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Home My WebLink About3310DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.05-1-37 BOX 27 03310 Public Health Director �. crcr.-' -Firm LOkE'M MOLINARI R.N., M.Si•.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 October 26, 2001 Bonacci 16 Hickory Lane PutnamValley, NY 10579 Re: , Addition - Bonacci, 16 Hickory Lane No Increases:inNumber of Bedrooms (T)Putnam Valley TM #73.5 -1 -37 Dear J. Bonacci: I have received and reviewed the plans for the proposed addition. ;tiathe above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated October 25, 2001. The additi6n:is approved with the following conditions: 1 T' e toml np:-nc� . of bed_oom5 q., st,;'t't )�7ir�,at_Q!*_ W th�1It 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 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. ML:lm cc: BI(T)Putnam Valley Very truly yours, Michael Luke Public Health Technician BRUCE R. FOLEY � _LORETTA a 91�I R-L-R t % S _ L Assocrate`u�lic 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 Preschool (845) 278 -6082 Far (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET Y6 4 (C- %!fie. TOWN2 79 TX MAP# -7-5.1;-1-31 PHONE_ 9 9'i�--- S - `c). Q�, CHD# Ad�o ` U MAILING ADDRESS DESCRIPTION OF ADDITION )— I I NI URN BER OF EXISTING BEDROOMSJ_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 Puti@n County Sanitary Code. �_, .. �ubaLit'u;is io��t� ailu u1c xc�uorving to rutnatn County Ifeaith llept:, 4 Cieiieva Road, Brewster, NY 10509, Phone 278 -6130. 1. r Certified check or money order for $100.00.. r _.,2. Sketches of existing floor plan (drawn to scale, all living area including basement) CD *Non - professional sketches are acceptable. �- L3., Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) *Non - professional sketches are acceptable. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. Copy of Cert. Of Occupancy from Town or Certification from Building Dept'. with legal bedroom count of dwelling. OFFICE USE Comments Feb98 Khouseguidelines BRUCE R. FOLEY Public Health Director DEPARTMENT. OF I Geneva Road Brewster, New York HEALTH 10509 LORETTA MOLINARI R.N., M.S.N. v , ^utilic ". N .r.4 P p n Director 4of' Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: K. IV c-" Residence Tax Map 330V - I * 1 Town v -f AM Ml VA t-L` Y Gentlemen: According to records maintained by the Town, the above noted dwelling IS IS NOT _v .... �_w ..._ _.� .._f..__.:.� ..._._.. .. in compliance with Town code and the total number of bedrooms on record is 0 This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER ,/Buildin Ins ctor BFhouseguidelines 4� ��i '� r 70 [.gaNOR� t 6Gq v►wa p N/% p"", 1 t , 9 VAN ®C'1 P °jplt PUTNAM COUNTY DEPARTMENT OF HEALTH 6: HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY: i . BEDROOMS- Date 71K 7 c, ki Y / . 10, fl, 4 0 6 7'16 X /!' q 1 '71 1 F4--, -"�" � /`,94 )C/ / ($i, J-c al-- 7^14. v 1K -1Z 4 x 2r LJA F 1C 0 6 7'16 X /!' q 1 '71 1 F4--, -"�" � /`,94 )C/ / ($i, J-c al-- 7^14. v 1K -1Z 4 x 2r LJA ®® "J ® x 13,10 PUTNAM COUNTY DEPARTMENT OF HEALTH ' `)I -ISE PLANS APPROVED FOR { OON) COUNT ONLY; BEDROOM oAt i.;I ure &Title Date f i t at �i 0 :t• 9: yl s p0/Z(`d �A�G i. i'. i 12 X11 a e • e z: K, } ±a x' i �s r c: ,I }}:r I 1 y� lt� s �' T. `YI y ;rr { iV,q k-7 VA Cc / �X 7- . 5 : 1 �% S '� k � . ,. � - ° .`•,� t - .. '� �"� -.at 4 'tiv. -r.. r � ' ♦ :rs -.:IE, :.'^'* �•3,t` .,,�, v �t. .. .�r} t•r s ..$: .,u Y .� -,Ca. ,+ lair , .X, ,.r <+, _:..., sl.,, q. -e,.l - '.•'r�, •..�y. 9 "ax b .�" �'. i_.. .: .,. „. _,., ... .. � . . :. .. �• �'t. ..:9x7 .;. 7Y ,_: �F..c:.,..'�, i.. s,a;. i.t ¢.- ..tir,.. Y -t '� f�e.� �a Yf+..ror.. uh' ab. YY r �. p `tea -'� �. ...- ..,�. .- .:.�.v �.4 :,. .'. - _ :�: ... ..: ....,. ,, ..1 •:f '. -i � - ; �1 � f Y •••. k,� fe3� kr _n••a x R 4r a'yh a'•. n' �x �•.?+3J4.”- �''•.1'4:�'" 7Y.' °i,r:�� «�"Ni�t- ...•�,n%a - a."s,37drs#-i �"1rYZS z .n. w' w '. =V a^,�:+'�`r � �-i-. �•.�':�_ ,_ ..,. _.. ,..�.<..t .....' fe...a 'n W ?6' d:'4'�i.e•°�....'�•a.'.�j'.asaa ,^�L`:k*gr#'ss •h l - wexo.r - 1 S' Y 11 fl V L-4 ► tu 4 walli R i T wt --- Now ---7pPlr AhM9 j'�TN�� b U� l� i Yi .s. j'�TN�� b U� l� i Yi *DIVISION PUTNAM COUNTY HEALTH DEPAR' OF ENVIRONMENTAL HEALTH SERVICES 225 -0310 ' S NAME 2?a U L.. 9 �e ate, l �i'� �.Z�' PHO0 SITE LOCATION hA a% MAILING ADDRESS Br l'-wot V A L /LC4 d,® S' `y PERSON INTERVIEWED PCHD Canplai,nt # Nam & Relationship (i.e, owner,tenant, etc.) DATE TYPE mcILIZ`Y PROPOSED DSTAI PHONE 'S Pro (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original semge disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. 0 L U \f��rt 76 .-S),.STS, W,- C,9-v3C -• -7'-7- %-d Aczo,44- A/, L.,m.,_. ........ ._� /a a..';aSE1a7 ��1ir.�n _�.. :. � � :, �^� S e, " -'• �„....:... A%A%i'�t�,... a.. ��'!t t.- .:.:... e. . =r6 •a•a w � .T .....�K- ...w-- -...:. �-. _:.... ... -..� / � a Proposal approval Proposal Disapproved to 2. 4--11 C , M,0� Inspector's Signatur & Title osal approved with the follow, Procurement of any Town permi' ing conditions: t, if applicabl Ll fte Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Dame, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners) d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. 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 SIGNATURE LPM.- Vt1LLte WD); j elkw Maim ED; +fi* (Ajij wt) to the above conditions. i M I, dL G�� 1 y ANG TA TULLI ` i�E_ jd� Alm On at 3 a T y Yz W FounA�� q - nv; tile •: NMI i- - i 4+'i -- r '.s . a .. .. . s �, 'aY1�,,,:!"]Tl'1' .' WAS �_- '° t 1�.+'T --v F � �p� �S'_ .4 .1 a' f..,�' zY' -� _ 2 � 4.�• -. -.� a-'seu - x c -r a., ,es�+?'�`.a.� ..., '.. ..ti 2 a'� - P "•s T4. ., s u.. - _. � e., k.. z .. .!r '.cif kz. .. _... -a : � ,M1 ay. . :::� -y,,,. _ 'S , : .m, . .N -= �.> � .K 3., ��+z q _ {" ,•.`- ' e'`' - t A' j . s _ Not ws H' tr - y} . - � y ,.._,.^w.�mz " ..,., m.z:. , °• e f�,F��R.ICK ` & SC1SAt1 % -� L7R16/ 44 :, i7z1 - i441 Swr ms's•. � .Y 3 S 2i- e � 2°a I i sk z } 9 f.zs` u tic, 4£. ,,, F�f _ e z1` � t ? t,C7 a 4 x p Nbi I i