HomeMy WebLinkAbout4229DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
83.81 -2 -8
BOX 32
1 . ::
me L me
i' .. r I
1 6 ' . I
rr all
04229
BRUCE R. FOLPY.
Public Health Director
_ L.ORETTA %MOL:TNA)RX. RN:; M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648
November 10, 1999
Carolyn Garcia
PO Box 460
Lake Peekskill NY 10537
Re: Addition - Garcia -205 Lake Dr.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 83.81 -2 -8
Dear Ms. Garcia:
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 November 10- 1999 .The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at hree without prior approval by
this Department.
2. The area of the existing sewage disposal system, and its expansion area, must be ..
a .: .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,
Michael Luke
ML:kg Public Health Technician
cc:BI
addition
-i
BRUCE C FOLEY
Public Health Directgr
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509 �" -- -- - - - --� - - --
1 el. (914) 278 - 6130 Fax. (914) 278 - 7921
i
pRt�P(7„�ED,�DDITIQI�T A.1'PLIC; 'I,�, 1UN (:KF��If�EN•1'1�,�,. UhLY)
STREET.-Fa M. TX MAP #
ICt ►Gr �' e- �F,C$ jGl LL (t1) 3a� —{1a�d �/J�
NA.1vI1✓YC4e�W r. C X42 _I � _.: PHI�N.I���bg:�b�d PC'HD # f7
MAILING ADDRESS i°, , ,B o�4 �:. _V4 a ,c. A� !0e - 'i`'`� - - /6
�� 7
DESCRIPTION OF ADDITION o�-: Ca sr FQt o .e
NUMBER OF EXISTING .BEDROOMS 3 PR0P0SE'D # (I.r BEDK00MS 3
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECT 017)
*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
aPPlicible.sectrans -of the�utnam CQUrity Satuiary
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd,,
Brewster, NY 10509, Phone 278 -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 1, .-gal
bedroom count of dwelling,
Comments
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
Gentlemen:
BRUCE R. FOLEY. R.S.
Acting Public Health Director
Re:
Residence
Tax Map:
Town
According to records maintained by the ToNvri, the above noted dwelling
IS V _..__..._. .
IS NOT
in compliance with To,"m code and the total number of bedrooms on record
is 3
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
C,,
Building Inspector
Ig
61 ���� �
INI
P �UTW -0M --fY DEPARTMENT OF HE LTH
iJ
I-IOU'SE PLANS APPROVED FOR
BEu`rf'k0Of,.,I. COUNT 011ILY•
-3-BEDROOMS
4
ry
PUTNAKMUNTY DEPARTMENT OF HEALTH
HOUSE PLANS.IAPPROVED FOR
BEDROOM COUNT ONLY,
BEDROOMS
Signature & Title Date
1
.
lZb j
z
V4�
I
C2
F, oxerk,:
cal.
0
a
V/
PUTNAM PUNTY DEPARTMENT OF HEALTH
W013' S )[- PLANS APPROVED FOR
MAROOM COUNT ONLY,
ROCI'M
Date
0 C.- i v 1. L
j
/)q 1) ► Ij
I
W,/-
X
W
v Xi
Al %(Vl
TFR IOR WALL
G
no
LO
ti
[XISTING DECK
P
A
N
T
R
Y
- V�01
CAROLYN J. GARCIA
205 LAKE DRIVE SOUTH
LAKE PEEKSKILL;NY 10537
'/4" = 1 foot
J
A
I
R
C
A
S
E
c q 14 fj V-; I AQ
,nJ
tv -,d
SITE
T. Z,)4
— -C — 14
PHA Q F- .9
TO YA-2r-
MAILING ADDRESS d 0 6- C&P
PERSON INTERVIEWED PCHD Canplaint #
Name & Relationship (i.e, owner,tenant, etc.)
DATE C2 0.— Q TYPE FACILITY
PROPOSED INSTAUM tiLk e V e ' 1< ca V � PHONE
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 prof sional engineer on
registered archi t. S I Q� � # iNg
J
on .91(
Proposal 4proved
's
6
Proposal Disapproved
Proposal approved 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
d. System description (e.g., 1250 gal. concrete septic tank,
drywells surrounded by one foot + gravel).
e. Installer's name and number.
-7- Za~
Date
(e.g.,house corners).
three precast 6' diam. x 6' deep
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner, or reported agent of er agree to the above conditions.
SIGNATURE / TITLESPId DATE '7
3.'g5: Vbibe (EM); Yellow 03m ffi); Pink (Afpli:snt)
Y"c,�__ _
02
6' -- - - -1 - -- 25' -t, QT-5- } 6'
LOT 5 ' z -1 i/ LOT 53 W
Z K Z -10 /Z' f♦
20 6tBA�1s� - - - (3 ) DAO PT �C 4IL!
(� W
E Kil AJ Ll 1
WWI
,
�, q m
Q - 2xb PT JOISTS 016" c/c �O W
cn
\ CL ..
% 1 /2--$TY _ = m
X STUCCO
gUILOING
... Z.j .
i X �Oe�G�aE
m PAT I z
N
PATIO t
'M ( I CONCAE .
TAINING .w-59 98 • G STON
.. AMA— ._ . V . L_,,..,w.a.M...Y1..I,,�'.a -- Mme'--- »,�� --• -+�- -' v , p .
L^ .,M
LAKE DRIVE SOUTH
�jw5e
TAB _ 205 Lake Dr1ve South. LLoke Peekskill NY b
����- �.v ti g -� - �/ a �
1,*oM on vVy of survW /N,�
Prollminay SRe Plan
10/21W
Scale: 1° =10"
RANDALL ENGINEEf
Robert J. Ran"L PE Uol
- 37 -y" --
r
56" HIGH RALINGWTH
?y $ALU5TER5 6...'61C : x
7 ` SEE DETAIL
♦j
4,C
FRENCH DOOR �" IN;I
TO FITEKISTING
WIDE OPENING
1' -3 314�
N t, 16'-21/4'
d•a ya a • R M
3 _ ... -..a
I �2) :: t
-
2x66
c. Kc .Yr of H Ll�lo.la�f
io S3 7 proven
RRa PAz,—
d o J .t.t91�E ,D 5'D
.. O'rx- s Ar,i-L
yv
f r, t