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Home My WebLink About3108DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 62.72 -1 -22 BOX 25 I li -% - 1 b 1 `'jfr', . �rlll 1 i k r 03108 Howard aragen F 2" Oscawans Rd. PUTNAM COUNTY HEALTH DEPAR2r utnem YaOey, NY 1057.9 DIVISION OF ENVIRONM UAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR» OWNER' S NAME V S ul M d- 2 S d.W (L0 cc) R PHONE 92-6 -'9394 SITE LOCATION I b !, (4,g C4 fZC, TO 7 2 — / -- 2 2 MAILING ADDRESS Q V (K A- Yh �% !� L y , /�• j (0 �dT PERSON INTERVIEWED PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE R' 2' L TYPE FACILITY PROPOSED INSTALLER 60-T P u'T . (o (.L* 13V PHA 5a (b —dg-?S- 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. 'r C N' £Glc 1✓ R IF L �� Ot bo A -r- c o ILL Proposal approv 1"' Proposal Disapproved Inspector's Signature & Title to 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 carponents 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 J�f 14L� 1 DATE PISS: Wiite (PAD); YeUcw (fin ffi); Pink (Applicant) 0i1/28/ZO09 11:18 FAX 914 737 0224 JAN -2i °2009 0313PM PROM - ENVIRONMENTAL HEALTH commusioner ofHealih COIAM DISTRIBUTORS 0452787021 LN M T -754 P;002/002 F -817 . ROBERT J. DOW County LORMA MlOUNARY,W WN R B$11 RT MORRIS, PE Associate Commissioner of Heallie Director Of Environmental Heah11 DEPARTMENT OF HEALTH 1 Geneva Road; Brewster, New York 10509 ADDITION MZPCATION SIDENTIAY., , STUET 5e - -7 4C.e.- �' �l. '�UWPi�e�T�� 40 %AX MAP. te` �r �• � �.` l� rr -- _ N'A1bdEtJz.� �.x��>� .t°`�F1t1ONE 1--707-1 ,0..� MAILING ADDRESS. 1 c Se')ec, if All / [!rY�d ` c .�DDIITION G`. ,b •'1 . t 4- {-- o� r NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OF CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Protessio1w Engineer or Registered Architect in accordance with applicable sections of rite Putnam County Sanitary Code. Please submit this form and the following to Putnam County health pL., 1 Geneva ltd:, Brewster, NY 10509, . Phone: (845) 278.6130. &, Certified Check or mquey order for $100.00. Sketches of existing floor plan (drawn to scale, all living area induding basement) 3. Two sell of proposed floor plan (drawn to scale — with name, street and tax map #) Non- professional sketches are acceptable. A. t~opy .of survey showing well and septic 100ations io the best of your knowledge. Include date al installation' if know. Label 40 wells and septic systems Within 200 feet or the property lime, Contact this office with any questions. /S. Copy of Certificate of Occupancy from .Town or Certification from Building Dept. with legal bedroom count of dwelling.. OFFICE USE COMMENTS BuWnMMenW !L0h (8 ) 371M+113a Fhx (845) _78.7921 Wutar 3aa1P1y Smdoo (845) "..t' S%5186 Fnx (M) M-541d NiLmiug Selwim (8i5) 276dSSK tilt (dA5) 27* 026 WIC (845) 27"678 14%1LQ Name Cage Fox (K91278.6085 fwdp In►WV4z1doWWWh601 (945) 2W -28x7 r= (x45) 15 -1590 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF- HEALTH 1 Geneva Road,Brewster,,New York 10509 January 30, 2009 ROBERT J. `BOND( County Executive ROBERT MORRIS, Pit Director of Environmental Health Andrew & Jamie Gottesfeld 16 Seneca Road Putnam Valley; NY 10579 Re: Letter of No Objection - Gattesfeld 16 Seneca Road (T) Putnam Valley, T.M. # 62.72 -1 -22 Dear Mr. '& Mrs. Gottesfeld: In reference to the approved plans submitted to this Department for the above ,referenced property, (Addition Application No, A- 013 -09) approved on 01/29/09. At this time, this Department has no objection to the replacement of the.original structure, nor the utilization of the existing septic, system and well. Separation - distance from the house to the existing system must kP .m�na�rl��- a�;iaore•o,._.1.1.P1 -mot _morn 'fie h f,:.� ;r. _.k_ • :.•: >. ... cri= tc -...e �cpti�tu:�.�, �wEr,y-- L-eet��tot�i•- `, the house foundation to the septic leaching fields.) If you have any questions, please contact me at (845) 278 - 6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering Aide GDR: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 a N SHERLI-TA AMLER, MD, MS, IFAAP Commissioner of Health .ORE'T'TA MOLINARI, RN, MSN Associate Commissioner of Health January 30, 2009 -Andrew & Jamie Gottesfeld 16 Seneca Road Putnam Valley, NY 10579 Dear Mr. & Mrs. Gottesfeld: ,DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT, J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition- Gattesfeld, A- 014 -08 No Increase in Number of Bedrooms 16 Seneca Road (T) Putnam Valley, T.M. # 62.72 -1 -22 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 January 29, 2009. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be _ 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 (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering Aide GDR :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 SHERLITA AMLER, MD, MS, FAAP Cgmgi1ss1onerofHcalth_ - LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J.', BONDI Re:_ GOTTESFELD (Owner's Name) Tax Map #: 62- 72 -1 -22 Address: 16 S en e Rd- Town:— Putnam Va11ey Year Built: According to records maintained by the Town, the above noted dwelling, is xx in compliance with Town Code. is not in compliance with Town Code. This information has been obtained from: Certificate of Occupancy: Other: Assessor's Records uilding 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 Datet -®ber 5 19 95 TOWN OF PUTNAM VALLEY _ Zone District R -3 - Application is h eby made for Description Location of Premises— Street or Roac' 95 PER M,jT EC0R.0__ Commence Work Permit Work to start Repair Septic Seneca Road - TM #62.72 -1 -22 SEC: BLOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME Abele Park TEL.526 -2356 OWNER Isadore Cooper ADDRESS 16 Seneca Road - Putnam Valley,, N.Y. Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type Size of Septic Tank Lineal Ft Drainage Size of Dry Wells - Plumbing Description 'Description USE CONST. ROOFING LAND _ 1 Family Wood Wood Shingle Paved 2 Family Steel Asb. Shingle Dirt Log Cabin Brick Tile Oiled Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Courts Gas Station Brick Attic Open Garage 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 Cement Floor Log X Encl. Electric Finished Shingle MISC. Phone Garage •8. In Comp. Plot Plan .. Furnace !._.'L...___...._ _,� ' C:..i� ^.C.9 ^.i:•- -.._.. ci D�'✓cD:o y. i i -^-. .. .....• ._... �. .ri Dimension of Building Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type Size of Septic Tank Lineal Ft Drainage Size of Dry Wells - Plumbing Description 'Description �". � a � .. U m' 3 a. o. Oo O O O 1 ccwpp r D � Of Z Q z 433.68' V_ r i Fenc�e,�y. -- i �e9ular p " - �w Fence —P S 52' 04' E I 100.00 I I I III O Slate P i io O 1 O Deck 10000 sq. ft. I 0.23A(:res CD in I u) '` i•7 y1e�� N S O o� re R I ylgp 7i/ 1 6 11 1. N 52' 04'/W Pale 100.(1)0' EP The location of underground. improvements, or encroachments hereon, if any exist are not certified or shown. SENECA R(;AD Unauthorized alteration or addition to a survey map bearing a Licensed Land Surveyors seal is - o violation of Section 7208, Subdivision 2 of the New York State Education Law. Only copies from the original of this survey ,narked with an original of the land surveyors's 9mbossed seal shall be considered to be valid `rue copies. Richard D. i:. R.. , s i• c •� i . t •. Jordan Jar;! 15 Seneca Possession only as indicated 1 Richard D. Jordon jr. the surveyor who made this map, doihereby certify that this survey was completed on Aug. 22, 2004 and this rr,-igp was completed on Aug. 22, 2004 �l S. UK NO. UD04U 1. �r 4:. It 'is hereby certified that this survey was prepared in accordance with the existing Standards of Practice for land surreys adopted by tits New York State Association of Professional Land Surveyors. I,' Certifications indicated hereon shall run only to the persons tar whom the rLD� survey is prepared, and on their behalf to the title compony", governmental agency and lending institution listed hereon, and to the assic;4iees of the lending institution. Certifications are not transferable to addifk,nal institutions ;or subsequent owners. Certified to Andrew Gottesfeld and Jamie Gottesfeld, Mid Hudson Valley Federal Credit Union, and Old Republic National Title Insurance Company. (RG Agency No. 168 10) SURVEY OF PROPERTY PREPARED FOR ANDREW & JAMIE GOTT 'SFELD IN THE `_TOWN OF PUTNAM VA-LEY PUTNAM COUNTY,,- NEW Y K_ Scale: 1 "= 20'1 "= 20' AUG. 229 L2004 Being Lots 22 and 23 on Modified Map No. �4. iaf Abele Park, Oscawana Lake,; Filed in the PutnamI-.�• ' County Clerks Office on Aug. 25, 1926 as Map +i�o. 6B Rd. Putnam Valley, N.Y. 10579 �; i