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Home My WebLink About3958DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.57 -1 -53 BOX 30 } � ' �16 03958 h, , ;� �♦ � r T# . m ore I we �. el 03958 ate... ..K r BRUCE � R: - FOLEY. _ Public Healih Director ' Chris & Chris Renzi 100 Pleasant Rd. Lake Peekskill NY 1 0537 Dear Mr. & Mrs. Renzi: LORETTA _MOLINARI RN.,.:M.S.N.. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York. 10509 Environmental Health (914)278--6130 Fax (914) 278 - 7921 , Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 June 17, 1999 Re: Addition- Renzi - Pleasant Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.57 -1 -53 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 IT 1999 .The addition is approved with the following conditions. 1. The total number of bedrooms must remain at ee 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 Vallev. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML:kg Public Health Technician Cc:BI u a DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road. Brewster, New .York '10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R. FOLEY Public Health -,W?ector STREET TOWN uw TX MAP #_ Y3.1-7-1- �3 NAME_ er . ' ftI,'PHONE 67t-60F PCHD # 17 -7 DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMSa PROFOSED # 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 followirig to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. Certified check or money order for $100.00 v2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable L-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 Feb 98 "A r ' DEPARTMENT OF HEALTH Division , Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 BRUCE R. FOLEY, R.S. Acting Public ,Health Director Re: CLEO 1 Residence Tax Map 83 .S? — / --!-3 3 Town . P,4 � UAJJ Gentlemen: According to records maintained by the Town, the above noted dwelling 1S IS NOT in compliance with Town code and the total number of bedrooms on record is 3 This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER s ?-Y fI Building Inspector PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH' SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM - SECTION A: GENERAL INFORMATION Name of Project eya--� (T)M— TM# Year of Construction Size of Parcel SECTION 'B: TOPOGRAPHY (Please check all appropriate boxes) 1. ll" ❑Rolling teep Slope OGentle Slope OFlat 2. ❑Evidence of wetland OLow area subject to flooding OBodies of water ODrainage ditches OR/ock outcrop YES NO O�. Property lines evident? 4. Water courses exist on, or adjacent to parcel: O �' 5. Existing individual wells within 200ft of the existing SSTS? U O SECTION C. EXISTING SUBSURFACE SEiVAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area en le Sloe 9-Steep slope A. []Level t p p e p B. OW .drained OModerately well drained Somewhat poorly drained OPoorly drained C. Area avail le'for SSTS. (Primary & Reserve) xtremely limited OSomewhat limited OAdequate ft x ft .. h•.+.• ' � is D. INSP -CTION Date / Inspector. No evidence of failure ®Evidence of failure ®Evidence of seasonal failure P N C•7 --------------------=----=------------ - - - - -- --------------------------- (Indicate North) '(4 '�7' , k- (1) Indicate location of SSTS A. Size and type of septic tank gallons ®I9etal 13 Concrete OPlastid B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. (2) Indicate setbacks, front street, backyard, and side yard dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXISTING WATER SUPPLY MPWS MShared well Individual well 3Drilled E)Dua' COMiENTS : REPAIRS ONLY: Status: As Built Inspection Required: Casing above ground �(c---f --9 .'-6 �jf As Built Submitted: As Built Inspection Done: Inspector: k- [eve/ 10 K loop �a S�—b* ---7,53 SEEM I CA lo (,).p r /c vt os �d W p .:. �. �' r\ VD �� 1f .. . -. \J1 �lb Iw TITLE No. 9 8 - 2 0 -,eo P_ �2217) ,5 73 6- co 7 co N () fll% S, 34.94 CALL. 93' AAAP /"A,- OF I-Ah--C F--C. G MAY --,9, 13a3 MAP 15 o KULEIANER & PLAN LAND SURVEYORS, P C g„QJ MAMO ADQQFM POUND RII:llj "NY PAX Box 172L 73 WESTCHESTUR AVIL LONG BEACH, MY POUND R1004 MY 107m .TELEPHONE. Soo-rA14124 FAX: Wo-2424255 THE DIMENSIONS SHOWN HEREON, FROM THE STRUCTURES TO THE PROPERTY LINIE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENC ES, qTRUCTURES OR ANY OFHER IMPROVEMENT. :,= BLOCK DATE �9 - 24- 98 IIRCEAesle_144 R<-17 -A/AAA COUNTY i N UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLA- TION OF SECTION 7209, SUB- DIVISION 2� OF THE NEW YORK STATE EDUCATION LAW. ONLY COPIES FROM THE ORIGI- NAL OF THIS L SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOFril:EMBOSSED SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES. zt JOB NO. X d co 7 co N () fll% S, 34.94 CALL. 93' AAAP /"A,- OF I-Ah--C F--C. G MAY --,9, 13a3 MAP 15 MEASUREMENT IN U.S. STANDARD KULEIANER & PLAN LAND SURVEYORS, P C g„QJ MAMO ADQQFM POUND RII:llj "NY PAX Box 172L 73 WESTCHESTUR AVIL LONG BEACH, MY POUND R1004 MY 107m .TELEPHONE. Soo-rA14124 FAX: Wo-2424255 THE DIMENSIONS SHOWN HEREON, FROM THE STRUCTURES TO THE PROPERTY LINIE, ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENC ES, qTRUCTURES OR ANY OFHER IMPROVEMENT. SECTION BLOCK DATE �9 - 24- 98 IIRCEAesle_144 R<-17 -A/AAA COUNTY - THE EXISTENCE OF RIGHT OF WAYS ANOMR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. GUARANTEED TO rE',VCRAL GLA044> e-0 A1^7-VoIA4- 7'lre--- 4=0AAFlAAP1 7A(E_ AiA,-a,,-,AC A,1.A7-10^1Ae_ CHA2 s 7-C, V. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLA- TION OF SECTION 7209, SUB- DIVISION 2� OF THE NEW YORK STATE EDUCATION LAW. ONLY COPIES FROM THE ORIGI- NAL OF THIS L SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOFril:EMBOSSED SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE.SURVEY IS PRE- PARE", AND ON HIS 0 EIIN A AGENCY V HT M LISTED HEREON GUARANTEES D,,G INST, ARE T.ONAL U,,TU,. N JOB NO.