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HomeMy WebLinkAbout3611DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.10 -1 -31 BOX 28 I I .. Wool I yti r 111 r ;' ', vim a6;- i, -, - � oul - 'T� 10' it, 16 or r- 03611 1�a v a �i 9 L� DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (91'4) 278-6130 Fax (914) 278-7921 BRUCE R. FOLE.Y. "Health- Director PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) STREET 33 '_Rd 1ZIC -DTz TOWI\T�T ' TX MAP # 77. J 3 NAME jeAVdf Pc -Avi✓ 44 PHONE S -W- 103 APCHD # ✓ MAILING ADDRESS 3 3 f ric 1) 'R— DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS 3 (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_gf.the Putnam:County,•Sanitary:- Code:_ 'lease, 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 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. i OFFICE USE Comments 0 Carol McKenna 33 Park Drive Putnam Valley NY Dear Mr. McKenna: DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 2g-7921 ovember 20, 1998 10579 Re: Addition - McKenna, Park Drive Increase in Number of Bedrooms (T) Putnam Valley, TM# 74.10 -1 -31 BRUCE R.. FOLEY J TzibR6 - Neaftti !Director ' 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 latest revision date of November 20, 1998 and this Department's approval stamp. Based on the information submitted, the above mentioned 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 with water saving devices, i.e., new low flush toilets, restructures 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. VPry tnilu vnnrc William Hedges Sr. Public Health Sanitarian WH:tn cc: BI (T) JW.,OBRUCE'R. FOLEY, R.S. Acting Public Health Director 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 Re: Residence /V e, /v /L,/ 7�9' Tax Map Town tj Gentlemen: According to records maintained by the Town, the above noted dwelling IS NOT in compliance-wit •ToNtim code and the total number of bedrooms on record This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER F,. _ 6 d �Z V - Building Inspector Or I 'AGL�.:.G /aNER/f1LrC y.,eN '�L /NE,. U N � 9r V io i 2 J • � Y '15 TeRY F ?AME xjryELL/NG 0 9 / - I 'AGL�.:.G /aNER/f1LrC y.,eN '�L /NE,. U N � 9r V io i 2 J • � Y '15 TeRY F ?AME xjryELL/NG 0 0 / - 49.78' 0 °y t 't.f�^' I rp�ou I 7 t b IQ , .�_ . 1p /A IR IK ID lP 41 V IE - SURVEYOF PROPERTY PREPAREDFOR'. . Ri(HAPD- & CAROL MCKENNA ' 'SITUATE N THE _ TOWN, Of ; ';PUTN,AM VALLEY PUTNAM COUNTY NEW YORK SCALE I in, =;.�p •'.:,.: h. 1980 <i I RICHARD H. GOAR the Surveyor who made this Map, certify that NOTES: thesurveyshownhereon was completed bymeon d 19 ®C that this m .ap was completed by me 1• All certifications' are valid for this 'map and copies thereof On oC 8 r a 3,1 19 go only If the said map, or copies bear the Impressed seal of the .' and that this survey has been prdpared in accordance with the surveyor whose signature appears .hereon. existing Code of Practice k{ Land Surveys adopted by The New 2. Alteration of this document, except by ri licensed Land Surveyor, York State Association of professional Land Surveyors is illegal. 3, Z.0 Z.B Shorwt 4e.ao{r� i s Oa iho,.n an /lraP tgTil/eq[ t � P ox AORgL NI 1. 4 ;.9A K " 1,leal /4 1h /°uYnem C o�n1!y G/erGYP O Vice; .N.yy r as 'Ale BSS 7'irlcf. i�✓svT.:9.vcF,,co. ®F qtly t ry ,y.p RICHARDH. GORR, ALS. N.Y.S. Lic. No. 40513 �,�y �o ,� 14 4 o,4 R.D. C9, LAKEVIEW DR. - U TITLE No. o Z' W O t g 7 t� F MICHAEL ..,D %LI et' O v� 4� 41 e 9' 0 P S7aAE .WALL .4y eN LNE ' � p oM 10 ' rd�CEA = /. io iQCRES .i 8 7 io ` •r-rr'r* + J \ P ST°Ay F/ZAM L$1978' W6LL /Nt: G ti I d I UI Cu. o, It q h t PIP t E7' 390 °2, /' oo IP /A /P IK ID IA /I V lE SURVEY OF PROPERTY PREPAREDFOR P,ICHAPD CAPOL •MCKENNA SITUATE IN THE s TOWN. OF: :',.PUTNAM VALLEY PUTNAM COUNTY. NEW YORK SCALE l in. = .. ¢ 0 ft. '1980 LRICHAROH. GORRMe surveyor who made Nis map, co" that NOTES: Ne survey allow nhereonwasCompletedbymean Oaf : / t 19 BO . that this map was completed by me T. All certifications' are valid for This ma p copies te5 (hereof p on 'Or->'a 6n 0- 1990 only, It the, said map or copies bear the Impressed seal of the and Ow Ups survey has been pedpared in accordance. with the surveyor whose signature appears hereon. exa&V Cate of Practice for Land Surveys adopted by The New 2. Alteration of this document, except by a licensed Land Surveyor, York State Atsociauon of Prolossional Land Surveyors. ..is illegal. 3. L o Z B shoran 4eewo{7, rs oa sbo mn on m-�& tn71i /to[ i �1ir) o Ati,�At Ned. L 7-VA K " I'/eelio Ae "_ Pu�ntm Corny G /t�rl'a Oifirt� HAy� /9Sy c F� F11?$ T, 91W nil•/ wa.v �f gtly 1L RICHARD N.GORR,P.LS.N.Y.S. Lx. No. 40313 /%/e-A"-to /1/lCKk1V4, -,q i PUTNAM COUNTY DEPARTMENT OF HEALTH H DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITI®N/REP.AIR FORM SECTION A: GENERAL INFORMATION Name of Project T)m P Year of Construction Size of Parcel TM# SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. OHilly Cxofi g 0Steep Slope Mentle Slope OFlat 2. Evidence of wetland Clow area subject to flooding ©Bodies of water Drainage ditches Rock outcrop YES 3. Property lines evident? LJ 4. Wdfer'courses exist on; -or adjacent to parcel; 5. Existin g individual wells within 200ft of the existing SSTS? r SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. Level I Gentle Slope Steep slope ' B. Well drained Xoderately well drained ®Somewhat poorly drained Poorly drained C. Area available for SSTS. (Primary & Reserve) ®Extremely limited OSomewhat limited I-JAdequate ft x ft D. INSPECTION J( 1- Inspector UNo evidence of failure ❑Evidence of failure ❑Evidence of seasonal failure C4 y ----------------- =---=-- --- ----------------=----------------- --- ------------------------ - - - - =- (Indicate North) HOUSE --------- ---=-- ---------- -------- - - - - -- -- -------- ----- - -- - -- (1) Indicate location of SSTS A. Size and type of septic tank DMetal [Toncrete B. Type of absorption area 1. Fields ft. 2. Pits gallons OPlastic 3. Gallies ft. _ _._) Ir�dica.te setbacks, front sl=eet; lwckyard; and -side yard dimensrus ° (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXISTING WATER SUPPLY rjPWS OShared well Mdividual well IlDrilled MDug COMMENTS: REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: (addrep). 96as'ing aboZe ground PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division' Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Mr. & Mrs. Richard McKenna 33 Park Drive Putnam Valley, MY 10579 Re: Proposed Addition A -56 -90 McKenna, 33 Park Drive (T) Putnam Valley, Lot 8 Laurel Hills Dear Hr. & Mrs. McKenna: JOHN KARELL Jr., P.E., M.S. Public Health Director March 29, 1990 I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a master bedroom, bathroom and family room will be added, to the existing residence. The existing bedroom near the garage will be converted into an office /den. The survey-- indicates- thiat"su ficiest 'area `euistis td "`expand or 'idpair 1fie'&iade" -' �- 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: 1. The total number of bedrooms must remain at three (3) 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 eater 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 jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. WH /jp cc: HI (T) Putnam Valley Very truly yours, William Hedges Assistant Public Health Engineer 6.. DEPARTMENT OF HEALTH. Division of Environmental Health Services 4 Geneva Road, Brewster, New-York 10509 (914) 278 -6130 APPLICATION ' TO CGNSTRUCT A WATER WELL PCHD PERMIT # WELL LOCATION St t Address Town Vi�ge / Tax Grid Number ZO _ WELL OWNER Name L .E- L Mailing Address afr ivate C ' r(C '� IZ- ' ,40i . 1/9,//t4d Public USE OF WELL RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED 1.- primary 0 BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify 2 - secondary 13 INDUSTRIAL CIINSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT_ gpm /# PEOPLE SERVED /EST. OF DAILY USAGE a �al REASON FOR O REPLACE EXISTING SUPPLY O TPT /OBSERVATION 13. ADDITIONAL SUPPLY DRILLING O NEW SUPPLY NEW DWELLING M,15EEPEN EXISTING WELL DETAILED REASON FOR !'C t 101 DRILLING WELL TYPE [316.R--ILLED DRIVEN []DUG []GRAVEL 0 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 A/YPum / N-D671- Address: `3i fox SC IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES A NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DIST ICE.._T0 . PROPERTY F�tOM- NEAREST . WATER': MAIN _ . _ LOCATION SKETCH & SOURCES OF CONTAMINATION ON SEPARATE SHEET - /s/ (dat PROVIDED (signature) 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 Department attached to this permit. 3. Submit a Well Completion Report on a form requirements of the Putnam County Health provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or 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. Date of Issue: y�`j 19 Date of Expiration Permit is Non - Transferrable 3/89 .1 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller &Piz fi- iv o C'i 0 .0,-- �x'fsf f "i wt LL In c- V. TITLE No. 2oZ F MICHAEL DfLIETO 1,P6 z TQ ltl 'y 4,e e.4 is q C R ES 9 7 PC 2. r. Ij ` Y. 15 7'#A �wsA- t T, Ck go. 2- -00 1 .2oo o IP /A /P X. ID /R. 11 \V/ IE SURVEY OF PROPERTY :PREPAREO FOR --,. PICHAPD strUATE IN THE TOWN OF PUTNAM VALLEY PUTNAM COUNTY NEW YORK SCALE I in 40 ft. 1980 1, RICHARD H. GORR the surveyor who mace M,s map c.mN that NOTES: ly ".— ft.— Dy ma en 01-1. /,-, 11 .6 that III map was Completed Dy me 1• All cerlificaft6na, are valid for this map and copses thereof Ch oc-yozae 7.3. X960 only it the salt/ map or Copies bear the —dressed sea; of the and Mat Mc; survey has Dean Prepared m accordance *an rho surveyor whose signalureopears hereon. exuang Code of Practice 'or Land Surveys adopted Dy The New ', Alleration.of this document, except by a licensed Land Surveyor. York State Association of Pholessions) Land SuKoyo— Is Illegal:' . . Z, h.— 4e s 0 S S A.— on /be/- -F,?7 Adz P 4 C f/7 'V RICHAROM. GORR P L.S. N Y S. Uc. No 40513 R;) •9 :AKEVIEWOR AlAt,0PAC. N v. 10541 ----- -- Ij