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Home My WebLink About4580DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.06 -1 -13 BOX 34 BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. N6;1419%0! �i� P;a ddc ` - r Director J Patient Services z y_- ire' DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278.- 6648 November 2, 1999 Horacio & Lucilia DaCosta 20 Dosoris Lane Putnam Valley NY 10579 Re: Addition- DaCosta - Dorsoris Lane No Increases in Number of Bedrooms (T) Putnam Valley Tax # 85.06 -1 -13 Dear Mr. & Mrs. DaCosta: 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 November 2, 1999 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Four without prior approval by this Department. 2.. The area of thexistirig 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 Vallev. . If you have any questions, please contact me at your convenience. ML:kg cc: BI Very truly yours, Michael Luke Public Health Technician ----- ----------------- ...... ... . . ......... ----- ----- I- - - ------- -- ----- -- ---- ------ ------- ---- ---- wo - - --------- ....... . .. ff Iv f DEPARTMENT OF HEALTH Division of Environmental Health Services Geneva Road Brewster, New . York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 . PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R. FOLEY Public Health Director /� STREET 6 &9 TOWN jerk` l� TX MAP #. `b -S� _ t- t c� + i r �t 0j �f J - NAME N� �s � < PHONE ` S PCHD # .9 9, q6 " R MAILING ADDRESS a,Et s �-W, /, �,i, ✓< `/ DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS -t (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 Genevad,, Breivsfer;:�1Y 1.05G9; P1'�dne' 8= 61313:.. - �% 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 #) * Non - 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 Feb 98 i . 4 ' CDG� DEPARTMENT OF HEALTH Division . Of Environmental Health Services 4 Geneva' Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: Residence BRUCE R. FOLEY, R.S. Acting Public - Health Director Tax Map 05 � 6—/— ,--4 Town y -;' AAA M I& j- L-& 'Y Accordin to records maintained by the Town, the above noted dwelling IS :CIS NOT in compliance with ToNNm code and the total number of bedrooms on record is .3 This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER 6V; i. D 1 N C.- PA i1 S Building Inspector :; BRUCE R FOLEY Public Health Director DEPART, MEN lo:.;' lei' - - LiLT1Z 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of . Patient Services Environmental Health (914) 278.- 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 October 21, 1999 Horacio & Lucilia DaCosta 20 Dosoris Lane Putnam Valley, NY 10579 Re: Addition - DaCosta, Dosoris Lane (T) Putnam Valley TM #85.6 -1 -13 Dear Mr. & Mrs. DaCosta: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that the proposed addition will consist of the following: A basement apartment with a kitchen and a bedroom. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: The second kitchen and basement bedroom are considered two potential bedrooms by this Department. :.,. 2 .... The legal, bedroom; count for the, dwelling is,three VThe votte1 tia1 bedroonl pWn {yJ �y�p �., ... . ... '.F 4 ....- 9 . 9o'T .. proposed addition 1s five. 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 three 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 your convenience. Very truly yours, GEC= �.,IGc Michael Luke Public Health Technician ul/Jp Exclusive Affiliate of S®T]HEBYS International Realty October 29,1999 To Whom It May Concern, When Lucille & Horatio DeCosta purchased their home at 20 Dosoris Lane in Putnam Valley, NY in 1991, it had a stove and sink on the basement level. Sincerely Yours, , j Rosemary Pizzuti, GRI, CRS Broker Associate . RP: cp HOULIHAN /LAWRENCE ROBERT -DAVID ROUTE 6, P.O. BOX 650 JEFFERSON VALLEY, NY 10535 PHONE 914/962 -4900 FAX 914/962 -6249 InspectAmerica Engineering, P.C. 914682 -9090 3 School Street 212 538 -9090 White Plains, New York 10606 203 967 -2110 -'c 1'•1r �• ♦ III .P ^Y �wv ♦ `-��i•�, fig •. �. Psc r �. .4. .....•.}'db11 enev Ame a, .. .. Engineering, P.C. December 22, 1990 Mr. and Mrs. Horacio DaCosta 123 Allan Street Peekskill, New York 10566 File #1222DACO90 Dear Mr. and Mrs. DaCosta: On December 22, 1990, per your request we inspected your prospective premises located at 20 Dosoris Lane, Putnam Valley, New York and the following report for this single family frame residence, constructed on a grade slab, has been compiled for you based upon our inspection. WOOD DESTROYING INSECT REPORT (N.Y.S. DEPT. OF ENVIRON. CONSV.) (LICENSE #C3 196392) Based upon a careful and thorough visual inspection, our . observat.j Vin, ::lodgments and• opimi rrovdnce_ o__a4tiye.:wobci:;.� `• y= ciestro�iirg-vinsuct*' infestation i§ being reported for the readily accessible (exterior and interior) areas of the premises; however, due to, the insidious habits of wood destroying insects, no responsibility is assumed for a wood destroying insect condition or associated damage that may exist or may be beginning and was not visible. All .of the areas in -th-e`lower level are hidden behind finished walls _ and ceiii_ nc�'s and these areas and -- ofher similaf - s area are specifically excluded from our wood destroying insect report. Deep probings and dismantling of areas cannot be conducted without defacing the premises and, therefore, since conditions for wood - destroying insect intrusion do exist in wood frame construction, this report neither expresses or implies a guaranty or warranty that there are no wood destroying insects, but is an inspection report. Very truly yours, M gineering, P.C. ., President Ful/Scope Professional Engineering Home Inspections DEPARTT, LENT OF HEALTH Division of Environmental Health Services 4 Geneva Road $rewster, New York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 August 20, 1998 To Whom it May Concern: A%? JGE> K-' TO-LfEY : LPublic Health Director RE: As built sketch submission It has -come to the attention of this Department that many as -built sketches of repairs to septic systems are not being submitted in a timely fashion, or in some cases, not at all. As -built sketches are a requirement of the permit process and therefore must be submitted to this Department. As- builts should be submitted within 30 days of completion of the repair and include measurements to all known components from 2 fixed points (ex. the corners of the house). Failure to submit as- builts may result in appropriate action by this Department and may affect the issuing of future repair permits. A $_ A RF TINDER,- -AI1L - 1RFPA.IR:PERMIT8 ARK-TI IN-CL' OE - _ -- ;PROPER TAX`MA,P INFORMATION. Any questions concerning this matter should be directed to William Hedges at (914) 278 -6130 x 168. Bruce R. Foley Public Health Director 0 ' `K.' _ .t^ ``^1'4 ;' • .+c. emu' y.. c. "�,,, -t-n> r � .... .. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL I1\TDIVUDAL ADDITION /REPAIR FORM SECTION A: GENERAL I\i'FOR.iKkTION Name of Project (T)M TM# Year of Construction Size of Parcel SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. ❑Hilly ❑Rolling ❑Steep Slope ❑Gentle Slope ❑Flat 2. ❑Evidence of wetland Clow area subject to flooding ❑Bodies of water ❑Drainage ditches Mock outcrop 3. Property lines evident? M NO ❑ ❑ .� .. -.. r - ❑ ❑ . 4 .r. .. .T_ e. .;..,Water courses-exist on'.6r.adjacedt to- parcel: 5. Existing individual wells within 200ft of the existing SSTS? ❑ ❑ SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level ❑Gentle Slope ❑Steep slope B. ❑Well drained ❑Moderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) ❑Extremely limited ❑Somewhat limited ❑Adequate ft x ft ISPECTION D. f I\ Date /a/ 3 nspector nNio e\idence of failure ClEvidence- of failure 11vidence of seasonal failure Cn (1) Indicate location of SSTS A. Size and type of septic tank /0-(f-Wallons ga] ®Metal Concrete ®Plastic B. Type- of absorption area 1. Fields[ ft. 2. Pits 3. Gallies (2) Indicate setbacks',- -front - street, bic yard, grid side - y- aAd dimensions' (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams/wetlands) SECTION E. EXISTING WATER SUPPLY ®PWS 0 well ,Individual well MDrilled ®Dug ®Casing above ground CONiQvIENTS x) REPAERS ONLY: As Built Inspection Required: Status: As Built Submitted: As Built Inspection Done: Inspector: 00/ f