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631- 589 -8100
62.13 -2 -13
BOX 24
Z-
'
or
L
t
' ENG I+NEER .MUST t
NAM COUNTY DEPARTMENT OF HEALTH pRpVIDE
P E Res % 12 rf 'EnvironmentsH
�P.4IANCE ,FOR�SEW,pGE.DI$POSAL,SYSTEM
WELL COMPLETION REPORT PUTNAM COUNTY .DEPARTMENT OF HEALTH
3/71
Division of Environmalftal Health Services-
COUNTY OFFICE BUILDING. - CARMEL. NEW.YORK.
This
report is to be completed by well• ;Iler and submitted to County Health Department together with laboratory report of
analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued.
REPOATT MUST' SE SUBMITTED WITHIN 30 DAYS OF WELL 'COMPLETION
NAME
OWNER
a LOCATION
-- -.. —:
{NO S Sire• - . (own) (tor Number
':.._
OF WELL
1
BUSINESS
CD
PROPOSED
DOMESTIC ESTABLISHMENT FARM
TEST WEII
Use OF
WELL
Cl CONDITIONING OVER)
SUPPLY INDUSTRIAL
DRILLING
COMPRESSED. E-]l
D ` ).
EQUi►MENT
NOTARY AIR PERCUSSION PABLE$SION (SpecifyOT
CASING
LENGTH peot).
/ . •, . •- •
DIAMET"(inches)
WEIGHT PER FOOT
❑
DETAILS
.
/: h
, :� .
THREADED , WELDED'
. yES NO
YES NO
MELD .....
HOURS G.P.A.
(�
YIELD (G P V !
TEST
LJ BAILED PUMPED COf TRESSED AIR
WATER
MEASURE- FR^.A1 LAND SURFACE STATIC( clrylser)
vpRINC YIC1D TEST fr001)
DiPM of—. a 1N
Coro II
in feet Wow lend surface: b
-MAKE
llWOTH OPEN TO AQUIFER freer) :
DETAILS
SLOT SIZE
DIMIETER.(lnch•a)
IF R014
Diameter of well including.
RAVEL SIZE (Ino"s
(feet)
TO (ea)
ED:'
growl pock (Inches):
' . DE: FROM LAND SURFACE
•'
Sketch ex"t location of well trltil•dlstartses, to at Asset
'FEET
FORMATION. DESCRIPTION
two permanenl landmorha. '
to
FEET
r
�
�.
m'
PUTNAM COUNTY DEPARTMENT OF HEALTH
y DIVISION OF ENVIROiiN 1TAL HEALTH SERVICES
{
Owner. qr Purchaser of Building Section :..,;,:.�::, Block Lot .
^,r
y a 3 • i ��= �:.: is � z.
• Building Constructed by Tax Map Number
WEST',Wj<w --
Location — Street
Municipality
akD5
Building Type
Subdivision Name`
Subdivision rAF :.r''
GUARANIEE OF SUBSURFACE SEWAGE DISP(
I. represent that I am wholly and completely respo iBle for the location,
workmanship, material, construction and drainage of the sewage disposal system
serving the above described property, and that it has been constructed as shown on
the approved plan or approved amendment thereto, and in accordance with the
standards, rules and. regulations of the Putnam County Department of Health, and
hereby guarantee to the owner, his successors, heirs or assigns, to place in good
operating condition any part of said system constructed by me which fails to
operate for a period of two years immediately following the date of approval of the
"Certificate of Construction Compliance" for the sewage disposal system, or any
repairs made by me to such system, except where the failure to operate properly is
_.._ caused- by-: the- < < *illful or negligent act -or , hE:.c, c upant.:cif.:tx► �hW ldin�, -.ut.i iz?.n,:.
The undersigned further agrees to accept as conclusive the determination of
the Director of the Division of Environmental Health Services of the Putnam County
Department of Health as to whether or not the failure of the system to operate was
caused by the willful or negligent act of the occupant of the building utilizing
the system.
Dated this 1, day of 19 Signatur '
Title
General Contractor (Own i t
Corporation Name (if Corp.),
RQGER MAYES CONST. CC, d
Corporation Name (if Corpsjkr�., 1v.JrNiJc3il,�d3
03 A I 1 338 PiddreMOTHERS ROAD
PO.UGHOUA%, N:.. Y. 12�r1
Address ' ...- ..._- ...._.. _._.
rev. 9/85
mk
Yorktown Medical Laboratory, Inc. / LOCATIONS:
321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203
321 Kear Street ❑ 201 BUTTONWOOD AVE.. PEEKSKILL, N.Y. 105663 37 -8777
Yorktown Heights, N.. Y. 10598 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335
(914) 245 -3203 ❑ STONELEIGH AVE. (NEAR HOSPITAL), CARMEL. N: Y. 10512 278 -9330
T �A:C.^�!)
:: i
DATETAKEN:
(- -I DATE RECEIVED:
Q62� DATE REPORTED:
SAMPLE SOURCE: 14 Lab #
REFERRED BY: -
1 G� .I -- _
L / J Collector /� 011177
LABORATORY REPORT.
mg /L
❑ ACIDITY ............................ ............................... ❑ ALUMINUM ................................ ...............................
❑0 AKALINITY i P' ............ /A= ... ❑ ANTIMONY ........ ......... ........................
Lid BACTERIA, TOTAL /mL ......L- �` ..................... . ❑ ARSENIC .................... ........... ...............................
❑ BOD.5 DAY ............................ ............................... ❑ BARIUM ....................................... ...............................
❑ BROMIDE ........ ❑'BERYLLIUM I
❑ CARBON DIOXIDE, FREE ........ .. ❑ BISMUTH .................................... ...............................
❑ CHLORIDE ❑ BORON
❑ CHLORINE ............................ .............................:. ❑ CADMIUM ...............................:.... ...............................
❑ COD ....// ................................ ............................... ❑ CALCIUM ..................................... ...............................
• COLOR 1 Un it S ) .................... : ...................... ...... ❑ CHROMIUM (tot.) ............................ ...............................
• CYANIDE ............................ ............................... ❑ CHROMIUM (hexavalend) .................... ...............................
❑ DETERGENT, ANIONIC .. ❑_ COBALT ...............:
.......... ............................... .................... ............:..................
❑ FLUORIDE ............................ ............................... ❑ COPPER .................................... ...............................
❑ HARDNESS .................... ❑ COLD ......................
❑ N COLIFORM COUNT/ 100 ml ❑ IRON ........................................ ...............................
...............................
.'1: 1 COLIFORM COUNT/ 100 ml .................... 11 LEAD .... . .......................... ........................................
❑ CONF I RMATORY TEST ............ ............................... ❑ LITHIUM .................................... ...............................
❑ NITROGEN, AMMONIA ............. ............................... ❑ MAGNESIUM
............ . ....... . ............... ...........................
❑ NITROGEN. KJELDAHL ............ ............................... ❑ MANGANESE ................................ ............................:..
❑ NITROGEN; NITRATE ............ ............................... ❑ MERCURY .................................... ...............................
❑ ODOR (units) • ............... ..............0................ ❑ PALLADIUM ................................ ........ :......................
❑ OIL & GREASE ........................ ............................... ❑ POTASSIUM ................................ ...............................
❑ PH (Utl i t S i ......... . ................ ......... ..:............... ❑ RHODIUM .................................... ...............................
❑ PHENOL ................................ ............................... ❑ SELENIUM .....................:.............. ...............................
❑ PHOSPHATE (ortho) ................ ............................... ❑ SILICON .................................... ...............................
❑ PHOSPHATE (condensed) .• ❑ SILVER ..................
❑ PHOSPHATE (total) .. ❑ SODIUM ...........................
❑ SOLIDS, SETTLEABLE, mi /L .... . ....... . ....................... ❑ TIN ............................................ ...............................
❑ SOLIDS. SUSPENDED ............. ............................... ❑ ZINC ............ ......:.......... . .......................... . ........ . ...... 0.-
❑ SOLIDS. DISSOLVED ............. ............................... ❑ .................................................... ......0........................
❑ SOLIDS. TOTAL ..................... ............................... ❑ ................:................................... ..........0....................
❑ SOLIDS. VOLATILE ................. ............................... ❑ REMARKS:..................................... ...............................
❑ SPECIFIC CONDUCTANCE (uhmo s / cm) ............... ❑ .................................................... ...............................
❑ SULFATE .................................................. .......... ❑ .................................................... ...............................
❑ SULFIDE ...................... ..................... . ... . ... . ❑ .......... .0........0 ....................
❑ SULFITE ............................. ............................... ❑ .................................................... ...............................
❑ SURFACTANTS .................... ............................... ❑ .................................................... ...............................
❑ TURBIDITY ( NTU) ......................... ...................... ❑ ................. ..............................0 ..........................
THESE RESULTS INDICATE THAT THE WATER WAS OF A SATISFACTORY SANITARY
QUALITY WHEN THE SAMPLE WAS COLLECTED.
THESE RESULTS INDICATE THAT THE WATER DI MEET THE SATISFACTORY CHEM-
ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS,
DRINKING WATER STANDARDS (PART 72) FOR THE,PARAMETERS TESTED
WHEN T E SAMPLE WA COLLE D.
--- N/A = not applicable
S� DEER NDG ES (7'l F�J D U6 /� / . SP (' /N 6i o..r b 9 ENCD vA- 1r"Z4) NO �Rpu,up �r /,gTF:P T//F�pfFGPc /9FlF.P viSG U S t /u�✓S
W11,01 R. 7072W/ OF 40u.v7V NEAL711 Pfs`T , GUPTi9 /i/ ORf3 1N /?E�pU /,PEME.vT l(/i9S l%fLETEa ScyALE NOT
RF4001PED OuF 7V R04OW19Y v�A /NA6� iMA,povF,���.vrs .
i eP artment of Health
,2 T j Putnam Coun
m' Division of Environmental Health 5evi6e5
Approved as noted for conformance WJ th
applicable Rules and Regulations of the
po Putnam County Health Department. �1
3'� 1
Sig ature &Titl
A �4t
Z "ELL
JO
x_38' zi ".3o'r-y Z745' O 7
A Q0 /LT D1t2FNMONS ."Ores;
A 8 . C D )TH /S. /S TU CORr Fr THAT THE SEWA E D /JPoSAL
1
107 131 SrJ7tF '. v/AJ GONST.PuCTEDAS /ND /L,9Tc.'J' O// Md OWNER: .sNEGDON r aoN /A
2 99 /20 PLAN AND 711197 SYS7f/7 WAS /Nrp'r. EU 8Y/V/-
3 84 119 ,(3EFORLc /T WAS revtce ". THE SYSTE71 K /.95 S�P�EOFr�EWyoR� /�/NDICK
L c!'A rAW C AKE Js -IOWE ROAD
4 79 //0 GONJ /PUt7E "t� /N !>tCtv�t�H� /GE k / /1N h!_L S7ANOA•�D PuTNAM ' ►/�9GGd Y
5
123 /36 ,fvGES A.vO RlEuCAr /vNS D� T/E r3 %7NAM{^
6 117 130 LOUiVrY hHEALTy DF 139.P7-MMv7- A / -'%!) 11/E 41 lOT L 4Aeo S / /C,fr
7 /// 97 NFw yoew STATE JEd g PTMENT vF- NEALr//
�CGwsTRucT /v�v RE'PHtT
$ Z�Z 42 c'• !� o s6 �-� .�VaC' VEYO�J 3UN1Y, °" l�.S.SOl.�A7fS
9 25 AS gvlGT 64
pROFESSIO
32 45 ¢S EE A70Vr <D ADD /T /ONfG NUTES< :. SL1 % Ak1 /Ar.MI�AEO NN.fIOJ N
� /jANL3uey, loNN
t
t'
r
f�
l k F
? y `i^
PUTN -M C I
L
z
Division of. Enviror
CONSTRUCTION PERMIT FOR SEWAGE ,D,ISPOS%
r = _4 (r.
� Y
- Locate6 at fib'
� 'Subdry sion �' � AM6 A
Building Type i`l Lot Area
C 2F y
Number -of Bedrooms 1 Design Flow G /P /D
Separate Sewerage System 4to consist of 0. 0 s
To be constructed by
water Supply Public Supply 6rom
j�
Y Prwate Supply to be drilled by
b
liddress
Other Requirepents
i represent that l -am wholly and',completely- responsible for th,
above descntied will be constructed as shown on the 'approved2
County Department of Health;'.and that- on�complet�on then
be submitted to the6Department and a written guaranteefN
place in' gootl opera ing'.contlition any part of said sewage
,the ficate "ot Construction Co
-will be' orated asshown on the�appioved plan and tfaL said wbl
County D^^epartment^�of HCe�alth
bate
<
Address. L 4�I'G��3�TG
r APPROVEDFOR'CONSTRUCTION ThisapprovaP ^expves:o
revocabtefor cause or mayMbe amentled or mod�fied'when con
requ�►8s a new permit Appro for disposal of domesCi
t Oate ' `T BY
+ - Itev 9 -81.
DEPARTMENT OF HEALTH'S t% t' Permit ♦
�3
Heahii" Services Carmel N - Y 10512 r
r * Town or 9 ills e x
aA iJiap�
t A .r
_ Renewal �`. Revision -I j j
p Date Of Previous Approval
.� Fill Section Only ❑
a+"zf '¢ s
.Notification` R ,� equired .,.;
al Septic Tank ^4and -P����P,3Y�ll� i'_�Z /G�/�i`� _
a :Y Address
and location of ;the proposed system(s),_ lj that t'he separate sewage - disposal system
nt there. to a-d-
d -n accordance with the standaids,'r6lesan regu a ions o e' Putnam ,} ,
rtif�eate of Constructfo_ h Compliance satisfactory,to the Commissioner of Health will
It that saki builder will
systemSdurFmg She per�gd of two-( years 1mmeAiately foliowing "the date of the, issue
ofthe`ong�naltsystem for any - 'repairs thereto 2) ghat the drilled well described ^above
nstalled �n accordance',w�th the "standards rules'arf rogu,aTTons -: of •the- Putnam
Lx t� Llsy Ulf IRi3Y1 ` P.E. �.R.A
/` IV132�i'�/ G�A9.i9 CMG6r�+ucense No
i�
rom the• date sunless Construction `of the buildi lg'has been'_untlertaken and-is
acessaryyby theICom� s; ner 6i,.' 41th• Any,cnange or:alteration of construction
sewage; / r =`p`w a er supply only
h 4
_ T�t•le `
PUTNAM COUNTY DEPAWrMENT 011' HEAU111
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Re: Property of 'i - �'".�� s(�iV;A Ir(txllf ' C�}
Located at 'yd CST &HdCC-G (LiZ�j
(T) Aj/_); V _Section 4V Block d Lot fL
Subdivision of I-AL - 9W We_ ACCge-S Se4WIJ
Subdv. Lot # Filed Map # Date
_ CEIV
E
Gentlemen:
AUG 12 1983
This letter is to authorize DAV113 RFAXOA) PUTNAaa p-
-**' DEPT. i Y
a duly licensed professional engineer L/ or registered archRttt'LTH
(Indicate
to apply for a Construction Permit for a separate sewage system, to
''serve the above noted property in accordance with the standards, rules
or regulations as promuYagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
connection with this
system -or, stistems...i.n
t 147, Education Law,
t
tary Code.
Countersigned:
matter and to supervise the construction of said
i.oT1,1'o mj.ty .w:ti.t_ , %F nc 5 Or
r
the Public Health Law, and the Putnam County Sani-
Very truly yours, sr� --cotl
P.E., ` =•, #rd2,39�
5z wxa'ex Hazy
Address
A,.;,RVA_ % C&a;A-) t.1eY10 .
Telephone
Signed
Owner of Property
2-� st, r1 Qoi 49 vt-�
Address
Town
S1 cp 2.21. 3 -3a vj
Telephone
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
.. '^ ....L`uy,i \1. 1 vi i�i.u'. ".�.0 ii.+.. i1VU �". Vriill•1L'L �� . .Y •_•L.lJJ1C ... _. ... . -
.- o .. .. .... .� . .....,.
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner ,S'NFLfY�iJ't�S�3iv(f� 1NalLf4 Address Z1e% ST MAkACS 40'C
RM"exe f fy
Located at ( Street W/dicate &JcX SWf�� X4 Sec. Q i Block j
Lot IL
nearest cross street)
Municipality. Purl] M L)A( Le- Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH
APPLICATIONS
o e
Number CLOCK TIME PERCOLATION
PERCOLATION
RM apse Depth to Water Water Level
No. Time From Ground Surface in Inches
Soil Rate
Start -Stop Min. Start Stop Drop in
Min. /in drop
Inches Inches Inches
' 1 1 10 M V4, 2s 2.
5,
2 io 2i YZ 29 2-
S
3 g�t� f13 j a 2 24
4 6.- fob io 2!%¢ ZL314
5 MOLE 36 `' Dom!'. 06� t
Ewa n e_ I
4 T132 10 23 2,4
5 &mi l ` Oct , if Ljra_('c
T-
PC-ZC &A-)
Notes: 1) Tests to be repeated at same depth until aroximately equal soil
rates are obtained at each percolation test hole. All pppp data to be submitted
for review.
2) Depth measurements to be made from top of hole.
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION'
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE N0 . .HOLE NO.
G.L.
6" TOP SCI(-
12" ,hhU -DY COQ
18" SMWL
24" AD L L4 FPS
30"
36"
42"
48"
54
60"
66"
72"
78"
ME
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
!DTP- LEVEL. TO W_H?CH WATER LEVEL RISES AFTER .BEING ENCOUNTERED
TESTS � 1410E
DESIGN
Soil Rate Used__Min/1 "Drop: S.D. Usable Area Provided
No. of Bedrooms q Septic Tank Capacity tZOO Gals. Type
Absorption. Area Prov1ded By L.F.x2411 width trench.
r j' ?& L:jq /t XSS� jz 'j� --fi her. '
ure
Address 51 WOCSi -72 rlS SEAL �a�t �f NEWYo��
AAAuAul�i, CO?,uN OLF10 5
BE
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Cal. Checked by "_ Da e
• 4°j
�1-nell�FnAro 0523`6`
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
ROBERT MOR IS, PE
Direetor of'Crtvironniehia[ Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
ADDITION APPLICATION RESIDENTIAL ONLY
STREET
V
PAUL ELDRIDGE
County Executive
�O w9f !L� M W,, TOWNaf64 KVA AX MAP #,
NAME A N1 Z�GK I PHONE J 14.2-x-1 -1 q 9 o PCHD#
002.13 -2.13
MAILING
ADDRESS J K 1-r e-9 8 L_ �A >7 , fli 1' •
DESCRIPTION OF
ADDITION 2 V02MOZ Cii VM,0 I5 'ro � e� gkt! TV g6v 2i�D )2 �oMS
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, NY 10509, Phone: (845) 278 -6130.
1. Certified check or money order for $100.00.
7::. S�.ceii°h�c i? P�{�ct� a fl, -.r is (iraum .to cralR,•01 fving area - i— ecl"._ding- be�emen., t..: �;e
1 -
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (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 knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
a
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
ROBERT MORRIS. PE-
Director of Environmental Health
DEPARTMENT OF 'HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
Town Legal Bedroom Count & Proposed Addition Status
Re: Zuckerman (Owner's Name)
Tax Map# 62.13 -2 -13
Address: 90 West Shore Dr.
Town: Putnam Valley
Year Built: 1986
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:
4
WS iii GTiilat uri has' beer ol;tairied from:
Certificate of Occupancy: C04 67 9 5 T186
Other:
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
10197/1 t
uilding Inspector Date
6.
i
PAUL ELDREDGE
County Executive
REBECCA WITTENBERG, RN, BSN
Public Health Director
ROBERT MORRIS,,PE .. ..... _
Director of Environmental Health
December 2, 2011
DEPARTMENT
Andrea Zuckerman
1 Kitchel Road
Mount Kisco, NY 10549
Dear Ms. Zuckerman:
OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Re: Addition- A- 146 -11
MARYELLEN ODELL
County Executive
No Increase in Number of Bedrooms
90 West Shore Drive Road
(T) Putnam Valley, T.M. 62.13 -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 this
Department dated December 2, 2011. 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.
-D. �. - .t � loi, :. � `iuli�ii - e ack
T t� tnPt�t rar`3"Z x'enLs . o, co . t . .. I- 'U
r ��_ �_ >� ... }„a— �r uc� Low, L :.rfg D °ai tc -e� stx s� �
and. other current codes can be met.
5. 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,
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI, (T) Putnam Valley
cc: Martin Cantor
COPYRow 0 2011
BUNNEY Assa'llz ALL RIOTS
RESERVED, `UA VIOORIZEO
OUPGCA7ION A A VIOIATlD/I. OF
APFLIGBLE'LAWS
IF UNDERCROUND'NPROVEN£MS. EASEMENTS OR
OYCROACi MMIS OW AND -ARE MOTOR MBLE DUMNO
NOR" 'FIELD. SLWVEY OPERATIONS NOR DESCRIBED N
018TRUM MS PROVIDED TO INS SURVEYOR, THEY MAY NOT BE
SHOWN ON TNS MAP AND ARE NOT CERT1FiED.
TM PROPERTY MAY BE AFFECTED BY MSTRUM&M WHICH WAVE
NOT. BEEN PROVIDED Mp *O °SURVEYOR. USERS .OF MIS MAP
SHDULD,VEMN TITLE WIN THEIR ATTORNEY OR A OWUFT O
TIRE E7CAMME7.
THIS MAP Is NOT CONSIDERED w or VKYD UN LESS ? Is.
AMRKEO MM BOTH THE:EWBOSSED SEAL AND ORAM4L
SIGNATURE IN:BLUE MK OF THE SURVEYOR WHOSE SW"nME
PREPARED BY.
BUNNEY ASSOCIATES LAND SURVEYORS
301 FIELDS,LANE'
BREWSZER, NY 10509
PH. (845) 277 -3404
FX. (845) 277 -4117
ema111 'bunney.assoolatesOverlson,nel
LOT'
NOW OR FORMERLY HENRW SCHWARZ
I SHED'
.LOT 3
NOW OR FORMERLY H & C LLC
LCT.2
AREA= 1.044 ACRES
PREMISES SHOWN HEREON BM LOT 2 AS SHOWN ON MAP
070LED 'SUIIOMSION MAP WOW AS SECMN A LANE SHORE
AFY±ES'. FILED M THE KM AM COUMY CLERKS OFFICE ON MAY
1 i 1278. AS MAP NO. '.1852.
W94JIMMED ALTERMION OR AODR701V TO A SURVEY MAP
8,7 IMC A LICENSED LAND SURVEYOR'S' SEAL S A VIOLATION OF
SX-XI N 7209, SUB -AMSOY Z OF THE NEW YORK STATE:
tMC4MN LAW.
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JEFFREY DORM L.S. r ( IN rw )
NYS UC. No. 50749 : 1 IWPh:e 30 1L
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SURVEY OF PR ®PE I
PREPARE MN
snVA'/E IN THE
TOWN O PUTMM VALLEY
NEWYOM
SCALE: 1 A>a W DATE OCTOBER 19, 2011
FILE NP. 7 M5 -2 P 42 -1;
PUTNAM VALLEY /LAME SHORE ACRES SECT AI LOT 2'
Martin Cantor Architect
4702 Sunflower Court Peekskill, NY 10566 tel: 914 - 930 -7482
. -4132 Wiec`tion 's Parkway' 'Sarasota, F'L-34233 - tel: 941- 342 =2893
E -mail: martcantor(@-yahoo.com cell: 914 -522 -0432
November 5, 2011
Putnam County Health Department
1 Geneva Road
Brewster, NY 10509
Re: Proposed Alterations
90 West Shore Drive
Putnam Valley, NY 10579
Enclosed is our submission for approval of proposed alteration work at the above
residence.
As shown in both the Health Department & Putnam Valley Building Department
Certification, this residence was constructed as a 4 bedroom house.
We would like to enlarge 2 of the existing bedrooms by building dormers on the South
side of the house.
if you Have any questions, you can best contact meat '9i"4= 522=0432 "(or d- mall)- -
Thank you for your attention to this.
Martin Cantor Architect
e
WOOD DECK OVER
UNFINISHED
VIA
INCOMING
ELECTRIC
VNEW
• VATOR
SEWAGE
EJECTOR
PUMP
OUT TO
SEPnC
PUTNAM- COUNTY.O.EPAR- MENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
BEDROOMS 14 - !/
ALL SUBSEQUENT REVISIORIALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
a - , /� 2 /
-I';:
BASEMENT
IFY PLATFORM
STAIR
UNEXCAVATED
UNEXCAVATED
UNEXCAVATED
_... '^ I jlr� ii,
Vvill a, :16111
� • . N-6
0 2 4 6 8 10 20 30 40 50
INCOMING
MATER
d-
AREA
WALK -IN
WOOD DECK
MASTER
t� BEDROOM
IUNCHANGEDI
iv BEDROOM
BALCONY
PIiTNAM COUNTY_GE;RT ;'4'iEIVT
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
"'/ BEDROOMS A - /Z/ G - //
ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
RENOVATE �I -
SUNROOM
LIVING ROOM DINING AREA
BREAKFA'
UP
RENOVATE
KITCHEN
_ ii - -' -. - . GARAGE . I _ - ii- _ . _ ..
WE
PROPOSED FIRST FLOOR
:0
RESIDENCE OF ANDREA LEIGH ZUCKERMAN
00 WEST" SHORE DRIVE
PUTNAM VALLEY, 10579
TM# 62.13 -2 -13
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aw
ENLARGED
BEDROOM
3' -0" —
['rsir; LT
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
l BEDnOONIS 4 tn f � —�f -
ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
!r
'w.T,loc t:-` f!_F DATES
am
w
tziY:OPf� BELtk4�
14' -7"
CLOSET
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PO1rfE L�_�
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p�
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C
Are
E(i!L-ARGE
ROO"'
�
BEDROOM
ELI
0 2 4 6 8 10 20 30 . 40 50 60
Water "SuDP(Y
MALTH ENGINEER =MUST
PROVIDE
N; Y fObf2 PERMIT #' V
Tows or ;Village
n'installed7 All
is shown. on the plans of the completed York (copies
We.*. wiLh,tih6 f led plan, fd the petmit issued y ;the
,l✓ L Ltcpnsa No
be`npcpsspry to WCU p p toif�lctbn Qf rtny unsanitary,
and voJd�if soon a %`.tnp�Ejtc�shhtt�r.Y tser °p6eoMds.
Ii�f+PIY bpeof ief vpllapi, iS�uc F,fpD °rousts are'
roeitbn`' fho"�tt�catlo�,,gP}'"e�iinDe�IS iisuwi�i;�
INCOMING
ELECTRIC-+
EXISTING FOUNDATION/BASEMENT
0 ' 12 b, b, 10- 20 30 40 so so
RESIDENCE OF ANDREA LEIGH ZUCKERMAN
00 WEST SHORE DRIVE
PUTNAM VALLEY, 10579
TM# 62.13-2-13
In
d
0 , � , 4 ' 6 , 6 , 1'0 20 30 40 so 60
EXISTING SECOND FLOOR
0 1 2 ' 4 ' $ ' $ ' tb 20 30 40 50 60
RESIDENCE OF ANDREA LEIGH ZUCKERMAN
90 WEST SHORE DRIVE
PUTNAM VALLEY, 10579
TM# 62.13 -2 -13