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631- 589 -8100
85.13 -1 -36
BOX 35
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SHERLITA AMLER, MD, MS, FAAP
y C..4ommissioner of Healthy
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
July 25, 2005
Michael Bell
38 Barger Street
Putnam Valley, NY 10579
Dear Mr. Bell:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
Re: Addition — Approval - Bell
No Increase in Number of Bedrooms
38 Barger Street
(T) Putnam Valley, T.M. #85.13 -1 -36
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 the Department.dated July 25, 2005. The 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.Qf the. existing _ sewage_ disposal system- and -its expansion-area must be
- - `inainfaiiied. -
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 proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
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.
eseVe tru ly yours,
ph S. Paravati
Assistant Public Health Engineer
JSP:cw
cc: Building Inspector, Town of Putnam Valley
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
July 25, 2005
Michael Bell
38 Barger Street
Putnam Valley, NY 10579
Dear Mr. Bell:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive _
Re: Addition — Approval - Bell
No Increase in Number of Bedrooms
38 Barger Street
(T) Putnam Valley, T.M. #85.13 -1 -36
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 the Department dated July 25, 2005. The 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. a 4
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 proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
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.
Ve truly yours,
�c-2
oseph S. Paravati
Assistant Public Health Engineer
JSP:cw
cc: Building Inspector, Town of Putnam Valley
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
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
SHERLITA AMLER, MD, MS, FAAP '
_ Commissioner.. of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDI
Pllfi37{l76�/I
DEPARTMENT OF HEALTH1��
1 Geneva Road, Brewster, New York 10509
ADDITION APPLICATION RESIDENTIAL ONLY
STREET.J: ;Rd r k S7eer -7- TOWN��TAX MAP #kS. / -/ -.?4
NAME „ L�./ ;E?,f & PHONE f �& qE PCHD#
MAILING
ADDRESS e.AC t7W r e-T eyTj4,4gj V,41 O -
DESCRIPTION OArllhbAle
ADDITION = Pfil )Ave i I> me mex —
NUMBER OF EXISTING BEDROOMS__.:?_PROPOSED # OF BEDROOMS
(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.
_.... PJease,submit this.orr,anl, the £llowin ..to.P:utnam.County Health: Dept., .1.Geneva.Rd,... _ -
g
_. brewster,`NY 10509, Pfione: (845) 2 78 -6130. " " -
1-1 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 Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
l
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SHERLITA AMLER, Mb, MS, FAAP
Commissioner of Health,
TTA MOLINARI, RN, SN
Associate Commissioner of ealth
1 DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
r
PUTNAM COUNTY DEPT. OF HEALTH
1 GENEVA ROAD
BREWSTER, NY 10509
ROBERT I BONDI
Re: 38 Barger Street
Residence
TAX MAP# 8_53 -1- -16
To
Whom Jt May Concern:
According to records maintained by the Town, the above noted dwelling;
IS : xx IN COMPLIANCE NI TH TOWN
IS NOT ,:IN COMPLIANCE WITH TOWN CO DE
LEGAL BEDROOM COUNT IS 3
This: information has been obtained from:
CERTIFICATE OF OCCUPANCY:
OTHER:
's Records
Assist. Building Inspector , John Allen
6/27/05
Date
CERTIFICATE OF OCCUPANCY Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Im
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
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DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
APON�TO CONSTRUCT `T�nTR WELL
PLICATI r .,
PCHD PERMIT #W 0
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name ��G� 4v-- r -�_J c-s_ _ _ Address: / /G��.�f2,� ✓ � G�li t_
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO v -
NAME OF PUBLIC'WATER SUPPLY: TOWN /VIL /CITY
- DISTI�tduE.':TO'p ^OPER?.'Y -FP•. OAS= NE�A.RPF..�Ta��ATER''*L- 4It3:: `-:. `. .....
LOCATION SKETCH & SOURCES OF CONTAMINATION
ON SEPARATE SHEET
date)
PROVIDED
(signature)
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the provisions
of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within
thirt3• (30) days of the completion of water well construction, the applicant 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 attached to this permit.
3. Submit a Well Completion'Report on- -a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant shall take appropriate action to assure that
any and all water or waste products from such well drilling operations be contained on this
property and in such a manner as not to degrade or otherwise contaminate oundwater.
Date of Issue: lel 19 7 I>,`
Date of Expiration 19 `F" d�Permit Issuing Official
Permit is-,Non- Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
treet Ad s''
.. V
C. ty Tax Grid Number
WELL LOCATION
WELL OWNER
n
=Jd
ail' A ress
cr
Private
D Public
USE OF WELL
.
RESIDENTIAL
❑PUBr C PLY
O AIR /COND /HEAT PUMP
0 ABANDONED
1 - primary
0 BUSINESS
O FARM
O TEST /OBSERVATION
O OTHER (specify,
2- secondary
0 INDUSTRIAL
O INSTITUTIONAL
O STAND -BY
O
AMOUNT OF USE
YIELD SOUGHT gpm /lE PEOPLE SERVED -./EST. OF DAILY USAGE ��gal
O REPLACE EXISTING SUPPLY O TEST/ OBSERVATION 13- ADDITIONAL SUPPLY
REASON FOR
DRILLING
O NEW SUPPLY NEW DWELLING)- CI DEEPEN EXISTING WELL
DETAILED
REASON. FOR.;
f
DRILLI,NG'-- `i'.�,
�'iwt
ti
WELL TYPE
DRILLED
DRIVEN
DUG []GRAVEL.
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name ��G� 4v-- r -�_J c-s_ _ _ Address: / /G��.�f2,� ✓ � G�li t_
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO v -
NAME OF PUBLIC'WATER SUPPLY: TOWN /VIL /CITY
- DISTI�tduE.':TO'p ^OPER?.'Y -FP•. OAS= NE�A.RPF..�Ta��ATER''*L- 4It3:: `-:. `. .....
LOCATION SKETCH & SOURCES OF CONTAMINATION
ON SEPARATE SHEET
date)
PROVIDED
(signature)
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the provisions
of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within
thirt3• (30) days of the completion of water well construction, the applicant 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 attached to this permit.
3. Submit a Well Completion'Report on- -a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant shall take appropriate action to assure that
any and all water or waste products from such well drilling operations be contained on this
property and in such a manner as not to degrade or otherwise contaminate oundwater.
Date of Issue: lel 19 7 I>,`
Date of Expiration 19 `F" d�Permit Issuing Official
Permit is-,Non- Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
_{ - EMPSEY e -e or PIPE",'
-Y
17K WALDEN, N.
Rtir 12586
-55
PHONE!', -14 4-
FAX: .(9-14) e56 -1232
17 7 7t,
Ap
92
74"
X
STEEl:p1,PE.-- :NEW,,.,,& USED- " WELD FITTINGS & FLANGES
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STE 9 (C U LV EX A — T PLASTIC CULVERT,' -DRESSER,-COUPLINGS'
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SURIVE:Y,.10,F`:':koPERTY FOR
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SITUATE IN
i`''N RY CARPENTER & CO. TOWN OF
11 � L � 6+1NEER5 & LAND SURVETORS
91. PUTNAM- 'VALLEY
I TOWN HEIGHTS, N.Y.
�I PUTNAM COUNTY, N. •Y.
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bfE F Q?• )AHOLZ, Pi. & L.S. 12400 SCALE-- d- *• so DATE. jJcc lr -sf
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SURIVE:Y,.10,F`:':koPERTY FOR
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SITUATE IN
i`''N RY CARPENTER & CO. TOWN OF
11 � L � 6+1NEER5 & LAND SURVETORS
91. PUTNAM- 'VALLEY
I TOWN HEIGHTS, N.Y.
�I PUTNAM COUNTY, N. •Y.
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bfE F Q?• )AHOLZ, Pi. & L.S. 12400 SCALE-- d- *• so DATE. jJcc lr -sf
TOTRL P.04
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