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631- 589 -8100
62.18 -1 -27
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SITE LOCATION L
OWNER'S NAME
MAILING ADDRESS
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
OFFICIAL USE ONLY
TM# 6 2, `q -, / -- z, 2:
PHONE
PERSON INTERVIEWED PCHD Complaint #
ame & Relationship (i.e., owner, tenant, etc.
DA
TYPE FACILITY
PROPOSED INST.
ADDRESS
PHONES
REGISTRATION#
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.
_ _ f ;. as �uw•ilel;=a
SIGN
�nuiti �s ,end s-', drrri:
TITLE
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
DATE
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
e. Installers' name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
Proposalapproved
Inspector's Signature & Title
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
PC -RP 99ML
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WI P/0 7106_1.4 P/0 73061-3__ P/0 T306. 1.2 __ _________ P/0 73.06.1.1
FOR ASSESSMENT PWOSES ONLY REVISIONS I SPECIAL DISTRICT INFORNATION
tXWIY K tIfKOK
NOT TO BE 16E0 FOR CONVEYANCES , murtr uK
IIO,AN A 1. , I 4• 1 nix INK —� too Rot
JAMES W. SEWALL COMPANY VILU$tLIK
/ foal ll Mli — — — ORIk al
147 CENTER STREET, OLD TOWN. AMINE It1110aY UK 1011 na
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Four foot wide strip was acquired by p. f
The Town of Putnam Volley for rood
improvement purposes.
See Liber 361, cp 539
i
Notes
1. COPMYGNT '1993. . by BADLY & W,4TSON• SurveyYng R Engineering• P. C.
All Rights Reserved. Unauthorized +01icotion is a vio%ban of applicable
laws.
2. Unauthorized alteration or addition Ito o surrey mop prepared by a
licensed land surveyor is o viclatki4l of Section 7 ?09 ; Sub— Division Z
of the New York State Education Law. i.
3 All certifications are valid for this tnap and copies thereof only if said
M40 or Copier bear the embossed aeol of the surveyor whose signature
appears hereon.
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7771E N. 93 -1590
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SURWY OF PROPERTY '
PREPARED FOR 4
ONRISTOPHER & LAURA !WANE
S7UA7F W 7NE
MW Off` PUrIVAM PALLEY _- .
PU77VAM COUNTY
NEW YORK
SCALE lin= 20f1. AUGUST 19, 1993
SHERLITA AMLER, MD, MS. FAAP
Commissioner of Health
.., ...:I: RE MOLII` R1*,
Associate Commissioner of Health
July 3, 2007
Christopher Kinane
50 Columbus Avenue
Putnam Valley, NY 10579
Dear Mr. Kinane:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT I BONDI
County Executive
Director of Environmental Health
Re: Addition Approval — Kinane
No Increase in Number of Bedrooms
50 Columus Ave.
(T) Putnam Valley, TM # 62.18 -1 -27
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 the Department date July 3, NOT The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at- three 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 sfiower 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.
Respectfully,
C9
Joseph S. Paravati, Jr.
Assistant Public Health Engineer
JSP:kly
cc: BI, (T) Putnam Valley
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
4W
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PUTNAM COUNTY DEPAIi XM, OF P� kl,Tll
HOUSE PLANS APPROVED FOR BEDROOM C( ul%!T ONLY,
7 Q )pv
BEDROOMS
�
ALL SUBSEQUENT REVISIONIALTERATIONS i0 THE SE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL �,�� 7 A) 7
/3
(S NATURE & TVTLI! -7-DATE
1
PUTNAM COUNTY DZPARTNIENT OF � NLTR
-R0.USE- PLANS. APPROVED FOR BED,Z'OO1%'l COU ' 1%',T 0 LY,.
3 BEDROOMS
ALI, SUE-SEQUENT REVISION/ALTERATTAONS 10 THFISE, HOUSE
PLANS MUST BE SUBMITTED TO THE PCD6H FOR APPROVAL
Af" 7131�g
S. NATURE & 'I`;-,-','U DATE
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Christon"Ie Kinarie.
50 Columbus Avenue
Putnam Valley, New York 10579 -2136
(845) 526 -4258
05/30/07
Putnam County Dept. of Health
1 Geneva Road
Brewster, New York 10509
Attention: Joseph
Joe, -
Attached is the unfinished basement floor plan & the .2 d floor plan as requested.
Please note, as we discussed, the additional three feet will not be supported'by columns
or posts. The newly enclosed porch will simply overhang the foundation by three feet.
Sin e ely,
Christopher Kinane
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
May 9, 2007
Christopher Kinanne
50 Columbus Avenue
Putnam Valley, NY 10574
Dear Mr. Kinane:
+ F ROBERT J. BONDI
County, Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT MORRIS, PE
Director of Environmental Health
Re: Proposed Addition — Kinane
50 Columbus Ave.
(T) Putnam Valley, TM # 62.18 -1 -27
The application for the above referenced project is incomplete. Please provide the following:
1. The existing floor plans for the 2nd floor and basement.
2. The actual location of the 1000 gallon septic tank that was approved as.part of the repair
permit issued.on 4/26/02. Please provide the dimension-from the foundation to the tank. .
Review of your application will continue once the above documentation is received. Please do
not hesitate to contact us if any questions arise.
JSP:kly
Sincerely,
I '
V • t�G�t- Owti�'�-
(.Jseph S. Paravati, Jr.
Assistant Public Health Engineer
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
,j
'+ • a SHERJLITA ANTLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMEiNT ' OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ADDITION APPLICATION RESIDENTIAL ONLY
STREET 50 CL SUS 4JGtiUe TOWN PL)„vRvi VA-LtZY TAX MAP# ba. i8_ J -37
NAME C t��S��P� �- KrAIA/J E PCID#
MAITLINO
ADDRESS 50 Cot_y. -oe,US 4VG�yoc= Pv,,Vt vi Af- Y..cosrr —a+36
(DESCRIPTION OF
AIDIDITION ENCc,bsL7'j> {%oti`,Ctf tJzT -H 4-t>11)yrrzrj!
NUMBER OF EXISTING BEDROoms 3 PROPOSED # OF BEDROOMS 3
(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; .
t _. -
..
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area ihelu><dinng basement)
3. Two sets of proposed floor plan (drawn to scale — with name, street and tax map #)
*Non - professional sketches are acceptable
4. Copy of survey showing well and septic locations 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. Contact this office with any questions. '
5. 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
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early Intervention/Prescbool (845) 278-6014 Fax(845)278 -6648
-4.
SHERLITA AMLER, -IVID, MS,_ FAAP
"Commissio W of 7leatt% '
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
.,.L �... .T :ROBERT.J; .PONL:1
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
Re: K I N A .N (Owner's Name)
Tax Map #:
Address: 1�0 L Q- (VV B ( S
Town: J)cl f'N AA VAL "L_ dc�
Year Built: lc 44
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: 3
This information has been obtained from:
Certificate of Occupancy:
Other: ASSESS O g_ ' S 1 I LIC
Building Inspector 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
4
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Sheet of
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF' ENV1r4.0Nrv'iENTAL HEALT -1 SERVICES
FIELD ACTIVITY. REPORT
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Ann
Street Town State Zip
PERSON IN CHARGE
Ap !1T TTTl~ R VTFXXF71 _ ®N� §Rk— A �
Name end Title
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TYPE OF FACILITY: /�
FINDINGS:
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K I't'4 fKl RECEIVE) ii ri
I acknowledge receipt of this report: SIGNATURE:
02/96
Rev.
Title.
NEW sePrrw-- s y.5 rt-Ax Pu-r .�� �P,�NQ _ /m4.y aoo g,
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PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL; SYSTEM REPAIR
SITE LOCATION 5'0 G
OWNER'S NAME C, A.,-, e,-, o
MAILING ADDRESS
` OFFICIAL USE ONLY
TM# �r- 2 /mob' _' l — Z. 7
PHONE
PERSON INTERVIEWED PCHD Complaint #
ame & Relationship i.e., owner, tenant, etc.
DATE
TYPE FACILITY,
.c.
PROPOSED INSTALLER PHONES
ADDRESS J REGISTRATION#
i
Proposal (include sketch locating all adjacent wells):
NOTE: Repair muk^ 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.
r/ � f �J�/ � l/�� G. i1 / //' �7 '!' G���i G / �'' i' / i Gr •• ' Y 2 Ql ✓ .i CI��C�'
/' �� .. i 1J �� i ` 4' '� P /7 /G /!!!G r' a / % dJ H 2 CJ r_'.. ✓ ..a .rv, -
owner, -o repgrt d agent of oum r wee e. condi Ens - stated on this - fcmi -.
SIGNATURE ` TITLE
_
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
DATE
b. Site Street Name, Town and Tax Map number.
C. Location of installed components tied to two fixed points (e.g.,house comers).
d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep
e. Installers' name and number.
3. System repair to be performed in accordance with the above proposal and condit#s.
Proposal approved 0`•
Inspector's Signature & Title
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
PC -RP 99ML
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The Toes of Putmmn Valley for rood
improw�nenLpurposrs
See Lber 161, cp 539
i
SURWY OF PROPERTY
PREPARED rOR
Notes ?'•`•
k'/NA
1. CCPMGHT '1993' by BADLY .WA7Z`OV. Surroyfrrg R�Englneerinq, Pt:. .CHRISTORHER
& LA URA
Ap Rights Reserved.. Unoulhrized duhlk;otion .is o iolation of applicable
STTUAIr IN ME
'
' °ws TOWN
2. Unoulhorized prop by
OF PWNAM . VALLEY !'
alteration r oCdition t6 o surroy pr»pred °
licensed land surveyor Is o riofotion'of Section 7209 ; Sub- Division 2
PU77VAM COUNTY
E;
of the New York Stote Educotlon Lob.: r.
J. All certirxatb7s re valid for this mop and copies theieol only if sold
NEW YORK
mop or copies bear the embossed.se& of the eur.e}or :.nose signoture - SCALE tin=
t.;
20ft. AUGUST 19,
1993
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