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HomeMy WebLinkAbout3669DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.15 -2 -9 BOX 29 03669 Is is , • !� ;1 s 1 4 i � m IsIll ' logo Is s lim -_ l 03669 BRUCE ._R—FIO-L-EY.... T Kx M. J.-,QRFTT-&-Y""1- WARL.- Associate Public Health Director Director of Patient Services DEPARTMENT OF - HEALTH I Geneva Road Brewster, New York 10509 Environmental He alth (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 K�A ADDITION APPLICATION (RESIDENTIAL ONLY) STREET TOWN 1"NaI14 QeY TX MAP#- Zy. N,A,)jE—D,'oKo PHONE PCHDff MAILING ADDRESS 6 S6P6 DESCRIPTION OF ADDITION 10 rJ NOTIMBER. OF EXISTING BEDROOMS._ 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 Putnam County Sanitary 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. . QFfiKE USE Comments Feb98 BFhouseguidelines SHERLITA AMLER, MD, MS, FAAP Commissioner of Health • —LORETi[ A T-40 LAINAR!, X,: Associate Commissioner of Health August 5, 2005 Michael DiCaprio 8 Shopis Drive Putnam Valley, NY 10579 Dear Mr. DiCaprio: ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — Approval - DiCaprio No Increase in Number of Bedrooms 8 Shopis Drive (T) Putnam Valley, T.M. 74.15 -2 -9 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 the Department dated August 5, 2005. The 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 dispusal_system and its ex ansi.�n area mutt be p 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.). 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 your convenience. Fseph , your Paravati Jr. Assistant Public Health Engineer JSP:cw cc: Building Inspector, (T) Putnam Valley Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845)278 -6014 Fax(845)278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health �.._ -.° ^L[3RET'i ti °MOi:.I;I�►R1;- R'1�i;1vl5Trr -� ; : -t,::. �� t.: ;^:: Associate Commissioner of Health June 15, 2005 Michael DiCaprio 8 Shopis Drive Putnam Valley, NY 10579 Dear Mr. DiCaprio: ROBERT I BONDI County Executive re. � _ �iF � �. .. -.. �.. s r�s>•�v�t�..ry. e- :. �: ..s --p� -.yaw ��iwr�.. DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re Addition — DiCaprio 8 Shopis Drive (T) Putnam Valley, T.M. #74.15 -2 -9 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The legal bedroom count for the dwelling is three. The potential bedroom count of your proposed addition is four. ... <. .... _.._. - 2. s l' o f a- p - otenti_a...l.- ._berd-s - - �o_m.(. s-) : requires ..._th.:is. .D� e_.p.._a_ rtment's pprovalpf a- _revised. septic system plan from a professional .engineer. . ...___.._ ..- ._- .. .: .. -.::.: . - - 3. There appears to be a drywell being proposed for roof leader drains. Please verify the purpose of the drywell and provide a 100' separation from the existing well. Please revise the proposed floor plan to reflect no more than three potential bedrooms or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Sincerely, Joseph S. Paravati Jr. Assistant Public Health Engineer JP:cw Cc: Building Inspector, Putnam Valley Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI,­RN, Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: ROBERT J. BONDI County Executive Re: 'K V) Op (S Residence TAX MAP# TOWN R Uoj According to records maintained by the Town, the above noted dwelling, IN COMPLIANCE WITH TOWN CODE.. _ -.. -... IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS 3 This information has been obtained. from: CERTIFICATE OF OCCUPANCY: c.Q1�1a� Date CERTIFICATE OF OCCUPANCY Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 lm Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648 _.f . ...... TOWN OF PUTNAM VALLEY Ct ....... x q P 348 ------ BUILDIN ERMIT RECORD xiing ----------------­- --- %"- ..................................... 7 - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 'Location of Premises—Street or Road......,.. ----------------------------------------------- SEC ....................... BLOCK ------------------- LOT__� ... 2—: FRONTAGE- __ - - -- Dept Rearx-2Z� :2_:k, ACRES (other description) or number of square feet.. - - -... * ..................................................................... ................. ./ ............................. .......................................... . ........................................ --- ---- ------------ DDRESS - . -1 Ze" .................... ---------- 'j USE CONST. ROOFING LAND Wood Wood Shingle Paved f Steel 1�,/ As PShingle Dirt .bin slow Brick Tile Oiled Concrete Metal, Swamp tment ce Stone Brook -----FNDTNS. INTERIOR Lake F. are & Apt. Stone 41,00 Dams tore & Office Concrete Apt. goolus Sw. Pools I)ffice i.,,ftlocks Apt. Ten. Courts AS Station Brick lAttic Open garage Piers lAttic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns BASEMENT Z Wood X Front Shacks Part jBrick X Side Cottages 'Full Brick Van. X Rear Bungalows Cemcnt Floor ILog X Encl. Electric Finished Shingle Phone Garage B. In. Comp. I lFurnace Field Stone Dimension of Building Width 41-1'J- Depth / e""z,-Stories Type Foundation_ ........... Size & Use Each ........................ Room with Window, ........................................................ --------- Sewerage Type ................. Size of Septic Tank .... /_ K! e Lineal Ft. Drainage.._' r., -4_?.�G�. . -__ Size-of Dry Wells....- .._... t� Additional Informa i o n: ... . ....... aro .................................................................................................................................................................................................................... ._This�ain)lication­must be�accompanied -by, a;cqp -*. of p surveyor's : man, -..jnd--­*Vornp1 _y ­ . -1 1 - I ' ete pl'a:ii§. §r B, in or- mation required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ ZL.-_ C CLy -Ac" V .in de i 3 a (File in duplicate) JD _6_F TEST ; - - - - - - - - - - - - - - - - - - - - - - - - - _Cloudy_Turbid Jed depth of pump in et below grade TOTN OF PUTNAM VALLEY Appl'CIN SAND & GRAVEL: Putnam County, New York I hereby acknowledge ) From for drilling of well. Date jff. size nn Coef, )th -of* -s*c'reen -Tt—. the RECEIPT of as of screen -in. je of screen reen- openings x kpplicantl - JOMMENTS: P4 tt L R., 5 bA K WF m E ', -F"kcis -: -dibwAw :cDKmmi"'-rM' .LAMP, I TrTL W!&E . COL 'j. FCM -L-DlULjkl% ACCFFtOi 9V., YOW 91'All ASSOCIAT 10 �,jt)F FROPESSIONAl lJe4#0 -jL'RWj70R3.: ILW: C41 10 1WISE INURAMIAM m -= un smow"'IAEREM UKOBIRINI jM-poll" 61 NUMBER � 1303 SAM CUI CjknOIA AM HOr TRANSFIN AS 4a LL; O Laps Eml - 7 FW" 'N k'affow Aj,:Mcww MAP of., CWICF-• F%M56'AS MAP KI& 643. 15 el: j'i AC. Ate we I*Rld F., 13. wtc*" Cftd : td W-%V 0- npims bear Whale lipp" 22 hup.0" BUNNEY ASS00ATES LAND, S611VLPYOM RURAL Re FIEWJLA.FE NORT" SALEK mm TOM-, 0360 ;: J43' 12� "v T .ar.e- lk sl Col.) E ti 0 UlW6R*jMd _ r-P bldli!nt Ot h9a.-mad',land muritp►es imcl is 'a 'fjM'6- r-.— X Sd. ti va 'PA tX 4. co e 3) M ru ru I-- SUP-VEY OF PROPERTY LO SITUA-M N ;TOWN OF PUTN AM VALLE: 'PUTNAM --nn"Kiery- . -00 2, of t'he "t 7fteallum, Low. T" t5culfm Of arft e rWaund . ft-rawamm ts w NEW YORK eJ%czGQcHnMIN if Onip Wst, are r--*] cvhf,.vd 2!!STa- Sp FILE No. T &9D- W PUTNAM COUNTY HEALTH DEPART DIVISION OF ENVIRMENTAL HEALTH SERVICES -AL ` PROPOSAL FOR SEDGE DISPOSAL SYSTEM REPAIR Off' S NAM hhaalCl-S 4Mer- OW A-to PHONE j1-X 1)4 SITE LOCATION Wants LA lxt ©r�Os�- i"AAM11. 0-le— MAILING ADDRESS PERSON INTERVIEWED PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE "7 -1 " 70 TYPE FACILITY PROPOSED INSTALLER 'tJtl41��� `- ��y,,�� PHONE 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 Proposal armed s Signature & Proposal Disapproved 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. G6 2d Ate c. Location of installed canponents 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 agent of owner agree to the above conditions. SIGNATURE TITLE jc6A0j,,DATE '7 MM: rhite (PAID); YeUcw Mann HI); Pink (Applicant) �i 9 Fo- Esi- ---z- 6 Vi C)Qoi 4! I s. I Cn s113 TITLE NO. F 1062153 CERTIFIED TO: MATIONAL WESTMINSTER GAWK JAMES J. & FRANCES M-60WAN COMMONWEALTH LAND TITLE INS. CO. IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. CERTIFICATIONS SHALL RUN ONLY TO THOSE INDIVIDUALS AND INSTITUTIONS SHOWN HEREON UNDER THE TITLE POLICY NUMBER SHOWN ABOVE. SAID CERTIFICATIONS ARE NOT TRANSFERABLE. PREM15£5 SHOWN HEREOM ee1NG LOT S 2 AS SHOWN ON a MAP OF pROPE{ZTY OF K. SHOPI 6i FILEO IN T44E POTNAM COUNTY CLERKS OFFICE 5tPT 23j 1958 AS MA P N0. 543 . LOT Z AREA All certifications hereon ore valid for the map and copies then of or hle If soid map or copies boor the impressed surveyor whose signature appears hereon. SURVEYED & PRGRARED BY 6UNNEY ASSOCIATES LAND SURVEYORS RURAL ROUTE u2 FIE056 LANE NORTH SALEM. NEW YORK 10560 . - _. N Y •`• LIC NO 49332 TONY J. � CpR.ME� ¢1VieZZO rA C � N Q u. 0 IS O u.1 a s gTONE el 611 _Z Ilkv .,leu- O El (5 1%:E=d- . ly�F GOIIN L.& SYLVIAO "DUKE 7-0.515 µ/ALL i y � pa0 pE�K ? 57 7 � A f Imo` S Y� f low 91 IV AO �FJ �- i Unauthorized alteration or addition to a survey map bearing a licensed land surveyor$ seal is a violation of S2ction 7209, sub-d'vision 2, of the New York State Education Low. 1`I The local ion of. underground Improvements or encroachments, tf. pny exist, are not Ceitlf:ed L.: r INN lot I: � S 2 � o = �sA Z1 TOWN OF PUTNAM {VAltIt.LE' PLUWAW COUNTY NEW YORK f SCALE 1 (" _ 40' DATE= SEFT. 15, 1989 .I� FILE N0. T (090 - 7 'i, ro Zn I ig M z :. t L. ot Ba U!3 cn3N m .. ........ II wool ONOW"um- - .. ;tr� I Qp g -W. - - - - - - - - - - - - - - - - - - IN S;01' Sig X -1 A 71? Oa. VOW LAM Ck .04 win, . ........... Ag ........... . . . ZEN . . . . . . . . . . . . . . . . . . . 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