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Home My WebLink About3610DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.10 -130 BOX 28 ,. r -L; " No .. IN +, ■ i, I , li IL ®r . or 03610 4: 12:58PM FROM- ENVIRONMENTAL HEALTH t- SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health 8452787921 T -901 P.008/013 F -065 DEPARTMENT OF HEALTH 1 Geneva Road., Brewster, New York 10509 ROBERT J. BONDI County Executive ROBE] Director of ADDITION APPLICATION RESIDENTIAL ONLY STREET 39 PQ N!"We TOWN AX MAP # NAME . Sl n PHONE Pclm# MAILING ADDRESS OF NUMBER OF VaSTING BEDROOMS PROPOSED # O"EDROOMS (FROM CEXf. OF OCCUPANCY OR MRTIFICATION FROM BUILDING INSPECTOR) WrAny 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, Brewer, NY 10509, Phone: (845) 278 -6130. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be h d_dimensioned and use of-each room s c cd). See Section 3.c of Bulletin 3. Two sets of proposed floor plans (drawn to scale —with name, street and tax map #) 1,1�' Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin A -1) . opy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building m b ® Department with legal bedroom count of dwelling. - OFFICE USE COMMENTS 5. 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 Nursing Home Care Fax (845) 278.6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 d 12:58PM FROM - ENVIRONMENTAL HEALTH SHERIIIIITA AIVIIII.,ER, MD, MS, FAA1P Commissioner of Health 1LORETTAMOLINARI, RN, MSN Associate Commissioner of Health 8452787921 T -901 P -010 /013 F -065 ROBERT J. R®NIDII County Executive ROBERT MORRIS, PIE Director of Environmental Health DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 , Town Legal Bedroom Count & Proposed Addition Status Re: ,!2�Nan !/ S (Owner's Name) Tax Map # X 10 ® 130 Address: junarn va/kv y /05,17 Town: f7_ L1 e Year Built: �o According to records maintained by the Town, the above noted dwelling, is �m compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: _ _ � 4 � Other: The plans for the proposed addition are considered: New Construction Addition to existing house only Teardown and /or re -build allowed under Town Regulations building I Spector 6. Date -2/zc/a 1,,ico Environmental Health (845) 278 -6130 Fax (845) 2784921 Water Supply Section (845) ?25 -5186 Fax (945) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 2786085 WIC (845) 278 -6678 Early Intervention /Preschool (845) 228 -2847 Fax (845) 225 -1580 Sherlita Amler, MD, MS, FAAP ° Commissioner of Health Robert Morris, PE. -5 "- "'^�J; et;f6r� �ttvii °ortitienfal Heaitlz -' - - • ' �` Susan Kovacs 37 Park Drive Putnam Valley, NY 10579 Dear Ms. Kovacs: Department ®f Health 1 Geneva Road, Brewster, NY 10509 Office (845) 808 -1390 Fax (845) 808 -1937 August 3, 2010 Robert J. Bondi County Executive Re: Addition- A- 100 -10 No Increase in Number of Bedrooms 37 Park Drive (T) Putnam Valley, T.M. # 74.10 -1 -30 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 this Department dated August 2, 2010. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. r Al 1-oliimibi*fb.'fix. utes rnb be, ated v� ti : =at8 avirg devices, i.�:; rew low #Iasi 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 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 (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:kly cc: BI, (T) Putnam Valley 37 Par K br. P4frofv-% VOLII�, 0-Y IC679 -T-o-x OoLp,• 7q )0 -1- 30 F7100( POTENTI -BED OOM, B i� 0.0 M T_EffffA_r__l I-BEDRgQM j T Rob M L I V I 42- c? o tA ei CD co in w co jt C3 PR0P05 F SL40 ROOM B A L :S E T- :ON EX 1 S T I N of R 0 C C K ��TN K I T C_ J f Ar14 DIN I N G 0 0 M om F c ROO H T_EffffA_r__l I-BEDRgQM j T Rob M L I V I 42- c? o tA ei CD co in w co jt C3 °2 BEDROOMS ALL SUBSEQUENT REVISIONIALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE 8 TITLE - DATE _ � _ , -s P4� 11\a•et M� • .1.? �'+yl\ �•Gt� \�_� "-nw M:11.'., .tlo �xa_ a} •. � ,. �. • �. .\ \ ,�LLSA.n 1�o, -( s ?L+o 46,1 lei S'TAke N 30 °21..E 0' r4 0 M L0-r H 104,14'L srA.vc _ wo m vii �`�STON E' 'WL t, m 4 a L oT 8 AREA I,oaB bra �.NHw,wDM 5T 0 P5 WDI 132 0 Deck. ' s!' Nsw I STorzgY - .j=RAME 66PITIC A Tx IST. OFA2 sra r- eY 'rRCM2 \I 4 K1 O' � � NEW W D, D � C IL nl •• // -•� A N o S'f 2 rs ,J LA �— eo,ue�9l.oe�� -�._- 530 °2G'.ra0 "W X50.00 i� "piPE D (Z I' 'V 5 1Te Pl.ph -a No'T9 ', 5G,6LE: °s 50 +0 �IiG Irr FRo� su � ess 01 1 4'T -.AVE- ' 'AA7d P R O P E 2 T -r O F AAiz Mrz- S. Lou i S f=3A1.1.070. 3.7 P Dr2 iv a P U T N Aa M V L L, E- -' , N E w '(o rz v- PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Q PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAI I YES NO Internal Use Onl y .1 l r ❑ Repair Permit issued in last 5 years i Not in Watershed i ❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. ❑ Delegated A ❑ Repair within 200 ft. of a//watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION 7 �,9 -�=K /D6- TM # — " 3 OWNER'S NAME TO V,,V /_7� //,I >�� (Se- H M % i i1% PHONE # MAILING ADDRESS3 APPLICANT v 0 Name & Relationship (i.e., owner, tenant, c ntractor DATE —(96 07 0 FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER 34�v��, �� S -e PHONE # �oz� (�T t ADDRESS `"T 1 T&&14 14 �Io�e— REGISTRATION /LICENSE # 077 PC Pc r vw e/ 4U- ✓• Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed trenches) NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location and proposed pump systems will require submittal of proposal from licensed professional engineer or registered architect. 00 D. C' d,) v r I, as owner, or r rted nt of owner agree to the conditions stated on this form SIGNATURE TITLE 0C)P',�(Ftti10 1" DATE dtO Proposal anproved wit the following conditions: 3 Procurement of an Town Permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: - �"� I'i our- S a. Owner's name / D b. Site Street Name, Town and Tax Map number Se )l "`C /()15 1 c. Location of installed components tied to two fixed points D d. System description (e.g., 1250 gal. Concrete septic tank, etc.) e. Installers' name and phone number 3. System repair to be performed 'in �¢cordance with the above proposal and conditions/ Pr osal Approved 4 Proposal Denied In pector's Signature & Title 'Dat COPIES: White (PCHD); Yellow (Town BI); Pink (Installer), Orange (Applicant) PC -RP 99ML Rev. 8/05 AT 8'T N ELI -,� f o 0- Page l .of 1 file://C:\ Documents% 20and %20Settings\lawrence.werper\ Local %20Settings \Temporary%... 6/28/2007 Page 1 of 1 file: / /C:\ Documents %20and %20Set ings\lawrence.werper\ Local %20Settings \Temporary%... 6/28/2007 psO¢. ¢..c.•,ILO L.:x•.'rR '.f ... ern r¢ y} pa. r�rVt�l•a'ICLI<:'<NUr <LA�:.•••� '.'tj0 JOHN KARELL Jr.. P.E.. M.S. Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 20, 1991 Hr. & Hrs. Louis Rallato 37 Park Drive Putnam Valley, RY. 10579 Res Proposed addition Ballato, 37 Park Drive (T) Putnam Valley - Lot 09 Dear )fir. & Mrs. Ballato .0 % have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that the existing garage plus a 13° x 131 addition will become a master bedroom suite. One of the existing bedrooms will become a new entry. The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted,.the above mentioned addition is APPROVED with the following conditions �..�_..r.i._ ...P.a a...¢._ .._.+.._w... w.. ..• �1•a e....- .... ... P.rt...r._ .. r .._ �..--- ...�.� _ .. .. var- n 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 replaced or updated with mater saving devices, i.e., low flush toilets, restrictors for shover 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 jurisdiction of the Town of Putnam Valley. If you have any questions,, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian NH/jp ccs BI (T) Putnam Valley