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62.13 -1 -4
BOX 24
iff I I sr )r . I
16 lJ.•i A.
Sherlita Amler, MD, MS, FAAP
Commissioner of Health
Robert Morris, PE -
Director'of Environmental'tie'alth ' " -
Mr. Cummings
29 Hudson View Drive
Putnam Valley, NY 10579
Dear Mr. Cummings:
Department ®f Health
1 Geneva Road, Brewster, NY 10509
Office (845) 808 -1390
Fax (845) 808 -1937
September 2, 2010
Robert J..Bondi
County Executive
Re: Addition- A- 128 -10
No Increase in Number of Bedrooms
29 Hudson View Drive
(T) Putnam Valley, T.M. # 62.13 -1 -4
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 September 1, 2010. 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
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 (845) 808 -1390, ext. 43261.
Sincerely,
4�r � ��-
�l
Gene D. Reed
Senior Engineering Aide
GDR:kly
cc: BI, (T) Putnam Valley
AUG-18 -2010 09:30AM FROM - ENVIRONMENTAL HEALTH
°Sherlita Amler, MD. MS, FA.AP
Commissioner of Health
:.. _ .. Robert Morris; FE
Director. of Environmental ,Health
8452787921 T -787 P- 008/012 F -843
Department of Health
1 Geneva Road, Brewster, NY 10504
AIDD TION APP LICATId)1y1 RESIDFaNTIAL: QNLX
Robert 1 Bondi
county lTecuave
STREET Z9 OV015 M Uf -rV 9/r TOWN f��,t u `�ftAX N(AP # 6� % ` _y
NAME CtJ1n1"11nS PHONE ?Wy SZ6-Z sl y aHo
MAILING
ADDRESS s Qin go 114 /V/ cs 77
DESCRU d'ION OF M c� S
ADDITION T! 01y
NUMBER OF FMSTlNG BEDROOMS - PROPOSED #"OF REDROOMS�_
(FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR)
—Any addlidon which is considered a bedroom requires formal approval of plans (Construction permit) prepared by.
a Profi.-ssional Engineer or Rejostered Architect in accordance with appliCabla sections of the Putnam County
Sanitary Code?-
Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd,
Brew .T, NY 10504, Phone: (845) 278 -6130.
1. Cettiixed f; -or Bey $Beier fig $1Kt0.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.e of Bulletin
HA71) _
Non - professional sketches are acceptable and prefen -ed. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your Imowledge. laclude bate -of imW114tion - known.. AC-antad.this.office with any
/ questions.
f5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFIC1 U5E
COMMENTS
5,
Environmental Health (84S) 278-6130 Fax (W 278 -7921
Water Supply Section (843) 225.5186 Fox jai;) 225.su12
Nursing Services (845) 278 -6558 Fax (845) Z78 -6026
Nursing / Rome Care Agency (845) 2784085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228-2847 Fax (843) 225 -1580
1 -
SHEItrrx'AmLER, MD; MS, FAAP
Commissioner. of Health
LORETTA MOLINARI, RN,IVISNL `. -
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
Town Legal Bedroom Count & Proposed Addition Status
ROBERT J. BONDI
County Executive
Director of Environmentaf ffealth
Re: CUMMINGS (Owner's Name)
Tax Map # 62.13 -1 -4
Address: 29 Hudson View Drive
Town: Putnam Valley
Year Built:. 1935
According to records maintained by the Town, the above noted dwelling,
is . in compliance with Town Code.
Is not . in compliance with Town Code.
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of .Occupancy:
Other: Assessor-is Records
The plans for the proposed addition are considered:
New Construction
xx Addition to existing house only
Teardown• and/or re -build allowed under Town Regulations
As.s. :........i.di .. Y inspector /.De ut .. Zoning .Date
P g -.
Jo . Landi
6.
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
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax. (845) 225-1580
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THIS SURVEY 19 CERTIFIED TO THE rwAim PARTIES,
JONATHAN S. CUMMINGS
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SURVEY OF
LOTS 6-11 INCLUSIVE AND
PART OF LOTS 1-4
NAP Or GSCAWAMA HILL TOP ESTATE
PROPERTY 13F F. X JAMES COMPANY
931 MAP #115-C
FILED 1EMPITEKHWA 1
N- 62.13-1-4
SITUATEll AT
ag HUDSON VIEV DRIVE
PU TNAM VALLEY
TOWN OF PUTNAN VALLEY
PUTNAM COUNTY, NEW YORK
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THIS SURVEY 19 CERTIFIED TO THE rwAim PARTIES,
JONATHAN S. CUMMINGS
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DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
.... .. - APPLICATION�� TU' I:uNH`3�TiiJL-: A..'�v2�y�° -::�w�i�?� -- .. � _ :: -.: • . -: ;.� _
PCHD PERMIT #
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OCATION
Street Address T wn Villa e City Tax
H guy `c,
Grid Number
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✓d��,f 3 V���iM�i
WNER
Name Mailing Address
M,or ri s %i GGL� I sr� �� � + d o �
Private
O Public
WELL
M(RESIDENTIAL O PUBLIC SUPPLY O AIR/ COND /HEAT PUMP
O ABANDONED
ary
O BUSINESS O FARM O TEST /OBSERVATION
O OTHER (specify
ndary
PLL
O INDUSTRIAL C]INSTITUTIONAL O STAND -BY
❑
OF USE
YIELD SOUGHT gpm /4� PEOPLE SERVED /EST. 0F
DAILY USAGE gal
FOR
SUPPLY OPROVIDE ADDITIONAL SUPPLY
C3 TEST OBSERVATION
ING
D
� REPLACE EXISTING SUPPLY e 3 DEEPEN EXISTING WELL
FOR
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DRILLING
WELL TYPE
__ffj3RILLED 13DRIVEN ODUG El GRAVEL 0 OTHER
1, WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION ' NAME OF SUBDIVISION:
i %to { Lot No . 0
WATER WELL CONT Afir nl /�vg e r go rl �''�� � Address: A �6- r '� t��✓�'� �����
RACTOR: Name /�� '7+
IS PUBLIC WATER SUPPLY AVAILABLE TO'SITE: YES NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE TO p
ROPERTY il0a NEAREST. WATER MAIN:._
LOCATION SKETCH & 'SOURCESOYI CONTAM�INATION PROVIDED
014"'REAR 01 THIS APPLICATION ON SEPARATE SHEET
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prov i s a 5 c
provi �� thi
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Date Is
Date,-
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PERMIT
TO CONSTRUCT A WATER WELL
onstruct one water well as set forth above is granted under the
bpart 5 -2 of Part 5 of the New York State Sanitary Code, and
thin thirty (30) days of the completion of water well construction,
all:
well until the water is clear.
t the well in accordance with the requirements of the Putnam
°a 1 th Department attached to this pe&i t.
Well Completion Report on a form provided by the Putnam County
?partment.
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Mite copy: H.D. File
Yellow copy: Building InsPectOr
Pink Copy: Owner
C►range copy: Well Driller
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