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Home My WebLink About2950DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17-1-35 BOX 25 -.��. J 1IF '.� rq 16 o 02950 V SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Joseph Dubovy 13 James Drive Putnam Valley, NY 10579 Dear Mr. Dubovy: DEPARTMENT OF HEALTH. 1 Geneva Road, Brewster, New York 10509 September 5, 2007 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition — Approval — Dubovy No Increases in Number of Bedrooms 13, James Drive (T)Putnam Valley, TM# 62.17 -1 -35 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 5, 2007. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this 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 questions, please contact me at your convenience. Very truly yours, JSP: lm ..'/ Joseph S. Paravati, Jr. cc: BI (T)PV Asst. Public Health Engineer Stephen Ferriera, PE 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 r� SHERLITA AMLER, M®, MS, I:AAP Commissioner bf- Hedfh' L;ORETTA MOLINARI, RN, MSN Associate Commissioner. of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT ,D. BON ®I County Executive ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ® Y _ STREET 1 A �s T® P"rA,411;1 �4A � MAN NAME c/(l � � � ' . UlJ®V PHONE ��' �a6.3 Q��. PCHDO qw- POO 44 MAILING 1113, � (DESCRIPTION OF ADDITION, NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS A (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 or $100.0 2. Sketches of existing floor plan (dr o scale, sill 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 . �9 4. Copy of survey showing well and septic locations to the best of your knowledge. mac/ " I 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. 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 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 6 SHERI;I7A;;.AAILER; MI); •MS,-FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health. DEPARTMENT OF HEALTH - I Geneva Road, Brewster, New fork 10509 Re: t Tax Map #: Address: Town: _1 Year Built: County Executive Town Legal Bedroom Count (Owner's Name) 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: a This information has been obtained from: Certificate of Occupancy: ilding and Assessor's Records Assist. Building Inspector , JOHN W_- ALLEN 8/27/07 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 -1ra �6 8 v�� ° L9 D m y EL o a 0 y d • °m ® °0o V 9��OS m m m m 'ee�` o m mm ®�c°9 m m f± 001. b i ti oo �9 co n • gL Elm- LV S L Vb c 006 006 f3l . o ° °a m y 8 a® �3g 0►8 OOd 0'06 006 ts� 00,08 006 006 9 88 886 a OL Cc" —_ —_ 006 !md fa 0 008 Vol 0 �0'td ° 86 ° 008 g 66 I $' faod ° 8L6 ° L9Nnygwoo Q gBd OOZ �Ld 006 006 o f:6 96 m g ®9 �, L£ ?® 6 orid fed 96 cot � rn \8 Pry I Ot O V1 ®! 10- 9 8 Vgl M m Lo oar mn®o r 0^9 096 D06 89 m I I /� 8985 I�9'Q' 8� I lm l 8f y8 1806 I ®v6 866 BZI I I I 006 88 S6 Im3dw) Avm svomn It _ TOWN OF PUTNAM VALLEY - Department of Health - Division of Sanitation DESIGN DATA SHEET SEPARATE SEI'ERAGE SYSTEM Located 'at�'�� < <_C . G�(`:.,:.._..:.... Scf Owner;. ..... ... Watershed........................ cation.. Block..... Lot Area.. _ Bldg. Type _ Occupancy. Source of.water supply: drilled - driven -dug well- spring - public N0. OF ROOMS: Bedroo s..... ... Future .............. FIXTURES: Kitchen - dishwasher.,:.. Ga - grinder..... Bathrooms...,. Automatic laundry,...:. Otheri ................... I.......... SE 'AGE FLOW: (200 gal, /bedroom).......... ... (Increased capacity required for garbage grinder 50/ ) TANK CAPACITY:... gallons below flow line; depth air space......... TANK MATERIAL: total depth.......... liquid depth......... width ........... length ............... partition............. SOIL TESTS: 1st ...........min.; 2d ..........min.; 3d ...........min. Soil to.5 -foot depth ...........................how known.............. Testsmade by.......... when ...............' ABSORPTION RATE allowed ........ g.p.s.f.p.d.; Checked by ............. Gallons....... Rate....... Requires ....... sq.ft. bottom area in trer Provided by (describe absorption field).......... ..!`..f . ............................... distribution box provided............. USABLEAREA AV!.ILABLE ON PREMISES: .... ............................... DR_I INAGE -OF -L*iTD (show on sketch) : natural ........................ artificial ............. curtain drain......:............... !,ell- drained usable area MUST be provided before approval is issue SKETCH IS REQUIRED and must show all pertinent features, north point property lines, existing structures, driveways, water or gas lines, crater courses, wells, springs, dry wells or drains for roof or area drainage; DIST;LNCES BETl EEN SUCH FEATURES: C01 PLETE PLANS FOR ADEQ,U�ITE DRi,II\T�i.GE OF SEV :AGE DISPOSAL AREA -all details of workable sewage system.. DATA SUBMITTED BY: xv date Signature 7 ra c r . f. f = {/j, X7,-e.: Owner( ); Builder( if corporation, give title Yer.r% ?¢r- existing..••..'. field Checked by:' records - -(•):•inspection ( ) by date __ D► ii_ :::.:....l..C� ......... C;2_- )� .... , 19.70 TOWN OF PUTNAM VALLEY Zone District ...........c�...- ............. PERMIT RECORD N° ;10 739 Application is Kereby ffi6cle fCor ........ ........................ .......:. .... .. ............ ....Permit Work to start....... ' �.% :. Description ...................... / ".WSJ ... G .. c_, ... '............................. ':............................. Location of Premises — Street or Road .............'.''�........J� SEC............................ BLOCK ........................... LOT ........................... FRONTAGE ............. ............................... Depth ........................... Rear ........................... ACRES (other description) or number of square feet ....... SUBDIVISION NAME .......; y.(.. �I. G. •1Fj.••••...••..•.•.•••.•••.•.• OWNER .�%I.:..CLvi�vt�...'�`�•• ". >� .............................. ............................... ............... I.................................... ............................... .... ADDRESS . � ....�L2Gc , `.�.....1 ✓...� �j ..............� ..... C ..... LAND Dimension f Buil 'n o dig , (Paved Width Depth Stories i USE CONST. ROOFING it Family Wood ;Wood Shir.'gts 2 Family ; Steel Asb. Shingle;. Dirt '•l.og Cabin Brick Tile' It Oiled (Bungalow Concrete Metal i Swamp :Apartment i Stone Brook Store FNDTNS. INTERIOR :Lake F. I Store & Apt. Stone Rooms I Dams Store & Office I Concrete ! Apt. Rooms I Sw. Pools Office ; Blocks Apt. :Ten. Courts Gas Station Brick Attic Open (Garage I Piers Attic finished OTHER BLDGS. !:* EXT. WALLS PORCHES Barns BASEMENT Wood X Front Shacks 'Part Brick X Side Cottages Full Brick Van. X Rear Bungalows jCement Floor — Log X Encl. Electric j Finished Shingle MISC. :Phone Garage B. In. Comp. Plot Plan I Furnace Field Stone Driveway •- Type Foundation .............. :'....... .... ............................. Size& Use Each ....................... ............................... Room with Window Area .... ............................... ......................................................... ............................... Sewerage Type .............. ........ Size of Septic Tank ............... j :�?c Lineal Ft. Drainage ................... ............................... Size of Dry Plumbing Description................................ ............................... Well . _ CC C ................................ ............................... ._...- AdditiJAai Information .:. :�.1,�.:::' ::�'".'�.� ::�1.: "�� ... .... ......: ' ... �:�......�.��.�.�...:� .....�..�..... �......�..........�........ �.�.�. �. �.. ...�.�~............�..... -_.... t �. Description This application must be accompanied by a .copy .of• surveyorYf map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code• of the 'Town of} Putri -m :Valley when requested by inspector. Fee $ ..... ............................... Building �, ........ �� - ;'TotaP:L'ivable Area ............................ ............................... $....4.C.: .... Sanitary $ ..... ............................... Plumbing .. . Date'• Zoning Board Approval .............. ............................... $ ..... ............................... Well �I: %Cil.,.. cc..•G� pCO;