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84.11 -1 -42
BOX 33
04429
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS; P.E.., MPH
°— `Director ofEnwAnmekal °Health
MARYELLEN ODELL
County Executive
DEPARTMENT OF. HEALTH
1 Geneva Road, Brewster, New York 1059
Phone # (845) 808 -1390, Fax # (845) 278 -7921
January 21, 2015 '
Michael Nardone
84 Mill Street
Putnam Valley, NY 10579
Re:. Addition —A- 155 -14
No Increase in Number of Bedrooms
84 Mill Street
(T) Putnam Valley, T.M. 84.11 -1 -42
Dear Mr. Nardone:
This Department has 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 January 20, 2015. 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. a.
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 modifications only and does not validate any construction shown
as existing that has not obtained proper 'approvals from other agencies having
jurisdiction.
.5. This approval is valid for two (2) years and expires on January 20, 2017.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant..
If you have any questions, please contact me at (845) 808 -1390 ext. 43261.
Respectfully,
Gene D. Reed
Principal Engineering Aide
GDR:cml
cc: BI (T) Putnam Valley
_
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PROPOSED SECOND FLOOR PLAN
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PROPOSED SECOND FLOOR PLAN
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ALLEN BEALS, M,D., J.D.
Commissioner of Health
�� _ ,. �313DL+ RT= -M ®fl�i�S; �':E'.� B'►PH,:�,.o -... , . _,
Director of Environmental Health
November 17, 20 t4
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster,. New York 10509
Phone # (845) 808 -1390 . Fax # (845) 278 -7921
Michael Nardone
84 Mill Street
Putnam Valley, NY 10579
Dear Mr. Nardone:
MARYELLEN ODELL
County Executtve
Re: Addition- A- 155 -14
84 Mill Street
(T) Putnam Valley, T.M. 84.11 -1 -42
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
Based on the information submitted, the above'mentioned addition cannot be approved for the .
following reasons.
1. The proposed rooms titled bonus room and den are considered potential bedrooms.,
2. The legal bedroom count for the dwelling is two. The potential bedroom count of your
proposed addition is four.
3. The addition of a potential bedroom requires this Department's approval of a revised septic
system: plan from a professional engineer.._
Please revise the proposed floor plan to reflect no more than two potential bedrooms, or have a
professional engineer or registered architect design a sub - surface sewage treatment system meeting
present code requirements.
If you have any questions, please contact me at (845) 808 -1390, ext. 43261.
Sincerely,
�-,
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI, (T) Putnam Valley
f�
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GENERAL NOTES IAS APPLICABLE)
p ' Addition & Alterations for:
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ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT. MORRIS, P.E.
Director of Environmental Health
AM Co
*
ZMARYELLEN OD, i,:
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
ADDITION APPLICATION RESIDENTIAL ONLY
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STREET Be/ All V TOWN V " TAX MAP # V,J 1 " 1 '- 4 Z.
NAME Atf.akaL.: E. l aAK , JE PHONE r�` �lS2�( 1S'3 PCHD# (a
MAILING
ADDRESS
DESCRIPTION OF
ADDITION A
A C :A'?
*NUMBER OF EXISTING BEDROOMS v NUMBER OF PROPOSED NEW BEDROOMS oZ
* (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,
NY. 10509,- Phone: (845)808- 1390. _
1. Certified check or money order for $100.00.
2: Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE;•
COMMENTS �M
4.
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$ ftoo 0"<kt
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- ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E.
' �birector of Enviro nmental Healih '
u
MARYELLEN OIDELIL
County Executive
DEPARTMENT OE HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
aAffi ? (Owner's Name)
Re: m i Chad O
Tax Map #
Address: (�
Town: V `ciV> CAL
Year Built: I
According to records maintained by the Town, the above noted dwelling,
is ,-,,"in compliance with Town Code.
Is not in compliance with Town Code.
Thd Legal Beardom Cdun is:
This information has been obtained from:
Certificate of Occupancy:
Other: A—s-c"t s�
The plans for the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
Building Inspector Date
5.
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. SHEET i SHEET No.
PROPOSED FIRST FLOOR PLAN — - -`
_ tl M. GLLLESPIE ADDITION &ALTERATIONS:
zg :�- . e 87ofASSOCIATES NARDONE RESIDENCE
64 MILL STREET. TOWN OF PIRNAM VALLEY, NEW YORK
L.
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT. MORRI& ..E.�.. ..r .
Director of Environmental Health
Norman Anderson, Inc.
152 Barger Street .
Putnam Valley, NY 10579
MARYELLEN ODELL
County Executive
..�:i+ -.x ':...y; f+' .. .is. .p u °.ri, t;: �l�;t;.:� ..., ,..'%rd •o�:, .� ..re:. ..rZ
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Subject: Proposed Well Nardone
84 Mill St.
(T) Putnam Valley
March 25, 2013
Dear Mr. Anderson:
A field inspection was conducted on the above referenced lot by Vincent Perrin, Public Health Technician. The
application to drill a new well is approved with the following stipulations:
1. The current well must be properly abandoned and filled as described in the Application for
Abandonment.
2. A Well Completion Report (WC -97) shall be submitted no later than 30 days after the well completion
by the permittee.
Please contact me at (845) 808 -1390 ext.43131 if you have any questions.
Sincerely,
Vincent Perrin
Public Health Technician
cc: VP, file
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION! OF ENVIRONMENTAL HEALTH SERVICES
.._" APPL1C -ATION a O- CONSTRUCT A WATER WELL P
Qtea�se print or type '.!Yi4vigbpnipi
Well Location(
Street Address: Town/Village: Map #
/VJTax
Map Block Lot(s)
Well Owner:
Name:
Address:
Phone #:
(Ak, r_" %Va�rda�►
��- I.4171l S, — /�t�,a*ft. U"//1 71 N
434-3
Use of Well:
Residential _Public Supply Air /cond /heat pump _Irrigation
I- Primary
Business Farm Test/monitoring _Other(specify)
2- Secondary
Industrial Institutional Standby
Amount of Use
Yield Sought gpm # People Served Est. of Daily usage gal.
Replace Existing Supply Test/Observation Additional Supply
Reason for Drillin
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
i PV CA eA ft Ltia 6i, 3. .
for Drilling
S d w we� 91
Well Type I
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: NP,(V "h ,_ , ! e.r� vim, Address: 4 a Aot roe e, G7 /4L1Af, U/ .
Is Public Water Supply available on site? ....................................... ............................... Yes No —�
Blame 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.
Date: 3 ld /3 Applicant Signature:0&4,—V &211
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 Departmei
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 Commissioner of Health. Any revision or alteration of the approved plan requires a
new permit. Well to be constructed by a water well driller certified by Putnam unty.
Date of Issue �•2 Permit Issuing Offs al: =
Date -of Expiration Title:
Permit is Non- Transf rabl
White copy - HD file; Yellow copy - Building Inspector; Pink copy. - Owner; Orange copy - Well driller
Form WP -97
Rev. 3 /06
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please print or type
PCHD PERMIT # A%3 -15
WeRl Location:
Street Address: TownNillage �c� �,y � � � , _ fax Grid # I
tt��.
�.
t I s fi �
��wa��%�l � �� � � Map Block Ldt(s�
Well Owner:
Name:
Addre s:
WeIlIl Type:
Drilled Driven Dug Gravel Other
IDePth Data:
Well Depth ft
Static Water Level ft
D Measured
Use of Well:
VResidential Public Supply Air /Cond/Heat Pump Abandoned
I- primary
Business Farm Test/Observation Other (specify)
2- secondary
Industrial Institutional Standby
Water WeRl
N e:. Address:
,,. ca `e r r. c h i
Contractor:
.rn�
eat Oc
.� o
Reason For
Abandonment:
�L.c A cp ��e�
Description of Work To Be Performed: //
l✓ J�R..wt J tI� i.f f w� A'4_� n / h /
9
JV►� lJ-mac. g
�'�YUg'Vj �''►
Date:
Applicant Signature: i�
PERMffT
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.
A00
i
Date f Issue P rmit Issuin fficial Title
White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WA -97
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
WELL COMPLETION REPORT
Well Location
Street Address:
tT At
Town/Village:
l° t U �l
4, yb ft `� a
Tax Map #
8�J jl -1 -�2
Map Block Lot(s)
GPS k f
Well Owner:
Name: Address:
Use of Well:
1- Primary
2- Secondary
Residential _Public Supply Air cond /heat pump _Irrigation
Business Farm Test/monitoring —Other(specify)
Institutional Standby
Drilling Equipment
//Industrial
A46tary _Cable percussion _Compressed air percussion _Other(specify)
Well Type
Screened L-/Open end casing _ Open hole in bedrock Other
Casing Details
Total Length 'qjsCft.
Length below grade�p ft.
Diameter �- in.
Weight per foot Ib /ft
Materials: I —Steel Plastic Other
Joints: Weldedl--" Threaded Other
Seal: I/Eement grout Bentonite Other
Drive shoe: Yes _L,,—No-
Liner: _Yesj,J No
Screen Details
Diameter in
Slot Size
Length ft
Dept to Screen ft
Develo ped?
First
I
Yes No
Hours
Second
I
I
Well Yield Test
_Bailed _Pumped = Compressed Air
Hours 7 4
Yield a O gpm
Depth Date
Measure from land surface - static specs
3v
During yie d test k)
Dept 0—rcompleted well In ft.
300
Well Log
If more detailed
information
descriptioris*o. '
sieve analyses
are available,
please attach.
Depth From Surface
Water Bearing
Well Diameter
in
Formation Description
ft.
ft.
200
- -
If yield was tested
at different depths
during drilling
list:
Feet
Gallons Per Minute
Pump /Storage
Tank Information
Pump Type,C t,ut bh ,; ,4�, Capacity rr
Depth 8� Models 3S
Voltage %-30 HP "/,!
Tank Type b Volume q_
Date Well`Completed��
" y tai Y Gi
Well DrilleKPCi".6
�1 i
6i YI Xt i� v
InstalI
ificat e;# y, / y 1 NY'State , 45 r„
a h
ORQl,�LPertifcate, #x. <.
DatOCRepo
Well'Driller' me $ Atltlress >K 4 R A k k1 /t�1 T//
X Y" Y:.. h RG C. k_ :cL ag4 K r �r.:;`� e.
a?., _.K 'sx�n 'i.e...iFy�
yi► " Drille��(s at re)q
Pump Installer Name B� Adtlress ` 1"Fn�yy `
�
A-6 /
%3BN �t�;;r Vi:,fi A�4r!1.�?t hC..F�tixi�
i .vk>rte +a.. x. c =.... „ >e d s e.sw ..r
Pumpinstall gignA ture
.�' RA fiu �
NOTE: Exact Location of well with distances to aft least two permanent landmaro to bef provided on a separate sheet/plan.
White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WC -97
Rev. 3/06
9 rL r
S,
Co
i�
pee F- TY`
4 NJ
Lt 0 JQ
62- Ca
--to4wN --
�X
V
f(6)S o
PP
o d s�L
Ilac.o �e�
SJppl-
N
Ci n� �p ro�n
�J
t
�J
Y & ELSIE WARNECKE
)f CAROL & NOAH. MITCHELL
stone wall stone
wall
t.
308.5-3
stone
concrete 9pole 9
DO- D- P; .061d, 307.00
at
a
tone retone
W611 tic
wall
PETER & CATHERINE* DREESSEN
Liber 1905, Page 310-
V
-0
stone retaining wall
, r
stone steps
S -
12039' "
40 E
AREA = 13,023 SQ. FT. rdught
Conde e
29.27
0.299 ACRE) steps
S 48012'20" W
CL
stone . detaining wall
-0
stone retaining ',
walls
10
11.50
go b ncretet
r
frame housing
S 36056 00 E
deed recites "about 500 feet
on chamber stone ret. wall
more or less to a brook"
15.58
concrete 9pole 9
DO- D- P; .061d, 307.00
at
a
tone retone
W611 tic
wall
PETER & CATHERINE* DREESSEN
Liber 1905, Page 310-
V
I
formerly N H
b lands reputedly no
.h
+K
' r
4 stonework wall with railing
masonry stone wall S�P�lG T4w�� 2.4't outside 1.4' outside
2.8' inside Ro✓, O �'► p
p L lld �1KBO C�,p1C. A —well with raping
`'`'? S 6U° ���� E hedge remains wall' : 21' stone retaining wall _ 0.9' outside
° 's 9oie s,i •<;. ¢
steps 9 3.1' Inside stonework
yjp
L1.7'± outside
c *yg o Rp1SE0 0 �rconc . i s
i concrete slob
r obi Wit; o GARAGE foot °� - - -'
z,R�; � �
s Q o Y ; �, o Cr( rough stone
s z 0
t � � e �` / : STONE, g1. CE steps
c9a v` a / µ�SONR`l E RES�pEN �r,c
ax 4 •,� a wolk E ,� slab Q
�S fir: atan // PN� FRAM �f aver �`�od'
/,�•ryp)J'� m cellar
Ov . fiy'Y'F- 'y � +.� � A E �O
. J% ; 7 /
K r., `o ° ell a
.. ��/ rough stone steps
µ
walk stone crete steps and retaining wall
and landing ar
walk iside2r �N. stone covd. lond�g9 �" po io '"r a cy�@
g �Qc9 �� and Step
N 68 °00'00" 11 g� O" 2.0't outside stone a°l1
pro
tapane
Yuri. o c�
now or former