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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
October 31, 2003
Nicoletti
91 Johnson St.
Lake Peekskill,,NY 10537
Dear Ms. Nicoletti:
ROBERT J. BONDI
County Executive
Re: Accessory Apartment — Nicoletti, Johnson St.
Three Year Approval
(T)Putnam Valley, TM #91.25 -1 -23
I have received and reviewed the plans for the proposed accessory apartment at the above - mentioned
residence. The proposal for the apartment has been approved as per plans bearing the approval stamp
from this Department dated October 30, 2003 . The apartment is approved for three years with the
following conditions:
1. The total number of bedrooms in the apartment must remain at two without
prior approval by.this department.
2... The total number of bedrooms in the main house must remain at two without
prior approval by this department.
3. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
4. 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 Valley.
If you have any questions, please contact me at your convenience.
ML:lM
cc: BI (T)Putnam Valley
Very truly y rs, Michael Luke
Luke
Public Health Sanitarian
10/1412003 11 :03 19147793587 LORIACORP
DCT-14 -eM 10:46 FROM:PUTNAM COUNTY DEPRRT 845 -2M -7921 70:919147793587
PAGE 01
P: ire
MLTCt R. FQL`EY �Y � � ;
u Naelek L LORMA MOLINARI P.M.. $►3 tW.
oft a hblie Areaith Maetor I
iJtpsttaa of �aH¢nl dew &as ,
DEPARTUENT OF MALT �
1 OeAtva Road
Brewster, 'New yafr 10309 i
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MAYUNG ADDPMS .Q 1 1)0h01 S ant, 'S4_1e
• SING ADD SS OF APARTi► 91 30"nSty in
h' ER of By -mooms rx mAm House
Please subadt this foray and the ugWmi elate an page two to the Pd= Cowty thDgpL, 4
Geneva. Rd., Brewster, NY 105049' Pbone 278 -6130.
Approval h affect iv4 for a three year perkd. 'ihe applzeant mun reappyg tho eaad df mh
pe=riod to renew the legit status of the ganma L
Lac 0
Sipahin of Appl1 B
ZApproved Date jo
Tide PlYT
comments
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BRUCE R. FOLEY
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LO RETTA:, ;, 1OQL NAFrI *R:N ," M S:N:
Associate Public Health Director
Director of Patient Services
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278- 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONL))
STREET - /Jb f)SO O J f TOWN 2K�4"4
)//
NAv1E �l C.� h-H PHONE �lS 5 -IOI 1PCHD #�43 Y6 -0 3
MAILI\TG ADDRESS / p &O 'D
DESCRIPTION OF ADDITION Q G{A�-'/uv
\TL -MBER OF EXISTING BEDROOMS_,LPROPOSED # 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.
Ple ' easubrtiit' i1 fofrnyarid -ftie - folloMng'to 1'utiiam County Health Dept., 4 Geneva Roa Brewster, NY
:* _..._.
10509, Phone 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)
*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
Feb98
BFhouseguidelines
. A I .A
BRUCE R. FOLEY
Public Health Ltd :e ! �.r _ • .... .
C.c
_ LORFTTA. MOI,INARI R.N., M.C.N.
Associate Public Health Director
Director of Patient Services
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 (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Resi nce
Tax Nlap
Town
Gentlemen:
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 27
This information has been obtained from:
CERTIFICATE OF OCCUPANC
ASSESSORS RECORD:
OTHER - - - - - - - - - D - - - - --
6/Buildin In ector
BFhouseguidelines
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OCI -2 -2003 10:44 FROM:PUTNAM COUNTY DEPART 845 -278 -7921 TO:919147793587
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MM'S NAME
SITE IOCATIM
• D•ti • �• a•lal �
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FAA WI W.A.KWAJ L KM
FM Csavlai.nt #
mnant, ew.) . .
TYPE. k'AGtLmy
REGISTN.ATION #
Proposal.. (include sketch locating all adjacent wells)
NCI.IE: 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.
P: 112
Prapoeal approv+ad Proposal Disapproved
s Signature & Title
Proposal approved with the following conditions:
1. Procurement. of any Town permit, if applicable. r
2. Submission of as b uil.t . repair sketch in duplicate showing:
a. owner's name.
b. Site Street name, Town and Tax Map number.
c. I=tion of installed canponents tied to two fixed points (e.g.,house oornere).
d. System description (e.g., 1250 gal,. concrete septic tank, three precast 6' di,tmt. x 6' deep
drywells ' surranded by one, foot + gravel)
e. Installer's name and mmher.
3. System repair to be performed in accordance with the above proposal and omdi,ti,oes.
I, as owner, r reported agent of owner agree'to the above conditions.
SICHATURE TjW w DATE � -
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BE /NG PORT /ONOF LO,IS.SO S3 './N BLOCK 46 ON 4 N7AP
lf#.WLE1 "IL4h'f VEfAlSK1Ll • JECT /ON D fr F /LED /A/
77/E PU7N4M CO. CLERK'J OFF /CE_ AS 414P NO /BJC•
J/7047E /N 711E
TOWA/ 0A PUANAM i/ALl EY, P11741-44f CO.; N V.
f C41 E . /' /= 10 d,4 N. 10,1985
CERTIFICATIONS INDICATED HEREON SIGNIFY THIS
SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYS
ADOPTED BY THE N.Y.S. ASSOC. OF PROFESSIONAL
LAND SURVEYORS..
CERTIFICATIONS SHALL RUN ONLY TO THE PERSON
FOR WHOM THIS SURVEY WAS PREPARED AND ON HIS
BEHALF TO THE TITLE CO. AND LENDING INSTITUTION
LISTED HEREON.
SAID CERTIFICATIONS ARE NOT TRANSFERABLE TO
ADDITIONAL.INSTITUT,IONS OR SUBSEQUENT OWNERS.
DONALD J. DONkfLLY, N.Y.S. LICI.eNo. 49000
n
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF N.Y.S. EDUC. LAW
'SECTION NO. 7209•
UNDERGROUND STRUCTURES, IF ANY, NOT SHOWN.
ALL.CERTIFICATIONS' ARE VALID FOR THIS MAP
AND COPIES THEREOF ONLY IF SAID MAP OR COPIES
BEAR.THE IMPRESSED SEAL OF THE SURVEYOR WHOSE
SIGNATURE APPEARS.HEREON.
DONALD J. DONNELLY,. L.S.'
1929 COMMERCE STREET
YORKTOWN HEIGHTS, NEW YORK 10598
(9110 962 -2215
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. �48VAUM AN° �'l�/T�l N /t'X /N
BE /NG PORT /ONOF LO,IS.SO S3 './N BLOCK 46 ON 4 N7AP
lf#.WLE1 "IL4h'f VEfAlSK1Ll • JECT /ON D fr F /LED /A/
77/E PU7N4M CO. CLERK'J OFF /CE_ AS 414P NO /BJC•
J/7047E /N 711E
TOWA/ 0A PUANAM i/ALl EY, P11741-44f CO.; N V.
f C41 E . /' /= 10 d,4 N. 10,1985
CERTIFICATIONS INDICATED HEREON SIGNIFY THIS
SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYS
ADOPTED BY THE N.Y.S. ASSOC. OF PROFESSIONAL
LAND SURVEYORS..
CERTIFICATIONS SHALL RUN ONLY TO THE PERSON
FOR WHOM THIS SURVEY WAS PREPARED AND ON HIS
BEHALF TO THE TITLE CO. AND LENDING INSTITUTION
LISTED HEREON.
SAID CERTIFICATIONS ARE NOT TRANSFERABLE TO
ADDITIONAL.INSTITUT,IONS OR SUBSEQUENT OWNERS.
DONALD J. DONkfLLY, N.Y.S. LICI.eNo. 49000
n
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF N.Y.S. EDUC. LAW
'SECTION NO. 7209•
UNDERGROUND STRUCTURES, IF ANY, NOT SHOWN.
ALL.CERTIFICATIONS' ARE VALID FOR THIS MAP
AND COPIES THEREOF ONLY IF SAID MAP OR COPIES
BEAR.THE IMPRESSED SEAL OF THE SURVEYOR WHOSE
SIGNATURE APPEARS.HEREON.
DONALD J. DONNELLY,. L.S.'
1929 COMMERCE STREET
YORKTOWN HEIGHTS, NEW YORK 10598
(9110 962 -2215
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7 �' '�, • .1 ARTMENT OF P. 3
y' NAME:PUTNAM COUNTY DEP
06T -24 -2003 FRI 11 :00 TEL:845- 278 -792
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YML ENVIRONMENTAL SERVICES
�7 • ,- ,.5 . ".5 z� ''L�q l- IC 11YJ1I E'I 6 LjIi. r P WA
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Albert Fl. Padovani, Director
LAS #; 32.308537 CLIENT #: 57038 NON STAT PRQC PAGE 1
NNlJ- --- NNNNIV.V-- IVMMNMIVNN new w sko~MNNNl1.N Nl.y.111.
NICOI-ETT19 CHRISTINE DATE /TIME: TAKEN 10/20/03
91 JOHNSON STREET DATE /TIME REC'px 10/P0/03 t}.L:58
I-AKE PEEKSKILL, NY • 14537 REPORT' DATE: ; 10/21/03
PHONE: (914)-879--2376
SAMPLING SITE; 91 JOHNSON ST, LAKE PEEKSKILL, NY
SAMPLE TYPE.. x h"'0'fAF3L.F:
t KITCHEN TAP PRESERVATIVES: NONE
CiOL'D BYA CHRISTINE NICOLETTT. - rE11'IPE;RATURE..9 < 4C
NOTES—:.. COL I w ORM METH -v III:
N/VNMM.M NNNNNNNNIV MIVMMNNNN NN NNNNNNNIVWNNN 11.M N.VN/VMNIVIYl1..V.,.---- MNn/NIV IVNN---- MMNNNNlVNI4NMw.
DATE FLAG PROCEDURE RESULT NORMAL II(ANSE METHOD
j
10/20/02 MF T. COLT FORM ABSENT /100 ML ABSENT 1000
COMMENTS:
BACT THESE RESULTS INDICATE'THAT THE WATER WAS , WAS NOT) OF
SATISFACTORY SANITARY QUALITY ACCORD I E NEW YOnK ' STATE.
AND EPA FEDERAL.. DRINKING WATER STANDARDS, I° OR THE PARAMETERS
TESTED, AT THE TIME OF COLL:E.C:TION_
a.I
y - ....p... .. ... ��...y..y. --.. _ .. �.. �-.� .1 _ ... .: .. .s. ... .. .. a.W .. -y-.p. .._4M , •.o•... .. .,. .�8 w. ?..q. -... . R... •�,,.RPS� .� .. .. ...-. .. .... — .N• ..�.
SUBMITTED BY:
Albert. Paddvani T..(ASCFI)
Director
E LAP*M 10323
Z0 39Vd C1800t1Ido-1 L8966LL0161 99:0T 6002 /bZ /01
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10/24/2003 10:56 19147793587 LORIACORP PAGE 01
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PAGE 03
NAME:PUTNAM COUNTY DEPARTMENT OF P. 3
10/10/2003 15:15 19147793587 LORIACORP PAGE 01
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Lrw""RIA AWARDS
SONS
PHONE CORPORAMON. 1876 CENTRAL PARK AVE., YONKERS, NY 10710
fdt FAX (9 14) J
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KEASE CONFIRM RECEIPT OF THN5 FAX ITE I PHONE El -FAX0.
nCT -10 -2003 FRI 15:19 TEL:845- 278 - 7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1
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