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Home My WebLink About3565DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -1 -50 BOX 28 IN 'iL . so ` i ;i L ix, ''. too IN L, , I , ` �, "ti ' , ''o ' 14, E 19 IN 03565 BRUCE R. FOLEY . Public Health Director . DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of 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) 228 - 6108 Fax (845) 278 - 6648 March 22, 2001 Grillo 260 North Wood St. Mahopac NY 10541 Re: Addition- Grillo - Wood St. No Increases in Number of Bedrooms. (T) Putnam Valley Tax # 74 -1 -50 Dear Mr. & Mrs. Grillo: 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 March 22, 2001 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three without prior approval by this department. 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 yours, Michael Luke ML :kg Public Health Technician cc: BI(T) :. 4 BRUCE 'R. �FOLEY� Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 `LORETTA MOLINARI RN F ., M.S.N. Associate Public Health Director Director of 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 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET TOWN e TX MAP# NAME i PCHD# MAILING ADDRESS DESCRIPTION OF ADDITION V Y. /06V/ 'NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS SIWd (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. ....- Pu%arn- County Sanityry Code. Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00. . 2. Sketches of existing floor plan (drawn to scale, all living area including basement) *Non - professional sketches are acceptable. 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 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. OFFICE USE Comments Feb98 BFhouseguidelines t Public Health Director O _C?R ETTA .- MI�1N,ItI,RN;,"I.S;N. .;; L_ �. y ..P .... \••• :.I M1T.• 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: 0 Re: &k //-LO Residence Tax Map Town av'°filJ;A-, ell, "A According to records maintained by the Town, the above noted dwelling IS IS NOT - .._...�_...� in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD _ V OTHER Building Inspector BFhouseguidelines I , i DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 .-fir .. APPLICATION TO CONSTRUCT PCHD PERMIT � MLL LOCATION Street Address �.- Town/Village/City. Tax Grid Number IWELL OWNER Name cl) ' . Mailing Address ' 1,4 Wrfvate O Public USE OF WELL - primary 2 - secondary RESIDENTIAL BUSINESS 0 INDUSTRIAL 0 PUBLIC SUPPLY O FARM O INSTITUTIONAL ® AIR /COND /HEAT.PUMP ® ABANDONED 0 TEST /OBSERVATION 0 OTHER (specify) 0 STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE _____s&1. 13 REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 13 ADDITIONAL SUPPLY &NEW SUPPLY NEW DWELLING D DEEPEN EXISTING WELL — �' irs REASON FOR DRILLING DETAILED REASON FOR DRILLING .a WELL TYPE ODRILLED ® DRIVEN ®DUG ® GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ho Lot No. HATER WELL CONTRACTOR: Name G�N._A�%��.� Address IS PUBLIC MATER SUPPLY AVAILABLE TO SITE: . YES NME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY m ,.w rn r r a�IS'1AIvi.E"TO':FROPr,RI " -rt�0i- tea:iriRLSi - WeaT.... LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET C'11'6 f, (date 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 thirt-y (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 such a manner as not to degrade or Date of Issue: C.e'gr-1 e Z 19 % S* Date of Expiration 19 -- shall take appropriate action to assure that drilling operant' contained on this otherwis ontam3gae sur 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 • . ` Y\\ o u o � Ny O 1Y� P= y^ ' S H 40 o� l 0 5Y/ V .. ..:�.,' ". ..."�. .... ":Y .. .. •.a�`... .. a:•.a- .�+.�+; q ..w.. ra: •v?i:` _. .._ ..o-c +. .. .'.i':.. "..'.1 .. ..� .. .. .. C:' +4 .o..�n; ir, w.:_ .. a.. 4 1 ti 'Y FORMAT NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Dear Date r Re: Department of Hea ?th Review of Proposed Sewage Disposal System for property: y Name: 04 ss dr i U Ad e �(-a 01- cd y t Town: �v j -Val, 70 Tax Map: 071- tacc -u 01_056_ Coo ca.,G e: P..:i f se__ba -a ij s -e.d- tb;3_t .an_„2gpL -ii cati on, fora Constru.ct.i.on Permit re' at1.v_e_ to the construction of a sewage system and %or we "f l `pres used r�r�=�i�e �- �1o•re property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 225 -0310. Very truly yours, By Title RECEIVED BY:—XLa., Address: �La� �a►`�. Zc'.�/ Tax 111ap: 6-1Ll 0 � b bb b 1 O Ll jj 006 00 Uc7 J"; CJ Or FORMAT Date NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT ' Re: Department of Health Revie,i of, Proposed Sewage Disposal System for property: Name: ►know►- f�'�'``J Address a ccl000(.5 V Town: � - 0 Tax Map: oil- ooU- QaJ {- d�o'ODd _o00 Dear - F'12asE -be� �l d- .that.an.appli.cation for a Construction Perm it "'re_- ati.ve to the construction of a sewage system and %or wehl" pr`oposett for the�captionc.d property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 225 -0310. Very truly yours, By . / 7 Tit le^ J, RECEIVED BY:..`�S /►,i� Address:- r Tax yap: 1 Y. - / - 45 ( JK;cli