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Home My WebLink About3921DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.50 -1 -9 BOX 30 n. r Ll km! , 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 cc -. BI if- I; -11, LL -7- r\ Vc b is PMAX COMM OPMA;p HOUSE PLANS APPROVED FOR SEDR0014 COUNT ONLY; ooms l �j`!\� S3 g6a-ture & tie Ltel I Cll G 2 00 r 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 BFhouseguidelines r) 60 kxv LL Lo,.We- It e n NO 3 Con 3-t cwuAkme- C- L Y% Tl ERT OF *HEA 1] jj,'Ty --;PA TINT! LTH Ij rp R 0 'E'D 10 R or Date 0 J.. P')er I 1& 9 --� 0, � LL Vl a. IJ R)Q- (1- 0 el% R, O-D La"Ve Ll tr F I AV fA [OR 1-2 H 7,- n L, ro 'a I 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