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83.73 -2 -34
BOX 31
04120
.. :..,C -_v .•s .. � ._ . ��1� • CO`c' .�, :i. - . w ro+. � v•. r. c .. .. .riS;o -., n .. •..
BRUCE R. f. 0LEY, R.S.
Acting Public Health 0 :re:•..
DEPART` :_N T OF HEALTH
Division 01: Enviro;.,.,,_nal Health Services
Geneva Road, 6, ev.s;er, New York 10509
(91 A' .278 -6130
PRO=:) =D A -DDITIQ`; APP_IC1.T ICN' _ (RESIDENTIAL ONLY)
STREET: 2-73 LAKE :DRt4e TO;; PUTU#m VA11e ,A� L r.. - ?�%
I it M'% r. 9 3 3 3 G. J 1 Q�
P; *;E : TuAa E~062 P; O d= 5'Zb' 1721
PCHD PERM is T
�t4ILING ADDRESS Z73 44,cT ��'vV — , 4,91-- A& SAr4.c , 14 lOS37
A
Description of Addition K h �2:f4s
Number of existing bedro�:,s _� Px osed numb er of bedrooms
from Certificate of Occupancy or
Certification from Euildin_: ?nspector
any addition which is cons icere.d a betrcc!- requires formal approval. of plans
(Construction Permit) prepared by a Professional Engineer or Registered Architect
in accordance with applicable sections of the Putna -m County Sanitary Code.
Please sub:,ii t thi s form and the fol 10 {; i r` to P'JTPi;,H COUP lTY HEALTH DEPARTMENT,
`Y Y 4 C_P;cVA FO.AD,. BREVIST =R, -N; 105091 P; :,::210, 6130„ with._ the ...fo1?ou!in�}- anfc�rma #iar;: - -_
1. Certified Check for $100.00,
2. Sketch of existing fiocr plan (all living area including basement, if any)
Pon- professional drawing is acceptable.
3. Sketch of proposed floor plan. 1�
Non professional drawing is acceptable f 5
4. Copy of survey showing well and septic location, to the best of your
-knowledge. Include date of installation if known.
Include all wells and septic systemis within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Tarim or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
s P.".�• tl -. :Faa'.. v_. 'a.ff: :a: «� .. -w -r.. rT�"�r.... <~,o.:•,b- ., -. w aw ._
BRUCE R. FOLEY
......: - .. .� . >,�sblf�o•i'�riltji-;lli; ecttar.� ... '
DEPARTMENT OF HEALTH'
Division of Environmental Health Services
4 Geneva Road .
Brewster,. New York 10509
TeL (914) 278-6130 Fax (914) 278-7921
June 5, 1998
Juan Fernandez
273 Lake Drive
Putnam Valley NY 10579
Re: Addition - Fernandez, Lake Drive
Increase in Number of Bedrooms
(T) Putnam Valley, TM# 3.73 -2 -34
Dear Mr. Fernandez:
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 latest revision date of June
4, 1998 and this'Department's approval stamp.
Based on the information submitted, the above mentioned 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 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
Sr. Public Health Sanitarian
WH:tn
cc: BI (T)
I
-2
(Co
SKETCH AREArrABLE
P AddMu V31 awn ORNE Re ho.
C LAKE
.. ....... ...... . pwrill
Stdo NY
L '-%M now ne Code 10937
S 3 - -7 .3 -J., — 3,f
33.0
Living Room
18.0 1 . Kitchen Bath
9.0
Bedroom 18.0
9.0
15.0
20.0
Family 9.0
110.
7.5
71L
Bath Dining 5.0
.0
Bedroom
37.5 E
0
0
co
..Bedroom.::
F U T P 1 0 INT Y D P 1 T 0 F T. T Z 11
HOUSE PLANS FOR 30.5
t ul Va Title
to
I
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6.0.
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1
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278-6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: Fc-f T.-a KO t 7,
. Residence 27 �
Tax Map
Town
Gentlemen:
BRUCE R, FOGEY. P.S
Acting Public Health Director
According to records maintained by the ToNNm, the above noted dwelling
IS NOT
in con*iance with TokNrn code and the total number of bedrooms on record
is Av-wp (3
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER Pr
eBuilding Inspe or
06/04/1998 09:32 9145262130 TOWN OF PV PAGE 03
!Ad AU. i:141J�J�11 Y: l
Y
. PUNK ilvalilr Dimra
-DEPARNT OF HEALTH
Dlvtrkn vj javtro� AaNt* SsroiNt
4_ Gners Rosa
8reweter, .Neer York )0509
TEL (914124-6130 FQ. {91q) 279 - 7921
FwxSi2�R���T .
Date: _5! t` 5r
To: 2 A rV6:1 O'Dc {
F.
FTOm:,;,,,,�h � �- fir...► � ,_„_
Puu= County Enwanu enal Halth
Fix s2 Z ('3v
No. Page: 3
(lnclu&g covet sheet)
Now sMesstlges Plea
t-
-7 s Le4
In the,evmg oitrwmluion/teeeption difficulties, pleue MAW this office-
�1
0-sse S.L OYS p i a1C
low
Date: 5-11 2 t I P
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4' Geneva Road
Brewster, New York 10509
Tel. (914) 278 - -6130 Far (914) 278 - 7921
�,v�. 'nom (i S2 6 — Z 13
To: (�'� � Fax �
P. V,
No. Pages
(Including cover sheet)
From: 6'I'1 t to-e.. L u
Putnam County Environmental-Health
Public Health Director
eA „ P' s � l t ' µc- -1—A c r Notes�essages k
In the event of transmission/reception difficulties, please contact this office.
CA-
c.s 15 CN, ( r
}
a
CL
2 -73
L-a-L ID f - 7 -Yl#
FS,-73 -3Y
In the event of transmission/reception difficulties, please contact this office.
CA-
c.s 15 CN, ( r
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conc.. wo
(156 nj� 5 (1 5� 162)
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(16.0-78 S.F.) 29.2'
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Utility _- • ' -- . - E .�'
Overhead
DrI.
TITLE NO.: PAL12666. '
TOWN TAX MAP DATA:
Section 83.73, Block 2, Lots 32 -35
4 r
DOS,
APPrarino ° 160.63'
m °
cke o
c �r
� 65.21' age ,
Re ofnf
FRAME Retofn In ,
SHED
2.48
SLATE �ofi FRAME
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Conti.
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C54) (155) 115 1 %1`21 163
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0.369' Acres , - - - -- 7SGPT''�
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(16,078 S.F.)
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p
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11)r - . I CARPORtn I m 0 Q -
�: J 1 :f 0 0 Cone
PARCEL SHOWN HEREON KNOWN AS LOT No.'s 155- 162(incl.)
OF BLOCK 56 ON SUBDIVISION MAP ENTITLED 'LAKE PEEKSKILL.
SECTION E', FILED IN THE COUNTY CLERK'S OFFICE ON
MAY 28, 1929 AS MAP No. 188D.
SUBJECT TO ELECTRIC AND /OR TELEPHONE CO.
EASEMENTS, IF ANY, FOR OVERHEAD AND /OR
UNDERGROUND SERVICE.
SURVEYED AS IN POSSESSION, (No Lines of Pooseselon
Other Than Indicated).
SUBSTRUCTURES AND /OR THEIR ENCROACHMENTS
BELOW GRADE, IF ANY. NOT SHOWN.
BUILDING OFFSETS TAKEN TO SIDING OR TRIM.
PROPERTY CORNERS NOT STAKED.
THIS SURVEY IS HEREBY CERTIFIED ONLY TO:
1. JUAN C. FERNANDEZ
2. STEWART TITLE INSURANCE COMPANY, a/o
PREMIER ABSTRACT. LTD.. For Policy No. PAL12666.
J. HENRYJ. HE CARPENTER & CO. CO& CO.
LAND SURVEYING & MAPPING
YORKTOWN HEIGHTS, N.Y.
We. J. Henry Carpenter Is Co. Oo hereby Certify That en April 15, 1998
a Sur e vey of The lo leas Shown Hereon Was itada and That This Map
le Made 1�danaa With the Field Notes Said Survey.
/-JA VS H. SEABOLDT, P.L.S. No. 49286
CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS
SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYS
ADOPTED BY THE NEW YORK STATE ASSOCIATION OF
PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS
SHALL RUN ONLY TO THE PERSONS FOR WHOM THE
SURVEY IS PREPARED AND ON THEIR BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING
INSTITUTION LISTED HEREON; AND TO THE ASSIGNEES
OF THE LENDING INSTITUTION. CERTIFICATIONS ARE
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS.
SURVEY OF PROPERTY
PREPARED FOR
JUAN C. FEWVgq EZ
LOCATED IN
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY, N.Y.
Ali CertlRaatlon. H°rean are Valid for This Mop and Coples Thereof.
Only If Sold Map or Coplos bear The Impressed Seal of The S.-y.,
Mt Slgnoture Appears Hereon.
A t..tlon of This Map Other Than by a Uaensed Lend Surveyor 1s Illegal.
Capht C 1999 J. Henry Corpenter $ Co. by James H. S°oboldt. LS
All Rights Reserved. Induding Right. of Reproduction.
SCALE: 1'= 20' DATE: APR. 21, 1998
SURVEY No.: 17630, FILE: 7174 P.V.
Cago•_:. '. 1 tY
o"
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ui C
:Polo N tll
-
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2 o i
a -
N26'44.0
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aaonry
Retalning Wall /Ca -Cut nd.
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r L A
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M (
-— _.__ -. ^
Overhead
_�
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.-- .. .,. ;.
.. -'=-:•
PARCEL SHOWN HEREON KNOWN AS LOT No.'s 155- 162(incl.)
OF BLOCK 56 ON SUBDIVISION MAP ENTITLED 'LAKE PEEKSKILL.
SECTION E', FILED IN THE COUNTY CLERK'S OFFICE ON
MAY 28, 1929 AS MAP No. 188D.
SUBJECT TO ELECTRIC AND /OR TELEPHONE CO.
EASEMENTS, IF ANY, FOR OVERHEAD AND /OR
UNDERGROUND SERVICE.
SURVEYED AS IN POSSESSION, (No Lines of Pooseselon
Other Than Indicated).
SUBSTRUCTURES AND /OR THEIR ENCROACHMENTS
BELOW GRADE, IF ANY. NOT SHOWN.
BUILDING OFFSETS TAKEN TO SIDING OR TRIM.
PROPERTY CORNERS NOT STAKED.
THIS SURVEY IS HEREBY CERTIFIED ONLY TO:
1. JUAN C. FERNANDEZ
2. STEWART TITLE INSURANCE COMPANY, a/o
PREMIER ABSTRACT. LTD.. For Policy No. PAL12666.
J. HENRYJ. HE CARPENTER & CO. CO& CO.
LAND SURVEYING & MAPPING
YORKTOWN HEIGHTS, N.Y.
We. J. Henry Carpenter Is Co. Oo hereby Certify That en April 15, 1998
a Sur e vey of The lo leas Shown Hereon Was itada and That This Map
le Made 1�danaa With the Field Notes Said Survey.
/-JA VS H. SEABOLDT, P.L.S. No. 49286
CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS
SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYS
ADOPTED BY THE NEW YORK STATE ASSOCIATION OF
PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS
SHALL RUN ONLY TO THE PERSONS FOR WHOM THE
SURVEY IS PREPARED AND ON THEIR BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING
INSTITUTION LISTED HEREON; AND TO THE ASSIGNEES
OF THE LENDING INSTITUTION. CERTIFICATIONS ARE
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS.
SURVEY OF PROPERTY
PREPARED FOR
JUAN C. FEWVgq EZ
LOCATED IN
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY, N.Y.
Ali CertlRaatlon. H°rean are Valid for This Mop and Coples Thereof.
Only If Sold Map or Coplos bear The Impressed Seal of The S.-y.,
Mt Slgnoture Appears Hereon.
A t..tlon of This Map Other Than by a Uaensed Lend Surveyor 1s Illegal.
Capht C 1999 J. Henry Corpenter $ Co. by James H. S°oboldt. LS
All Rights Reserved. Induding Right. of Reproduction.
SCALE: 1'= 20' DATE: APR. 21, 1998
SURVEY No.: 17630, FILE: 7174 P.V.