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62.10 -1 -34
BOX 24
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA INOLINARI, RN, MSN.
Associate Commissioner of Health
Kenneth Glass
38 Flower. Lane
Jericho, New York 1 1755
Dear Mr. Glass:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
December 12, 2006
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition Approval — Gershenhorn/Glass
174 West Shore Drive
(T) Putnam Valley, TM# 62.10 -1 -34
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 December 11, 2006. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at three without prior approval by this
Department.
2. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
3. ' Ah piuinbing fixtures must be updated with water- saving devices, i.e., new.low flush
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 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,
Mike Luke
Public Health Sanitarian
ML:cj
cc: B.I. (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
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
ROBERT J.. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
December 12, 2006
Vivian Gershenhorn
17 Morey Lane
Randolf, NJ 07869
Re: Addition Approval — Gershenhorn/Glass
174 West Shore Drive
(T) Putnam Valley, TM# 62.10 -1 -34
Dear Ms. Gershenhorn:
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 December 11, 2006. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at three without prior approval by this
Department.
2. The area of the existing sewage disposal system, and its expansion area, must be
ma.intained.
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. 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 your convenience.
Very truly yours,
Mike Luke
Public Health Sanitarian
ML:cj
cc: B.I. (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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
•l "{.x r .' 913�ir. sw�:. W -�i � v - .' ®'SS. - a-se�+iY� � r :. e•�(!f - . -. �.f. t-.
r LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
June 22, 2006
Kenneth Glass
38 Flower Lane
Jericho, NY 11755
Dear Mr. Glass:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Re
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Addition — Glass
No Increase in Number of Bedrooms
174 West Shore Drive
(T) Putnam Valley,. TM # 62- 10 -1 -34
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 the Department dated June 22, 2006. The addition is approved with
the following conditions:
1. The total number of bedrooms must remain at three 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 shQ wer-heads.apd -fauc ets._etc
-" ° -�"' °"'�' - °" ° ' -�+ �`Ine'ap ~provaiistor the-proposed changes onI'y: �ll'us 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 question, please contact me at your convenience.
Very truly yours,
Michael Luke
Public Health Sanitarian
ML:mcb
cc: Building Inspector, (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
�i
SHERLITA AMLER, MD, MS, FAAP
Commissioner. of Health
LORETI'A MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Genexa Road, Brewster, New York 10509
ADDITION APPLAgA" LION RESIDENTIAL Ole
R ®BERT .I. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
STREET 174 Wes•t."Shore Drive TO Putnam Valley TAX MAP# 62.10 -1 -34
NAME Vivian Gershenhorn /G1asq?HONF, 516 -582 -3880 PCHD# -33q-6-6
MAILING Vivian Gershenhorn
ADDRESS 17 Morey Lane, Randolf,New Jersey 07869
Kenneth Glass, 38 Flower Lane, Jericho, NY 11755
DESCRIPTION OF
ADDITION In -kind replacement in same building foot print of existing
Single fAMILY RESIDENCE.
NUMBER OF EXISTING BEDROOMS # 3 PROPOSED # OF BEDROOMS 3
(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,
B r <�,ct� ATt7 1. 5no
e-u."st 1, a� ✓Vi, t ii�ia. �•. �� inY V ��
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
3. Two sets of proposed floor plan (drawn to scale — with name, street and tax map #)
*Non- professional sketches are acceptable
4. Copy of survey showing well and septic locations to the best of your knowledge.
Include date of installation if known. Label all wells and septic systems within 200 feet
of the property line. Contact this office with any questions.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
Environmental Health (845) 27M130 Fax (845) 278-7971
Water Supply Sedlon (845) 225 =5186 ' Fax (845) 275 -5418
Nursing Services (849) 27$-6558 Fax (845) 278 -6026 WIC (843) 27178
Nursing #louse C€r? Farx (845) ,78-Sffl5
Early InterreatiooiVreaetift1(W) 278-014 Fax (845) 278-664S
V
DRK CONSULTING ENGINEERS
Putnam County Department of Health
1 Geneva Road, Route 312
Brewster, New York 10509
Attn. Mr. Joe Pavavoti
Re: 174 West Shore Drive
Putnam Valley, NY
Dear Joe Pavavoti:
I am submitting the following items for your review and verification of determination of
the three bedroom count for the attached proposed house plans.
1) Chase Bank check #873165895 for the $100.00 application fee.
2) Addition application.
3) Two copies of the existing house plans.
4. -!- Two cuoie's -dMhe-oro Dosed house. plan-
5) One copy of the PCHD 3 bedroom count letter dated. Note that this was for a
different proposed house.
Please forward a letter verifying the bedroom count to me as soon as possible.
Thank your assistance in this matter.
Sincerely,
Donald R. Knapp, P.E.
I
FRONVELEvATION
SCALE VA' • Y -0'
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"IMPORTANV /
PRESENTATION PLANE ONLY
DO NOT USE FOR CONSTRUCTION
60ME ITEMS ON PRINTS ARE NOT INCLUDED
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TO YOUR CONTRACT /ORDER FOR A COMPLETE;
WT OF MATERIALS TWAT WILL BE PROVIDED
BY TWE WILDERNESS COMPANY.
2 x 10 T 2 x O MATERIAL q CANADIAN E.P.F.
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2. A, 7. 6 1 2 x 8 TREATED MATERIAL B 7 P.P.
ALL WMENSIONAL LUMBER 16 TO BE OF SPECIES.
DESIGNATED OR EQUAL. s
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^ SCALE. Ud' . r o,
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"IMPORTANT"
PRESENTATION PLANS ONLY.
DO NOT WE FOR CONSTRUCTION
SOME ITEMS ON PRINT& ARE NOT INCLUDED
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TO YOUR CONTRACT /ORDER FOR A COMPLETE
LIST OF MATERIALS TWAT WILL BE PROVIDED
BY TLIE, WILDERNESS COMPANY.
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ALL DIMENSIONAL LUMBER IO TO BE OF SPECIE6
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LIST OF MATERLILD TNAT DELL BE PROVIDED
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ALL DIMENSIONAL LUMBER IS TO BE OF SPECIES
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IN YOUR CONTRACT /ORDER. YOMUST REFER
TO YOUR CONTRACT /ORDER FOR A COMPLETE
LIST OF MATERIALS THAT WILL BE PROVIDED
BY THE ULDERNES6 COMPANY.
3 x W- 2 x IT MATERIAL 16 CANADIAN O.P.F.
1x 4• f x6 4 1 x 6 MATERIAL I6 xT 6.P.F.
1 x 10 l T x 12 TREATED MATERIAL B •T S.Y.P.
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ALL DIMENSIONAL LUHBER 16 TO BE OF SPECIES
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F-- - - - - -- - - ------------- - - - - -- ------------------------
---------------
------------------------- - - - - -- ------------------------ - - - - --
T \B&UI POCKET. PROVIDE VY
AIRSPACE • BIDED A REAR OF BEAM
BASEMENT i
S•O• WALL HEIGHT
-4 -; STEEL COLUMN
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i 1 1/2• HANDRAIL.
PUTNAM COUNTY DEPARTMENT OF NEAT N
MOUSE PLANS APPyOVED FOR
BEDROOM COUNT ONLY;
BEDROOMS
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IN YOUR CONTRACT /ORDER. YOU MST REFER ,
TO YOUR CONTRACT /ORDER FOR COMPLETE
LIST OF MATERIALS THAT UNLL BE PROVIDED
BY THE WILDERNESS COMPANY.
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T x K t 7 x 12 MATERIAL B CANADIAN S.P.F.
2x 1, ] x SA T x 6 MATERIAL LS 7 S.P.F.
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ADD 3• TO WIDTH AND /OR WEIGHT OF R.O.
FOR ACTUAL MASONRY R.O. 11 V7• TO
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PAGE
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SOME ITEMS ON PRINT& ARE NOT INCLUDED
y IN YOUR CONTRACT /ORDER. YOU hN9T REFER V D d
TO YOUR CONTRACT/ORDER FOR A COMPLETE
LIST OF MATERIAL& THAT ULL BE PROVIDED
y BY THE WILDERNESS COMPANY. 1'
1 .1 1 x 10 1 2 x 12 MATERIAL IS CANADIAN S.P.F. F• I /t' a FIRST FLOOR FLOOR PLAN ; I, x 4.2 x , 4 2'x S MATERIAL IS '2 S.P.F.
2 x 10 I T z 12 TREATED MATERIAL 15'2 S.Y.P. PAGE
2, 4,2 x 6 1 2 x 9 TREATED MATERIAL LS 02 PP, j
SCALE, 1/4' . 1'O' ALL DIMENSIONAL LUMBER 15 TO BE OF SPECIES f
1112 SO. FT. DESIGNATED OR EQUAL. 6 of 1
1 i!
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31
SECOND F1�6� OR FLAN
SCALE, 1/4-i frO-
43660. Fit
PUTNAM COUNTy DEPARTMENT OF REALM
PLANS App�DVED FOR
y;i coijw ONLY;
5 ARDROOMS
o
s.
"IMPORTANT" 4
PRESENTATION PLANS ONLY
00 NOT USE FOR CONSTRUCTION
SOME ITEMS ON PRINT$ ARE NOT lN=tlDED
IN Y OUR CONTRACT /ORDER. YOU MLST REFER
TO YOUR CONTRACTIORDER FOR A C4Prlft-. ETL,
LIST OF MATERIALS T14AT CULL BE PROWDED
BY THE WILDERNESS COMPANY.
x 10 8 2 x 12 MATERIAL 15 CANADIAN S.P.F.
2x 2,64
1. 2 x 6 MATERIAL IS -2 6. P X.
10 1 2 12 TREATED MATERIAL IS .2 S.Y'P.
2 K 4. 2 x - 2 x 0 TREATED MATERIAL 15 -2 P.F.�:
ALL DIMENSIONAL LUMBER I$ To BE OF SPEOU
DESIGNATED OR EOLIAL.
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31
SECOND F1�6� OR FLAN
SCALE, 1/4-i frO-
43660. Fit
PUTNAM COUNTy DEPARTMENT OF REALM
PLANS App�DVED FOR
y;i coijw ONLY;
5 ARDROOMS
o
s.
"IMPORTANT" 4
PRESENTATION PLANS ONLY
00 NOT USE FOR CONSTRUCTION
SOME ITEMS ON PRINT$ ARE NOT lN=tlDED
IN Y OUR CONTRACT /ORDER. YOU MLST REFER
TO YOUR CONTRACTIORDER FOR A C4Prlft-. ETL,
LIST OF MATERIALS T14AT CULL BE PROWDED
BY THE WILDERNESS COMPANY.
x 10 8 2 x 12 MATERIAL 15 CANADIAN S.P.F.
2x 2,64
1. 2 x 6 MATERIAL IS -2 6. P X.
10 1 2 12 TREATED MATERIAL IS .2 S.Y'P.
2 K 4. 2 x - 2 x 0 TREATED MATERIAL 15 -2 P.F.�:
ALL DIMENSIONAL LUMBER I$ To BE OF SPEOU
DESIGNATED OR EOLIAL.
x.. ._,.- •x.. —.�.- .-�,. .-�.,. s..,..; _...,,ze.......�,.. ,-. .. ,. —. .. c ...x... a..: :. .c v.. _�es.-�.ae v: :.'w�r .a.a _ sa...,.z..... no-._ -._ _.mss.. _:. . n.� ._. s�. eeo-s .iasl.:..�a.a,.. .. a�
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
June 22, 2006
Kenneth Glass
38 Flower Lane
Jericho, NY 11755
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Re: Addition — Glass
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
No Increase in Number of Bedrooms
— -" - -- - _ . .
._
(T) Putnam Valley, TM # 62- 10 -1 -34
Dear Mr. Glass:
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 the Department dated June 22, 2006. The addition is approved with
the following conditions:
1. The total number of bedrooms must remain at three 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. 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 question, please contact me at your convenience.
Very truly yours,
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LOitE l A !VI0L11VARi,
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ADDITION APPLICATION RESIDENTIAL ONL
b
EA
STREET �iU�51- S�at��r• TOWN+�t�.vu IiA`i l��' TAX MAP# NAME "° kS� PHONE �I �� 3��U PCHD #Aj- b.6
aADDDRE s 3 -L o 0--yt e" .. ! l T s�
DESCRIPTION OF ,, 1 _
ADDITIO� / v e
to
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,
Brewster, Nor 10509, Phone: 18451)'2778-6130.
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
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal ]Bedroom Count
ROBERT J. BONDI
" C;ounty Executive -
Re: & L f}, <-<;- (Owner's Name)
Tax Map #: o1, r a
Address:
Town: jot i- K/7a� M VAL -i -,Ch
Year Built: �C
According to records maintained by the Town, the above rioted dwelling,
is j in compliance with Town Code.
is not in compliance with Town Code.
The Legal Bedroom Count is: i
This information has been obtained from:
Certificate of Occupancy :* avecp ik-D
Other:
Building Inspector 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
.
-
31
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