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HomeMy WebLinkAbout3149DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72. -1 -3 BOX 26 - r ��� - � 1 t 66 � = 19 r J. 1v vim AL 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 $100.00 r((?Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable IeM3. iwo sets of proposed floor plan (drawn to scale, with name, street; and tax map #) * Non - professional sketches are acceptable 0 ffsCopy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. ca _M �c r^� > M :3CC-J < .{ -< Cn En OFFICE USE Comments /3r mow Feb 98 04/18/2000 22:34 9143541847 PAGE 03 The. Scale is IV': 10' ta• u�, . - .c- .+a. . .G n r , 'F- - ..I.r• M -� :1� � .> a^e _. . ia.... _w!an L' ^c <s.. �. �. iw-�"�... V.. . -�.: T .e+e... � ♦ �w.l+ �T: �: Y4.. P- �1 -T- l-",; 1 Fi 1 7- 41 i s� A.E£A. , s HOUSE PLANS APH'IOVED FOR DR) 0CM C0WNT(1;1L`(; --3 BFDR00N1S 04/18/2000 22:34 9143541847 PAGE 02 P ne .bcase is i fa•* a i I..e V� `I 1 „ ICtfGµrN 7 SE PLA, IS APP a — r I ONLY; � Ati►aRY N g,- p" BEDROOMS ic It It / • _ _ i — atureA...Ttfe 10 t ' � .4rG�PpSf � �ir4ib4t o ctoc • i �s ' ? S a t -� — — - -- - - AMC G4 bi�aff G'BIPA i .�� ► -W - �- - 1 I UATN- CA-- - - - -�- - - - - �- L L I 2 - 3 -G ti - i - - -► r- at- 2" 4" (IG'-2 C 4'= � };{4" 4'i 3'- Vol oploo I ' � ;�.:�✓ I ( �; � i j IIj SoPeR►Gtt''I+F�tt =ucrM N � GGMbusTlow AlR p Li C R J4 CR 14 GR 14 :4" ' t 135 . MITCHELL M. MALOOF •: -,. .>�..� -.�._ ._..r•-r.,.z+. oT..�.:. -.:.•. v.- >.,. r..o. -•.h •.¢: .v- ..r:- �'.�.�yc- -....r "a:- ... a�.�4 .....>. ;'s'+ -'� 1J�-.',... .r.....- ..s�...aw•.:�..�'ay;�.. a..: r- �... -.i. �i$% - -. -.r -a. ... 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 r' -: x< :�.i -p..'e T._� ,._ ..�.. r: v.. -. „r.r:_ ?',: ..: fit-, : ✓ >[, 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: OTHER Vital F °v a / q' 9D --/ 3 C11 CAl n <c n gf CD %77 y Cj -< to 3 � � C=;9 -<2 Building Inspector W �J - i, 912" �� Y- ITC G N Ir Jol swity Lo Oc 310 4'2 �� {A+- rd, a o ' �eiQ�11'W " °e1rA :M 1 ;�; , -�,,, I — — L1V{N� ,►2coM -gyp �' _, 6 - 21' 41�" 1 iG' -2 4'I' " t 1+1 1 , ,� ' SoP�fZ►Ga''NerFr�rtM�� Y o i ` 11{ 2 1 �w 1 MaDGL "A" prReruciF N , _ 1 U - = ' -_ J r - ' 1�' CGMbusTloN a1R Vri U =1e Of IL TOPLl 2 R �, 1 i f r 3 r 1 I�R Ik - (?) 2 K 8 NLR (Z) t xb NCR A i a- _ R l4 GiZ 14- GCt 14 �,4" 21 r +1- -� r- r \vcn9 vo�5K 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 I 1 I DN BATH 7� I I CLOSET I + I 3-_L 7 , '4 I 1 I ><" I 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 z , Cs It"Ar UNDRR FLOOR PLAN I ° sk/ �' 11�\ ���}}'- o � �x5r�, i•5'�R.Y i i. FR�JMP 'UWW.IN4 I' ^� ,t, , • yr � ! �. Ui H 96 461.00 „W 290, 00, t 1 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 I - I I I I DII I I N BATH • ,I ' i I ! �5 ; 1 �.= • • I I I I Yoe CLOSET F 0 0 �. i I i s I Vii; i I tea, �d�f 9'- 10718" I 20 -0° PROPOSED ADDITION PROPOSEIS ADDITION -f t i r EXIST'G. WD. DECK 11 } �l � d 5 36`- 36'- Go "g 240'00 , AREA = 42922 SF Y 0.985 ACRD r}j 9Qof0 %D • 9ECK 'fl�FUSED l•S7GAY ' x WOOD ;'9*AMt ADDInON v 4y, ' .ice ;Y' \\ � � v \ --"' � • FLOOR PLAN k�c. \ ; 7k, 9RIVe � 01. �' �x Kr4,{�' t• sear �% _ — y ! o I ME! !Vulrla v N V yl r 290, On.' t t i 7' 1� �, rl /, �ll 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 a"" _. yV r � °` � t, t � �, t 5 � t ti � 1 � ��,�" f �� � �•c �u3 t ",f� r ;._ , s-r 'r L Lwk r MF „{E ''� sX ry- a .:..d` 4 t t ;�, . ��Y r s 7 -U`ri- +x'.b«+id at a4F t Nn x• 7�' '.SY% s4��..p�„+�rT"T5s t � t 1 4T" c - / >oe.c► PUTNAM COUNTY DEPARTMENT GFM r �• O "� - = - Date I �g. i 1 4T4 �c,c tk� o �Z _ CW •000 . 0% PUTNAM COUNTY DEPARTMENT HOUSE FLANS APPF.OVED FOR BEDROOM COUNT CNLY; _2ZbE ROOMS �1961�1 Signature & Title j� _ )ate' t . M �cs � o ' � L _ - i.',�' is •.ham ti a a�4 �ri �� l;s 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 $100.00 made out to the County Health Department. Please contact me at the numbers or addresses above if there are any questions or need for additional information. Thanks for your prompt attention to this plan. Sincerely, Mitchell M. Maloof o � � I N � (!1 N I r cao -Coe) I .. x r—w.r. ut'•' �. "� 1 W'..?:A� 'b`.rv�nC�!'S'+��ii Mir ¢� i���� } J, r: r - �xct i#• 1�6�, �.t /''"L.';' iT�. -'. ro7. y FS cri i�i{�iZx i` F sl ONE -- -- � '�~ s. a.��+^''[ r iv��" � r. �' "���a �`ry.7i�*i�A� ��4 tl �� r ,r,;& sryr+ }^g;' � �'"zX:?. e�;'"� .•,i5 ,..+�� � �,,. �� _ ra •_.. .. �. v v. . .a�.r -e y _ �^ " ....A.. - '�• J �, S. Fi4 �, ;?B�vI'C k \, i �1'�x �l Y� R�+��.Yf���'� -i ky, 1 � '`k' J � � .r j.�, � ..... `h v-G�s 2 �` H J �`� a 7L R.i f c i � 1,a. -„ "'L rs +z �9 � ,��- sue'. a �y ) 1 ,• +' ytL$,-A RETNINI146 WALL. . �• �, tai... r �kfY��'6ii�'i.r..wq`i � i .6�. � { k � pR0 O • tY L �� , � ., 4a as' FRAME is-�• DWELL. AAURO O- •.._ -. - -- p n N �" 3�� st Tan DR�d� • 0 �R Sjg 5 3° 06 �Ib GRAVEL 5 32' goo 5 21 r �E� 526 H tt LL S C1.FT• Sao ,',•,.R• 0ABS ACRE +. WELL g C A P 4J CONC. Zt • • -1 O- A-Lt. 52� S Sao Z WELL ' CONC. S1 `. t1' � s• mEk A4 VtLt S CL.IrT. 0.965 ACRE ± p� 56.70' r2.b / -'0.00 z!; 10 0 .9 o. �9 �1 a j43'53� w \ \\ Sb7 °0'F'3C• "E NA7.04'50 °W k \ 577 °30' 18 "E � N/ F MAU RO N77�3D18'w \ , mpu-n0 CASEMEN`r t �`'� FOR 1SiG2E SS 'f . EGRE REF. TO MIAP (sy 70k" D ATEQ I UME IS 1004 1 tlk _ TZ:1lr t -'C.! 1 ..HAS �L - -SL € t� ` -s�'� c ..:. � ,:.: k �i \: \� -`�• ._ _ _ ;. �....; ` + ..o �sr tNV1 NOT MOWN HERE ON. e. S4°S' 00- w cDLE oP DiQ-r Ro. I't -"0, LAND SURREY MAI PREPARED FOR MITGHE LL M � TEKESA T. MAL SITUATE IN THE �PofN9wy�� WN OF PUTNAM VALLEY y� S °O F o PUTN)kM COUNTY Al EW YO.R K CALL- IINLH=]O AT. DEL.21. 1991 Q' I��,V • P1 U i, • S 1'1°1: �. 69A ��O SUEV E mb by �c1,IS Da 049 SJ�, X NY SRLE¢ uBOOLV0494 L.S. LAN * S& ELIZA ST n. BEACON. N.Y. TELE:914 -691- 1'7'bl µ _ 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