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631- 589 -8100
62.64 -1 -2
BOX 25
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BRUCE R. FOLEY
_ -..... Public.. Rgalth . Directo-.. ...
Denker
c/o Tompkins
256 West Shore Dr.
Putnam Valley, NY 10579
Dear Mr. & Mrs. Denker:
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LOREITA MOLINARI R.N., M.S.N.
Associate Public Health Director
Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648
WIC (914) 278 - 6678 Fax (914) 278 - 6085
May 6, 1999
Re: Addition- Denker- 37 Unadilla Rd.
No Increases in.Number of Bedrooms
(T) Putnam Valley Tax # 62.64 -1 -2
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 May 6- 1999 The addition is approved with the. following
conditions.
1. The total number of bedrooms must remain at Three without prior approval by
this department.
_ _ ? _ _ _-�ti'e .°•rte,°: ^v 4,F+n oY.'S4.L�g .&Sl nSad jfSi°W, :2:1.1..5 P`:Y?.nsion,arl.33, L't'`' 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.
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:kg
cc: BI
Very truly yours
Michael Luke
Public Health Technician
DEPARTMENT OF HEALTH
Division of Environmental health. Services
4 Geneva Road J
Brewster, .New :York 10509
Tel. (914) 278-6130 Fax (914) 278-7921 !
BRUCE R. FOLEY
Public Health n:recEc ._
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
i'Y1a- fa Sf�te� Tb_ek�hs
STREET �JVNQdl)a R6 T ®6VN �46- TX MAP #. 1
NAME ' �� HONE PCHD # 3 - �>�
MAILING
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS- PROPOSED # OF BEDROOMS3
(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.
_..._ _ Pied �_S?)l�ri;s...th?. _fo lSian th-_ f�lrn�xr�rr.?r�.��i�Snwm,,v�, ��;, p�It + ..A'Ge D4�
_. .. t a ,� - 'iLepL.; Y ,re a...,
Brewster, NY 10509, Phone 278 -6130.
1. Certified check or money order for $100.00
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
* Non - professional sketches are acceptable
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 location, 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 Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling.
OFFICE USE
Comments
Feb 98
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ill comhli'mcc Nvith ,l,o\vn cocle and the total number of bedrooms on record.
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This information has been obtained. from:
CER1'I17ICATE OF OCCUPANCY:
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ASSESSORS RECORD:
O'1'ITER
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Putnam County
Department of Health April 20, 1999
4 Geneva Road
Brewster, New York 10509
1VIr. Michael Lukes or Mr. William Hedges
Dear Sirs:
Enclosed you will find the application for an addition to be put on my parents home in Putnam
Valley. Please make all correspondences to my attention Stacey Tompkins
256 West Shore Drive
Putnam Valley, New York 10579
528 -8513
The addition consits of enlarging the bedroom suite. Please note that we are eliminating one of
the bedrooms on the first floor to do the addition. This project is being done in part because my
mother is wheel chair bound and the addition is necesarry so she can get around better. and the
second reason is because they would like to retire in Putnam Valley to be closer to their children
and grand children.
Thank you for your time and attention to this matter
"I er ,
Stacey Tompkins
0
PUTNAM COUNTY DEPARTMENT OF HEALTH L `
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVUDAL ADDITION/REPAIR FORM
SECTION A: GENERAL INFORiMATION
Name of Project 3-7 L� wc, 4 U c /V
(T)(V) /9V ' TM#
Year of Construction Size of Parcel
SECTION 'B. TOPOGRAPHY (Please check all appropriate boxes)
1. LyCilly [Rolling lJStee Sloe LGentle Slo a ❑Flat
P P P
2. [Evidence of wetland Clow area subject to flooding odies of water
[Drainage ditches L7Rock outcrop
3. Property lines evident? l� [
4. iVater courses exist on, or adjacent to parcel:
5. Existing individual wells within 200ft of the existing SSTS? l� 0
SECTION C. EXISTING SUBSURFACE SEtiVAGE TREATMENT SYSTEM(SSTS)
1. Physical character of existing SSTS area.
A. ❑Level UGentle Slo ❑ e a Stee slo
P P P
B. ❑Well drained ❑Moderately well drained
Somewhat poorly drained ❑Poorly drained
C. Area available for SSTS. (Primary & Reserve)
L�Extremely limited ❑Somewhat limited ❑Adequate —ft x ft
D. INSPECTION Date 51C Inspector
Lj-:'o evidence of failure DEvidence of failure ClEvidence of seasonal failure
------------- - --------- -------------------- ------------ ----------------=---------
. W -
HOUSE
S \
-7
---------------
----------------------------- - -------------------------- 7-7-�- ------
(1) Indicate location of SSTS
A. Size and type of septic tank _ gallons
DMetal Concrete Plastic
B. Type of absorption area
1. Fields ft. 2. Pits 3. Gallies
(2) Indicate setbacks, front street, backyard, and side -yard &i-me*'n--si-o'n's-'-"--' -'-
(3) Show location of well
(4) Show location of driveway
(5) Note physical features (steep slopes, rock outcrops, streams/wetlands)
SECTION E. EXISTING NVATER SUPPLY
®Shared well OPWS 6/Individual well
3Drilled OCasing above ground
®Dui '
CONiSENTS: 04 C ovcr Co(tc'p"j L'Lj"`�
REPAIRS ONLY: Status:
As Built Inspection Required: As Built Submitted:
As Built Inspection Done: Inspector:
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