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631- 589 -8100
83.74 -1 -23
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04133
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
n � : 6- q� 4:T - s..uge^rr�.?T � ^.0•. •r1.� <o . s. . , r Y..•" .:� .
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Martin Goldenburg
10 Point Drive North
Lake Peekskill, NY 10537
.Dear Mr. Goldenburg:
ROBERT J. BONDI
County Executive.
._,` a. -., .b�"- T",ii „_ .'aa.: 'a. <. a ..� • . . o..... 2�. a .. _.....
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
April 3, 2006
Re: Addition Approval, Goldenburg, 9 Point Dr. North
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #53.74 -1 =23
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 March 31, 2006. 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 ex ansion.area, must be
_ _ maintairieci: .b . .
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.
If you have any questions, please contact me at your convenience.
JSP:lm
cc: BI (T) Putnam Valley
Very truly yours,
Joseph S. Paravati, Jr.
Assistant Public Health Engineer
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
PUTNAM COUNTY DEPARTMENT OF HEALTH
? BEDIWOMS
ALL SUBSEQUENT REV
PLANS MUST BE SUB*-,'.!
CNATURE & T
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JALTERATIO TO THESE HOUSE
TO THE ::I'I FOR APPROVAL
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Owner: Martin Goldenberg Tel: (914) 760-3321
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The Goldenberg Residence
9 Point Drive North, Lake Peekskill, N.Y. 10537
Owner: Martin Goldenberg Tel: (914) 760-3321
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123 Surrey Rd Stamford, CT 06903
Tel: 203 329-9775www,en'v'arch.com
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PUTNAM COUNTY DEPARTMENT OF
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HOUSE PLANS APP.11(--)vFm FOR BEDROOM COUN� NLY,
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ALL SUBSEA -t"IENT RE"IS-'-C,'NlA.1,TEI"i'-AT1.0liS TO THESE HOUSE
PLANS MUST -EE' SUBTUEiTTED TO THE PCD'OH FOR APPROVAL
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9 Point Drive North, Lake Peekskill, N.Y.10537.
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Owner: Martin Goldenberg Tel: (914) 760 -3321
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9 Point Drive North, Lake Peekskill, N.Y. 10537
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
I DEPARTMENT Road,
ROBERT J. BONDI
County Executive
ADDITION APPLICATION RESIDENTIAL ONLY
STREET D/ A%'j go��kTOWNSI TAX MAP#
NAME �l i�7 PHONE 91 Y�O 7-S-40-49 PCHD #� �j
MAILING
ADDRESS M DfliP'�57 oVV e/'k
DESCRIPTION OF
ADDITION .X-4�y -� ~
NUMBER OF EXISTING BEDROOMS 3 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 Registered 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,
1re.,A .erg Z, -? 0509,
1. Certified check or money order for $100.00.
2. 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. 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. Copy of Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
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
BRUCE R. FOLEY
Public Heallh,Directo
LORETTA,-MOL TWA R.,N
Associate 'Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
I Geneva Road
Brewster, New York 10509
Environments] Health (845) 278 - 6130 Fax (945) 278 - 7921
Nursing Services (945) 278 - 6558 WIC (84 5) 279 - 6678 Fax (84 5) 278 - 6085
Early Intervention (845)279-6014 PrcScbool (845) 278-6082 Fax (845) 278 - 6648
Putnam County Dept, of Health
4 Geneva Road ' *
Brewster, NY 10509
Re:
Residence
Tax Map �3,qq. - 2
Town
Gentlemen: L(--47
According to records maintained by the Town, the above noted dwelling
IS IL/
is --NOT'
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
Building Inspector
BFhouseguidelines
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Darqk Shapiro, Archit d The Goldenberg Residence
9 Point Drive No'rth, Lake Peekskill, N.Y. 10527
ARCHITECTURE LLC' Owner: Marlin Goldenberg Tel: (914) 760-3321
123 Surrey Rd Stamford , CT 069103
Tel- 203 329-9775www.envarch.com
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Martin Goldenberg
10 Point Drive North
Lake Peekskill, New York 10537
Dear Mr. Goldenberg:
March 16, 2006
ROBERT J. BONDI
Cot!nty Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Proposed Addition — Goldenberg
10 Point Drive North
(T) Putnam Valley, TM# 83.74 -1 -23
This office has received and reviewed the most recent set of plans for the above mentioned
project. We would like to offer the following comment for your review and consideration.
1. All rooms on the existing and proposed floor plans need to be labeled and
dimensioned. Please provide a new set of plans providing all labels and dimensions.
This office will continue its review upon consideration of the above mentioned comments. Please
;7 C eSo:iFPi free., to contact .m at ext. 21, S "atiSle.
JSP:cj
Sincerely,� %
Joseph S. Paravati, Jr.
Assistant Public Health Engineer
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
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9 Point Drive North, Lake Peekskill, N.Y. 10537
Owner: Martin Goldenberg Tel: (914) 760-3321
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123 Surrey Rd Stamford , CT 06903
Tel: 263 32.9-9775www.envarch..com
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9 Point Drive North, Lake Peekskill, N.Y.10537
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123 Surrey Rd Stamford, CT 06903
Tel: 203 329- 9775www.envorch.com
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO CONSTRUCT A WATER WELL (e�
2.
please print oi:type PCHD Permit
Well Location:
Street Address: TownNillage Tax Grid # . _ ,F
a
Map �1 Block Cods).
Well Owner:
ame:
Address:
9 a 4e.
``
/O J'3
Use of Well:
< ResidAt ial Public Supply
Air /Cond/Heat Pump Irrigation
1- primary
Business Farm
Test/Monitoring Other (specify)
2- secondary
Industrial Institutional
Standby
Amount of Use
Yield Sought _S' gpm # People Served . Est. of Daily Usage .fa O gal.
Reason for
Replace Existing Supply
Test/Observation Additional Supply
Drilling
New Supply (new dwelling)
Deepen Existing Well
Detailed Reason
for Drilling
4e:�I-e TE<
Well Type
Drilled
Driven
Gravel Other
Is well site subject to flooding? ................................................. ............................... Yes No
Is well located in a realty subdivision? ...................................... ............................... Yes No
Name of subdivision
Lot No.
Water Well Contractor: '
Address:/,6 fit=
Is Public Water Supply available to site? ........................................
...........:........ U__ Yes No X
Name of Public Water Supply:
TownNillage
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on separate sheet/plan.
CS(T
A licant
��'
S.: natur a r �t�
_ �:G
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and 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 or their designated
representative 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. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED FOR CONSTRUCTION:. This approval expires two years from the date issued unless
construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified-bv Putnam certified-b
County.
Date of Issue 2 Permit Issuing Official:
Date of Expira 'on Title:
Permit is Non- TrAnsferrable
White copy- HD file; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller
Form WP -97
PUTN M COUNTY DEPARTMENT OF HEALTH
• DMSION OF ENVIRONMENTAL HEALTH SERVICES
APPI.ICATION '1'O CO1`ITRU6�'T A W WELL
please print or type PCHD Permit #
Well Location:
Stree ddress: TTax Grid , %51'°
1 Map Block e3 ? Y'ot(s) ;;?'�
Well Owner:
%me:
*kesidentiaV
Address:
Of
�� /V� � �/ (/,s •ray -.r
Use of Well:
P ublic Supply Air /Cond/Heat Pump Irrigatio
1- primary
Business Farm Test/Monitoring Other (specify)
2- secondary
Industrial Institutional Standby
Amount of Use
Yield Sought S' gpm # People Served --Est. of Daily Usage al.
Reason for
Replace Existing Supply Test/Observation Additional Supply
Drilling
8 uppky. kne vv dymthrrg) Deepen Existing Well
Detailed Reaso
Drilling
for Drilling
�f11 � i �% r
Well Type
Drilled Driven Gravel Other
Is well site subject to flooding? ......... ................................. ............................... Yes No
Is well located in a realty subdivision? ...................................... ............................... Yes No
Name of subdivision Lot No.
Water Well Contractor.-Z'e r Address:0
Is Public Water Supply available to site? ............................. ............................... ... Yes No
Name of Public Water Supply: Town/Village
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on separate sheet/plan.
=T :�t�; /.l � /i? ?� - _ _`:�+rsl.i��iit .tiig?]�ti ?re: �z��:.�_r+r .- - ��`a' -►; ,:_-ar"�:. �` L /�%�;l'n.- ..t?s� ;;....��0s,, .._, ..
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and 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 or their designated
representative 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. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise ae'k contaminate surface or groundwater. t r`OJ
APPROVED. FOR CONSTRUCTION: This approval expires two years from thlate issued unless
construction of the well has been completed and inspected by the PCHD and is revocable fon.cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam
County. =
An
(�
Date of Issue 1' ��r ®Z=- Permit Asuing 0 icial•
Date of Expiration' Title:
Permit is Non-Transferrable'
White copy - HD file; Yellow copy - Building Inspector; Pink copy - OwneV, Orange copy - Well driller
Form WP -97
• PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO ABANDON A WATER WELL
please print or type
PCHD PERMIT # q '0 1
Well Location:
Street Address: ®` �v ownNillage Tax Grid #
- 7Block Lot(s)23
�tx�MMV-��
ap
Well Owner:
Name:
&0
Address:
1 tiovc Po 64\
Well Type:
Drilled Driven Dug Gravel Other
Depth Data:
Well Depth ft
Static Water Level ft
Date Measured
Use of Well:
✓ Residential Public Supply Air /Cond/Heat Pump Abandoned
1- primary
Business Farm Test/Observation Other (specify)
2- secondary
Industrial Institutional Standby
Water Well
Contractor:
Name: Address: l sl2 ew" 'r
U�VVX&A W&Sck, PA
km
Reason For
Abandonment:
N t. e/ , 6
Description of Work To Be Performed:
'nib E -i... ` _n n `v1�`�1' rv1(iJt�' lam::.:
��� �o� 1 CSC �� v1. 1 I
0e4!?
WOA�0 Pui cov\ckAek_-
Date: Applicant Signature:
PERMIT
This permit, to abandon one water well as set forth above, is granted under provisions of Article 10 of the Putnam
County Sanitary Code, Subpart 5 -2 of Part 5 of the New York State Sanitary Code and /or Part 75 of 10 NYCRR
and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall
submit to the Department a certified statement that the information delineated on the application for this
permit has been completed.rtL ,
Date of Issue Permit Issuing 0 icia Title
White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WA -97
07/11/2002
22:21 9147880177
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_,Date:__ 7/1.2/028:39:9,8 AM Eastern Daylight Time
To: (aura con klin mar; n roductions Com PlumKr8z,(iaol.com
_ -. - -- -_ _yam
Sent from the Internet etails_
Tax Map ID# - 83.74 -0001 -23.0
Section: 83,74
Block:1
Lot:23
County of: Putnam
Please send drawings, schedule and contact for Sankyo out today please -
Thanks
Pfiday, July 12, 2002 America Online: P1untKr8z
i
07/11/2002 22:21 9147880177
MARLYN PRODUCTIONS
FAX T
MARLYN PRODUCTIONS, INC.
1001 Park St. Suite 2
Peekskili, NY 10566
914.788 -0102
Fax: 914-788-0177
Company:
Fax:. 8V5 —,j-L� 9 1$4V4
From: f0,t/&4lJ
COMMENTS:
Date:
'AGE 01
Phone: i V4 F1
Pages: including cover. page
Subject: 1-),7,geX1XJ
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BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
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 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
Norman Anderson, Inc.
152 Barger Street
.Putnam Valley, NY 10579
Re: Proposed Well Goldenberg
9 Point Drive, North .
83.74 -1 -23
(T) Putnam Valley
August 5, 2002
Dear Mr. Anderson:
On July 25, 2002, a field inspection was conducted on the above referenced lot by Daniel
Hadden, Public Health Technician. The application to replace an existing well is . .. .
>a p;CPVE : v-4-,h he viiG tiri.- _ .. _ _._
1. A minimum of 60 feet of casing must be provided for well protection.
As -built plan, Well Completion Report (WC -97), Well abandonment, if applicable, and
water quality analysis shall be submitted no later than 30 days after the well completion
by the permittee.
Please contact the writer at (845)278 -6130 ext.2235 if you have any questions.
Very truly -yours, J
Daniel Hadden
Public Health Technician
cc: MB, file