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HomeMy WebLinkAbout3784DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.06 -1 -4 BOX 29 IR I "im m FIll :u Nil :1 k. J tLj Jr - 16 ' T I �r I r ` 03784 wR% DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914)..225 -3641 v. -:c^r. � �� :i �: ^.-r a,. ...:- '.::. -�;;w �-. s,�vn ��:: ° _�' !vex ::. �y�.o -, •_ .._.� , � . _ ....._�.. ^'Y'.was.`w1. s. �. '.w. '';ct ".- .r.��. -:v i`+o.::e::�i . APPLICATION TO CONSTRUCT A WATER WELL .� PCH1� PF.RMTT . #k?� / I'�a�K ]5/ WELL LOCATION Street Ad ress Toc /Vi ll geg i iax Grid. Number WELL OWNER e _ 'tl Ma i Address Private E3 Public . USE OF WELL 1 - primary 2 - secondary RESIDENTIAL El BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP D FARM ❑ TEST /OBSERVATION C] INSTITUTIONAL ❑ STAND -BY O ABANDONED ❑ OTHER (specify ® AMOUNT OF USE YIELD SOUGHT q gpm /# PFOPLE SERVED /EST. OF DAILY USAGE•. REASON FOR DRILLING C3 W SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY PLACE EXISTING SUPPLY O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING , zz j •. WELL TYPE 11 'DRILLED DRIVEN r'�7tjDU r GRAVEL ❑ 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 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED P ON REAR OF THIS APPLICATION []ON SEPARATE SHEET (da e) /__. _ (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 S'Caie 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 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. �-- Date of Issue: ,' og:� ,22 19 Date of Expiration: 19 ermit Issuing fficia Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector 9i0* Pink Copy: owner IV I V. 50 t .. . I VIA An as i''' FR: DWG V. 50 t .. . I VIA An as i''' PUTN= YAUEY n,.� 7 -- ^�, , . z. w = "u:o.: -a.'s „ ., —o •c. - f,. ,.�' . ;•3 ,.... . _. - TOWN,. HALL i. MARVIN O'DELL PUTNAWI VALLEY, Inspector • 6` (914) 526 2377 j of O I . i TOWN OF PUTNAM VALLEY I BUILDING, ZONING, AND SANITARY DEPARTMENT Decembet 22, 1989 I Date: Putnam County Health Dept. 110 Old Route Six Center G Carmel, N.Y. 10512 Att: Wm. Hedges, Health Sanitarian Re: ALLEYNE - TM #77 -3 -2 i Dear Mr. Hedges: ' 1 1 The proposal to relocate a writer well on the above i noted property has been reviewed and approved by this dFpartment. -. Very t my yo rs, I MARVIN 0 DELL Building & Zoning Inspector MO'D:es i i i SHERLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health Mrs. Alleyne 628 Sprout Brook Road Putnam Valley, NY 10579 Dear Mrs. Alleyne: ROBERT J. BONDI County Executive ._ ...... � «a--r ..v �t�.�- •iT:.. ..i 4s. aavt . _. r. .- .. v... ter. r DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 June 22, 2005 Re: Addition - Approval - 628 Sprout Brook Road No Increase in Number of Bedroom (T) Putnam Valley, TM # 83.06 -1 -4 I have received and reviewed the plans for the proposed revised 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 6/22/05. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at 5 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, restrictors for shower heads and faucets, etc. Th-e apprtoal- ig iar the proyoscd e'iianges oily. TI.-�spprava domes noti �rr�datoriy 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. Ve truly yours, oseph S. Paravati Assistant Public Health Engineer JSP:kly cc:BI (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 LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 -,Nursing Services (845) 278 - 6559 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 PROPOSED ADDITION APPLICATION TIAL ONLY) a47 STREET Se YV\J2_ �/ TOWN TX MAP 0 NAME PHONE VSU'f2-141 PCHD# q3-0y. MAILING ADDRESS 62A 45?you}- Yob t—(_8 .10s_7c1 DESCRIPTION OF ADDITION AH-Ic-,qbAme J,("c ROBERT J. BONDI . County Executive NUMBER OF EXISTING BEDROOMS . s PROPOSED . # OF BEDROOMS_�_N nrWr AV OCCUPANCY AMr-.1 AD 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 plc-bt sectof te umC6nySai� ode; vi Pleas'e 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-prof6ssional. 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•urvey 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.witli* any questions.: 5. Copy of Ceft.,of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. Comments - ......"Feb 98 •r LORETTA MOLINARI Public Health Director ROBERT J. BONDI County Executive 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/Preschool (845) 278 - 6014 Fax (845)278 - 6648 Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 To Whom It May Concern: Re:-.- /ILI �- Residence Tax Map Town l3 According o 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: OTHER: houseguidelines Building Inspector �7 .1 c. M. .nf lY + -oq•l. . -. w -.�... z'c- . - 1U`Hk TER'2 —. rr�. o.v! �.. ,. u_. ... . - • . DEFINITIONS SECTION 201 GENERAL 201.1 Scope. Unless otherwise expressly stated, the following terms shall, for the purposes of this code, have the meanings shown in this chapter. 201.2 Interchangeability. Words stated in the present tense include the future; words stated in the masculine gender include the feminine and neuter; the singular number includes the plural and the plural the singular. 20.1.3 Terms defined in other codes. Where terms are not de- N fined in this code and are defined in the Building Code_Q[AgE vtat the Fire Code ofNew York State. the Plumbing Code N 0ZLej2YorkSta te. and the Mechanical Code ofNew York State, stch terms shall have the meanings ascribed to them as in those codes. 201.4 Terms not defined. Where terms are not defined tlrough the methods authorized by this section, such terms shall hive ordinarily accepted meanings such as the context implies. 211.5 Parts. Whenever the words "dwelling unit," ."dwell- jig," "premises," "building," "rooming house," "rooming u;it," "housekeeping unit" or "story" are stated in this code, thy shall be construed as though they were followed by the vords "or any part thereof." SECTION 202. GENERAL DEFINITIONS EXTERIOR PROPERTY. The open space on the premises and on adjoining property under the control ofowners or opera- tors of such premises. EXTERMINATION. The control and elimination of insects, rats or other pests by eliminating their harborage places; by removing or making inaccessible materials that serve as their food; by poison spraying, fumigating, trapping or by any other approved pest elimination methods. GARBAGE. The animal or vegetable waste resulting from the handling, preparation, cooking and consumption of food. GUARD. A building component or a system of building com- ponents located at or near the open sides of elevated walking surfaces that minimizes the possibility of a fall from the walk- ing surface to a lower level. �B"T�.�ELESIPACE Space ttt a struc :.._for hv�ing, slee �,, tngt�,,,g.ot;000kulg Batt�?'4oms, toilet roo r ��lc�s stora�gl,�ttiltty spas, and similaz.areas are not�onsidered' habtl able spaces. HOUSEKEEPING UNIT. A room or group of rooms forming a single habitable space equipped and intended to be used for living, sleeping, cooking and eating which does not contain, within such a unit, a toilet, lavatory and bathtub or shower. INWIINENT DANGER A condition which could cause seri- ous or life - threatening injury or death at any time. INFESTATION.. The presence, within .or cor..tiguous .to, a - — �tinctnre-u-tp:er df'ir7sects, rats, veimin of oilier pests: V A'PROVED. Acceptable to the code enforcement official. N N A=RM HAVING JURISDICTION. The local gov- N gameat. coo -U government or state age-ngy responsible for the N aininistration and enforcement of an applicable regulation or N RSEIVIENT. That portion of a building which is partly or cmpletely below grade. RTHROOM. A room containing plumbing fixtures includ- ia a bathtub or shower. EDROOM. Any room or space used or intended to be used fosleeping purposes. Y ©DE ENFORCEMENT OFFICIAL. The official who is cirged with the administration and enforcement of this code, piny duly authorized representative. ONDEMN. To adjudge unfit for occupancy. WELLING UNIT. A single unit providing complete, inde- pident living facilities for one or more persons, including pmanent provisions for living, sleeping, eating, cooking and siltation. NPERTY MAINTENANCE CODE OF NEW YORK STATE LABELED. Devices, equipment, appliances, or materials to which has been affixed a label, seal, symbol or other identifying mark of a nationally recognized testing laboratory, inspection agency or other organization concerned with product evalua- tion that maintains periodic inspection of the production of the above - labeled items and by whose label the manufacturer attests to compliance with applicable nationally recognized standards. LET FOR OCCUPANCY OR LET. To permit, provide or of- ferpossession or occupancy ofa dwelling, dwelling unit, room- ing unit, building, premise or structure by a person who is or is not the legal owner of record thereof, pursuant to a written or unwritten lease, agreement or license, of pursuant to a recorded or unrecorded agreement of contract for the sale of land. OCCUPANCY. The purpose for which a building or portion thereof is utilized or occupied. OCCUPANT. Any individual living or sleeping in a building, or having possession of a space within a building. OPENABLE AREA. That part of a window, skylight or door which is available for unobstructed ventilation and which opens directly to the outdoors. OPERATOR. Any person who has charge, care or control of a structure or premises which is let or offered for occupancy. '-. v,.. . }-: ._r � . «, a_ _. F. _ - ,~ ,a r�r e,w'�V :_sr -. �w.:. "'rs� -r. .�j,r:. o..�. .`. . � .. s ... n .ca � i - ga:n =ar. .. r -c•... •o1n r' 9 � '- �fAi�G OWN - ! 1 { �Qs R R6?II GjL/!li:C E � • #F A`�! ? S ! T� Vol AR TV. S r t X C s- poor ?r� -. �' -. y.... lu .� .tea•_ i.�...,,.�.y, -,_... '_. -._. Mr.. ..:: .. ,� _. -:. _ ..? - _. L'.. �n � T l'AF�rT. .a.... I .. .rS.....�- ,ac•.i+p•� viv ._�r� _ .rte TS�r.. r I a %! � -f - y w N• tor t wea ~i , ...x° I ., r d t 7 ♦ 'P4 `� r d � tS f t c x :5 .,r tt 4. t i 3` ',t A ky„ � � k3 { ��'1 � R1-�; ei-•'t 't iy t aP'�tr,� F�} e i 1 1 , I�t' � y ' i t� t -, *Y s} 1 1� �s > ,� r ? � �'sro a� ,. �.. tzy, t ✓ >' � a, � �'. � s •4. .1•!.. - -t 1:. ..: ♦nv i..:j ,_,.. -_. 'k]ti i�`.h_i''::._ _.1. ,.:u «_..»I�.�'.ru�Li. �..r.::'�i .. ...... ... .... ... .... 1.. ... -09f,�'4..�*.4Sa. ;'at'' -., J.t .. �. R'4,�Jr .. •. {•chn'4._.... .. i 4{�rs t�. a: �I Ri r. �QV . X. -1 S 11 �-d- 7 L.J. CD L r- At �-d- 7 L.J. CD L r- - - -- 'k' PUTNAM COUNTY ..b EPA s - — HOUSE PLANS APFa1UV 6 Fi BEDRO I M C(4 _ Y 1 L RI.C,i,1S c a r - -- ry 1 Ili c "cs, I , { u�nature 8 l ltle T J T ,� : lrfr MAM kt'$ }� •,� i 1 5 ) � .. tJl G � L.e. (�.4�� , t��Y IN 3_ j '4 w SAN" } ` °n 110 GHi., t[�: `1 r t• , t 1, Q TIN& QI C i I �t} , �I'tG�F- i `E.,xl -j.,►.I�. + � \ ! d s - IJ7 TwI HQNE ! : Ic �1 C i,_. 2 z t ty� y y 1 / -. .. �: yy ypil a - ,s; - -.l in 41 r mZ r rit At .-r- ripR hae-lf ,S�j"Ofvr " ' , bPXT,�E luNacR 4 Zmct -ft i'M lAtcr�o c:EaHCOU�°t.,6o "g� '�.i ,Exts-j- ExtsT. I { R�. PIVW ! ? Ul .SC OA -,7, 7.1, 1 3M1 In .SC OA 56 ED I "This is to certify.thi constructed.as indicat( was inspected by me I system was constructed rules and regulations .o 'T ealth and the New Yor) tx 1 3M1 56 ED I "This is to certify.thi constructed.as indicat( was inspected by me I system was constructed rules and regulations .o 'T ealth and the New Yor) SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN� Associate Commissioner of Health Alleyne 628 Sprout Brook Rd. Putnam Valley, NY 10579 Dear Ms. Alleyne: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive March 3, 2005 Re: Addition — Alleyne, Sproutbrook Rd. No Increases in Number of Bedrooms (T) Putnam Valley, TM #83.6 -1 -4 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 March 3, 2005. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at five 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, restrictors for shower heads and faucets, etc. Any 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. ML: lm cc: BI (T) Putnam Valley Sincerely, Michael Luke Public Health Sanitarian 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 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of r e'- l,'s -sue Al e,• ._ -�. • Located at .�,�J��g O�i-f -✓ ��; Section_Z;Z__Block .3- Lot Subdivision of Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize a duly licensed professional engineer t' or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the.standards, rules or regulations as promulagated by the Commissioner of the'Putnam County Department of Health, and to sign all necessary papers on my behalf in oo�tuieic�:icin. _ wi`tN­'th %o* mai�ter'eric�' "to' `duperviae °ttie`conatructton of said �••�`` ^� system or systems in conformity with the provisions of Article 14$ or 147, Education Law, the Public Health i,aw, and the Putnam County Sani- tary Code. r Countersigned: P.E. , R. �e -7y Address Telephone Very truly yours, Signed c; Ownes of Property Addr 4faf Town Telephone