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74.15 -2 -8
BOX 29
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BRUCE R- FOLEY
?ubiic. c' '•ham Director
DEPARTMENT OF HEALTH
1 Geneva Road
t
Brewster, New York 10509
LORETTA , MOLINARI R.N., M.S.N:
Associate Pu & 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
August 25, 2000
Irving Sevelowitz, Building Inspector
Putnam Valley Town Hall
265 Oscawana Lake Road
Putnam Valley, New York 10579
Re: Temporary Connection to existing
Septic System and Water Supply
Kalaj, 14 Shopis Drive, TM# 74.15 -2 -8
Town of Putnam Valley
Dear Mr. Sevelowitz:
The owner of the above mentioned property has requested permission to temporarily connect a
trailer to the existing septic system and water supply on the above mentioned property.
This department has approved the connection of the water supply and septic system for the new
residence currently under construction.
Therefore, this department has not objection to the temporary use of the septic system and water
supply for the temporary residence.
Very truly yours
William Hedges
Sr. Public Health Sanitarian
WH:cj
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BRUCE R. FOLEY, F.S
Acting Public' Health 0:
DEPAR T ME\ T OF HEALTH
Division 01- Enviror -_n:al Health Services
Gene _
Road, 6; e, Nev v York 10509
(91 278-61130
(RESID_N IAL CN;'_Y)
TX M-k. - 1�
R.,HD PERMIT T
ti
Description of Addition
';-.,imber of existing bet-ac-s =-o�osed nJ: -,bar of bedrar-,,is
f rG�7: Certl f icatc Of CccUp =ray 0-
Ca- rti-1 ication frc:� E_.ldir_ :ns -.' :tor
k -,y a •di t ion which -is cons : e, a re:
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DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New . York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
October 8, 1998
Mr. and Mrs. Zef Kalaj
14 Shoppis Drive
Putnam Valley NY 10579
Re: Addition - Kalaj, Shoppis Drive
Increase in Number of Bedrooms
(T) Putnam Valley, TM# 74.15 -2 -8
Dear Mr. and Mrs. Kalaj:
BRUCE R. FOLEY
I have received and reviewed the plans for the proposed replacement to the above mentioned
residence. The proposal for the replacement residence has been approved as per plans bearing the
latest revision date of October 8, 1998 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
The _total-number of bedrooms must remain at - five wit out 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 Carmel.
If you have any questions, please contact me at your convenience.
WH:tn
cc: BI (T)
Very truly you ,
William Hedges
Sr. Public Health Sanitarian
0
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Gen: va Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, P.$
Acting Public Health D:rezto,
Re: REF K A L AZ
Residence i q SW df
Tax Map I Y. — 2 — 0
Town PjLTyL &t-( -(
According to records maintained by the Town, the above noted dwelling
IS NOT
in compliance with Town code and the total number of bedrooms on record
is Ij Five
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: t/
n
OTHER G Q..lv
yizz
Building Inspector
3
PUI'NAM COUNTY HEALTH DEPARTMW
DIVISION OF ENVIRONMENTAL HEALTH SERVICES .,
PROPOSAL FOR SBiAGE DISPOSAL SYSTEM REPAIR
8�
ownw S NAME % E F %C A L A PHONE
SITE LOMTION --
MAILING ADDRESS
PERSON INTERVIEWED &I � %a r.•�. A-1 3,4 sm - y —'r PC H
I Name & Relationship (i.e,` owner,tenant, etc.)
DATE Ck / 9 ! 9 P, TYPE FACILITY
e
I Complaint $ °--
PHONE
REGISTRATION #
Proposal (include sketch locating all adjacent wells):
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location may require submittal of proposal from licensed professional engineer or
registered architect.
Proposal approved -- r Proposal Disapproved
's Sianature &
Date
j
Proposal approved with the following conditions:
1. Procurement of any Town permit, if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name.
b. Site Street Name, 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' diam. 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 agen�t,,of owner agree to the above conditions.
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