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631- 589 -8100
72. -1 -3
BOX 26
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03149
BRUCE R. FOLEY
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORE_TTA .MOLINARI R.N., M.S.N.
"?issoci -ard Aibiic health Director"'
Director of Patient Services
Environmental ,Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Preschool (914) 278=6082 Fax (914) 278 - 6648
April 19, 2000
Mitchell Maloof
6 Galileo Ct.
Suffern NY 10901
Re: Addition- Maloof - 83 Indian Hill Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 72 -1 -3
Dear Mr. Maloof:
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 April 19-- 2006 The addition is. approved with the following
conditions:
1. The total number of bedrooms must remain at Three without prior approval by
is depaAmeill .
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 septic system must be expanded as shown on R 72 -00 prior to the issuance of a C.O.
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 yours,
William Hedges
WH:kg Senior Public Health Sanitarian
cc: BI
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509 -
Tel. (914) 278-6130 F= (914) 278-7921
BR WE R` FOLEY
Public Health Director
PROPOSED ADDITION APPLICATIOINT (RESIDENTIAL ONLY)
n
STREET A:11` 11,� l4ULL TONS' Pri TX MAP # 7?
NAME M • M � MRrL06i PHONE- t& PCHD A 2) —0 a
MAILING ADDRESS 4RLk�ka S ff,&AJ , W � k 0q,0 1
DESCRIPTION OF ADDITIOtiT t
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOM 8,:3
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDNG D;SPECTOR)
*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 Coi my $anitari Code, -�;
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
Brewster, NY 10509, Phone 278 -6130.
% 1. Certified check or money order for $100.00
r((?Sketches of existing floor plan (drawn to scale, all living area including basement)
* Non - professional sketches are acceptable
IeM3. iwo sets of proposed floor plan (drawn to scale, with name, street; and tax map #)
* Non - professional sketches are acceptable
0 ffsCopy 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.
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Comments
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Feb 98
04/18/2000 22:34 9143541847 PAGE 03
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HOUSE PLANS APH'IOVED FOR
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04/18/2000 22:34 9143541847 PAGE 02
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MITCHELL M. MALOOF
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April 5, 2000
Mr. Bill Hedges
Putnam County Health Department
4 Geneva road
Brewster, New York 10509
RE: T.M. # 72 -1 -3
Permit for Repair
83 Indian Lake Road
Putnam Valley
Dear Bill:
I enjoyed our meeting the other day and very much appreciate your cooperation in obtaining a
repair permit, allowing us to proceed with the plans to enhance our home at Indian Lake.
We have compiled the required documents, including the certificate and form from the Putnam
Valley Building Inspector's office. All of those materials, plus the check for $100.00 are
enclosed.
I had originally planned to deliver these to you in person, but I need to depart today for about a
week out of town. In the interest of time, we are forwarding these documents to you by Priority
Mail. I am assuming that we can now proceed with an application for building permit with
Putnam Valley (and then the Zoning Board).
°Iease•IEt. us-know.-if there:are ary.questions.- Ye+ray c ^start rne- or -fry wife, :Teresa,_at the _ - -- --
a �! address grid numbers below. ` " _._ . __ . _ _.. _ ._ ..
Again, thanks for your help.
Regards,
c
-t!2 Ma of
00
6ga/ileo ctr, suffern, ny 10901 ■ te% (914) 354 -1879 ® fax: (914) 354 -1847
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DEPARTMENT OF HEALTH
Division , Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 =6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY. R.S.
Acting Public .Health Director
Re:
Residence
Tax Map . — /— 3
ToN n_� . 1/
According to records maintained by the Town, the above noted dwelling
AS
IS NOT
in compliance with Town,code and the total number of bedrooms on record
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
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CERTIFICATE OF OCCUPANCY - EXTEND PORCH & ADD #DECK
Certificate of Occupancy No......96-126 Application No... 93-509 :
Location of Premises .......83 Indian Lake Road East. - TM #72 . -1 -.3
Mitchell & Theresa Maloof of 6 Galileo Court Suffern, N.Y having
heretofore filed an application for a building permit pursuant to the Zoning Ordinance, Sanitary
Code and the Laws in effect in the Town of Putnam Valley, Putnam County, New York, having
paid the required fee therefor and the undersigned having by .personal inspection ascertained that
the applicant has subsequently proceeded with the erection or improvement of the proposed struc-
ture in compliance with the requirements of the laws as aforementioned and that the said . work
and materials met every requirement of the laws as aforementioned and that the premises have
now been fully completed and are ready for occupancy pursuant to the provisions of law, Now,
therefore, this certificate of occupancy is hereby issued under the seal of the Town of Putnam
Valley this .......1.3.... day of ............. Augu s t..........., 19.9 6
Not valid unless signed in ink by a duly authorized agent TOWN OF XAAX VALLEY,208�K ?Y;
of and under the seal of the Town of Putnam Valley. a;
By..................................... ...............................
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
OFFICIAL USE ONLY
�7a -oa
1?3
SITE LOCATION ���� J`� ii %lam TM#
OWNER'S PHONE 34_
MAILING ADDRESS
PERSON INTERVIEWED <9 0-t- PCHD Complaint #
ame Relation s p i.e., owner, tenant, etc.
DATE 2 �- TYPE FACILITY
PROPOSED ST LER �3 PHONE
ADDRESS 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.
C h -41 `s7,,
a5-3Wf -Xf`; JP-1CPU Le d CIIt`�i OrYI1Ci a ;iiS ITie COridltl�$ "[ t�'(a oIl tllfi IOIIIl.
TITLE DATE N� , �J
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 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 conditions.
Proposal approved O4—
pector's Signature & Title ATE
COPIES: White (PCHD); Yellow (Town Bl); Pink (applicant)
PC -RP 99M L
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I DN
BATH
7� I I CLOSET I + I 3-_L 7 , '4
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201 -0"
PROPOSED ADDITION — — PflOPOSEd ADDITION
IEXIST'G. WD. DECK y
GO"E
j 290.P0
�' °• AREA =424!2 6F
X '� �y i 0.965 ACRD
y 4ttwoseD li fwm$Ep I-slw
WOoD 9SGk "AMY ADDITIOM
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FLOOR PLAN I ° sk/ �' 11�\ ���}}'- o
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FR�JMP 'UWW.IN4 I'
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H 96 461.00 „W 290, 00,
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PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
,93-
SITE LOCATION -1--Iqlt i` !!! ' ' TM#
OWNER'S NAME M 9Z dL
MAILING ADDRESS (o 4%,C1,UU--a - Q& % 22
OFFICIAL USE ONLY
7 C� - 0 0
";3 -
PHONE
PERSON INTERVIEWED C9 -0 `L- PCHD Complaint #
Name & Relationship (i.e., owner, tenant, etc.)
DA
TYPE FACILITY.
PROPOSED WST4LER PHONE_
ADDRESS 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.
FA :�
Aed agmil-of "�-a to
-'u
-e guilt; a U or L- t,
-d -- g ihe, -C iditio.13 �Sl�t&" r I 3-foril.
SIGNATURE TITLE —OW\VL-A, DA. WCAL-
Prop oLsall gapproved with the following condii
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 comers).
d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6'diarn. X 6' deep
e. Installers' name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
Proposal approved 014—
pector's Signature & Title
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
PC-RP 99ML
ATE
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I I I DII I I N BATH
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Yoe
CLOSET
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9'- 10718" I 20 -0°
PROPOSED ADDITION PROPOSEIS ADDITION -f t
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EXIST'G. WD. DECK 11
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5 36`- 36'- Go "g 240'00 ,
AREA = 42922 SF
Y 0.985 ACRD r}j
9Qof0 %D • 9ECK 'fl�FUSED l•S7GAY '
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Mitchell M. Maloof
6 Galileo Court
Suffern, NY 10901
Dear Mr. Maloof:
J � a
C * " JOHN KARELL Jr., P.E. M.S..
Pubiic
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
September 8, 1993
Re: Addition
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans have been approved as per plans bearing this Departments stamp and
dated September 8, 1993..
The survey indicates that sufficient area exists to expand or repair the sewage
disposal .system, should it become necessary in the future. Therefore, basec on
the information submitted, the above mentioned addition is approved with the
following conditions:
1. The total number of bedrooms must remain at two without prior approva- by
this Department.
2. The area of the existing sewage disposal system, and its expansion area, must
.3. All plumbing fixtures must be replaced or updated with water saving devices,
i.e., low flush toilets, restrictors for shower heads and faucets, etc.
Approval is granted for sewage disposal only. Any other permits or variances
required are the responsibility of the applicant and the jurisdictior of the Town
of Putnam Valley.
If you have any questions, please contact me at your convenience.
Very truly yours,
Robert Morris
Assistant Public Health Engineer
RM/jp
cc: BI (T) Putnam Valley
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PUTNAM COUNTY DEPARTMENT
HOUSE FLANS APPF.OVED FOR
BEDROOM COUNT CNLY;
_2ZbE ROOMS
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Signature & Title
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Mitchell M. Maloof
6 Galileo Court
Suffern, New York 10901
(914)354 -1879
August 17, 1993
fiMr. Robert Morris
PUTNAM COUNTY DEPARTMENT OF HEALTH
4 Geneva Road
Route 312
Brewster, NY 10509
REF: Tax Map #72.-l-3
83 Indian Lake Road East
Dear Mr. Morris:
Per our telephone conversation, I am forwarding the enclosed information for your
review and approval.
As you requested, I am submitting a sketch of the present floor plan and the
revised floor plan, based on the planned modification. Also submitted is a copy
of the recent survey, showing the existing well, septic tank, and fields. The
septic tank is a 1,000 gallon, concrete tank, using 4,200 square feet of fields.
(As we surmise, the tank was upgraded when the previous owner was,bringing his
scout troop to the lake for weekends) .
The end results of the planned modification are:
Square off the enclosed porch, adding approximately 160 square feet to the
footprint of the house.
- Reduce the three ( existing) bedrooms to two ( larger) bedrooms
- Add a deck surrounding two sides of the house
I have also enclosed a check for $100.00 made out to the County Health
Department.
Please contact me at the numbers or addresses above if there are any questions
or need for additional information.
Thanks for your prompt attention to this plan.
Sincerely,
Mitchell M. Maloof
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DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
�:tP:��:�i�.�::
PCHD PERMIT #
WELL LOCATION
Street Address Town/Village/City Tax
Grid Number
WELL OWNER
NameL Mail. g Address //, i -
C� o��
Private
O Public
USE OF WELL
1 - primary
2 - secondary
RESIDENTIAL ® PUBLIC SUPPLY Q AIR /COND /HEAT PUMP
® BUSINESS O FARM O TEST /OBSERVATION
® INDUSTRIAL O INSTITUTIONAL O STAND -BY
_
1vgffABANDONED
O OTHER (specify
O
AMOUNT OF USE
YIELD SOUGHT Lf"' gpm /# PEOPLE SERVED -4 /EST. OF DAILY USAGE !vU S;a1
REASON FOR
DRILLING
D REPLACE EXISTING SUPPLY O TEST /OBSERVATION O ADDITIONAL SUPPLY
gNEW SUPPLY NEW DWELLING CJ DEEPEN EX STING WELL
DETAILED
REASON FOR
DRILLING
_
WELL TYPE
ODRILLED
DRIVEN
[]DUG
OGRAVEL
O
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES <�NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name lvlel- a4 Address: 19cr'yr -�
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE TQ_PROPERTY FROM NEA.RI?ST- ,_WATER , MAIN,.. /�!✓�� - -; . w er _ �.
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
o �3 ON SEPARATE SHEET
t�d
v
(date) signat re)
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the provisions
of 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 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 attached to this permit.
3. Submit a Well Completion Report on a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant
any and all water or waste products from such well
property and in s�/uc a manner as not to degrade o
Date of Issue: i / 2, 19 473
Date of Expiration 19
shall take appropriate action to assure that
dri operations be contained on this
r o e cont to surface or groundwater.
Permit Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller