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HomeMy WebLinkAbout4475DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.19 -1 -3 BOX 34 i ru iji r .. r ` pi, �-�F;�. ■ } is I JR. I Mail I a �A FOR , 04475 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health -RE TA M01,12NARI, RN,.MSN Associate Commissioner of Health April 14, 2005 Florence & Leroy Lewis Rice 34 Mill Street Putnam Valley, NY 10549 Dear Mr. and Mrs. Lewis -Rice: ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition - 34 Mill Street No Increase in Number of Bedrooms (T) Putnam Valley, T.M. # 84.19 -1 -3 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 April 14, 2005. 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). 4. The relocation of the' septic tank must be completed according to the repair permit R- 57 -05, including an inspection of the new tank by this Department and the abandonment of the old tank. 5. The sunroom must remain unheated. If heat is ever to be added, then this Department must be notified and a new application must be submitted for review. If you have any questions, please contact me at your convenience. Si cerely; oseph S. Paravati Jr. Assistant Public Health Engineer JP: cw Cc: Building Inspector, Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES ra PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY J- - 0�5- SITE LOCATION_ 31 +`11 si' P A A4m V,04V TM# $�• ��l -�- 3 OWNER'S NAME'i:10rekce /,-Fo4 Le�:S- r?;c� PHONE , `1S) S�9 -6675 MAILING ADDRESS PERSON INTERVIEWED JAa. -I" 411F�- PCHD Complaint # Ay 14- -Tame & Relationship (i.e., owner, tenant, etc.) DATE NP( L TYPE FACILITY�s�'�� PROPOSED INSTALLER PHONEjgy5') USy- X37 ADDRESS6 0 e � 03REGISTRATION# Proposal (include sketch locating all a jacent 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. \ 1/-C_,�5V7 r-*V L-as-owner;-orj-r� rted agent. f owner agree-to -the- conditions stated -on this form. - - -. -• _ ___ _.__,_ _ __.... SIGNATURE . " TITLE DATE " �3 -vs 1. Prdcurement 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 (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved L' ep 1411ph4c s Signature & Title ATE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML a 17' -,. .1 . " , .. I -, --; A e t 211 V 4 . 1W 10 I 04 et PUTNAM COUNTY DEPARTMENT OF HEALT11 HOUSE PLANS APPROVED FOR BEDROoA-j COUNT ONLY EED I 'I 00IMS ALL SUBS'EQUEN'T 1 1 TE! A TIONS TO TT-IrSE HOUSE PLANS MUST BE SUBI,11 "QED TO THE PCDOI! FOR APPROVAL fN ATURE & TITLE S:0 lbi, C DATE ji Floor Plan for: Lewis/Rice 34 Miff Street Putnam Valley, NY 17112-1 04 et PUTNAM COUNTY DEPARTMENT OF HEALT11 HOUSE PLANS APPROVED FOR BEDROoA-j COUNT ONLY EED I 'I 00IMS ALL SUBS'EQUEN'T 1 1 TE! A TIONS TO TT-IrSE HOUSE PLANS MUST BE SUBI,11 "QED TO THE PCDOI! FOR APPROVAL fN ATURE & TITLE S:0 lbi, C DATE ji E ep d I n W t Qr yc ► tL �vy7a3U • 4C mat! :• S /.ef7 Ai 8.or .�O" /so /194.6a Alr SURVEY OF °ROPEF:'TY `{ FOR r G -let ri %..0 EL _ p All certifications hereon are valid fof thit 4PHN SALVATORE M.EO map..and cepies, thereof only if said reap �,_ %unsuiting Enginccr r,�and,Sursroyvr -rU s sW o PU.�LAPA VALLEY cop` s bear the impressed seal of the sur- t "`r" voy r whose signature apoean horoon. 1. NORTHRIE ROAD- �:IJf�W9 CO :LINTY FEEK�SKiLL. N. .-Y. NEW' YORK "Itis hereby certified tRat thin surrey was / Y(,_ t LL prepared: in accordailie wit existing ;, ri _ !L_—r' `. `I'n E. & L. S. NYS LIC. NO. d7846X -•X E�i' a of Practice for Landf Survey dop4e�. - A SCALE: 1 " _ b* tho Now York State �lssoeiati o1 i el T , kM%tiiSACMMENTS BELOW GRADE IF ANY NOT SHOWN SURVEYED AS IN POSSESSION fossional Land Surveyors" t I ,E. 9 � TOWN OF PUTNAM VALLEY PUTNAM COUNTY, NEW YORK APPLICATION FOR DRILLED WELL Date 101 17 Uo OWNER LESd 1.. tNI\A ADDRESS M It, t. ai-p, L ET WELL LOCATION SEC. BLOCK LOT WELL DRILLER P- F. 3 F-A. L P t b S u s i =1.) Q. . ADDRESS �{ P UT N ,tern k c- Nt.s E 6 R it w Si eR , 1 S j- i o 5 o9 Signed .OL Owner f-r agent_ APPROVED Building, Zoning 8t Sanitary Inspector 7L JC4 �ZU CrlI .. _ s Ev J +. y ' ice•. ... a. = �:= - fir, rr.. , _.a ,� - : i, -...': J - =-- =^�''� "°°� .�; • f �•Qd �o "- a , ,fie � • , � , �® It ,s AGA r'� r eke° /at m4e 17 ALI •:�° � r O �. �° 17 f,' K 0 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI,_RN,. MSN Associate Commissioner o HealihM� DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ADDITION APPLICATION RESIDENTIAL ONLY STREET 3 �� r'� �� TOWN CAI ct rn - Ie TAX MAP# NAME L e j i s K i C Q__ PHONE .59 o-0 - 6;& 7 PCHD# A ?3-0"T MAILING ADDRESS 3q. n rnyin liG� <eu %Uy DESCRIPTION OF ADDITION 3 yea Sn ,n 2 y` c L o s v- F e NUMBER OF EXISTING BEDROOMS 2— PROPOSED # OF BEDROOMS Z (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 10509, Phone: (845) 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) 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 (d&k 4y s I iuri roco-i 1'3 }v AWe Q", rough &icroc,cw I Sts d"es f 11-. - Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 1 LORETTA MOLINARI Public Health Director 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/Preschool (845) 278 - 6014 Fax (845)278 - 6648 Putnam County Dept. of Health 1 Geneva Road Brewster, NY" 10509 To Whom It May Concern: March 22, 2005 ROBERT J. BONDI County Executive Re: 34 Mill Street Residence Tax Map 84.19 -1 -3 Town of itn m V 11 y According to records maintained by the Town, the above noted dwelling, IS NOT In compliance with Town code and the total number of bedrooms on record is This information has been obtained from: - CERTIFICATE OF OCCUPANCY: ASSESSORS :RECORD: .8- 1 ' houseguidelines xxx Building spector