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62.10 -2 -13
BOX 24
02855
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02855
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOL1NAi1, RN; IVISN
Associate Commissioner of Health
July 13, 2006
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Jonathan Spiers
126 Lakefront Dr.
Putnam Valley, NY 10579
Dear Mr. Spiers:
ROBERT I BONDI
County Executive
Director of Environmental Health
Re: Addition- Spiers
No Increase in Number of Bedrooms
126 Lakefront Drive
(T) Putnam Valley, TM # 62.10 -2 -13
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 July 13, 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, restricto7�.rs for shower heads and faucets, etc.).
1 h pp f the v Il cd ch angcs oluy." l In 0.pyl V V C11 ut7�� iiGt V aiivatc
C app 13 •�6 a rope i
any construction shown as existing that has not been obtained by 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.
ML:mcb
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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health .
LORETTA MOLINARI, RN, MSNv -
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ADDITION APPLICATION RESIDENTIAL ONLY
STREET 2c. LAWEPrzorJ'r IZOAP TOWN PuTOAAA VAt,LeY TAX MAP# 4140 °%•I'S
NAME S PCHD#
FaRME•Zc>%( Kt6 r M , ®or-E ri4y
MAILING Piz v € F%LT N AAA VA c,L�Gc( �P•
ADDRESS
DESCRIPTION OF
ADDITION 4 Lr 1a+ 2 °n' F w v 2
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,
e,� _t: r, NY... 0.50 _ •erne:.! r
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
A
.-A
SHERLITA AMLER,. MD, MS, 1" AAP
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT BONDI . -_. � . _ _
:,.- ......, .... _ ... _.....". 'l:ourity Execulive: -a, ,.. ..,...._.__....... . .
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509 A
Town Legal Bedroom Count
Re: Ke_im; Dorothy (Owner's Name) Speirs ; Jonathan
Orlando, Philip
Tax Map #: 62.10 -2 -13 & Elizabeth
Address: 126 Lake Front Road (Contract Vendees)
Town: put nam Va]? P;
Year Built: approx . - 1940
According to records maintained by the Town, the above noted dwelling,
is Xx in compliance with Town Code.
is not in compliance with Town Code.
The Legal Bedroom Count is: 3
This information has been obtained from:
Certificate of Occupancy:
Other: Assessor's Records
4/10/06
ite
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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PUTNAM COUNTY DEPARTMENT OF HEACH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
3 BEDROOMS
JIiR1atUfQ g Title I lite
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LAUREL 41.00,
RIGHT OF
,OCK PRIVILEGE"
)CATION AS PER LIBER
'4 C.P. 210
PHYSICAL LOCATION
THE "DOCK PRIVILEGE" •'.
ERE MADE AS PART OF
US SURVEY
=o'L— 45'00" V
oW N05°
................
72.00'
LAKE FRONT
^HORELINF_ OF _
OSCANANA LAKE _
0 PREMISES ARE DESIGNATED ON THE TAX MAPS FOR THE
TOWN OF PUTNAM VALLEY
SECTION 62.10 ' BLOCK 2 " LOT 13
b THE PREMISES SHOWN HEREON ARE BEING LOT 3 IN BLOCK 'B' AS
SHOWN ON FILED MAP OF'WILDWOOD KNOLLS' MADE BY
REYNOLDS AND CHASE C.E. AND DATED SEPT. 12,1923 AND FILED IN
THE PUTNAM COUNTY CLERICS OFFICE ON JUNE 20,1924 AS MAP
No. 9•B.
0 SURVEY IS SUBJECT TO ANY STATE OF FACTS WHICH AN
UP -TO -DATE TITLE EXAMINATION MAY DISCLOSE.
0 THE OFFSET$ SHOWN HEREON, FROM THE STRUCTURES TO
THE PROPERTY LINE ARE FOR A INFORMATIONAL PURPOSE
ONLY. THEY ARE NOT INTENDED TO ESTABLISH PROPERTY
LINES FOR THE ERECTION OF FENCES, STRUCTURES OR ANY
OTHER IMPROVEMENT.
0 ENCROACHMENTS BELOW GRADE AND/OR SUBSURFACE
FEATURES, IF ANY, NOT LOCATED OR SHOWN HEREON.
1 UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP
BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION
OF SECTION 7209, SUBDIVISION 2. OF THE NEW YORK STATE
EDUCATION LAWS.
I ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED
WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE
CONSIDERED TO BE TRUE VALID COPIES.
I CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS MAP WAS
PREPARED FROM AN ACTUAL FIELD SURVEY CONDUCTED ON THE
DATE SHOWN AND THAT SAID SURVEY WAS PERFORMED IN
ACCORDANCE WITH THE EXISTING' CODE OF PRACTICE FOR LAND
SURVEYS' ADOPTED BY THE NEW YORK STATE ASSOCIATION OF
PROFESSIONAL LAND SURVEYORS. THIS CERTIFICATION SHALL
RUN ONLY TO THE PARTY FOR WHOM THIS SURVEY WAS
PREPARED AND ON THEIR BEHALF TO THE TITLE COMPANY AND
LENDING INSTITUTION LISTED HEREON. THIS CERTIFICATION SHALL
NOT BE TRANSFERABLE.
CERTIFIED TO:
JONATHAN SPIERS and ELIZABETH SPIERS
CHICAGO TITLE INSURANCE COMPANY
U.P.
LANE
ROAD-
"4k
U.P.
SURVEy70F PROPERTY
SITUATE IN THE
TOWN OF PUTNAM VAL
PUTNAM COUNTY
NEW YORK
SCALE: 1 "= 20'
SURVEYED: MAY 19,2006
Link
Land Surve
21 Clark Plan. Who 143 f�
Mahe cN.Y. 10541 d
JOSEPH R. LINK� LE
NEW YORK STATE LICENSED
LAND SURVEYOR NO. 050456
COPYRIGHT 2000
LINK LAND SURVEYOR P.C. ALL RIGHTS RESERVED: THE UNAUTHORIZED
REPRODUCTION AND OR DISTRIBUTION OF THIS DOCUMENT 19 ILLEGAL, AND 19 A
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3 NAM 'V I
GRPIGERT C-.01-AST 020 POI NOV 15 '92 20:36
tow
PTYP,:W,l M7N.W -T -PAR "I
DIVISICN OF ENVIRONMENrAL HEALTH SERnC=
225-0310
PIOPOSAL FOR S&AM DISPOSAL SYSTEM REPAIR
PHCNE
in
I=TION 24#
nULING ADMESS 61Y %El 2
TNTERVIEM PCHD C,.cet lain i- #
Nwe & Relation ip a.e, owner, tenant, etc.)
TYPE FACILM
PRUVW1 Z) 1NST-ku,.6
PROM
r,2f6 6�44W4NO
EL9 l (include sketch locating all adjacent wells):
NM- Repair must be in &im 10oation and of same type as original sewage disposid s'ffztemy
Diff -rent 1ccation may require sutmittal of proposal fran licensed professiowl e'lgin - or
-' tired architect.
(,G ST- - 4 -; --
F=14gsd.. —&�.t.f:r I k � P-Cz _ I I " � - -
Pr: , , approved
%-osctrls Signature & Title
ps _4 vt e
Proposal Disapproved
�,2-! � !gonad rdi
�rovad with the followi�%�
!ions r
�--o=emnt of any Town permit, if applicable.
'dss-ion of as built repair sketch in duplicate showing:
Is name.
.creet Name, Town and Tax Map number.
-on of installed caq=ents tied to two fixed points (e.g.,house corrNiTel
d. System description (e.g., 1250 gal. concrete septic tank, three precast 61 dian.
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be perfomed in accordance with the above proposal and conditions.
1, as owner, or reported agent of owner agree to the above conditions.
SIGNATURE TITLE