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62.17 -1 -38
BOX 25
ti
Y
I 16 �4 I
02951
... 'BRUCE- R ..:FOLEY -.
Public Health Director
LORETTA. , .MOLINARI RN., M.S.N.
Associate Fiihlic Health ' Director'
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New, York 10509
Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 . Fax (914) 278 - 6648
Gina Brescia
190 Lakeview Drive
Putnam Valley, NY 10579
Re: Addition - Brescia, Lakeview Drive
No increase in Number of Bedrooms
(T) Putnam'Valley TM #62.17 -1 -38
Dear Ms. Brescia:
April 19, 2000
I have received and reviewed the revised plans for the proposed addition to the above- mentioned
residence.. The proposal for the addition has been approved as per plans bearing the latest
revision dated November 4, 1998 and revised April 19, 2000.
1. The total number of bedrooms must remain at two without prior approval by this
.Department....
2. The area bf the existing sewage "=dis 'posal system; and its expansion area, must_ be�„ A Y^
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.
ermits or variances required are the responsibility of the applicant and the jurisdiction
'Kent.
please contact me. at,your convenience.
Very truly yours,
' William Hedges
t Senior Public Health Sanitarian
k
BRUCE R. FOLEY
Public "Health Direc'lor`'
DEPARTMENT OF BEALTH
.Division of Environmental Health Services.
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
November 6, 1998
Gina Brescia
190 Lakeview Drive
Putnam Valley, NY 10579
Re: Addition: Brescia, Lakeview Drive
No Increase in Number of Bedrooms
(T) Putnam Valley TM #62.17 -1 -38
Dear Ms. Brescia:
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 latest revision date of
November 4, 1998 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
1
2.
...._.. - - - " -- ._ ...3.
The total number of bedrooms must remain at two without prior approval by this
Department.
The area of the existing sewage disposal system, and its expansion area, must be
maintained.
All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictors for shower heads and faucets, etc.
Approval is granted for sewage disposal only. 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 jp
cc: BI (T)Putnam Valley
V truly yours,
ruce R. oley
blic Health Director
,..._ ,
_1
DEPARTM_N T OF H;ALTH
Division Of Environmental Health Services.
Geneva Road, 6rev:ster, New York 10509
(914) 278 -6130
BRUCE R.' FOLEY, R.S
A ctirg Public •He "a!th
P;OPOS =D A-20ITiON APP'�iOIT IDN' _PRESIDENTIAL ONI -Y)
s7_.- Ln i<c, V icA,� J(_ T 0Y N' 'pu ..I_. o n'1 TX M P
E PCHD PERM T r i�- � o d3— �6
r i --7
S►Z/
Description of addition ac-L '
IN',- -ber of existing be..ro-..s Prorosed nunber of bedrooms
from Certificate of Occupancy or
Certification from Euildin: inspector
Any addition Y;hich is considered a bebroci;. 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 ant the fol 1 owi n :! to PUTt` AM COUPIiY HEALTH DEPA.4TMDFl
4 G =NEVti ROAD, E ?JSTER, N'� 10509., i?��p��._ 275- 61: 3Q. yl i .th_tkie.fllowanginformation..
1. Certified Check for•$100.00.
2. Sketch of ex,istinc floor plan (all living area including basement, if an
Non- professional drawing is acceptable.
3. Sketch of proposed floor plan. fit" 11
Non professional drawing is acceptable •
4. Copy of survey sharing well and septic location, to the best of your
-knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Tarn or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
To: (- I -\a u r-e S C
Dear MI5' rj I—e-s C_ L a,
Date: / *(l 8
BRUCE R'.' POLEY 1.
Public Health Director
Addition - , L a E Q °" 0
No Increase in Number of Bedrooms
(T) r, V. 6 z , { -7 - I -3 V
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The prop o al for the addition has been approved as per plans bearing the latest revision date of
and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
2
3
�. The total number of bedrooms must remain at . 2 _ without_prior approval by &ds -� =
Department.
The area of the existing sewage disposal system, and its expansion area, must be
maintained.
All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc.
Approval is granted for sewage disposal only. Any other permits or variances required are the
responsibility of the applicant and the jurisdiction of the Town of f, ✓,
If you have any questions, please contact me at your convenience.
Very truly yours,
Michruk ML :tn Publ'hnician
cc: BI (T)
addition
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVIDUAL ADDITION
SECTION A. -GENERAL INFORMATION
NameofProject
Year of Construction Size of Parcel v``` "�
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. M/Hilly Molling ❑ slope ❑ slope' ®Flat
2. ❑ of wetlands Clow areas subject to flooding ❑ of water,.., .1.
®Drainage ditches Clock outcrops
US M
3. Property lines evident. O '
ent to parcel?
_6h] _'_idji� . .......
47 Wat6F0iff§6§Txik or
AMM
5. Existing individual wells within 200R bf the 'existing. SSTS?
SECTION C.. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM (SSTS),,:�' --
1. Physical character of existing SSTS area.
A. Mevel ❑Gentle slope ❑M p, slope'
B. M/Well drained 13Moderately well drained
❑ poorly drained ❑ drained
7
C. Area available for SSTS. (Primary, & Reserve)
❑ limited C OAdequate
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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
BRUCE R. FOLEY, R.S.
Acting Public Health Director
Re:
Residence G% �,e�/,(�� (J /L�•% �.e
Tax Ma
Town
Gentlemen:
According to records maintained by the ToNm, the above noted dwelling
IS x. _.... _
IS NOT
in compliance with To`Nm code and the total number of bedrooms on record
is —Zyn
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
Building Ii
tot
uj
Ww
LOT. 19.
EhNEtk i
RODEN
PRr-M 1565 SHOWN WER.WN DCJNZ LOT5 I. I. Q.17
AND 10, 5LOCK WJAS 54OWN. ON MAP ENTITLED..
105CAWANA N I Lt2j P e5T^Tc: - 5AIDWAP-FILED
IN THE PUTN^N COUNTY CLERK'S OFT16t 014
SEFTEMOCR 0, 1931 A5 MAP NO. 115C.
LOT 10
..SURVEY 0p5-`PR0Pf-RTY
51TU^TE IN THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY,:
NEW - YORK
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MAY -28 -98 THU H:37 AM
PUNAM GTY ENV HEALTH FU NO, 191427$7921
P, ?
F7tM1►KU l/ /+� /J _xrti..w. pit r.. r
DIVISION OF MWIRUMIML FiFAIM SERVICES
MPC6AL P'QR SM,GE AISPWAI, SYSTEM REPAIR
' S NAB' -r- a n /t %1 4 [s7,7/j- _— A l c leg/ QJ PHONE 9N-62F-S2,36
SITE ACA "-'ION _ ( 1(L Z a. C?
tO
MU.0 ADDPss {�c. *1 0, M Ua -11 -ey_ /U � / 7 �
PERSON INTERVISM T14 )n&yy�e PAID Ca�°�int p
Name & Relationship U7, ewnerptenant, etc.)
DATE TYPE FACILITY
MPMED MTALLEFZ $�u-�? ` �� U-1 PliONE
REGISTRATION �= _
Pr &-a (include sketch locating all adjacent wplls):
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location may' require sukmittal of proposal from licensed professional, engineer or
registered architect. a
Proposal approved Prqposak Disapproved
Inspector's Signature & Title
ro�osal aroved with the following conditions:
�...,
1. Procurement of any Town petnut� , if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name.
b. Site Street Name, Town and True Map number.
c. Location of installed carponents tied to two fixed points
d. System description (e.g., 1250 gal. concrete septic tw*1
drywells surrounded by one foot + gravel).
e. Installer's name and number,
(e.g.,house corners).
three precast 6' diam. x 6' deep
3. Systm repair to be performed in accordance with the above proposal and conditions.
I., as owner, or reported agent of owner agree to the above conditions.
TITLE d )VJLtV-- _DATE !�� jp
30
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