HomeMy WebLinkAbout4238DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
83.81 -2 -33
BOX 32
1 rm
III
r�prr
1A
,r lT
ML
-Is IN
'
1,11Y
�
D
,�
A
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (91 4) 278-6130 Fax (914) 278-7921
David & Susan Knapp
34 Avon Road
Lake Peekskill, NY 10537
Dear Mr. & Mrs. Knapp:
BRUCE' R. FOLLY:; - _,__,-•
Acting Public Health Director
July 1, 1997
Re: Addition - Knapp
34 Avon Road
No increase in number of
bedrooms (T) PV TM #.101 -1 -29'
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 30, 1997 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.
WH/jp
Very truly yours,
William Hedges
Sr. Public Health Sanitarian
TIM ZUBRADT - JOB INVOICE
38 RED HAWK HOLLOW ROAD
ARROW WAPPING9ERS462-0 FALLS, NY 12590 j 60
(500 3053
EXCAVATING, INC. MOHEGAN (914) 528 -4395
BILL TO: JOB LOCATION: ,
TERMS: A Finance Charge of 2% per month will be charged on balances over 30 days.
DATE SOLD BY
- ❑CASH �r_ E6K ❑ OTHEBe
— - - MATERIAL
t SALES TAX
TOTAL
r LABOR
y7 _
TOTAL AMOUNT 5 Cr
SIGNATURE
1 hereby acknowledge the satisfactory completion of the ab veidescribed work.
�'
�r e
,.
';
1
30 $ 3y
L 64
CPU
,
o
PLTIYVAM COUNTY HEALTH DEPARDM
-- . -. -.. DIVISION OF ENVIRONMENTAL HE k4TH SERVICES
: llllll.�.
PROPOSAL FOR SE14AGE DISPOSAL SYSTEM REPAIR
I�' I ��Z1c► r i
SITE LOCATION Pty J n u--1 CT-
MAILING ADDRESS I L �2r�1t S til.(� N
PERSON INTERVIEWS) Pam Canplaint #
Name & Relationship (i.e, owner,tenant, etc.)
DATE G pA q A TYPE FACILITY S. S
PROPOSED INSTALJM PHONE
Pro (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 professional engineer or
registered architect.
F' U N -G ` U'C
Proposal ag"oved Proposal Disapproved
s Sianature &
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.
SiJ S A- 2C✓t�-
(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 owner agree to the above conditions.
SIGNATURES TITLE ��r�,r_ ✓� DATE O
03M.- , W to alm; YeUc w (Tam ED; Pink Ug l.icant)
BRUCE R. FOLEY, R.S
Acting Public Health Dire:t;;r
DEPARTMENT OF HEALTH
Division OF Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
PROPOSED ADDITION APPLICATION _ (RESIDENTIAL ONLY
i > j,
STP,EET:3q r4ybo _bc jr TOY1N �k -P_Vey kJ TX P1AP # -2-3
tvA,'.E:V.li '4 lSGt ►'1Q PHONE','L -�i 7 PCHD PERMIT € �/- 9 7
MAILING ADDRESS
Description of.Addition y) f is i. Cxiare --
beJropm_�, 4 Ao cLckcl o r4!f_ Vi .
Number of existing bedrooms Proposed number of bedrooms
from Certificate 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 PLIrNAM COUNTY HEALTH DEPARTMENT,
4 GENEVA ROAD, BREEVSTER, NY 10509, Phone 278 -6130 with the following information.
1 : Certi f i-ed Check for' $100:00. ' � - ' - -• •• - -- • •. - .. _..
2. Sketch of existing floor plan (all living area including basement, if any)
Non - professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
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 systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Tarn or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
�,�;
A
BRUCE R. FOGEY
Acting Public Health Director
DEPARTMENT OF HEALTH
Division of Environmental Health Services July 1, 1997
4 Geneva Road
David & Susan Knapp Brewster, New York 10509
34 Avon Road Tel. (914) 278-6130 Fax (914) 278-7921
Lake Peekskill, NY 10537
Re: Addition - Knapp
34 Avon Road
No increase in number of
bedrooms (T) PV TM #101 -1 -29
Dear Mr. & Alrs. Knapp:
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 30, 1997 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 plariibin fi tuT -ess -must be updated `n th water satiulg devices; i.e:,new.Iow 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
�Mjp
. ��`'��::i{^afl�'L+iT`M�� \�1�f :ri�j ry� �( .v� _ ••r... t:..._•r — _ _
�� ?�, 1 �vkf '' t C•'�lr.. .: t~ a':t �'vC}ry y.r �k., L t f
rmmm QO(my. mLTH DIEPAR24ENP
SF-IZtTI[ �:'• / l[,1'�`�:
fS�1S•� 1.� �
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 fran licensed professional engineer or
registered architect.. .
+ Ffr
iAisI)v--L 5)w r- t_octrc1/i pS r-__v -t 5noG FtooS
Proposal approved Proposal Disapproved
./2t
Inspector's Signature & Title .�. e: Date.;
_. Proposal approved with the following conditions
L 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 cmponents tied to two fixed points (e,g.,hdise corners).
d. System descripton.(e.g.,.1250 gal. concrete septic tank, three precast 6' diam. x 6' dE
drywells.surrounded by one foot + gravel).
e..Installer's name and number.-
3. System repair to be perfonned in accordance with the. above proposal and conditions.
It as owner, or-reported agent of.di
24'
DAVID & SUSAN KNAPP
34 AVON ROAD
LAKE PEEKSKILL NY 10537
FRONT AND SIDE ELEVATION FOR PROPOSAL ONLY.
4f
CALE
36'
HdUSE-LE.DWG 5/19/97 DCK
'T
I
ac -cy healih
:" aiaat GUI.11%
,vision of Environmental Health Servia.
-aproved as noted for conformance witl.
_plicable Rules and Regulations of thf
i !itnam County Health Department,
m•kqbxr, X T1 tl." xkto
::r e
27'- i
C
�el I'
C
F
�3
'GDAVID & SUSAN KNAPP
+434 AVON ROAD
:LAKE PEEKSKILL NY 10537
FIRST FLOOR PLAN FOR PROPOSAL ONLY
�Y
'w
•n
;25' LIVING RM
a 14' X 24'
0' 4'
SCALE
E HOUSE_L1,DWG 5/19/97 DCK
I n/"a „ ;11ILa J
D I L PANTRY
W A
o�
H o 'LIJ
5'5' x 12'6'
Y 0
CLOSET
KITCHEN
16'6' x 13'
{
k
i
DINING ROOM
16'6#. I x 11'6'
\1
u cliam CuutLty siisr- tment of health
iivision of Environmental He lth Serv'c;
.0pr ved as noted for conformance wit,
oplicable Rules and Regulations of thF
litnam County Health Department.
A. Title
It
36' _
d
f7
c' clIZA-M County De.paDent of Healtt
.4,71sion of Environmental - ealth Sere•
p��- -,-- --
DAVID & SUSAN KNAPP as noted for conformance wl -c:.
34 AVON ROAD ! e =•`u:Les and Regulations of the
i�..�� Count; �EI�alth �e axtment...
LAKE PEEKSKILL NY 10537 ;'
SECOND FLOOR PLAN FOR PROPOSAL ONLY - --
- -- l
27'
5r
f
O e
PF 9
d
G
BD, RM
BD RM 14' x 14'6"
14' x 18'
t
BD RM
14' x 11'6"
0' 4'
SCALE
Hb�SE_L2.M. 5/19/97 DCK
36' _ I
n
REFEREN
53t fer tide pump
tNk fu errors or oaisdoee
banes.
0
i
rmc J6' BJ /O- /11!11
I
i
Area = 8,236 Sq.Ff.
FY OF PROPERTY
PR 4RED PM
S SUSAN L /TCHAUER
SIMA7E /N THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY
NEW YORK
SCALE I in. = 20 {G MAY 15 , 1985
. aY •J'+br oJ/Nfr t/IaI /aI JMMI •A.►I n.+on
IoJ mAOMh6 q w an Alor /1 /9B1 , 'SM
/ASmop nos arippld/10 Mn Alar 21 /991,
od /AO/ Mb surr.r 601 b..a pnpM/d /a oecviolpa'I
mM MI eriJ///p Cai01, of PrpetJce la Lod SMra.yJ
of d.PW b, rho N.n Yo A SAW. AJJOMJatmn of
RohsJJOna/ LMnO SumyorJ , Ina.
BADE? 9 WAMOV
LAND SURVEYORS
by
NEW YORN XAM L /LENSED LAND SURVEWR
LICENSE Ny 0/67
-"1
F /LE n�
p
NOTES
/. ABpoti- of Ms Mocomoni except by o /icensd Lard
Sornlw, d 1/,0004
TAn map N Mex//fild on /r h
2. All MIr/ifilat/onI — ro /id Pov We mop od eq..J
asyy/ NNAPP
SOS�N'-a lly'N,,��!/EN
Mm+Mf on/ N Mold ma ar
7 p acPilJ blur MI imprpJM
F/RJ7 fEDERAL' ,ReVl gg LOAN ASSOdA7/ON Or ROCNESfER low N /M arw/or naul Jip/mbn -OP-11 a.rwn.
y
KEV)V 7 PRE0N0 AGENCY, L7D. !. ldMVPOad / -pro ft , ou—soh ar ar000rA —mo, .
CIMAGO 7/fLE INSURANCE CO
if. ei. not Mon Amapn.
S
br IM/ 77N0 Ng BS/O-IMIJ/
i. rho pIm /gJ buvdr ors L" 6171 B, B 9 of B /ocf 11 ;,
- of— on vw —bm mop HMN /d DLO, . PJ.AexN/
BAOEY 9 WA7SON
SIGNan 8..., nAfa/I — Mod /. MI Po/nga, P""
ChrAi Of %n on Aw 28, /929 aJ Nap Nv /BJA.
Lod Surw,M.
U S Raps 9
Cold Sp//w, N.Y. 10516
'
19/0/268 -9217
.0 Me 3195
i
rmc J6' BJ /O- /11!11
I
i
Area = 8,236 Sq.Ff.
FY OF PROPERTY
PR 4RED PM
S SUSAN L /TCHAUER
SIMA7E /N THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY
NEW YORK
SCALE I in. = 20 {G MAY 15 , 1985
. aY •J'+br oJ/Nfr t/IaI /aI JMMI •A.►I n.+on
IoJ mAOMh6 q w an Alor /1 /9B1 , 'SM
/ASmop nos arippld/10 Mn Alar 21 /991,
od /AO/ Mb surr.r 601 b..a pnpM/d /a oecviolpa'I
mM MI eriJ///p Cai01, of PrpetJce la Lod SMra.yJ
of d.PW b, rho N.n Yo A SAW. AJJOMJatmn of
RohsJJOna/ LMnO SumyorJ , Ina.
BADE? 9 WAMOV
LAND SURVEYORS
by
NEW YORN XAM L /LENSED LAND SURVEWR
LICENSE Ny 0/67
-"1
F /LE n�
p