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HomeMy WebLinkAbout4095DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.72 -1 -52 BOX 31 1 ru - ti ! Ii. III 1 16 L , 1. : ;I �i him y IF IN A*- r mbinl , � 04095 . 't LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10500 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Prescbool (845) 278 - 6014 Fax (845) 278 - 6648 June 4, 2004 Cottrell 51 Reichert St. Lake Peekskill, NY 10537 Re: Addition - Cottrell, 51 Reichert St. No Increase in Number of Bedrooms (T) Putnam Valley, TM #83.72 -1 -52 Dear Mr. Cottrell: ROBERT J. BONDI County Executive 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 4, 2004. The addition is approved with the following conditions: 2. 3. The total number of bedrooms must remain at two without prior approval by this Department. The area of the existing sewage disposal system, and its expansion area, must be maintained. 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. Sincerely, Michael Luke Public Health Sanitarian ML:Im cc:BI (T) Putnam Valley V. BRUCE R. FOLEV Public Health Director LORETTA MOLINARI R-N., M.S.N. - Director of Patient Services DEPARTMENT OF - HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET I e-, cl�. e- f + s TOWN L • Pee kSKr X MAP# � 3 NAVIE >� ; el R.- � r� 1 PHONE Sys t13 V- PCHD# MAILINTG ADDRESS ;S-I 9 e,tLcJ s 4 , L . Pe, e is 4, il, iv DESCRIPTION OF ADDITION 0 6l- NUMBER OF EXISTING BEDROOMS I 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 follolvir? to Putnam Courity.Health.Dept. 4 Genev,a Road;,Brewsterj -rf 10509, Phone 278 -6130. 1. Certified check or money order for $100.00. . 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. X.7" 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. ,a! Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb98 BFhouseguidelines _A BRUCE R. -FOLEY 4� LORETTA MOLINARI R.N., M.S.N. Public Health Director Associate Public Health Director -;'ADEPA I Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (945) 278 - 7921 Nursing Services (945) 278 - 6558 WIC (945) 279 - 6678 Fax (945) 278 - 6085 Early Intervention (845)278-6014 Preschool (845) 278-6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: A. Re:. Residence Tax Map Town According cords maintained by the Town, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCC*UPANCY-.. ASSESSORS RECORD: OTHER Aiii1dingInspector BFhouseguidelines /V l/ %G�� 1 4 8 PUTNAM COUNTY DEPARTMENT OF HkMt HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; Z. BEDROOMS Signalurrt }ems - Date —' Second Floor Plan q j. . 1 t . ,1 ;F �Y :p ,.Y `s + ?F z •�Y F �t i .c Y. ,i 1. ±f 6 t Foundation Floor Plan PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT OP•1LY: 2— REDROOMS/J 5ft�nah;re 8 Titfc m. 0-1 q LIVING .. M sw IIIII IIIII FAM.ROOM s its 4 p m� ,.� Ago - 16M L —A .�:.:� '- II�. —�- u � BRKFST. Foundation Floor Plan PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT OP•1LY: 2— REDROOMS/J 5ft�nah;re 8 Titfc m. 0-1 I LiLLI First Floor Plan LIVING .. M sw FAM.ROOM its m� ,.� II�. BRKFST. WON� I LiLLI First Floor Plan I x % D 5 r. -tv S(lc� PIP ill; qo' CIO 1--lp im, ZE 6AA = cp Mj C=) E C5 ... .. � t W :T: - . - ..J •.1 � . _ :. ..... l...._ _. �. SITE LOCATION OWNER'S NAME _ MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR .TM# Q 3• —12 _PHONE I Tl F L,/0 3 - 0 PERSON INTERVIEWED PCHD Complaint # Name & Relationship i.e., owner, tenant, etc. DATE l S -' o '), TYPE FACILITY PROPOSED INSTALLER e.v— PHONE ADDRESS REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. I, as owner, or rep rte ent of owner agree to the conditions stated on this form. SIGNATURE TITLE Q) L,) A) DATE 1 S O -1— Proposal Q12roved 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 comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be /performed in accordance with the above proposal and conditions. Proposal approved v 1110Z07-- . Inspector's Signature & Title DATE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML fC) ' L4je -`1 10'fwe.It /t7jwe- I1 SI ECHT St.