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Home My WebLink About2993DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17 -3 -35 BOX 25 02993 No is 14 I No No No No ,,; � I■ r �� • I IN ' I , so �" � L 02993 ALLEN BEALS, M.D., ID. Commissioner ofHealth ROBERT MORRIS, P.E. Director of En ironmentd Health MARYELLEN ODELL _.. County Fx wdye DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845).808-1390 August 10, 2012 Fax # (845) 278 -7921 Philip Maresco 36 Starview Ave. Putnam Valley, NY 10579 Re: Addition — A- 112 -12 No Increase in Number of Bedrooms 36 Starview Ave. (T) Putnam Valley, T.M. 62.17 -3 -35 Dear Ms. Nelson This Department has 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 August 10, 2012. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Dep�-rt- Are = ;. 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 modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on August 10, 2014. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, 4- 5 i 4, b,. � -4? Gene D. Reed Senior Engineering Aide GDR:cw cc: BI (T) Putnam Valley REBECICA W TTENBERG, RN, BSN Public Health Director MOBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva, Road, Brewster, New York 10509 Phone # (8457 808 -1390 Fax # (845) 278 -7921 ADDITION APPLICATION RESIIDENTI[AL ONLY MARYELLEN ODELL County Executive STREET J� . /�rl �L iG� � �� TOWN �/A'll TAX MAP # 61 r (7-- 3 .3Jr- NAME /W ��1� PHONI 6 J?'PCHD# MAILING ADDRESS DESCRIPTIOPJOF ADDITT'ION eW4?-Z0 25 ZA 47V13-r/•W JG *NUMBER OF EXISTING BEDROOMS 2— NUMBER OF PROPOSED NEW 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. - F' "^ to Patna Co�uir<, Health Dent., 1. _Geneva Rd, .. .., _ ..'. .._ �:.�Cc;:ilt liil. i.i�:$ t)rrn G11(1 L11G '�Yiv?�'eiiib _. '' Brewster, NY 10509, Phone: (845) 808 -1390. 1. Certified check or money order for $100.00. 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.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 4. i.� j `1 D PUTNAM COUNTY DEPARTMENT OF- HEALTH. HOUSE PLANS. APPROVED FOR BEDROOM COUNT ONLY - BEDROOMS Q. AtI�SL; BScr; �LsEP !T�RE�JIS�QN�Hi;�tEtATlOst' ��T�i.E.�F'k�Cla:. ..._. PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL .� SI NATURE & TITLE QATE U g 4 TO rn O V Room POTENTIAL -BEDROOM . t o' P f ROOM _ POTS TIC `� RE ®R® ®MI L e W j- 9 Y,6 - v I a #V PVFVAII -L--- X 1 ST11'� lua. u... �..` emu. � —. .. � `• '— -I \ .. -.. r �� ._.r _ 4 �-�— � 1 1 1,1, 1 Ni I � � l I °"F, TG fj� St M E/L,' i,�i�l�' /NIStcz7 It REBECCA WrrM14BERG, RN, BSN Public Health Director ROBERT MORRIS, PE Director of Environmental Health MARYULEN ODELL County Executive DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Phone # (845) 808-1390. Fax # (845) 278-7921 Town Legal Bedroom Count & Proposed Addition Status Re: Ad t P /r�AIW640 (Owner's Name) Tax Map # 6�, %1, -3 Address: Town: ell Year Built: 1930 According to records maintained by the Town, the above noted dwelling, is XX in compliance with Town Code. cc Sri= V11 Cod The Legal Bedroom Count is: 2 This information has been obtained from: Certificate of Occupancy: Other: Assessor's Records The plans for the proposed addition are considered: XX Addition to existing house only Teardown and/or re-build allowed under Town Regulations V. a ' 4S ' 4Q Bui&"g- Inspector, John H. Landi Date 5. .. ...PUMM. COUNTY . HEALTH DEPART. * DIViSION OF ENVIROI AL HEALTH SERVICES - fit} -� a,.a...reir: :- _ -" r.; J.., :.�_;.;.�•- _'':.,,._ _ . a � «s�:a,r - a.,.r.. ._ Y O4 PROPOSAL` FOR SEWAGE DISPOSAL .SYSTEM; REPAIR PHONE W p ..y SITE I�CATION + 'F cam' Il Tai i MAILING ADDRESS: , l `1� C. (" 511. PERSON INTERVIEWED PCHD Ccmplaint # Name & Relationship (i.e, owner,tenant, etc.) DATE �°�: j _ ? fib` TYPE FACILITY PROPOSED INSTALLER to wet o G •a'r} b PHONE REGISTRATION Pr sal (in sk etch locatlfi§ � adjaodnt �wel.ls').' NOTE: Repair must'. be in same :location and of same type as original sewage disposal system. Different location may require suii►ittal of proposal fran licensed professional engineer or registered architect° U Ur CT 2 • • Proposal approved Proposal Disapproved: Inspector's Signature &.Title' y'. Date Proposal approyed'with the following conditions: " to Procurement of any Town permit,, if applicable. 2e Submission, of as built repair- sketch in duplicate showing: ae Owner Is.nameo bo Site Street Name, Town and Tax Map number. C. Location of '. installed components tied to two fixed points.(eoge,house oorners.)mo do Systemdescription.•(e age,.1250,gale concrete septic tank, three precast 6' diamo x 6' deep drywellg' ; surrounded byi one foot + ravel) eo Insta:,er'.s name;and,numbe o ': Sys ee3 ...to. be::performed 'in..:, accordance.: `the above .proposal and conditions. I, as owner or reported a g ent of. owner a g ree to �the�above;conditionse . SIGNATURE` 0 'C1�. ' ;• f .: TITLE" f r "f4' : ' DATE l cT. : Mite (PCID); YeUcw (Tan HE); Pink Mpplimnt) ' R 0.4 A 0A � -4 1 _?J A.Fn V A PUTNAM COUNTY HEALTH DEPART V� Ut, % 03 DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR' OWNER'S NAME 1 L 169 j�- r s C 0 PHONE �` �- J ! ' `. SITE LOCA TION Co S''i A-A U t G. vtJ 1"I# _ 6Q, MAILING ADDRESS �v -rW t -A/l `% 4 C. & PERSON INTERVIEWED PCEID Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE �"'� j 5 7 1 cl g TYPE FACILITY PROPOSED IlQSTALLER 6 roc fit-?" PHONE REGISTRATION # -1 39 Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. y' . K S:T /✓Y C UJ e l( C Proposal approved / Proposal Disapproved Inspector's Signature & Title We Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System 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. SIGNATURE TITLE t4 C1t1 ATE ISM: Vbite MD); YeUcw (Tom HI); Pink Lbali®nt)