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62.13 -1 -42
BOX 24
02871
Public Health Director
DEPARTMENT OF
1 Geneva . Road
Brewster, New York
HEALTH
10509
Associate Public Health Director
Director of Patient Services
Environmental Health (914)278-6130 Fax (914) 278-7921
Nursing Services (914)278-6558 WIC (914)278-6678 Fax (914) 278-6085
Earlr Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648
April 3, 2000
Mr. Cummings
59 West Shore Dr.
Putnam Valley, NY
Re: Addition- Cummings - 37 Lakeview Dr.
No Increases in Number of R-edrooms
(T) P.V. Tax # 62.13 -1 -42
Dear Mr. Cummings:
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 form this Department dated April 3, 2000.The addition is approved with the following
conditions:-
_.. 1.. The total number of bedrooms must remain. at Two - - without prior -aoprov_ai -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 Valle
.. If you have any questions, please contact me at your convenience.
Very truly yours
William Hedges
WH:kg Senior Public Health Sanitarian
cc:BI
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fa: (914) 218 - 7921
BRUCE R. FOLEY
Public Health Director
STREETL
NAME
MAILING ADDRESS
TO TX MAP# 6a'/'��"T�
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS J PROPOSED Our OF BEDROOMS o2
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING I\SPECTOR)
rn Va �I .
*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 sectiori_s-of :d. Futn Code,---. : . _ _:_�r.�� �- :: :. :. _ __.. .: 7 w
Please submit this form and the following to Putnam County Health Dept., 4 Geneva,Rd.,
Brewster, NY 10509, Phone 278.6130.
rtified 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
0Two sets of- proposed floor plan (drawn to scale, with name, street, and tax map
* � Non-professional sketches are acceptable
`.
O `opy 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.
C tact this office with any questions.
(�N y of Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling.
OFE ICE USE
Comments
Feb 98
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S
Acting Public Health Director
Re: .3 '�7 /-
Residence
Tax Map �0�•/3�/ -�f�
Town A,
According to records maintained by the To\Nm, the above noted dwelling
IS NOT
in compliance with Town code and the total number of bedrooms on record
is '2,
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER 5 t �e �,�s�e�• �--
Riilrlinrr Tnenartnr
tits f� /Y7 T
114. Pv f-. ha,.m
G-
TOWN OF PUTNAM VALLEY
WLLL DRILLERS LOG ATTD REPORT
WELL LOCATION, --
IJ�LL uWNE,
��/ street
name
section ' block lot
ress
city or town
WELL DRILLR % �� �J 3
name address �Cit�7Or t
_CAGING DETAILS
YIELD TESTJ
WATER LEVEL
SCREEN DETAILS
d surface
"
Bailed
Measure i:rom 1
ten6h: 1eF -- feet
or
1,1a ' _ �e
Pumped 2-,,,-H
Static; _ft
Make:
'
Djzmeter:�� Inches
Yield: /,GPM
When Bailed
r Pumped ft
Length Ft.
loZ
'size
K' � • ' .
Diameter InI.`
_
TOTAL DEPTH OF WELL 6 o Feet
Depth From 'Give description of forma ion penetrated, such as: peat,
Ground Surface 'silt, sand, gravel, clay, hardpan, shale, sandstone,
ranite, etc. Include size of gravel(diameter and sand
fine, medium, course), color of material structure
(Loose, packed, cemented, soft, hard).(Ex. , Oft to 27 ft
fine acked yellow said, 27 ft to 134 ft gray, granite)
ee to Peet Formation Description Sk <!tch exact location of well to
—� at least two permenant Landmarks
-Date Well Cumpleted y 7 Date
Well
of Report
Driller -- __
signature
's
lez,4ker v
lj-+,0- tyl' U G, &I'l J�i�
PROP F10CIk PIAQ
I
IL
PUTNAM COUNTY DEPARTMENT OF kAL[H
HOUSE PLANS APPROVED FOR
BEDROOM.GOUNT ONLY;
"I
BEDROOMS
t�
Signature & TTide a"
7— ra-z-
q^rreA OV C-0-
/5
13
I
I
It �/ �Y
-CP aiw
I WF'ORI I
I iP -ti' 15-4 1/r CONC POT SHELF Urr�
W W
� I
I o
� I
4 -21/i t4. -1, I
_ I
- BATHROOM
1 BEDROOM/ b -- _- --- FOYER h BEDROOM 14
HOME OFFICE
I
� I
I-
r REF. CLOSET
IREP CE I I ru COUNTY DEPPZt,1' DP
HOUSE PLA IS APPROVED Fm'
I I
I I
BEDROOM C UNT ONLY;
.f I INK I
cj LIVING ROOM I I I +� o�- -f-`'`/°
EDR
KfTCHEN -
b ' C b
-
I I Signature & Title Q �
I (.
� I I RANGE
°!' — — — — — — — — — — — — — — — — J 3
i
EDR
NOTES:
,, Q NEW INTDPARTITION TO BE: H &G's LAKEVIEW DRIVE RE!'DENCE
0 za- D.C.. PROPOSED PLAN
(1) LASER OF 1/2' G.W.B. SCALE 1/$'= 1' -0' ;
EACH SIDE. 9/30/00 i
0 FIBERGLASS BATi INSULATION ZOLTAN M SARO, RA
10 CRIGLER AVENUE
t CORWOT MANOR, NY. 10567
i.
'{ 1,
q
k'
, � t
i..OT Z.O LOT 19
I LOT 1 �
HI;,o� >u t7'ri oo'E
W \t1.E- FENCE � .
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O
O
O
LOT S
FENCE. \A,
66 9.
33.9 -
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LOT 6
P hTkO
1 ST 0 R'I
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CRIL PORT
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H0.t\T11E0. I. C.0 MM1N G S
SiCUP(TE IN TNV-
THIS Ml\P IS C.EcnT-%M) ONL71 To. TOWN of PU'TNAM, NRLLE`t
t�OF NEW yo PUTf,IQ1M L011NT�
a��PAes a ��, HCATHgR S. CUMNMINIS� L TUSZ IKE. C\3","MC.S NE.V9 YO WV,
* * LE 1 lAL1\ = 10 r. LET MIS. 7-117-000
S�\RVE"IE.D d `f
- s. cHwaLe.s aooLUKOS r.4..s.
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