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Home My WebLink About3152DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72. -1 -7 BOX 26 1. a„ .i Jr !r IN 03152 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health e .:....�.. ... '�.. ^_,.5ti% :tip :s�ili'e.��.ti" � 1 ul• v_'vs _..—.. Associate Commissioner of Health ROBERT J. BONDI County Executive v t ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 September 25, 2007 Larry Hetz 2020 Beekman Court Yorktown Heights, NY 10598 Re: _ Addition -Approval — Hetz —A-137-07 No Increase in Number of Bedrooms 91 Indian Lake Road (T) Putnam Valley, T.M. # 72. -1 -7 Dear Mr. Hetz: 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 the Department dated September 25, 2007. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated witli watei savirig'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 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. LCW: ens cc: BI (T) Putnam Valley Sincerely, Lawrence C. Werper Public Health Engineer 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 et—.1 . V7, 7".-- Al ' ji t �f 5� I c t - , z «. r° et—.1 . V7, 7".-- Al ' ji t �f 5� I c SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI * * Comnly Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 June 26, 2007 Larry Hetz 2020 Beekman Court Yorktown Heights, NY 10598 Re: Addition Application Incomplete- Hetz -A- 137 -07 91 Indian Lake Road (T) Putnam Valley, T.M. # 72. -1 -7 Dear Mr. Hetz: Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. The following was not submitted with your application: 1. Sketches of the existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). >>ised t,: reflect_rhe_ ov c e be considered further. LCW:ens Sincerely., Lawrence C. Werper Public Health Engineer 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 'Q a� SHERLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ON Y STREET X7'IC.�. TOWN ' C \k bVTAX MAP# N MAILING ADDRESS )__D 2_V DESCRIPTIO ADDITION I ,�, k) 2 12-Al --,I , I Z PCHD " 11% OO -4 it b�.kb s NUMBER OF EXISTING BEDROOMS :. V�PROPOSED # OF BEDROOMS (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. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY._I- 0509,_PhonP;::(R4 _61.300 - - - _ - - -- _ 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 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 locations 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 Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 ' Water Supply Section (84 5) 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. Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI Re: HETZ (Owner's Name) Tax Map #: 72.-1-7 Address: 91 Indian Lake Road Town-.— Pilt-nqTn Vqllp-y Year Built: 19,10 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. .Their E This information has been obtained from: Certificate of Occupancy: Other: Asseeser-'-s Re-e-e-r-A-6 18/07 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 KO 17aoo aq i6033 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -� y-� y �c . .�....... ..- �� . r--...-....:.. v. 1....... '_..- :.•......�...- .s- ....�.a-. i`; }'i'�f�.lr� { ^111 v=i �. ;:�:v �t��pp� %f �. :'r n,1 im L�i1tl�I�iC1i\il- Y1�pYtlplease print or type PC_ . Well Location Street Address: Town/Village: Tax Map # � r� R�1 7 � J � ?(A%% 4 C U 6^ / �, ap Block Lot(s) Well Owner: Name: Address: Phone #: LQ. w rz n c e N4 - -z 7 "T" , i':4d !L� I Use of Well: V esidential _Public Supply Air /cond /heat pump _I igation 1- Primary Business Farm Test/monitoring _Other(specify) 2- Secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily usage gal. Replace Existing Supply Test /Observation Additional Supply Reason for Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason J&r r f' (,NN ✓ o �Q v'-crnt a a It ke- for Drilling Well Type Drilled Driven Gravel ther Is well site subject to flooding? ....................................................... ............................... Yes _ No Is well located in a realty subdivision? ........................................... ............................... Yes —No Name of subdivision Lot No. Water Well Contractor: O rm 4, ers d%t Address: Is Public Water Supply available on site? ....................................... ............................... Yes _ Not.- `l �► 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. Date: Applicant Signature &t w`-g14 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 Del)artmer 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. tom. Pcoo- APPROVED FOR CONSTRUCTION: This approval expires §v&yeari from the date issued unless construction of 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 Commissioner of Health. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Put ounty. Date of Issue O`7 Permit Issuing O icial: f A' Permit is Non- Transf6rabl White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 Rev. 3/06 170' N/F ANN: \` 150' r l CONC. ST 170' 160' z5 3Nd �.b ° CONC. STEPS / DRNEWAY 14,0' A O �Z 4.00' Zug POLE STORY S.R .W. O Pp CONC. STEPS 9 EEppAE STO ATfO 0.89' OVER DUMM g1. DWELLING 32 160' 170' N/F ANN: jf l \` 150' �1 CONC. ST CONC. WALK ASPHALT ° CONC. STEPS / DRNEWAY 14,0' 4.00' 5.26' STORY S.R .W. CONC. STEPS 1.5 = EEppAE STO ATfO 0.89' OVER DWELLING 32 S •W• CONC. PAD e� 130' S W o 5D - .1201 120' rcci co 110' ° 1.32' OVER WpOD -DECK WOOD S S 5116�� NECK ri jf l