAT:F:• 11.11.8/?.00.5:- ...__.�. __.. PERMIT NO: 1981 -5632 TAX MAP # : 00/62.-1-22 LOCATION: 589 0SCAWANA LAKE ROAD ISSUED TO : PHILLIPS WILLIAM J 589 OSCAWANA LAKE RD PUTNAM VALLEY, NY 10579 This certificate covers the construction of: BLOCK AND FRAME ADDITION TO EXISITNG DWELLING AS PER VISUAL INSPECTION BY JOHN ALLEN ON 11/9/05 THERE APPEARS TO BE NO OUTWARD VIOLATIONS. The applicant having heretofore filed an application for a building permit pursuant to the Town Code, Sanitary Code, the Uniform Building & Fire Code and the Laws in effect in the Town of Putnam Valley, Putnam County, NY, having paid the required fee therefor and the undersigned having by _ personal �LII,sp?ction ascertained.that.improve.m -epA f:thP�proposed:- tnictli�rz - is in compliance with the requirements of the laws as aforementioned- that the said work and materials meet 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, the Certificate of Occupancy is hereby issued under the seal of the Town of Putnam Valley. TOWN OF PUTNAM VALLEY, NY By Code Enforcement Oft' er J� t tion J. ' b;.0 20 t s 8= TOWN OF PUTNAM VALLEY rict R -3 {i1 86- 3i �i „�raay r "iiade'fo�` . :_._: ....�ld..- .,..,._..�...,.. —.n. .s.. _. _ .. - ....-. . • ._. _.R. - >.�.....;....a. g• Permit Work to start Sunroom canon of Premises — Street or Road Oscawana Lake Road - C' ---- -- B LOCK LOT RES loo, FRONTAGE r er description) or number of square feet SUBDIVISION NAME 1 -13.2 Depth ----_Rear OWNER Jeffre Pe er TEL. 52 6- 3895__ ADDRESS RD# - Box 476 - PEPPER 71�., ROOFING LAND Putnam Valley�- -6990sc na Lake Road TM;/34 -i -1o� 3 Sunr 2 AS BUILT; Dimension of Building neoth Stories �M %6 -1312- 11/1018 Certificate of CERTffplc.4 ' Location Cccupanc Y Plo,. QI)p n of pre .....92.-130 A1�CV ....Jeffrey P noses OscaWana Application Sunroom heretofore Peer .. Lake Road No......86. -1312 file P Rid In d the Laws aPplication for......... of 589 Os� o ..... '... TM #6 2.< 1 22..... the requU•e effect a buildin Lake tureapPlicant ha as fee thereforla the Town of pelt pursua ...`...�..2'utn v...... and CO�Pliance ubsequendly nd the undersiPutn�n Valle nt to the .....alley, ..N, Y. .............. now.. ate ' =i, th;ph_e ProceedPd with geed hawrC �: tnarn „ .ri;.d a►,,. 1 =av:,g -n .1u- .y ,. ..T.cn erect, rrrsOnal - n`r, New ° e, oatuta IQePefOPe, this cornPleted nuirement °f of the laws n or un Inspectio Yorg, havinrY Valley t certificate d are read f e laws as as aforetnentione ent of the ascertained that Not his ....1.0 ... day °f occupancy °r occupancaforementioned and an �i that �hePosed struc Of d d uWess sign . Y of ..... .... March ereby issued Pursuant to the fat the sa * work under the ;real in ink by a duly autho ......... 2der the seal Og�he ion of�laI have Of the Town of puts medagent TOWN 0 Town of Puts ' Valley. y I I JD: Buildi�Q Pewt Sanitary Permit $ Pl -Lunbing Perm i t $ Well Permit $ TOTAL $ Rev. 1/85 BZS l ZBA Approval ABACI, APPrrn: a 1 - TOW-W WPUTNAM VALLEY t IL .................... Cl.,,ORD 1 PERMIT .Zone_. District ............. ........... t .............. Permit Wo& to start ... AT .......... ... . . ........... ......... Application is hereby made . #...- r-, .; ... - ............ ........... ............ ............ .................................... . .......................... . . ........ .... Fou ................................................. !"ption ................... JRD..; .......... ........................ d ANA-44, St �t or :Roe ................ G.WW Rear ........................... of piimises— ree Location ... ......... ... 'Depth ......... ............... cDONTAGEP. SEC...... ........................ BLOCK ........................... .............. LOT ........................... ...... ..... .......... . .................................................. . . ..... b�W- f square :....._........1 !,,084 0 C. es,teip-tt -on or ................... AC ...... .........6..................... .............. 6 .................. ... TEL . ................. request by inspector. Estimated S. f co�t $... ?7. IPQQ� ..... Fee $......2.%90........ Building Total Livable Area ....... :� .......... I ........ I ............. ......... $ ............ Sanitary Date Zoning Board Approval ...................... ....... I ..................................... $ ............ Plumbing - - -- --- - - - - -- $ Well q----- --------------- I 10pads i`l.y. GENERAL MANAGER 10 6 Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE; MUST NOT BE ALTERED IN ANY MANNER. BY 2- COPIES OY A—M-R-TEYOR I a Wa� 'Im CATIONS OMPLETE PLANS ;M SPECIF CATIONS ,!M INFORMLTION REQUIRED 'BY THE ONING ORDINLNCE AND S.10I� Y CODE MUST BE SHO" 4,V SIDE OF THIS. APPLJ�CZMONO 0 BELOW OR ON THE 97 � 't /SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Heather and James Molloy 589 Oscawana Lake Road Putnam Valley, New York 10579 Dear Mr. & Mrs. Molloy: May 18, 2006 R ®BERT 3. B®NDI County Executive ROBERT MORRIS, PE Director of Environmental Health I/. Re: Addition —Molloy, A 157 -06 589 Oscawana Lake Road (T) Putnam Valley, TM# 62. -1 -22 Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. Floor plan sketches of the entire house were not submitted with the application. Please provide this Department with two copies of floor plans for the second floor. If you have any questions, please contact me at your convenience. ML: cj Very truly yours, Michael Luke Public Health Sanitarian 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 P4. A- S I Z We 41 r, -s Lw - 4', 2 APPROVED IP R 0 r- I t i- 10, ve.A. zee 40— 19,7 I IJT ul htft0' OF DI OR. t ' INVilWNENTAI; HEALY" qqERY'Cz • O ;., r) n rl�kgo' x tx W a S 2- °03=24 W /59.92 ' - -. - - - Q �� \e � - ---_._ �- ... -z-; -•-�. � .ter �.� - OIV \0 E. FORM�-RL Y O i ���,�0 BERNEL L E. BARB �< �\ A RG KZ a 2