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83.50 -1 -9
BOX 30
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Jim
03921
FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
"LOR1✓T to IvIUL]RO I R.N.; M.S.N.
Associate Public 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) 228 - 6108 Fax (845) 278 - 6648
April 17, 2001
Erik Vandenberg
Den Berg Const. Inc.
PO Box 304
Mahopac NY
Re: Addition- Vandenberg - 188 Tanglewylde Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 83.50 -1 -9
Dear Mr. Vandenberg:
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 form this Department'dated April 17, 2001 The addition is approved with the following
conditions:
1:.. , The total s must .
e
numbr of bedrooms remain
-- _ _ .. _.... _,. . at _-- yyitbout prior- appr..oval . _
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 other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Vallev.
If you have any questions, please contact me at your convenience.
Very truly yours,
William Hedges
WH:kg Senior Public Health Sanitarian
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HOUSE PLANS APPROVED FOR
SEDR0014 COUNT ONLY;
ooms
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BRUCE R FOLEY
Public Health Director
LORETTA MOLINARI R-N.,. M.S.N.
Associate Public Health Director
Director of Patient Setzciaas
DEPARTMENT OF HEALTH �J [
1 - Geneva Road
Brewster, New York 10509 D _ 2001
Environmental Health (845)278-6130 Fax (845) 278 - 792 pPR
Nursing Services (845)278 - 6558 WIC (845) 278 - 6678 Fax (845) 8 - 085 C
Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (84 ) 278 QOpRp pr APPEA�s
lON� D
Erik Vandenberg
Den Berg Const. Inc.
PO Box 304
Mahopac NY
Re: Addition- Vandenberg - 188 Tanglewylde Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 83.50 -1 -9
Dear Mr. Vandenberg:
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 form this Department dated , . he additiogi is approved with the following-
:' conditions: . -.. : . :1. .. ? _. - _.......... _ ..: i:`
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.
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.
Very truly yours,
Michael Luke
ML:kg Public Health Technician
cc: BI
BRUCE R. FOLEY
t ublic H6' 1il "'Dire'cto'r "'
LORETTA MOLrNAR1 R.N., .M.S.N..
v = ` AssbdaU ' PiuM c` - Hialth Director
Director of Patient Services
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 (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
December 13, 2000
Erik Vandenberg
Den Berg Const. Inc.
PO Box 304.
Mahopac NY
Re: Addition- Vandenberg - 188 Tanglewylde Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 83.50 -1 -9
Dear Mr. Vandenberg:
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 form this Department dated Dec. 11, 2000 The addition is approved with the following
conditions:
:..._... 1.::..: -The tot~al.iit: &n.of bedroohis must remain .at Two • �✓ltl out prior approVez
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 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.
Very truly yours,
-7
Michael Luke
ML: kg Public Health Technician
cc: BI
BRUCE . R:: F_0,LEY r
Public Health - Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA.,.MOLiNA -TU ;R.N, :. M:S ;M :
Associate Public 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
PROPOSED ADDITION APPLICATION MSIDENTIAL ONLY)
STREET 1 gg Ta n I e w lol e ArOWN A i-nArn 6` I,TX # q3 . Sv _
Aepn 9e f y Gor1 st .jnC — G�
NAME E C i t VOA n die nb!ra PHONES - 607g -o797a PCHD#
MAILINCT ADDRESS P O g oX 3 0 4 M a I-N a x) an N `/ 10 544 /
DESCRIPTION OF ADDITION P0 r C k —
NUMBER OF EXISTING BEDROOMS 2 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.
OFFICE USE
Comments
Feb98
BFhouseguidelines
BRUCE R. FOLEY
-FuMa, HcaYh, IN --�ctor
LORETTA M_ OLINARI RN „- M.S.M. —
Director of Patient Services
DEPARTNMNT OF HEALTH
I Geneva Road
Brewster, New York 10509
Environmental Health (845) 279 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 058 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
Re:. Pew
Residencev
Tax Map 'r3 t;-0
Town
According to 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
Building Inspec
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PUTNAM COUNTY (DEPARTMENT OF HEALTH
(DIVISION OF ENVIRONMENTAL HEALTH SERVICES
_ WELL COMPLETION REPORT.
ill
Well Location
Street Address:
Tanglewyle Road
Town/Village:
Lake Peekskill
Tax Grid #
Map Block Lot(s)
Well Owner:
Name: Address:
Abraham Perloff, 3000 Bronx Park East, Bronx, NY 10467
Use of Well:
1- primary
2- secondary
X Residential Public Supply Air cond/heat pump Irrigation
Business Farm Test/monitoring Other(specify)
Industrial Institutional Standby
Drilling Equipment
X Rotary Cable percussion X Compressed air percussion Other (specify)
Well 'Type
Screened Open end casing X Open hole in bedrock Other
Casing Details
*20' of 6" and
41' of 41° and
Total length * ft.
Length below grade 40 ft.
Diameter * in.
Weight per foot 19 lb /ft.
Materials: X Steel _ Plastic _ Other
Joints: _ Welded X Threaded _ Other
Seal: X Cement grout _ Bentonite Other
Drive shoe: X Yes No
Liner _ Yes X No
Screen Details
Diameter (in)
Slot Size
Length(ft)
Depth to Screen (ft)
Developed?
First
_ Yes—No
Hours
Second
Well Yield Test
Bailed X Pumped x Compressed Air
Hours X
Yield _1�L gpm
Depth Data
Measure from land surface- static (specify ft)
30'
During yield test(ft)
190'
Depth of.completed well in feet
205'
Well Log
If more detailed
information
descriptions or
ieve analyses - -=
are available,
please attach.
Depth From
Surface
Water
Bearing
Well
Diameter(in)
Formation
Description
ft.
ft.
Land Surface
5
Drillin
in overl)urden
clay
5
Hit ro
at 5'
-- 5 -
.20.
Drill n
in- rock
set casing, grouted °
20
205
Drillin
in rock
ranite
If yield was tested
at different depths
during drilling,
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type sub Capacity ]gl;;m
Depth 210' Model 7EH05412
Voltage 230 HP 2
Tank Type of e
Date Well Completed
10/30/83
Putnam County Certification No.
002
Date of Report
10/5/00
Well Dri r i r
y
INV I E: txact location of well wttn distances to at least two permanent landmarks to be provide n a separate sheevplan.
Well Driller's Name P s Inc. Address: 4 Putnam Ave., Br, wG . r, 10509
Signature: Date: 10/5/00
White copy: HD File; JA"ellow copy -Building Inspector; Pink copy - Owner; Orange copy -Well driller
Form WC -97