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631- 589 -8100
83.58 -1 -74
BOX 31
A.6
ri
1.6
03985
i :1
BRUCE R. FOLEY
LORETTA MOLINARI R-N., M,S.N.
ociat'e`Pu'blTc 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
March 26, 1999
Haig Bohigian
225 Hunter Ave.
Sleepy Hollow NY 10591
Re: Addition- Bohigian,353 Lake Dr.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 83.58 -1 -74
Dear Mr. Bohigian:
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 March 25, 1999 The addition is approved with the following
conditions.
1. The total number of bedrooms must remain at One 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
William Hedges
WH:kg Senior Public Health Sanitarian
Q 1
.. ,,
0
BRUCE R. FOLEY
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)
p� '. P1+t'X6_1.
STREET S3 �,Fce aJ!l avQ TOWN Vc,k1 o- , TXMAP# h,S7 t -1 -74
qty —C,, _
NAME t .W � `� 4 rte: v, PHONE 4-'� PCHD #
MAILING ADDRESS 22 _
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS �' PROPOSED # OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
to S -(j C
*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.
�"" " '- - "' -'" Piea`sesubiriit this�orm "and tfie following o`Putriain County Healtfi'Dept:; 4 Geneva Rd:; . " "' " ' `
Brewster, NY 10509, Phone 278 -6130.
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
Feb 98
KITCHEN
ENCLOSED PORCH
LIVING ROOM
rl
BATHROOM
EXISTING FIRST FLOOR PLAN
SCALE: 1/4' =I'-0'
DE -.X 36- HIGH INSULATED WINDOWS.
......... ........ . . . . . . . .
PORCH
:17 BEAM WITH
V2
OOD
,).PL,W 'N BETWEEN
NEW 7' WIDE x 6' -8* HIGH
DOUBLE DOOR.
LfVING ROOM
t�M DOUBLE 2' x 12' BEAM V%
NEW 24' WIDE x 6'-6 HIGH 1/2' PLYWOOD IN BETWEEN
INTERIOR DOOR.
NEW 12' WIDE x 6'-8* HIGH. BEDROOM
INTERIOR DOOR.
NEW 32' WIDE x 6'-8' HIGH (2) NEW 24' WIDE X 36.
EXTERIOR INSULATED DOOR. HIGH INSULATED WINDOWS.
NEW 32* WIDE x 6-6 HIGH
INTERIOR DOOR.
NEW 24' WIDE X 36'
CLOSET-
KITC N
W 24' WIDE X 3b'....-
6
VGH INSULATED WINDOW.
Fl �al BATHROOM
FIRST FLOOR PLAN
SCALE: V4'-I'-O*
51
DRIVE 353 LAKE PEEKSKILL rr
"r 2"
LAKE PEEKSKILL, NEW YORKi.,
DRAWN "..'PATE
DRAWN FOR: MITCH FISHKIN
. F- I -
PM --il
NEW 28' WIDE x 6'-8' HGH
INTERIOR DOOR.
I vi c-5 Q m e- 4
OM
STORAGE ROOM
3�PhUJMENT OF HEALTH
0 U S E PLAINS I -) -'�
F, E Dc" cl C, rjo �';" I M"ED FOR
C 0, T 0,Aj CYp
GLEDROI�v,,S
BASEMENT PLAN
Signature &
V4--l'-0-
6ok J (-" T 3. S8-
353 LAKE PERSKILL DRIVE'
LAKE PEEKSKILL, NEW YORK
DRAWN FOR: MITCH FISHKIN DRAWN .BY: CRJJDATE: 4/6/92
m
PUTNAM COUNTY DEPARTMENT OF HEALTH,
.
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVUDAL ADDITION/REPAIR FORM
SECTION A: GENERAL INFORMATION,
Name of Project 3 s 3 L-Z T)(V) V, —TM#
Year of Construction Size of Parcel
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. 131'illy DRolling 09t'eep Slope OGentle Slope 017lat
2. Of dence of wetland Clow area subject to flooding 99/odies of water
r1rainage ditches MR-�ock outcrop
3. Property lines evident?
_4.: -.ater--r,,c-ttr-ses.exist oa�,
5. Existing individual wells within 200ft of the existing SSTS?
o� NO
0
SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS)
1. Physical character of existing SSTS area.
A. ❑evel ❑entle Slope MXSteep slope
B. ❑Well drained [Moderately well drained
[]Somewhat poorly drained Cloorly drained
C. Area available for SSTS. (Primary & Reserve)
r, 1Z
LLJExtremely limited ❑homewhat limited Mdequate —ft x' ft
D. INSPECTION Date I inspector
00 evidence (OF failure' Mvide'nce of failure Evidence of seasonal failure
------------------------------- ---------------------------------------- ; --------------
(Indicate Nork,
is
HOUSE
(1) Indicate location of SSTS
A. Size and type of septic tank
Metal 060ncrete
B. Type of absorption area
1. Fields ft. 2. Pits
gallons
Oplastic
3. Gallies
--�.,p 5 I
(2), Indicate. sett vard -and-sidie-yara dill-ne-Asions
fhontstteet,backy 7
Show location'of well
(4) Show location of driveway
(5) Note physical features (steep slopes, rock outcrops, streams/wetlands)
SECTION E. EXISTING WATER SUPPLY
061's"- Shared well 6Individual well
®Drilled Mug 96asing above ground
COMNIENTS:
Vd-
REPAIRS ONLY: Status:
As Built Inspection Required: As Built Submitted:
As Built Inspection Done: Inspector:
(addrep)
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