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631- 589 -8100
83.08 -1 -16
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03794
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SITE
MAIL:
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DATE
PCHD Canplaint #
Name & Relationship Me, owner,tenant, etc.)
-TYPE 1,0fqCc
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 a, rov Proposal Disapproved
cl6sp6ctorls gnhtute & Title pFiiQ,o.� Q�
sx�s
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 canponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. 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, reported agent of owner agree to the above conditions.
SIGNATURE --°� /� TITLE) - t
Luc c
PISS: WAte MD); YeUcw (fin ffi); Pink Ugliamt) tr
ALLEN BEALS, M.D., J.D. .
Commissioner ofHealth
ROBERT MORRIS, P.E.,WH
Director of lromnental Health
November 20, 2013 .
Joel Greenberg, R.A.
2 Muscoot North
Mahopac, NY 10541
Dear Mr. Greenberg:
DEPARTMENT OF HEALTH.
1 Geneva Road,. Brewster, New York 10509
Phone # (845) 808 -1390 Fax # (845) 278 -7921
Re: Addition — A- 129 -13
No Increase in Number of Bedrooms
15 Town Park Lane
(T) Putnam Valley, T.M. 83.08 -1 -16
MARYELLEN ODELL
This Department has 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 November 19, 2013. The addition is approved with
the following conditions:
1. The total number of bedrooms must remain at two without prior approval by this
Department.
2d. The area -of the.exis ng §e�yage. disposal aystem and its expansion area nn A 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 ...
4. The approval is for the modifications only and does not validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
5.. This approval is valid for two (2) years and expires on November 19, 2015.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43261.
Respectfully,
Gene D. Reed
Principal Engineering Aide
GDR:cml
cc: BI (T) Putnam Valley
r
U �
i`
BRUCE 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
PROPOSED ADDITION APPLICATION - (RESIDENTIAL ONLY
STREET: _ f4*..z Nt TOtil LLB V TX MAP #
�-
NAME: j OV i'0e'r1 5 PHONE PCHD PER IT 7%
MAILING ADDRESS /S Q �- J U N , /A$ ;.
Description of Addition TAMIL i2�C)M
Number of existing bedrooms 'Z- Proposed number of bedrooms
from Certificate 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 DEPARTMENT,
- 4_ GENEVA ROAD, BREWSTER, NY 10503, Phone 278 -6130 with the following information.
1. Certified Check for $100.00.
2. Sketch of existing floor plan (all living area including basement, if any)
Non- professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best.of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.. '
5. Copy of Certificate of Occupancy from Town or. Certification from Building
Department of legal bedroom count of dwelling.
Comments and /or conditions
application
August 1995
July 1936 (Revised)
0
SHERLITA AMLER, MD, MS, FAAP
-`
,.Commissioner of- Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
PUTNAM COUNTY DEPT. OF HEALTH .
1 GENEVA ROAD
BREWSTER, NY 10509
To Whom It May Concern:
Re: AP—GleQ5
Residence
ROBERT J. BONfDI
TAX MAP# g 3, 0 g
TOWN P L6 Y
According to records maintained -by the Town, the above noted dwelling,
^IN .COMPLIANC.E WITH -T4'V N COD +'.
IS NOT IN COMPLIANCE WITH TOWN CODE
LEGAL BEDROOM COUNT IS 2
This information has been obtained from:
C T AT OF CC AI�t Y:
ER 1TIC 6 O UP C
OTHER:
i1n, ce-
�V
Building Inspector
cif 2t. (�l3
T
Date
CLU IFICATr OF OCCUPANCY
bn Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Environmental Realth (845) 278.6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early Intervention/Preschool (84$) 278 -6014 Fax (845) 278 -6648
tdl _v
BRUCE R. FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509 0
(914) 278 -6130
PROPOSED ADDITION APPLICATION - (RESIDENTIAL ONLY
STREET: 15 T® wN 16fl2-k- L 14NE;Taffl JAUeY TX MAP I*
NAME: 'l N f 5 PHONE 9 `'`t -5qS -%j;95 PCHD PERMIT #
MAILING ADDRESS 1707 WIL EY RD,_ _1V 09 6 AN L 4k-4 , jsL� I is
Description of Addition
Number of existing bedrooms Z Proposed number of bedrooms 2
from Certificate 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 DEPARTMENT,
4 GENEVA ROAD, BREWSTER, NY 10503, Phone 278 -6130 with the following information.
1. Certified Check for $100.00.
2, Sketch of existing floor plan (all living area including basement, if any)
Non - professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
quest.ions please contact this office. '
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
SHERLITA AMLER, MD -9 MS, FAAP
Commissioner. of Health
r gRET='.r "O._TjP A-R1 , CAI SN ..k::.:.,:;
Associate Commissioner of Health
ROBERT J. BONDI
.County Executive
ROBERT MORRIS, PE
Director of Environmental' Health
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
Town Legal Bedroom Count & Proposed Addition Status
Re: ARC T R n g (Owner's Name)
Tax Map #. 8 3.08 -1
Address: 15; --Town Ea rk Lan P .
Town: Putnam Valley
Year Built: 1.A [4 7
According to records maintained by the Town, the above noted dwelling,
i's . xx in compliance with Town Code.
Is not in compliance with Town Code.
The Legal Bedroom Count is: 2
This information has been obtained from: - -
Certificate of Occupancy:
Other: Riti 1 di ng nP:tFi 1 pc .
The plans for the proposed addition are considered-.
New Construction
XX Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
5711
uildrig Inspector. John H. Landi ...Rate
6.
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Paz (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
fix.
SHERMA AMLER, MD, MS, FAAP
Commissioner of Health
- .JROHRR '.1l
.
Director of Environmental Health .
June 9, 2011
Architectural Visions PLLC
2 Muscoot Road North
Mahopac, NY 10541
To whom it may concern:
PAUL ELDREDGE
County Executive
.. • r� � _. ...r :..,.. -� Y ! � .o- - .'ycne �.. l^'K +i'T:2� � _.r ;� .» mac.
DEPARTMENT OF HEALTH
1 Geneva Road, :Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
Re:
Addition- A- 066 -11
No Increase in Number of Bedrooms
15 Town Park Lane
(T) Putnam Valley, T.M. 83.8 -1 -16
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 June 9, 2011. 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.
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. This Department recommends you contact your local Building Department to ensure setbacks
and other current codes can be met.
5. 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:cw
cc: BI, (T) Putnam Valley
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APPLICABLE .LAWS.
SURANCE CO.
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