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SHERLITA AMLER, MD,'MS, FAAP
LORETTA MOLINARI, RN, MSN
Associate Commissioner. of Health
DEPARTMENT OF HEALTH
f Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
- - Coun(y &xgcuave
ROBERT MORRIS, PE
Director of Environmental Health
ADDITION APPLICATION RESIDENTIAL ONLY J
STREET444� WEST s11040E ®191A2_`z TOWN /0l/Tit/% 11,411,66 TAX 606 , 4
NAME .TU eo - PHONE % 960-.06 I PCHD#
MAILING
ADDRESS )feJ_SV
DESCRIPTION OF
ADDITION A0,E9U/1_A ,&f /J A� OF S6CW FW
NUMBER OF EXISTING BEDROOMS _1 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 Dent., _1 Geneva Rd,
Brewster, N Y iO5U9, Phone: (845) 278 -06130.
1. Certified check or money order for $100.00.
Sketches of existing floor plan (drawn to scale, all living area including basement)
Two sets of proposed floor plan (drawn to scale - with name, street and tax map #)
/4.*Non- professional sketches are acceptable
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
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
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health..
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
ROBERT 1: BONDI .
County Execuiive
Re: DEVINE /SEIDMAN (Owner's Name)
Tax Map #: 69.6 -1 -1 -
Address: 246 Wgs� shore L1ra,v�
Town: 1?atnain - Val 1 ey
Year Built: 1 q 9 o
According to records maintained by the Town, the above noted dwelling,
is in compliance with Town Code.
is not in compliance.with Town Code,
dd
The Legal Bedroom Count is: 4
This information has been obtained from:
Certificate of Occupancy:
Other: Assessor's Records
Building Inspector I � � Date
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
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* p te5.....(Q�.- ....a..........., 19.7.0. TOWN OF PUTNAM VALLEY lad
N. 0 699
....... ..-` ............. PERMIT RECORD
zone /strilct ... •
Application is hereby made r ............................. ... ....Permit Work to start ...... S.A -{r .
Description................ eK .. ..�Ge' ............................ ... �.................................................................... . ................ ... .............................
Location of Premises — Street or Road ......... .�.�%.tv�_.......... — /
SEC............................ BLOCK ........................... LOT ........................... FRONTAGE ............. ............................... Depth ........................... Rear ......................:....
ACRES (other description) or number of square feet .......................................:............................................................................................. ...............................
SUBDIVISINAME ..................................................... ...............................
OWNER .. . ...... ...... e. G4 ry w ...... ...............................
................ . ................. . ...............................................................................
....
ADDRESS.. ....................... .........: ..'".. .
LAND Dimension of Building
Width Depth Stories
TypeFoundation .......................... ...............................
Size & Use Each ....................... ...............................
Room with Window Area ..... ...............................
................................................. . 11........................................
Sewerage Type .........:....( `? h . �.............
Size of Septic Tank .......`�nG .... .....................
Lineal Ft. Drainage ...!J.......(a....��.!3,e����
Size of Dry Wells ........ - 777'!7 ' ..........................
f
Plumbing
Description.......................... ;.....................................
Well
_ • �_�._. . -•� - -- ..� .�_...__ - .,``' Description .._
v... ..._
Additional�Information ........ 0 �
.. .....
.................. ....... .............................
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
0C-- Total Livable Area ... :... ....................................... .... ........ ................. ..........................
$ ... /,0--- .- �...... Sanitary
Date Zoning Board Approval .................................................. ...............................
$ ..... ............................... Plumbing
$ ..... ............................... Well
USE
CONST.
ROOFING
!1 Family
Wood
Wood Shingle
Paved
2 Family
i Steel
I Asb. Shingle
i Dirt
Log Cabin
Brick
-1
Tile
i Oiled
Bungalow
Concrete
Metal
Swamp
iApartment
i Shine
Brook
Store
FNDTNS.
INTERIOR
Lake F.
Store & Apt.
Stone
Rooms
. Dams
Store & Office
Concrete
! Apt. Rooms
Sw. Pools
(Office
I
Blocks
1 Apt..
lien. Courts
Gas Station
Brick
Attic Open
i
Garage
i
Piers
Attic Finished
OTHER BLDGS.
I
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. I
;Phone
Garage B. In.
Comp.
Plot Plan
� Furnace
Field Stone
Driveway
i
Width Depth Stories
TypeFoundation .......................... ...............................
Size & Use Each ....................... ...............................
Room with Window Area ..... ...............................
................................................. . 11........................................
Sewerage Type .........:....( `? h . �.............
Size of Septic Tank .......`�nG .... .....................
Lineal Ft. Drainage ...!J.......(a....��.!3,e����
Size of Dry Wells ........ - 777'!7 ' ..........................
f
Plumbing
Description.......................... ;.....................................
Well
_ • �_�._. . -•� - -- ..� .�_...__ - .,``' Description .._
v... ..._
Additional�Information ........ 0 �
.. .....
.................. ....... .............................
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
0C-- Total Livable Area ... :... ....................................... .... ........ ................. ..........................
$ ... /,0--- .- �...... Sanitary
Date Zoning Board Approval .................................................. ...............................
$ ..... ............................... Plumbing
$ ..... ............................... Well
La -74
JL A. P.0 JL-
GENERAL CONTRACTORS & BUILDERS
POST. OFFICE, BOX` 239. I PUTNAM VALLEY, NEW-YORK 10579 1 TEL. AREA CODE 914 LAkeland 8 -7838 & 6638
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SHERLITA AMLER, MD, M.S, FAAP
Commissioner of Health
- ,LQ!!.�T.r♦ ^ant INa.Q KSNT-
Associate Commissioner of Health
Judith Devine
2805 Sutton Street
Yorktown Heights, NY 10598
Dear Ms. Devine:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster,'New York 10509
Re
ROBERT J. BONDI
County Executive
Director of Environmental Health
September 4, 2007
Addition A- 182 -07
No Increase in Number of Bedrooms
246 West Shore Drive
Putnam Valley, T.M.# 62.6 -1 -13
I have received and reviewed the revised 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 September 4, 2007. The addition is approved with the following conditions:
1. The total number of bedrooms must remain at four 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.
4. This Department recommends you contact your local Building Department to.ensure setbacks and
other current codes can be met.
5. This 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.
Sincerely,
�
en e Reed t •
Senior Environmental Engineering Aide
GR: ens
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 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
_ _....
- Contractor shall comply with all local, state and federal codes and ordinances.
- Contractor shall be held responsible for all all defects in material and
workmanship which occur within one-year of the date of completion.
- Rubbish shall be removed promptly from the site.
- Concrete shall be 3000 psi minimum 28 day strength.
- Footings sized as shown on drawings to have two continuous #4 bars at
bottom.
- Foundation walls shall be constructed of concrete block as shown on drawings.
Block walls shall be reinforced with'Dura -Wal" every other course.
- Concrete slabs shall be 4" minimum thickness reinforced with 6"x6"/ #10 X #10
welded wire mesh over .006 polyethylene vapor barrier and 4" gravel fill.
- Exterior of new foundation walls to receive 1 /2" of wire mesh reinforced
cement parging.
- Concrete piers sized as shown on drawings.
- Wood frame construction shall be 12oof Douglas fir.
- Framing shall be standard western platform type. Exterior walls to be framed
with 2 x 6 studs @16" o.c. Interior walls to be framed with 2 x 4 studs @ 16"
o.c., unless otherwise noted. Floor joists and rafters sized as shown on
drawings... -
_.. ;.- _.... °... _. _.. .... a ..., � .. -
-Roof sheathing shall be 1/2 "APA (CD) plywood with exterior glue.
- Wall sheathing shall be 1/2" APA (CD) plywood with exterior glue.
- Subfloor in new areas shall be 1/2" APA (CD) interior plywood with exterior
glue with 5/8" APA (AC) plywood underlayment under all ceramic tile, carpet
and laminate floors.
- Exterior trim to be of # 2 pine generally to match existing. Prime and back
prime prior to installation. See elevations for moulding shapes and sizes.
- Exterior siding shall be "clapboard" style vinyl siding. Submit
samples for owners approval prior to ordering. Color to be selected.
- All soffits to be covered with ventilated vinyl soffit material. Color to match
trim.
- All new windows to be Andersen vinyl clad wood double hung or casement
units with Low "E" double glazing panels, flat screens and all hardware.
- Intreior doors unless otherwise noted shall be "Masonite" composite six panel
doors suitable for paint finish, see drawings for sizes. Latch and lock sets are
.-. u.w• ,-•� 'n 1•.r• r-e.. rr.+. rn r' ^amn- m.e�•: .R- �-..w n . ..iu ^.o �-.a :w •►•- .ar ;.. .•• -�.wr - .ra.•ri-.rr.,.a.wrw.:u. r.ww.�.:.�w n.ana.ec�••.+. R• roan•
- Exterior doors to be Andersen hinged " Frenchwood" doors complete with
Low'E' double glazing, screens and all necessary hardware.
- Interior trim to be clear pine, suitable for stain finish, generally to match
existing
- Insulation to be Owens = Coring " Fiberglas" or equal.
- Walls- 6" ( R — 19 ) - Ceilings —12"( R - 38 )
- Floors — q" ( R — 30) - Sill sealer —1" x 5 1/2" Fiberglas at all sills.
- Pipe insulation to be 1" preformed foam on all hot water supply lines.
- All gypsum wallboard to be applied according to best practice. All joints to be
be taped spackled and sanded in a three coat operation. All work to be
performed by workman experienced in their trade.
- 1 /2" Gypsum wall board on walls and ceilings in addition and altered
areas of house.
- All flashings to be of 16 oz. Copper.
- Install new Grace " Ice & Water shield" rubberized asphalt membrane at all new
eaves and valleys. Install according to manufacturers written instructions.
- New roof areas to receive 15 lb. roofing felt plus new 325 lb.G.A.F. "Timberline"
Random tab roof shingles to match existing. Submit samples for owners
approval prior to purchase. Color to be selected by owner.
- Aluminum ogee gutters with baked enamel finish. Leaders to match gutters.
v $ %A\ t- alssc ibiy'. °For i�ivo year re -
- Unconditional guarantee for two years required of roofing contractor.
Contractor shall be liable for all expenses caused by defects within the
above guarantee period.
- Entire interior of addition and altered areas of house to be primed.. Walls
and ceilings to receive 2 coats of flat vinyl latex paint. Colors to be selected.
- Interior trim and cabinet work to receive 2 coats of latex semi — gloss
enamel paint or stain and 2 coats of satin polyurethane.
- Paint, stain and polyurethane products as manufactured by Benjamin
Moore and Minwax. Colors to be selected.
- All electrical work shall conform to the latest revision of the National
Electric Code. At completion furnish owner with Certificate of Inspection
of the National Board of Fire Underwriters.
- Existing electric service to remain.
- Wire with Romex cable installed according to Underwriters Code. Wire for a
- Contractor shall provide blocking for all outdoor fixtures.
Switches to be quiet type. Leviton or equal. Colors to be selected.
- Extend existing electric heating system into new areas and modify balance of
System to conform to new floor layout. Existing electric heaters to be
replaced. Each room to have wall mounted thermostats. This contractor to
submit layout and specifications for all new equipment to Architect
for approval by Owner prior to fabrication or, installation. The system shall
be sized to maintain 70 f when outside temperature is o f with 15 mph wind
for heating.
- All new equipment to be installed in conformance with the New York
" State Energy Conservation Construction Code ".
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HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
BEDROOMS A-is;L-07
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ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE
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BEING A PORTION OF LOT 37 AS
SHOWN ON THE OSCAWANA LAKE PARK ESTATE
SUBDIVISION FILED MAP NO. 59-C
IN THE PUTNAM COUNTY CLERKS OFFICE
PIS'S
PER P
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Q,
4.3,go, 56.10•
CAPPED IR 1.9-- � � �1!
FOUND CID
PRIVY STEPS \
IR FOUND
62.5' ON PL CORNER
N20,0 00 W, 12 00'
UNPAVED 3.0,
LOWER RIGHT OF WAY
AKA WEST SHORE DRIVE
CERTIFICATION:
I hmeoy owtIfy to the pontes of mun" NOW NOTES
below. thal ttus "p shows in r—fitil of an
e� tied asey cornpieted n 04/25r2W
- JUDITH S. DEVINE
BY:
RA�MC; E. HEINSMAN, P.L.S.P.P.
i,
N.Y. LI ENSE No. 049270
0 Copyright OV3u07 by RrIonont! E. Hil-wran
p,tifessiornil lend surveyor PI.I.C. All tights ream ,
reprolitiction or copying of this docarl" m" be a
vlowbom of copinight law mists pannissim of be
author w4m copyright holder a 01110
CEFUIC41ioN
C0.j
SURVEY PREPARED FOR
-D -E VINE
TOWN OF PUTNAM VALLEY
COUNTY OF PUTNAM, N.Y.
FM No. 59-C, P.O. LOT -37-
A k RAYMOND
E. HEINSMAN
PROFESSIONAL LAND SIJRVEYOR, P.L.L.C.
PMH 167.1830 SOUTH ROAD, UNIT 24, WA PIPING ERS FALLS, 12.590
PHONE (945) 297-9435 FAX (345) 297-0212
DATE IFALE I DRAWN BY I CHECKED BI JOB146: - 94MTF.
04/30/20071 - 30 . MH . REH. _: 2002- 03Z-._j 1 OF I
SIR FOUND
ovFjf
i ON LINE
zo
"v
u`)
AREA=O. 848± ACRES
36,952±SO.FT.
STONE
L1652 P297
PATH
TAX NO. 62.06-1-13
FM 59-C
P.O. LOT NO. -37-
IR FOUND
LINE
�ON
N/F
DOBSON
BRICK
L1619 P258
P.O. LOT -37-
IR FOUND
�ON LINE
1
HOSE
N/F
GRATZ
L1679 P200
r IR FOUND P.O. LOT -36-
1
ON LINE
-'*—
Hoff-
-""itiE"RiGWF-OrWKY-�LEAUIN(;
U-N--JNL—
W TO THE
THE... PROPERTY.' NO
REAR OF OTHEI
DESCRIPTION FOUND. NO VISABLE
EASMENT FOUND.
�61.6'
CAPPED IR 1.9-- � � �1!
FOUND CID
PRIVY STEPS \
IR FOUND
62.5' ON PL CORNER
N20,0 00 W, 12 00'
UNPAVED 3.0,
LOWER RIGHT OF WAY
AKA WEST SHORE DRIVE
CERTIFICATION:
I hmeoy owtIfy to the pontes of mun" NOW NOTES
below. thal ttus "p shows in r—fitil of an
e� tied asey cornpieted n 04/25r2W
- JUDITH S. DEVINE
BY:
RA�MC; E. HEINSMAN, P.L.S.P.P.
i,
N.Y. LI ENSE No. 049270
0 Copyright OV3u07 by RrIonont! E. Hil-wran
p,tifessiornil lend surveyor PI.I.C. All tights ream ,
reprolitiction or copying of this docarl" m" be a
vlowbom of copinight law mists pannissim of be
author w4m copyright holder a 01110
CEFUIC41ioN
C0.j
SURVEY PREPARED FOR
-D -E VINE
TOWN OF PUTNAM VALLEY
COUNTY OF PUTNAM, N.Y.
FM No. 59-C, P.O. LOT -37-
A k RAYMOND
E. HEINSMAN
PROFESSIONAL LAND SIJRVEYOR, P.L.L.C.
PMH 167.1830 SOUTH ROAD, UNIT 24, WA PIPING ERS FALLS, 12.590
PHONE (945) 297-9435 FAX (345) 297-0212
DATE IFALE I DRAWN BY I CHECKED BI JOB146: - 94MTF.
04/30/20071 - 30 . MH . REH. _: 2002- 03Z-._j 1 OF I