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HomeMy WebLinkAbout4017DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www. sca nyo u rd ocs. co m 631- 589 -8100 83.65 -1 -56 BOX 31 ♦. T `�., ir JU T1 �' L 04017 SHERLITAAMLER, MD, MS, FAAP Commissioner of Health LO'RETTA MOLINARI, RN, MSN Associate Commissioner of Health Mr. & Mrs.' Velez 109 Tanglewylde Road Lake Peekskill, NY 10537 Dear Mr. & IMrs. Velez: DEPARTMENT . OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI �yCounty Executive ROBERT MORRIS, PE Director of Environmental Health . January 26,'2009 Re: Letter of No Objection —Velez 109 Tanglewylde Road (T) Putnam Valley; T.M. # 83.65 -1 -56 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 January 22, 2009. The addition is approved with the following conditions: I i 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 y . _ 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 with exception to the required septic system repair. If you have any questions, please contact me at (845) 278 -6130, ext. 226.1. Sincerely, ene 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 WIC (845) 278 -6678 " Nursing Home Care FaX (845) 278 76085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health. 1LORE'I I'A MOLINARI, RN, MSN Associate Commissioner of Health Mr. & Mrs. Velez 109 Tanglewylde Road Lake Peekskill, NY 10537 Dear. Mr. & Mrs. Velez: ROBERT I HON ®I County. Executive; ROBERT MORRIS, . PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 1 0509 January 26, 2009 Re: Letter of No Objection —Velez 109 Tanglewylde Road (T) Putnam Valley, T.M. # 83.65 -1 -56 In reference to the approved plans submitted to this Department for the above referenced property, (Addition Application No. A- 012 -09) approved on 01/23/09. At this time, this Department has no objection to the replacement of the original structure, nor the utilization of the existing well.. The septic system however is in disrepair and needs ,.to be replaced. This A. Department is in receipt..of the-property owners. repair permit a Wicatlon: which .was approved by .. .. - - this--'Department "ori `5anuary 9; "2009" with no" expiration d-afe " 'Please be advised that no Certificate of Occupancy shall be issued for the above referenced property until such. time that a letter of compliance for the septic repair has been offered by the Putnam County Department of Health. 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 '9 s SHERLITA AMLER, MD, MS, FAAP Commissioner. 9f Health. MLORETTA MOLINARI, RN, MSN Associate Commissioner of Health .1 DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 N ROBERT I BONDi� ' 1 County Executive. ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY j I . � STREET �j' ( `` ;� tdie.I�oQTOWN� i t. �jIL c y TAX MAP #63 , Q f —1 sS NAM'+ Ilhi „�:w; : <l,.4 01' t t V c( c.Z PHONE S' t �+ (,o3-35-(,3 PCIID# ' V MAILING {{ ADDRESS l "r �. I.., LAP. r �.al� �: Ic 4��.�I c 5 (c : l ( Qy Ll DESCRIPTION OF ADDITION < < CQ NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS' _3 (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 Registeied.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, Bre,.vster -; N'Y'-10509;,Phonc -' -( °445) 278-6130. I Certified check or money order for $100.00. J2. Sketches-of existing floor plan (drawn to scale, all living 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. i 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. 1 Copy of Certificate.of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE! USE COMMENTS i i Environmental Health (845) 278 -6130 Fax (815) 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 Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1.Geneva Road, Brewster, New York 105.09 'down Legal Bedroom Count - ;RQ,BEPIT J_.��fj.Af�j�' - - -- County Erecutive ✓ Re: .� ,�� `. W ?� , y Ct r v (Owner's Name) Tax Map #: Address: 0 Ct ' 4 L'C-' Town: C (C Year Built: According t 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: PmSSSoC!S i= t>c 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 I i..• p i Old floor plan for 109 Tanglewylde Road, Lake Peekskill (house now demolished) 1 93. Main floor i i I I Kitchen I i �I I Bathroom i • i Bedroom #2 t-xtsTl�vC Master bedroom Hallway I i'. j C7.Z7".. .w .. _ •+i, rt. �r _7 4'e~.. ,.. 'J' . -- Pb�va . ^, c :t .¢ • ar .�.. s7. �Sti.io�.. ,.. r I-_• Old floor plan for 109 Tanglewylde Road, Lake Peekskill (house now demolished) Basement T 33 Y AG��gS S,00P `P f O fv •R i•. SEOEgp �� i� i r r • ! rr ,r CV vo r Np�� S86.15'S0"E / r 1 / 148.49' / - / 50?i (f / 5p0 S16 b N 44 00 E P � 55 & 66 ' 95 NIS Y. '' GS 'eg 1 / DNS °IF ssc P 1 p / CON I STAIRS, ) 0. fD �A \E i N52B'0 0'W 1 LNG 1 r (14 �l \NG / f e �� -PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES COM 1 ME SITE LOCATION f��,ile;�,i.fL 9J.TOWN �.4�K �ce�cs�<i�I eTM# OWNER'S NAME <, PHONE `133-9,11 -3. y f�e., MAILING ADDRESS (0 5 T:� i e- w c iz cQ • '� - l V� ul s �� .} �/' . l S 3. APPLICANT a`i n w a . �--. 4- k V Name &' Relationship (Le.., owner, tenant, contractor) DATE t . 3 01. FACILITY TYPE. 6�n� PCHD COMPLAINT # PROPOSED INSTALLER L ©G, . ��y (ate �!�� %p,� �-✓ PHONE # 8 5r r j (/J/ ADDRESS 13 441-U, f -eeh)V REGISTRATION /LICENSE. #' 3031 I Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair'and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. I, as owner,ageee to the conditions stated on this form SIGNATURE TITLE 0 DATE 1 )J07 (owner) se` Ic Mailer, a to comply with the conditions of this permit for the septic system repair • " SIGNATURE �J(A j TITLE�VO-C4 DATE—' C93 j f (installer) Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission' of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's ;name, Site Street Name, Town and Tax Map number b. Locationjof installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee,to the duration.at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved re & Title is in compliance with COPIES: PCHD; Owner; Installer PC -RP 99ML Proposal Denied codes /. 9 © o Date Yes Expiration Date O No Rev. 2/07 lit 15 �u s. Itr Cit., a IME ��k,y CC I �' 4 all 1. tyJ ii r 7 q — t ; I � i�� � 1 fj47 K C. C- 1-7 ya 6 f � r -3 -7 Y3 Local Guy Plumbing / Drain Services Inc. 3 Finch Lane Lake Peekskill, N.Y. 10537 Tel: (845) 526-2471 - HIV 00 Cit., a IME ��k,y CC I �' 4 all 1. tyJ ii r 7 q — t ; I � i�� � 1 fj47 K C. C- 1-7 ya 6 f � r -3 -7 Y3 Local Guy Plumbing / Drain Services Inc. 3 Finch Lane Lake Peekskill, N.Y. 10537 Tel: (845) 526-2471 - r �`. � +. i'.= ;»'"ern J?r'�. t�r,'n 6, -r_`?.::•�xw:v�ii�..a�'<s°*,i FC'T :3 �-• cr -�;a�o -3 t � P r n^ �` f • �. `sue \� ..M '�'`lY,'3�it�� - c f ,� r . MT Ono • •4�?+.�,ir YSi' IV • ,} fG �i ai�,�' `� t'r'y! C � Gi ,, 1,6,. .�Y'°l�e. ^t ^C��tc "� � Yyf'•'~3' 2 ..pja: �'�. 4�5� �NSak + Y� � �`�•��'' � � 1° '�t1 i �1 b't�`. ` �- 4T�,� $\��,p ��•a i,� a 9P':,g • �°ty'e •���;�rS'F�v'}� {� `'y;'p �l /„ ����q•e+��q�,�Fjot �C "-t` 1 oD .�la�;� �vt \�rD S� �� ;�y % _ c 6a Sty'4'Ai YN•� Mph ! l ��. `'.`'r o. ,��;i ''. •� W� � �� �v ' c - = = lmmmllllll®ffi�_ = ).''1�v "I R MR— low MON PROM mom .y ,.y r!•�. j�x*�. r tri :.i it 4*.t•�b � n� per. � �o. A—"' �� '- y. - `f�1 '�7a1 ,. 1 ' -.fit "'W,� 1 •ice T� ` Y � _� - . A = „�- rw��g���.�.�y t�• -091.+ s '_c•s- � ..� : w ,� ,� � A, w"t;: r*'� tia.Ly�, >`. . ,r "v.}. �3 � • �.L.y `J' a 4 { �. r � `�rP�� � rte'• ti 4 �.i T � `y*S �'�J \ '�' { Q ^-' t�� ji`�lt��s II jf n C'aF� YD'S � , .., „1�'�•KA p� ria � - ,.Y R'y� �i � � 'J ;{�W i'F} J., .i �l. t ; C\°���.T �qt) ��4•`., CIA 0 I:r LO C4 CD CD Cq C> C4 <D t JOT tT7 t� Aim 47 00 4 E A- '73 s t V4-fl V : IF IV 'N .tv I It o� 09/03/2009 15:54 FAX Fully TAX ID & DRAIN SERVICE Cj 3 Finch. Lane - Lake Peekskifl, MY 1053 7 msed & Insured TOP: (845) 526-2471. 003 Putflam.'Lfc, # 570 Westchester. Uc, 9 101 () g3 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES O SITE LOCATION IBS f -"�!, -I,IL 9d,TOWN (.u�� ftt1,11ed c TM# OWNER'S NAME }-I,, ��,� , �„�; l�;.r. yd z PHONE # MAILING ADDRESS 1 0 �' T��i P 1 cP c YL -& U("'12-J- s• J I JJ y I 0�- -3 4 APPLICANT ! �'1 mac.. 1-. d ia� �I �-._ y> I z✓ Z °^�.v S . Name & Relationship (i.e., owner, tenant, contractor) DATE 1 3 `i FACILITY TYPE 6Aw► PCHD COMPLAINT # �vvS dG/ PROPOSED INSTALLER �OGut ✓y ��.a /,��l�v� �.� PHONE # Bfey"06 jS/7� 0 23J� ADDRESS t *JQ-- P REGISTRATION /LICENSE # 3o51,4 /013 I Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. I, as owner,agree to the conditions stated on this form SIGNATURE -t -V TITLE DATE 1 ..........(owner) I. � . _ _ ...._........ -- - . - -I; tFe s' e t �' Iler; r e to comply ,with-the•conditions�of-tpis peri�ii. far illy septic system repair" SIGNATURE _ TITLEVO.e,d. DATE �y f (installer) Proposal approved with the following conditions: s 1. Procurement of any Town Permit, if applicable. 2. Submission'of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's 'name, Site Street Name, Town and Tax Map number b. Location'& installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. Proposal Approved Title is in compliance with COPIES: PCHD; Owner; Installer PC -RP 99ML INTERNAL USE ONLY Proposal Denied codes U / 9' d ° Date Yes Expiration Date Noik Rev. 2/07 SHERLITA AM LER, MD, MS, IFAAP _ _ Commissioner of Health" - -- LORETTA MOLINARI, RN, NISN Associate Commissioner of Health Mr. & Mrs. Velez 109 Tanglewylde Road Lake Peekskill, NY 10537 Dear Mr. & Mrs. Velez: ROBERT J. BONDI - - •' ° G�rinty, F,�.ec�liv a - . - __ - .DEPARTMENT OF HEALTH. 1 Geneva Road, Brewster, New York 10509 ROBERT MORRIS, PE Director of Environmental Health January 26, 2009 Re: Letter of No Objection -Velez 109 Tanglewylde Road (T) Putnam Valley, T.M. # 83.65 -1 -56 In reference to the approved plans submitted to this Department . for the above referenced property, (Addition Application No. A- 012 -09) approved on 01/23/09. At this time, this Department has no objection to the replacement of the original structure, nor the utilization of the existing well. The septic system however is in disrepair and needs to be replaced. This .. __.. ._Department..is.in. receipt of the property owners repair permit_ application -which was:approved 'fliis- Uepartineni 'on January D, 2009 with no- 'ex. p'iiation date. Please be advised that no Certificate of Occupancy shall be issued for the above referenced property until such time that a letter of compliance for the septic repair has been offered by the Putnam County Department of Health: y If you have any questions, please contact me at (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior En ;ineering 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 WIC(845)278-6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 1 i SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health i i t Mr. & Mrs. Velez 109 Tanglewylde Road Lake Peekskill, NY 10537 Dear Mr. & Mrs. Velez: i DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 .ROBERT J. BONDI .� Counix Executjve _ ROBERT MORRIS, PE Director of Environmental Health January 26, 2009 Re: .Letter of No Objection —Velez 109 Tanglewylde Road (T) Putnam Valley, .T.M. # 83.65 -1 -56 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 January 22, 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 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 ekisting'that has not obtained proper approvals i Any other,permits or variances required are the, responsibility of the applicant and the jurisdiction ,of the Town of Putnam Valley with exception to the required septic system repair. If you have any questions, please- contact me at (845) 278 -6130, ext. 2261. I Sincerely, 4e ' D. Reed Senior Engineering Aide GDR:kly cc: BI, (T) Putnam 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 InterventioniPreschool(845).278 -6014 Fax(845)278 -6648 Valley r. iy sg 0-3 ELI 0 Cl !�'Pu -¢nza'-,on 'Wa e-1 Propo. 5 e6e Pr o p 0 5 eaQ 4: ti --7r A, d I