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Home My WebLink About4320DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -1 -32 BOX 33 04320 �L A r WIN or 16 ` r r L `r , % r �'g loll N-1 I j 04320 SHERLr','-A AMLER Mll s ^tyit Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 15, 2005 Frank Pallak 16 Berry Hill Putnam Valley, NY 10579 Dear Mr. Pallak: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Proposed Addition — Gair 109 Kramer's Pond Road (T) Putnam Valley, T.M. 84.4-32 County Executive This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. • The actual location of the existing septic tank and fields /seepage pits needs to be shown on the survey. The footprint of the addition can't encroach on the existing SSTS area. Tfiis office will coriiinue its review upon eoriside'ratiori- of`the abow&-rr entlutied'zainments: Please feel free to contact me at ext. 2157 if any questions arise. JSP:cw Si erely, (2eph S. Paravati Jr. Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH mug 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET KeAYA6eS Po kA_ R0A Q TOWN RfW4 *k V1-y _TAX MAP# 8q. 1 ° 52- FIZ A ?v K' P R NAME r4iv7' 0#, G4r9- PHONE 8q,5,-SUJ3 °10' '71 PCHD# MAILING ADDRESS I &BEdeVy HILJ_j Pcl+NAt� yA!_ ,&q�N y.. l ®5 7� lDESCR.IPTION OF ADDITION 1FAm try PbooA O uE- p` �) C_4 e_ &i4 P°A G 6 5ck e AJaD PokCH NUMBER OF EXISTING BEDROOMS 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, Brewster, _NY .1..0509, Phone:.(3 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 Interventiow?reschool (845) 278 -6014 Fax (845) 278 -6648 I 1 11 - I LORETTA MOLINAM Public Health Director DEPARTMENT OF HEALTH I 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 Intervendon/Preschool (845) 278 - 6014 Fax (845)279 - 6648 Putnam County Dept. of Health I Geneva Road Brewster, NY 10509 To Whom It May Concern: ROBERT J. Bom County Executive Re: 109 Kzamers Rond-M. Residence Tax Map _11 - -1 -32 Town -Qf- Putnam -y&Li.e4 According to records maintained by the Town, the above noted dwelling, IS IS NOT In compliance with Town code and the total number of bedrooms on record is 3 This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER:— Building Dept. Records - Multiple houses on parcel. Assist. uilding Inspeic-ffi—r, John W. Allen houseguidehnes AR, Y 4-H O N- Y .H.. G A I R ATTORNEY AT LAW July 26, 2005 Attn: Doreen Putnam Valley Building Department Putnam Valley, IVY VIA FAX - #845 - 526 -8806 80 PINE STREET NEW YORK. NEW YORK 10005 (21 2) 943-1090 TO WHOM IT MAY CONCERN: I am the managing partner of Gair Properties, the owner of 109 Kramers Pond Road, Putnam Valley, NY. This will authorize Frank Pallak to act on my behalf with regard to all matters required for the planning and construction of an addition to the premises at 109 Kramers Pond Road, Putnam Valley, NY, rul ours AHG:jml ; ::A I�. F S .i :� 7� r f , 9 , t 1 { i t 1 E GC.DSLT ' -s O ' ' S r r i eo.po 5� 10 SA* V E Or I 2 Ct l; a6 . �'t� 6C t � r 1 � � i, � t C '�cJfn�(T .X � _ r. , .., ..1,. ; - -; - -. - :. -r - -. -� _. _ Eli ' t 1 f ' A t y { t .. • � � �` �� .it i� — :l — ' FO rzg f� M � X t. Vvt v ►�Y1 — — i - - _- - E,p�C'r d : r L 2.14 AL►e' S i t � {- �, � f I -,pO i T"�aN • l ST. FGGY} sf � `' 3 C • s t • � : - - f '- r.o ;:KeA7y►`� ��feoao :� _ _ t An f N GK 1 UL } f j I ! f f 1 7 4:��11f�J•`/�1' :� Z�/4U�i -��S- t 7 j , 3 _j ;t i J i 4V I. A. ti! 2r f Us1'Aj'A W �i 16 - • , t : r I ' I 1. k ° Pq , 1 I 1 : {- r t S'i'ON� t i I t ry f : 21.4 ' A 2A 1X002 . 1 6 :cam,L.Iiv a , 1 i t i 1 � i J i 4V I. A. ti! 2r f Us1'Aj'A W �i 16 - I I 1. 4V I. A. ti! 2r f Us1'Aj'A W �i 16 t i {• 1 T T � 1 ` i 1 t t 1 i 1 +. c / i h ( , _ t _ r 6-.6, O . t . - • - - .�.r -.7— - - - - - - - -+'ti's: + 7 �A �A ` .aapp -- — - Ti - , s ALL _ i9 PEE ,W ► M Q6t�3;::. 4' ' _ i 1 •t 1' �. I , t • 1 -P� if 24 D GC l< Scs��:E f t X09 K -A D' AF , t .` E . TO O In, UTNAM VALLEY, Put t Application ' NO ! O v y j New York. /' Date. ... ........./...Q.� ............. r ursuant to the Sanitary Code _ of they above Tgwn, th8 undersigned `hereby mares APPLICATION "to install one..... ..g......... .. ...........!;:., (.... M Name of owner .......... ....... ................. P. O. Address.. ..... .�...�............ .... . f... ................... . SPACE Location ..... L�f'��fl.. /s ....l.cP? `Tll..... _.........._.. FOR BlockNo ................ ......./t�z�dt ...... ............................... Area of Land .... ........4..�........... Acres ..� ........................GP.Sq. Ft. SKETCH Maximum No. of people expected to >.a -cility..Date installation will he started ......... ......( .................... NOTICE: A BLUE PRINT OR SKETCH showing (1) boundary lines of property (2) buildings (3) wells, cisterns, springs, etc. (4) proposed location of facility, including. drains, MUST BE THIS APPLICATION: Name of Plumber.......�T.i ................. .......................t¢....�a P. O. Address ................................................................................................. ............................... REMARKS Signatureof Applicant .............................................................................. ............................... .p 1. 1 � F t lakes, streams', FILED WITH ..s>vausa� ena - - -- - - - - -- -- - - -_— — . eps� - -�� - tt4�Tt*"PTY�- -, T ------------------ Date .... 11q, ___ -2- .., 19.6/ TOWN OF PUTNAM VALLEY Application No .546 Zone District..... ......... APPLICATION FOR BUILDING PERMIT Application is hereby made to erect (alter) .............. '�?.��..! s:.... ':!�?..�1 � =. .__ _ o start..° /,- �.'_ /Y.c.'` uildin - - -- r ... ................... .. d ............. ocation of Prem'ses— Street or Road__---...^'! ��• r�_.. ��sr: G..-- _.._�?-- --------- ------ -• - - -- IEC- . - -• -- ------- - - - - -- JOG `�:...... LOT.- •--- ••• .... ......... FRONTAGE. Depth .................... Rear ...._..._....._.. ACRES (other description) or number of square feet ------- / 2. _....1- . 5 ...... .......•.- .- ..- ....- ..•........ ................... - ... - ..:..- • ............................................................. * OWNER AKA ............. .....................A,DDRESS ....................... ••.....;f:.. ........................•••.... Dimension of Building Width Depth Stories X X X X X X X Type Foundation.. �'.�?:��`.�� k X..... Size & Use Each ..... ............................... Room with Window Area ................ ��... ----- - - - - -- •- - -• - - .y Sewerage Type. .5i.--- .....- •-- • .. ........... Size of Septic Tank,, 44!A .". .......... Lineal Ft: Drainage .............................. Size of Dry Wells .. ............................... Additional Information :.......- ............. USE ! CONST. ROOFING I LAND L• 1 Family ood Wood Shingle IPaved 2 Family ! Steel Ash. Shingle in Log Cabin Brick Tile Oiled Bungalow % Concrete Metal Swamp Apartment Stone ` Brook Store FNDTNS. INTERIOR ILake F. Store & Apt. Stone Rooms jDams Store & Office Concrete Apt. Rooms !Sw. Pools Office Blocks Apt. !Ten. Courts Gas Station Brick Attic Open ! Garage Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES 'Barns _ BASEMENT /,;Wood X Front IShacks Part Brick X Side Cottages tl 1 Brick Van. X Rear 111ungalows Cement Floor Log X Encl. jElectric Finished Shingle lPhone ! r Garage B. In. Comp. 1rurnace Dimension of Building Width Depth Stories X X X X X X X Type Foundation.. �'.�?:��`.�� k X..... Size & Use Each ..... ............................... Room with Window Area ................ ��... ----- - - - - -- •- - -• - - .y Sewerage Type. .5i.--- .....- •-- • .. ........... Size of Septic Tank,, 44!A .". .......... Lineal Ft: Drainage .............................. Size of Dry Wells .. ............................... Additional Information :.......- ............. ti r Av- L7 IV 6 St ry QZ- X 4v a`., �k d C, d WY /r J I I� p II I ti CIQ w J \' :�, tiA ^O w �odoa� fit}•(,\ �u � o, � �l �,�� e�! FQC��y'F•�< wry_ � �. - 1 � • }�0 Qz �v1 of HE'e,U1 25 'PM 913 05'AUG fig. %' ' Q r'' ►'`� gg'� i ?, /r J I I� p II I ti CIQ w J \' :�, tiA ^O w �odoa� fit}•(,\ �u � o, � �l �,�� e�! FQC��y'F•�< wry_ � �. - 1 � • }�0 Qz �v1 of +. Op p p ue.a �liod m aAr tta rrtP4 ftM'oa �r Putnam Valley - Department of Health - Division of Sanitation DESIGN DATA SHEET SEPARATE SEWERAGE SYSTEM at shed 're isk -, .' Location.. ! Block..... Lot ....... Lot Area.. Bldg. Typec4 -cc�a -be of water supply: led- driven -dug well- spring - public Occupancy. �.� . resort OF ROOMS: ....Y?...... Bedrooms ... ti ?..... Future r. .`.�. 1 0704 RES: Kitchen - dishwasher. -1'1: Garbage - grinder..�''lU Bathrooms . .. K th"Io a 'Qa,to Automatic laundry QR�Other....�tlrM ................... AGE FLAW: (200 gal. /bedr m).........�.�7 P ................ . ........................ (Increased capacity required for garbage grinder - 50%) NK CAPACITY: p. °..gallons below flow line; depth air space......... MATERIAL: total depth.......... liquid depth......... width.......... length ............... partition. ............ OIL TESTS: 1st .......min.; 2d ..........min.; 3d ...........min. soil to 5 -foot A C� e�1t l ...............how known............... p �ifd M r Tests made by..... ._,r- .. ............... when................ ABSORPTION RATE allowed g.p.s.f.p.d.; Checked by... (Gallons .......Rate ...... _ .__Requires, ......sq, ft_ _ bottom area.. trenches. Provided by (describe absorption fiel d) . ............................... „ ... ....... ..................... o....... distribution box provided..... USABLE AREA AVAILABLE ON PREMISES: e.o.. ........... DRAINAGE.,. OF -LAUD, (show on- sketch,): natural: artificial.. ........... curtain drain..................... �jt&zrun io t(twuirzD ana must snow all pertinent reatures; nortn point, property lines, existing structures, driveways, water or gas lines, water courses, wells, springs, dry wells or drains for roof or area drainage; DISTANCES BETWEEN SUCH FE S. COMPLETE PLANS FOR ADEQUATE DRAINAGE OF SEWAGE DISPOSAL AREA -all details of workable sewage system. DATA SUBMITTED BY: Owner( ); Builder( ); if corp `ati give title `�K. -- �. Its