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Home My WebLink About4233DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.81 -2 -21 BOX 32 ' .T f ,T J . �, K-r XR OIL N*bl 61 1 k* 04233 BRUCE R. FOLEY� Public Health Director �" - LOREITA MoLINARI Associate Public Health Director 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 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 April 26, 2002 John Mahoney PO Box 113 Lake Peekskill, NY 10537 Re: Addition- Mahoney - Lake Dr. No Increases in Number Of Bedrooms (T) Putnam Valley Tax # 83.81 -2 -21 Dear Mr. Mahoney: 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 form this Department dated April 26, 2002. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Two 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, Michael Luke Public Health Technician ML /kg SENDING CONFIRMATION DATE : APR -24 -2002 WED 19:47 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE 919145281585 PAGES : 1/1 START TIME APR -24 19:46 ELAPSED TIME : 00'49" MODE : ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... Ll r a ikvis: BRUCE R. FOLEY - Public Healrli•`�flfrc�cior'` " °'�` "" ' ' " - :,- LORETTA MOLINARI RN:, M.S.N. Associate Public Health Director 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 STREET tAtcE b r,vC ('RESIDENTIAL ONLYi TOWN 1->4 k F PEEIc, TX MAP# 6 3 - 8 f - 7- 02 1 NA - -ovE /I,9Nv��,� PHONE PCHD# 0 MIAILI\TG ADDRESS P0- 6ox 11S L>4lCC (��de5��'►� tJ,Y, I0S3r? DESCRIPTION OF ADDITION FA ^^ + �'�r✓ NUMBER OF EXISTING BEDROOMS 2- 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 Health Dept., 4 Geneva Road, 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 #) *Nion- 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 BRUCE R. FOLEY Publicp Health - L-ORETTA MOLINARI. -RN., :IvI:S.N. _ Associate Public Health Director 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 (945) 278 - 6648 March 12, 2002 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: 202 Lake Drive, Lake Peekskill Residence Tax Map 83.81-2-21 Town of Putnam Valley Gentlemen: According to records maintained by the Town, the above noted dwelling IS xx .:.IS NOT in compliance with Town code and the total number of bedrooms on record is 2 This information has been obtained from: CERTIFICATE OF OCCUPANCY: 2 ASSESSORS RECORD: 2 OTHER Building Inspector BFhouseguidelines Vi 7 ® ow P 6 O • O �o ® 9po 0 • • 16 ft ® d P V or c e• oil I I 8 -6842 Lake Drive Lake Peekskill, N. Y_ ;.._Clearung. SD.. eciaiist. of a �:.EA�STERN . STATES:- SEPT IC- _ �A —.-TRENCHING _ � DIGESTERS AG IMHOF TANKS ANY TOWN OR STATE SEPTIC TANKS SEPTIC TANKS CATCH BASINS K. R. LIETZ & SONS CESS POOLS INSTALLED BOOSTER PITS Raymond K. Lietz & Kenneth J. Lietz CITY DIS. PLANTS OIL PITS Owner F. Operator OIL STORAGE TANKS i INMKTRIAI SIIJDGFS 1 :1- JA.c 1/ , ?a 7` H 7 I�`'I /0/- �--�� I, , do hereby agree that the Building Code will be complied with whether the same is specified or not; as well as the Sanitary Code, Plumbing Code and any other Law, rule or regulation affecting said structure or building. The Inspector shall have the right to enter any premises during the daytime, at reasongbl -� hours,/Inithe course of his duty. DATE :j D 2_ k (Owner or Agent) g pAI R (Tree Damage 6F, OCCtT CERT IFICA r y� 91- !g d S+Zy.� i.. 1 vp' • 44 �Si4 t �X Cerf�co Occupancy No.. C7r i v �2 - I.kke N.Y. haven $ 81 -2 ,Y a Y,ocaEion o Premises, af' X02hCiVe :Zcg oraiiaiice, ;S.nita a ursua1t to the York, haven ermit p New ,... �+ " licatian for a bui ding p putnam County, - : ed that, ..il a V alley; F hereto o, _ „. .,the 'Io 'of Puinam rsanal;3nspectlon ascertain Cod' a�A a t'�el� r0 sed stru, or and' the - unders.&ed baving by�Pe. 1�said wor • -" "" ° +a roceede3'`�T 'the erectaaaf� rem Pnt�ioneii pandf thati�th r s% y. P .. v remise a p. Gar► subSt. �urements:of tl e laws aasr m 1I1C qu. - enog the ,. ^ Leuemt laws .as aior�mentiion 5„� �arei ready;; f� , .c,., J ,I LK Cry f d'�► PtTNAM COUNTY HEALTH DEPARTKENT" DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SFKAGE DISPOSAL SYSTEM REPAIR ONNER' S M*z Z72 L' PHONE SITE LOCP,TION MAILING ADDRESS I'or JOB114AI E10 1/d�2��lrw PERSON INTERVIEW PCHD Complaint # Name & Relationship U.e, , t, etc.) / DATE a�; - g / TYPE FACILITY Lei) PROPOSED INSTALLER xt c PHONE Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original selvage disposal system. Different location may require submittal of proposal fran licensed professional engineer or registered architect. isW eli .11V, h v� 7L. TANk i ooc. GK1iic d �16._� Proposal approved Proposal Disapproved Inspector's Signature & Proposal anuroved 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 canponents tied to two f xed "points d. System description (e.g., 1250 gal. concrete septic tank, drywalls surrounded by one foot + gravel). e. Installer's name and number. DA e (e.g.,house corners). three precast 6' diem. x 6' deep 3. System repair to be performed in accordance with the above proposal and conditions. ;r I, as owner, or reported agent f yner agree to the above conditions. SIGNATURE �` TITLE DATE �( ,- MM: RAte (P D); YeUc w at3,n ED; Pink (VpLiav t)