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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
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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 ..................
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