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HomeMy WebLinkAbout2816DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.06 -1 -9 BOX 24 ,-6 r V;r.:. f 1 9m IL 02816 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health WtniiiARi, RN-9- MiSN ....._ , ......- Associate Commissioner of Health Howard & Gail Kotlus 260 West Shore Drive Putnam Valley, NY 10579 Dear Mr. & Mrs. Kotlus: ROBERT J. BOND[ County Executive Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 April 20, 2007 Re: Addition Approval — Revised No Increase in Number of Bedrooms for Kotlus — 260 West Shore Dr. (T) Putnam Valley, TM # 62.6 -1 -9 This Department has 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 the Department dated April 19, 2007. 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.._.;Al�.pl'ITnh=n tiirt� r.F. _rts�i�� i,P n rlarPd'q^�itil zx�2t�.r c�yigtg dPS�iCrc i r nP�x� lnixi_tl:l5 -- F -- - toilets, restrictors for shower heads and faucets, etc. 4. 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 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. Respectfully, Michael J. Director o: MJB:kly cc: BI, (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Far (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 BADEY & WATSON LETTER of TRANSMITTAL ; f 3063 Route 9, Cold Spring, New York 10516 Date: 18 Apr 2007 File No. 95 -114 W. O. # 18265 RE: Revised Floor Plans Kodus TO: 260 West Shore Drive Mr. Michael J. Budzinski, P.E. Oscawana Lake Park Estate Subd. Lot No. 40 Director of Engineering Tax Map 62.6 -1 -9 Putnam County Department of Health PermidTide/PO # 1 Geneva Road Sent via: Brewster, NY 10509 US MAIL El UPS -NIGHT El MESSENGER EJ UPS -2 DAY El PICK -UP El UPS -3 DAY El FAX El UPS -GRND We are sending: UPS -COD copies date description of document 0 04 -Nov -04 IKotlus Residence Addition & Alteration (Drawing: Al 02 04 -Nov -04 IKotlus Residence Addition & Alteration (Drawing: A2 F7 F El I El I ❑ f -� El I REMARKS: The plan (Al) has been revised as discussed. Thank you Mike. Copies to: File Yours truly: Jason R. Snyder, Assistant Engineer Tel: (845) 265 -9217 ext 13 Fax: (845) 265 -4428 Email: jsnyder @badey- watson.com 40 40-05 509427 631924 32501 BADEY & WATSON LETTER of TRANSMITTAL 3063 Route 9, Cold Spring, New York 10516 Date: 12 Apr 2007 TO: Mr. Michael J. Budzinski, P.E. Director of Engineering Putnam County Department of Health 1 Geneva Road lBrewster, NY 10509 We are sending: copies date description of document File No. 95-114 W. 0. # 18265 RE: Addition Kodus 260 West Shore Drive Oscawana Lake Park Estate Tax Map 62.6-1-9 PennivTitle/PO # F-11 113-Jul-03 7 IMproval Letter 51 113-Jul-03 —1 18.5XI lxc: 2-Bedroom Approval F-11 104-Nov-04 FK—odus Residence Addition & Alteration, eight (8) sheets ❑ 1 1 El I 0 1 REMARKS. Copies to: File Sent via: US MAUL MESSENGER PICK-UP FAX Yours truly: Subd. Lot No. 40 ❑ UPS-NIGHT ❑ 1:1 UPS-2 DAY ❑ ❑ UPS-3 DAY ❑ ❑ UPS-GRND UPS-COD Jason R. Snyder, Assistant Engineer Tel: (845) 265-9217 ext 13 Fax: (845) 265-4428 Email: jsnyder@badey-watson.com 40 40-05 509427 631924 32468 FEB -05 =2007 11:02AM FROM- ENVIRONMF °T9L HEALTH r LORETTA MOLINA.RI R.N., M.S.N. Acting Public Health Director Director of patient Services .` 8452787921 T-390 P.002 F -889 ROBERT J. BONDI County Executive DEPARTMENT OF EFALTH 1 Geneva Road, Brewster, New York 10509 . 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 Howard & Gail Kotlus 260 West Shore Drive Putnam Valley, NY 10579 Dear Mr. & Mrs. Kotlus July 15, 2003 Re: Addition: Kotlus, 260 Vilest Shore Drive No Increase in Number of Bedroom M Putnam Valley TM #62.6 -1 -9 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 July 15, 2003. The addition is approved with the following or 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, 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 'Vall ff. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke Public Health Technician MUjP cc: BI (T) Putnam Valley E -CK :1 is BEUM :.p 'j fr SE(3,,.'OND FLOOR PLAN -0 4 :j I PUINAMI COUNIY d9PARTMENT OF HE•LM :MUSE PLANS APPR01% BEDR00M. 031RJT WAU �2— 7fif v: ,rmuila:& Title Datc. PRO',JECT NORTH • �i �) -C <1 Q) C: 0— I D LO 00 C) CI U-) rn > E 0 c 00 Q. Drawing: Al Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 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 July 15, 2003 Howard & Gail Kotlus 260 West Shore Drive Putnam Valley, NY 10579 County Executive Re: Addition: Kotlus, 260 West Shore Drive No Increase in Number of Bedroom (T) Putnam Valley TM #62.6 -1 -9 Dear Mr. & Mrs. Kotlus 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 July 15, 2003. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Two without prior approval 6y 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, 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. ML /Jp cc: BI (T) Putnam Valley Very truly yours, WE e or 11A� Michael Luke Public Health Technician F)RU%E' - R:- "r GLEY .: .... �. ....:. ... Public Health Director - - ' LORETTA - MOLINARI R.N., M.S.N. _ Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 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 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 August 29, 2002 Howard & Gail Kotlus 260 West Shore Dr. Putnam Valley, IVY 10579 Re: Addition - Kotlus, 260 West Shore Dr. No Increases in Number of Bedrooms (T)Putnam Valley, . TM #62.6 -1 -9 Dear Mr. & Mrs. Kotlus: 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 August 290 2002. 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 Thtar c:;.ri_Yt� P. etin, ,ce «agP �;sr0 °?absysteb:' U-I*Ssexpaasiozc a, iiu:[st 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 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. Very truly yours William Hedges WH:Im Senior Public Health Sanitarian cc: BI ki tcken • LIVI `nom _ 9 \D 4. n4 (< Be roo rr o5e nth 6 ed room IN q _ �/'� �a � is -m . uppr� x - /S x � - pl' o . �� �� 0-1 �'-� ���� � � ����r � � ., � ; : - -� . _- Add 14 ion 6 I" pe, 0 Ir reened 41f p s lldl)lf AJF 0 �4 V WrAOSUMWX QVMALT Lwing Room n'r nj PROMfpOR AN�Y; 44 Maiiy J BA Tw �� Li Sets ncL . Le ve one hett row . �, � ;, � � _ � l b4tl► Odd jflo n ------ Ko+ Qv Ke6ide n 260 Wes tS'horc_ briue 'Pulnarq Valle -,NY 2- R3 -zone I - W Public Health Director �jke Lub'- LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 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 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET-26D [,UPS' " ,I bra TOWN Lull U#kTX MAP# NAMEWU,,5 PHONE j3%-aS - 4 1 PCHD # /4s 99-Cj9, DESCRIPTION OF ADDITION d ' n ¢ house • GC' d5 comer} -f 6Lvnsi-ata bakoo °F- Q' 1� seco or -e NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS P Qs (FROM CERT. OF OCCUPANCY OR 2 ��o CERTIFICATION MOM BUILDING. INSPECTOR) ms *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 �LQ509, Phone 278 -6130. 1. • Certified check or money order for $100.00. . ----2-- Sketches of existing floor plan (drawn to scale, all living area including basement) *Non - professional sketches are acceptable. Two sets of proposed floor plan (drawn to. scale, with name, street, and tax map #) *Non- professional sketches are acceptable. y 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. Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE k Comments 10t: ;'. Feb98 BFhouseguidelines PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL .._.•. -A 14j- Well Location: Street Address: Town/Village Tax Grid # 2(04 11J a S RO a e, V rPPOA VW Map Co 0, 6Block 1 Lot(s) Well Owner: Name: Address: JoTwS ?,i,90 W JPto A PL)T VL Use of Well: Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 2 Est. of Daily Usage 50 al. Reason for v/ Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason os'ed alpra cAhm p , for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ........... ki.0 ............................................................... Yes No _jam Is well located in a realty subdivision. Yes No Name of subdivision Lot No. Water Well Contractor: M , be&G Address: Is Public Water Supply available to site? .................................. ............................... Yes No i/ Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: 06,103 Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a wat well driller certified by Putnam County. /�, Date of Issue t. Zvi `� Permit Issuing ial: j� %��✓ �,�,t'{ l Date of Expiration Title: ( Me Permit is Non White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUT'NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES A' it 411 ' kkiT b ";& please print or type PCH D PERMIT # 11 0 3 T Street Address: TownNilla a a td Well Location: 1 � l g '��r VVe'5�"s /V/`e &- Rt t-vckmap Block Lot(s) I Well Owner: Name: Address: J-owa © s p- LA- 4X &Z /V 11 Well Type: Drilled Driven Dug Gravel Other Depth Data Well Depth � ft istatic Water Level ft Date Measured Use of Well: ,/ Residential Public Supply Air /Cond/Heat Pump Abandoned 1- primary Business Farm Test/Observation. Other (specify) 2- secondary Industrial Institutional Standby Water Well Name: Address: Contractor: jPVl ! cw, ✓ e Bin4ie,--O PC vtl Reason For �{ / �j� Abandonment: V t7ot I�6 �"' Ind `` `� o� ens Description of Work To Be Performed. we L0 Applicant Signature: This permit, to abandon one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code, Subpart 5 -2 of Part 5 of the New York State Sanitary Code and/or Part 75 of 10 NYCRR and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall submit to the Department a certified statement that the information delineated on the application for this permit has been completed. 1-2 7 cll 0 f Date of Issue Permit Issuing Official Title White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WA -97 VN 15 92- n Mil 7- ea i TA (P 0 PG DRIVE AY Nt N. ED L 10 :s 1 is A \�)Vfl ST /5-ro ZZ lc4c y COAJC LO- lxtkf - eA - 17, 478 a 44W it if IRRO R 0' J. ri �41 X-1 L -07 Ala 41-� A or 14t,37 /Va .4 0., JJ�wd IAOVN J/z Vc- y lm-ioqp jj :07 o Rog Ale" S 7, ,oQ 7 7' 1/.,v r CANA&-, AP 04 CO vii -P-^, AV A/ ;I r' 07W,,o4 /7 1117-L 4Z