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HomeMy WebLinkAbout3968DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.58 -1 -15 BOX 31 I Is me �i T T N Is I .' r . ,. { L ' '�'� Is Is IN SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J.BONDI County Executive ROBERT MORRIS; PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 Gina Sanchirico 150 Tanglewylde Road Lake Peekskill, NY 10537 - Dear Mr. Sanchirico: April 22, 2009 Re: Addition- A- 052 -09 No Increase in Number of Bedrooms 150 Tanglewylde Road (T) Putnam Valley, T.M. # 83.58 -1 -15 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 April 21','2009. 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 sliowe 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 (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering -Aide GDR :kly , cc: BI, (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 =5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 SH1ERiLITA AM LER, MD,'MS, FAAP Commissioner of Health. _. 1LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET d �Gt t/I y�',tfi! ( RAT(OWN e . TAIL MAP# S I- 4t3 2g ~3�} 3!� N�1� `�J 1 >n G; S (A to CY11 �!► 'C _C� PIIO PCHD# MAILING _ ADDRESS 150 &.vx ItWg 1. DESCRIPTION OF ADDITION 111�Vt � cA V, C-.-e 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 Sa*tary Code Please submit this form and the following to Putnam County lj — .Aept.,.1 Geneva:Rd,... . = . Brewstcr,- NY-10509; Phorie: (945)-298 -61'50: 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all laving area including basement) 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 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 SHERLITAAMLER, MD, MS, FAAP •• v tmisi!o .erof&alth LORETTA MOLINARI, RN, MSN Associate Commissioner of Health. -- ROBERT J; BONDI - ..., County Executive:.x DEPARTMENT OF HEALTH 1 Geneva Road,-Brewster, New York 10509 Town Legal Bedroom Count Re: f 5A N 0, 41 KI 6� (Owner's Name) Tax Map #: (-- Address: I S N. Town: t' LATW NA VALL0J Year Built: According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: 1R �-S -T i,L.V—. S Building Inspector Date/ '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 Q O SITE MAIL] DATE I PCHD Complaint # Dame & Relationship A i. e, owner, tenant, etc.) TYPE FACILITY PROPOSED INSTAIJM A'd gy. so ToYee56d PHONE Proposal (include sketch locating all adjacent wells): ROTE: Repair must be in same location and of same type as original sewage disposal system. Different.location.may require submittal .of ..proposal.:_frmin licensed professional engineer or registered architect., L) 6 c.v )Ci .e -1-7 U r. (J Uri dC- i 11tzs 12' i7y-•1 A '10�I &,Z�s � . 5 V LJ`Al&tj W Proposal pprov.- Proposal .Disapproved Inspector's SignatuA & Title Daife Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable.. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 60 diaflm. x 60 deep drywells surrounded by'one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or re age of owner agree to the above conditions. SIGNATiJRE TITLE DATE [HS: ftte (PAD); Yellow ( ED; Pink (k#iamt) &71-h J tFx OC'O CAZ TA -CU.';IlaM UULLLII;Y I)UjjaLI-GIIIt;IIL US ntla1U4 Division of Environmental Health Service, Approved as noted for conformance with applicable Rules and Regulations of the Putnam County Health Department. 2C/ 2 L1116 j5 313 j7 • C- 2- 7 2-5-2 3 L 36 7 5 2z C/ &71-h J tFx OC'O CAZ TA -CU.';IlaM UULLLII;Y I)UjjaLI-GIIIt;IIL US ntla1U4 Division of Environmental Health Service, Approved as noted for conformance with applicable Rules and Regulations of the Putnam County Health Department. 2C/ 2 L1116 j5 313 &71-h J tFx OC'O CAZ TA -CU.';IlaM UULLLII;Y I)UjjaLI-GIIIt;IIL US ntla1U4 Division of Environmental Health Service, Approved as noted for conformance with applicable Rules and Regulations of the Putnam County Health Department. .y 5 }: W�L O� !lvusr �F �- 1e��f5L � It TANG LEWYL D E_- ROAD vsIGLL w� O C VACANT LOT )�:I E L 05 7"fF N IV s i .j. R,ST- F L0,0 P; P L A N SGA LE I4 = 0" 6ATrf— CLOSL: 7'O ° X 8' d 6�.D ROOM CLOS. C Eoi HALL c IO CLO9, HED R.00M 12' o" 1y =5" $E D RAO AA 9' -6 "x Iz' -7" CLO Vl k ME NT S C A LE V4"= 1' 0" � I �I a PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY 3 BEDROOMS A- 0�2 -09 rM.0`g3<57r9 -( -ice ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL Z 2 109 Sir; MATURE & TIM L C DATE Pui iclgM v.4c �6Y �1© -f'-12o�DS Pv 1 6411 1/.EY . TH�� 83,55 -1 -lam i ' . A OUN PARTM ENT OF HEALTH HOUSE PLANS A PROVED FOR BEDROOM COUNT ONLY 3 BEDR OMS '4 05� .= c 9 ALL SUBSEQUEN VI r q� 30LG" PLANS MUST -BE UBMITTED MTHt �CpOR" AOR APPROVAL Te IzF—kC t, SI �wtjr E R TIT �— P77, e? P r7) S `"­ "'91 clo 4i, ..r_.: �AHMIM I I PUTNA IM COUNTY 0 ARTM ENT OF HEALTH S CA LL 1.0" HOUSE ANSAPPRGVEDFOHEDROOM OUNTONLY 4 -a -4-z -O ,7 &)o BEDROOMS ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL v 'T AJ AAI v 7—A Gol xc `q 22. \ ! 1911 (cI0 ror lu+crJ ! f y - . x L.L o j Lu V D B I \ l J j I � � i t 6 - .. J7 Tc i vk c'P :G .rte" L V� PARCEL. -iHVKF: AS L(ST:. i--7-192 im f, uC% ENTITLEU PCJ::,� . SECTION -G. OWNEL, A- .5- A' 3HOVr-.' jJil: A 1,�;- NO VEVEL,PEC C-Y Ml-•rCILRIGH 1921. 22!! ArT 34TH STREET. KEW yr-rK. 3::RVEYFD e .71 4 " y YA 1,,n, s w- Char /es,�► by "', VA-L.L.Ey Co.. I � /�a����A0 A AK12 VIL-FL, 1H THE Ap4V C!A"MFL. NE'll YOAK. ON MAV 23. 1�1*nl PUTNAM CouNrY LOTS 161-lbe F. H. 0185F (-672 COS?? to be con. `• eyed to I v r J arr h� 017 -07 Sir Car s1tilote in the tr Zown of P�itnam K711e y Cvunly of PUTIVAN, Ate w Yot k Sc e -190' Dble AUGUST 12, 1987 Raymond J P. C. RD 2 - So x /70 - L yn do n Rood, Fi S hk!ii, A' Y WOOD 4� (W4) U96 -S //3 !2524 L5 4924' p w c, s p r w -xr e of /or tf, i tr.` /vsivr use ! /1 1-rs- r , I-etsol, s -)f e n1i ly named in 1P.1, cl?r/t (I co ions e,l en ry /f• t)/4, vnfiom d p , r5cn -j e, r,, es r -cef1,/,c.,j-1,ar, Cy /hl sufle)or a v n(s] -1111ELY 7-17-LE S,FRVICES, LTD., j o 7 GORDON MURRAY, ANTHONY J. 8 'G11VA SANCHIRIC0 ir vc,:-.rtf-ipce w1li, the nll q,un; 5tndords IL• .- j,// e.-',' Pt1TNAH CO-JNT,,' f !Ijc w YL-fA---5-1<,lc, A5 ac ivn c LOTS 313-319 ,F, M. ISH5F 1..5. 4524S e 6� • DUAN E R YO* 6, Eso. /115- %666)' V Farr 5 free corm• /, R. Y. 10512 (189 roi7yl6wy/d e- Road) (sec- 82 blk- Of - I0I15 I tiob no. 87-