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HomeMy WebLinkAbout3957DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.57 -1 -52 BOX 30 I���" V T L r is �� . `� . I � T I No 0 No i i� �i ■ F��_ I r .: I 6' 1. for I. . . 03957 SHE.RLITA AMLER, MD, MS,.FAAP 'Co»t tss6hei• of AH &th" LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ____._.- -• _ -. - R_OBERT;J..- BONDI_- County'Executive ' DEPARTMENT OF HEALTH January 3, 2006 1 Geneva Road, Brewster, New York 10509 Michael & Christine Groseclose 104 Pleasant Road Lake Peekskill, NY 10537 Re: Addition — Approval - Groseclose No Increase in Number of Bedrooms 104 Pleasant Road (T) Putnam Valley, T.M. 83.57 -1 -52 Dear Mr. and Mrs. Groseclose: 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 January 3, 2006. 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 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. 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. Very truly yours, Michael Luke Public Health Sanitarian ML: cw cc: Building Inspector, (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 ..ti SHERLITA AMLER, MD, MS, FAAP _ Commissioner of Health .... . LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ADDITION APPLICATION RESIDENTIAL ONLY Y f` STREET /1)1 1012ciSQ47 TOWN LlYe Wa //TAx MAP# . 55 7- -Sa rn NAME %�ltC,40e.1 rj' %SO_CIAS HONE &A,�_ a L3 PCIID# n -,3'h �1 MAILING %6 �J ADDRESS A i 4Q5an7` DESCRIPTION OF ADDITION 4k �°��sk�'l /; Al V / OY 3 11,*Vil4o 40 NUMBER 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., _1: Geneva Rd, _ Brewster; NY '�10509, Phone: (845) 27916f 30' r _..._ _ . _ . V 1. Certified check or money order for $100.00. fA..14112. Sketches of existing floor plan (drawn to scale, all living area including basement) �f V 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 locations 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 Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS 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, MSN 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: 0 A4 Q r Residence TAX MAP# TOWN ' U+0O ►M V According to records maintained by the Town, the above noted dwelling, IN- COMPLIANCEWITH TOWN: COD IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS This information has been obtained from: CERTIFICATE OF OCCUPANCY: ZQ5 OTHER: Building Inspector 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 SIIERLI.TA- TA ➢.,.MS,;IiAA'P Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health December 6. 2005 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Mr.. and Mrs. Michael Groseclose 104 Pleasant Road Lake Peekskill, NY 10566 Dear Mr. and Mrs. Groseclose: R.OBERT-J:- :RONDI.; -. - - County Executive Re: Addition — Groseclose 104 Pleasant Road (T) Putnam Valley, T.M. 83.57 -1 -52 I have received and reviewed the plans for the proposed addition to the above mentioned residence. Based on the information submitted, the addition cannot be approved for the following reasons: 1. Floor plans for the entire house have not been submitted. 2. It appears that the addition will encroach on the septic tank and/or septic fields. You must provide detailed drawings of your septic system location or submit -- proposed plans -f:om a professiorLar engineer -to move- the%scptic system. - �.. - If you have any questions, please contact me at your convenience. ML:cw Very truly yours, Michael Luke Public Health Sanitarian Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 December 28, 2005 Michael Luke Department of Health 1 Geneva Road Brewster, NY 10509 Dear Michael, RE: 104 Pleasant Road, Lake Peekskill As requested, attached are the floor plans for the entire house that I have sketched. In reference to the septic tank, it is 37 feet from the current deck. If we have to make the extension smaller, we can work with that. At this point, we are'flexible. Any questions, please call at (845) 528 -2339. Thanks again. Sincerely, 1 ' Christine Groseclose PETER C. ALEXANDERSON County Executive . DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 June 25, 1990 John & Lynn Sharp 104 Pleasant Road Lake Peekskill, NY 10537 Res Proposed addition Sharp - 104 Pleasant Drive (T) Putnam Valley Dear Mr. & Mrs. Sharp: JOHN KARELL Jr., P.E, M.S. Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a second story will be added consisting of two bedrooms. The existing downstairs area will be renovated,, with the total number of bedrooms remaining at three. The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted;- -the -above mentioned addition is; approved with the - - _.. ......- t.... _.. .: �..._.. r 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 disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. 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, William Hedges Assistant Public Health Engineer NH /jp cc: BI (T) Putnam Valley PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy,Commissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME�j �••� f� r�� C, ,� �J �'J ZAI—1 L 7 Or i g . Routine �� ig. Complain ADDRESS �� �' L j Orig. Request No. Street Municipality (V) (C) Compliance Complaint Comp MAILING ADDRESS 5 Final P.O. Box Post Office Zip Code _ Group Illness _ Construction TELEPHONE '-�,� �— PERSON IN CHARGE OR INTERVIEWED Name and Title G� DATE TYPE FACILITY TIME ARRIVED �� �G/'s°%y1 TIME LEFT -2 Reinspection Field, Sampling Only Field Conference Other Explain 5 /LSO/ o Z, -e 1 G , '+Q� ra .d %.A.dT PERSON IN CHARGE OR INTERVIEWED: I acknowledge receipt of a ;opy of this Field Activity Report .................. C 0 5. oow a.Nm Spec S81'>3'14 "E 5 a - n ,4 � _`_.._'...__ �5t i J� �tonc Woll �i.2•Sou th" Qs _- Wre Fence t o / �Wre N79'03 '00 "#' J 4 Rill fY •' S 1 �•5 1• y l l i� BI 9Lot 218 Y 376.80' 1 ti LOT 917 �n EL 0CA- 55 o Area = 20,691 sq. jt. y 0.4750 Acres 3,56.36' Lot 216' Q �• x � y�. ,�' 0 f v G ^� PLEASANT ROAD I L--50- 30 ' / A 5�1 e bSoS o Y S i Gq�e/ Jam., � 10.1 ...�•`waF v a 'y v4