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03124
BRUCE R. FOLEY
Public Health Director
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services,
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
Joel Greenberg R.A.
2 Muscoot Rd. North
Mahopac, NY
Dear Mr. Greenberg:
July 29, 2002
Re: Addition- Maiuzzo- Wood St.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 63 -4 -9
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 form this Department dated July 26, 2002. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at three without prior approval
- _ by k:�p., c'::. rt.::n n . - . - -- - - -
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.
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.
Very truly y .
William Hedges
WH:kg Senior Public Health Sanitarian
cC:BI
t• Lo kt
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PEA &AIMS W OF :.103AM
171vPslo�f of zisvinnimenia He'* ' 8erv7ces
4 Geneva Road
Brewster, Now York 10549
Tel. (914) i18 - 6130 r=(914) 778 - M]
public Heciitlr ,Ulr,?Cfor
S GREET' Ililc7c <; jg: Z✓'; T OWN 7�Rt� ,.� TX MAP
J41 G r 4 Iq 1;; 1. V/3t�Llr t�
MAMNG ADDRESS W00,1> IOU-IiLVAM &i-�,
DESC1:1P'1 ON 0F,,JDDITJ0 i 12,k::6U141b____
NTLYBER OF ]EXISTING BEDROOM
(FROK CERT. OF OCCUPANCY OR
CER11FICA'ION' FROM; BUIi.MO INSPECTOR)
6Atvr addition which is cousldercd a bedroom requires formal approval of plans (Conshitetion
C� &d'e�yied �1y Ft �.�s�: =li. ny7l:eer or XOGkr»�`4wrbtH�.� ff;SlrtPl±P F.,ft rtCcordancc waeh
applcaDle sections of the Putnam County Sanitary Code.
Plem, submit this Form and the followine, to Putnam County 11calth Mpt., 4 Qeneva Rd..,
Drwslere NY 10509, Phonc 278 -6130.
A o (ettllied check or money order for 3100.00
20 Skciches of existing floor plan (drawn to : cale, all laving area lncluaing bas erncoRj
Non professionid sketches are acceptable ,
.3m fiyo eels of proposed floor plan (dram to scale; v4th nne, street, and tax Miap m) ,
! Non- professional sketches arc acceptable
4.0opy of survey showing well and septic Iocation, to the best of your knowledge. lncludc dato
of ImWlation Mmown, Label all Weds and septic systems Withhl 200 Feet of the property lute,
Contact this office vrith any questions.
5,Copy of Cert. of Qccupancy from "form or Certification fxom Building Dept. NAth legal
b4roorn count Qf dwelling.
1• U
�ffi~;telats
BRUCE R. FOLEY LORETTA MOLINARI R.N., - M .S.N.
Public Health Director --Ay 17
Yrl�n—zv� :AM;z-rz'
Director of Patient Services
DEPARTNENT OF HEALTH
I Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (945) 279 - 6085
Early Intervention (845) 278 - 6014 Pr6chool (845) 278-6082 Fax (845) 278 - 6648
June 6, 2002
Putnam County Dept; of Health
4 Geneva Road
Brewster, NY 10509
Ro: :lag Wngd S:tregt
,I�e s-i d-en. c� e- -
Tax Map 63.-4-9
Town 6f Putnam Valley
Gentlemen:
According to records maintained by the Town, the above noted dwelling
is xx
IS N
in compliance with Town code and the total number of bedrooms on record is 3
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS. RECORD:
OTHER
BFhouseguidelines IRV SEVELOWITZ
�J
PUTNAM COUNTY DEPARTMENT OF HEALTH
SION OIL ENVIRONMENTAL HEALTH SERVICES
_AR1PLTCATV(DN TO 5T➢8�;47T WATER WELL
please print or type PCHD Permit #
Well Location:
Street Address: Town/Village Tax Grid # 3_ -/ — g
� �-
3 7
l�� -tZ� Vr 0 ���,. -� _ Map Block Lot(s)
Well Owner:
Name:
Address:
Use of Wen:
Residential ublic Supply Air /Cond/Heat Pump Irriga on
I- primary
Business Farm Test/N4onitoring Other (specify)
2- secondairy
Industrial Institutional Standby
Amount of Use
Yield Sought gpm # People Served t. of Daily Usage S a t/gal.
Reason for
Replace Existing Supply Test/Observation Additional Supply
IIDdifing
__,,,"ew Supply (new dwelling) Deepen Existing Well
Detailed Reason
for Drilling
Well Type
2!!:—Drilled Driven Gravel Other
Is well site subject to flooding? ................................................. ............................... Yes No
Is well located in a realty subdivision? ...................................... ............................... Yes No x
Name of subdivision Lot No.
Water Well Contractor: lira -r - Address:
Is Public Water Supply available to site? .................................. ............................... Yes No �c
Name of Public Water Supply: Town/Village
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on separate�sheet/plan.
IVA {`ii(J - --^. ...[- �'_ YY�Ss`G�.��t�i`- ���9'��.Y;P• -�� t _�, � % '.. � %',�..5�.:!±�.. ii�,.� fYe7,.'2�7. "i�;
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided
that within thirty (30) days of the completion of water well construction, the applicant or their designated
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the
requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED ' FOR CONSTRUCTION: This approval expires two years from the date issued unless
construction o the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. y revision or alteration
of the approved plan requires a new permit. Well to be constructed by a wat we driller certified by Putnam
County. /
Date of Issue fl Permit Issuing Oal:
Date of Expiration/ 713 V / VJ° Title:
Permit As lion- Transffeir>rab
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WP -97
^7S 71'
50-235 % %0. A ;
NORMAN .ANDERSON, ANC.,' 219 ;,. J
1;52 BARGER ST.'
PUTNAM,NALLEY, NY 10579
DATE Z d
ad
PAY TO THE �
.r .ca.. ♦ co... a.�,r.. ,-.F. v. -. 2.0.�'v �n�.c, K^J II'�9 rc'_., `•� ' �' /. �/ � ' ✓4loa^ •
uANTKnii
:'1:021902
Shrub Oak Shappby Center
Shmb Oak, NY 10588
'.I: 0'00 20 20 2B 15ii' 7 7 a 9
Free@nce
F-1
Town Lines
E]
Parcels
Old Parcel Lines
Streams
F-]
Lakes and Ponds
Wetlands
Carmel Road Names
Kent Road Names
Patterson Road Names
Philipstown Road
Names
Putnam Valley Road
Names
Southeast Road Names
Disclaimer:
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