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Home My WebLink About4101DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.73 -1 -11 & 83.73 -1 -12 BOX 31 T 04101 U r. LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 February 13; 2004 Mr. Enzo Daddi 103 Traverse Road Lake Peekskill, N.Y. 10537 Re: Addition — Daddi, Traverse Road No Increases in Number of Bedrooms (T) Putnam Valley, TM# 83.73-1-12 Dear Mr. Daddi: 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 February 12, 2004. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at 2 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 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 meat your convenience. ML: cf cc: BI (T) — Putnam Valley Very truly yours, Michael Luke Public Health Sanitarian f P� 74 007 f� � 2 LGi r: PUTNAM COUNTY DEPA i MIENT OF HEALTN HOUSE PLANS -APPROVED FOR- BEDROOM COUNT ONLr, signatwe & TRIG BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. . Associate ;,_Puhlic Health' moire for `- 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 TOWN TX MAP# NAINIE n P4ajHONE_ t J 5� / PCHD# MAILI'G ADDRESS DESCRIPTION OF ADDITION �� / ,V-c 62 -e C_ . NUIVMER OF EXISTING BEDROOMS .9, 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 following to Putnam - County Heal$J?* pt. *Ge*ieYx:Road, Brewster; NY I US, O'l; Phone 18 -6130 1. 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 Feb98 BFhouseguidelines : a. s .� BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N. Public Health .Director Associate Public Health Director . _ . Director of Patient .....:... . 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 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: 10' �f ,� % RSC CI , Residence . Tax Map 7V ) '- 1 ° 1 b Town f t)TVAM VCALLeY According to records maintained by the Town, the above noted dwelling IS IS NOT - 'in coinplianceIwith Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: v "/' ASSESSORS RECORD: r (Auilding Inspector BFhouseguidelines DEPARTMENT OF HEALTH G�G-- Division of Environmental Health Services �,- 4 Geneva Road, Brewster, New.York 10509 ��'_ ) (914) 278 - 6130 " APPL' ICp TION TO 'CONSTRUC -e- "A^ WATER WELL 64'= `Z - PCHn PERMTT A WELL LOCATION et Address To V 1 ge Cit Tax Grid Number /T WELL OWNER N Mailing Address Private O Publ is USE OF WELL PRESIDENTIAL , O PUBLIC SUPPLY O AIR /COND /HEAT PUMP ®ABANDONED .1 - primary .nrt . ®- BUS:INES & 0 FARM O TEST /OBSERVATION O OTHER (specify 2 e secondary 13-1IND91RIAL �.. O INSTITUTIONAL O STAND -BY AHOURTT OF USE C YIELD SOUGHT gpm /# PEOPLE SERVED /EST . =OF DAILY bSAGE_�ffi1 O,:,REPLACE EXISTING SUPPLY O TEST /OBSERVATION CP ADDITIONAL SUPPLY REASON FOR DRILLING -jL1,NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING V sL- WELL TYPE DRILLED O DRIVEN DUG GRAVED - OTHER S IS WELL SITE SUBJECT TO FLOODING? YES: _�X _NO IF TELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION,: Lot.,' . STATER WELL CONTRACTOR: Name ��yy�,A/�Gy,,� .,, Address : %�- IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _,�NO. HMO OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE :TO PROPEkT:FR3A;IEAR1aS1..i+ATER . riAi.N.:: LOCATION:.SKETCH & SOURCESrOF CONTAMINATION PROVIDED P" ® ON SEPARATE SHEET ate), (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the'well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam.County Health Department. During all well drilling operations,.the applicant shall take appropriate action'to assure that any and all water or waste products from such well, drilling operations be contained on this "property and in sdch a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of, .Expiration Permit is Non - Transferrable 3/89 19 19 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller .: 01/25/1994 21: .�, ,.914- 528 -1491 NORMAN ANDERSON INC --I _ / PAGE 01 18 WELL SITE SUBJECT TO FLOODING? YES 7� —NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NATO; OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR; Name Address: IS PUBLIC wATBR SUPPLY AVAILABLE TO SITE: YES _'�NO ' NAIL OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATIGj';' Sk=CG 3 SOMCES OF CONTAXNATION - 'PROVIDED ❑ON SEPARATE SHEET date) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of fart 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well dri ing operations be contained on this property and in such a Tantter as not to degrade or of rwise ontami a surface or groundwater. Date of Issue: 19!q� Date of Expiration 19 Pe it Issuing facia Permit is Non- Transferra 1 r 47____White copy: HD File Pin y: Owner 3/89 Yellow copy: Bldg. In p. Orange copy: Well Drtllez 17 -W A A14 -T "a W7. f erA- 7- 4�4- V 7 'ov.. ON ',F .3,6C 770A 7' rl%j,4 �rl " - 7�- r .,oV eff 1. (JRC/EY OF mfr 42. t 4 71 'Y7 -Z, - - A -7 V "N.- ,6 ry 7WE DoRo cuARANTrVb -TITLE ^ 41 -- biM CHICA4W. TITLE - U-Ndt' -ANY -A$ pelt lmi fd"04 Arp A!46t- N f I i(W. !—.y j# d ACCORD -Tr 6047 art 40t quq�� RE STA'M L&N .11 E 'o.. D9. W,&� �S,,4 WAM; A4,V Yo)qK 6-0 ...... . -Om -14 lip :.0 SION a