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91.25 -1 -50
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BRUCE R. FOLEY
Public Health Director
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
'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
ADDITION APPLICATION PRESIDENTIAL OMM
STREET I 3_AhSDn S} TOWN y_��'� TX MAP#
PHONE S 5Z�-12�a PcIM# 14 3 Y'_
sQLA I OLA
MAILING ADDRESS
DESCRIPTION OF ADDITION bk" 1 V darn w I wig � A-,A d ukt . r Pest Path s
NUMBER OF EXISTING BEDROOMS o` 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.
Plege subn it this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order for $100.00. .
2. Sketches of:ekisting-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
� �,�' ®�:• "1312
Feb98
BFhouseguidelines
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BRUCE R. FOLEY Y` R LORETTA MOLINARI R.N., M.S.N.
Public Health Director Y Associate Public Health Director
" O w - ... I.�YEtd[?+` • ��iiieitt ' S��rVICeS
-OF HEALTH
1 Geneva Road
.Brewster, New York 10509
Environmental Health: (845) 278 6,130 Fax (845) 278 - 7921
idursing 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: 71 Johnson Street
.Residence
Tax Map 91.25 =1 -50
Town Putnam Valley .
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS .. X
IS NOT
in compliance with Town code and the total number of bedrooms on record is 2
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD-
OTHER
Building Inspector
BFhouseguidelines
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cZCdLYl,O.
ESQUIRE ATTORNEY FOR r� �a\ Sqk� \\ rt
BLOCK ......�.j.,....�y ..� LOT ..J_. 5.Q...... TITLE NO. 3�o3�ro F -P
SECTION ... SHEET ..............
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S EG A'\ OY\ � owr\e(�, a. ', �- De -ve \cp 0 MC6o \r�C-Y, �ea N Co. \vac.
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FILED IN THE COUNTY CLERK'S OFFICE....... !.-rin$...1.0 ?9.,5 .... MAP, NW. t..4�.
GUARANTEED T Sec ,-r', dP� c MOY'C a_ e Coh, awn s Z\ "- s
va e
CORDANCE T I S NDA FOR TIT SURVEY OF NEW YORK T TIT ASSOCIATION
a....., W-1, . .......................... Tel. Nos. (914) 476 1453
WARD G. MIHALCZOI LIC. LAND SURVEYOR (914) 969 2341 (Fax)
?r4, 1BERKSHI�t �E RD.I N E S N LIC #36181 "All certifications hereon are valid for
1v..0�f..Lo.i�L1U off\( e ,� ' the map and copies thereof only if said
......•••• map or copies bear the impressed seal
......... of the surveyor whose signature
CUPY12/GfIT 1998 EDW,,M GJ MIHALUO, ALL RIGHTS RESERVED appears hereon."
GUARANTEES OR CERTIFICATIONSIARE NO1
_ ., 4 . .. l_ .. +c �•...... .. "'I ... -ate" .. "_.._ _ .r .. _ _ .c-. r. v a :`4' O , , .. a ..... ,ipu.::.•.W °.. .v'�1 ..a. pP•• a.l ..
cZCdLYl,O.
ESQUIRE ATTORNEY FOR r� �a\ Sqk� \\ rt
BLOCK ......�.j.,....�y ..� LOT ..J_. 5.Q...... TITLE NO. 3�o3�ro F -P
SECTION ... SHEET ..............
SURVEY OF 1� 0 5 � \� � 8 s °, 1 pG�
AS SHOWN 'ON Malpp evL� �'`e�ct �a1�E�e. YL
S EG A'\ OY\ � owr\e(�, a. ', �- De -ve \cp 0 MC6o \r�C-Y, �ea N Co. \vac.
SITUATED IN --T-0W �10j ?- �avt\1/a \ley 11-- -Y�a ll CID. New N OY K
FILED IN THE COUNTY CLERK'S OFFICE....... !.-rin$...1.0 ?9.,5 .... MAP, NW. t..4�.
GUARANTEED T Sec ,-r', dP� c MOY'C a_ e Coh, awn s Z\ "- s
va e
CORDANCE T I S NDA FOR TIT SURVEY OF NEW YORK T TIT ASSOCIATION
a....., W-1, . .......................... Tel. Nos. (914) 476 1453
WARD G. MIHALCZOI LIC. LAND SURVEYOR (914) 969 2341 (Fax)
?r4, 1BERKSHI�t �E RD.I N E S N LIC #36181 "All certifications hereon are valid for
1v..0�f..Lo.i�L1U off\( e ,� ' the map and copies thereof only if said
......•••• map or copies bear the impressed seal
......... of the surveyor whose signature
CUPY12/GfIT 1998 EDW,,M GJ MIHALUO, ALL RIGHTS RESERVED appears hereon."
GUARANTEES OR CERTIFICATIONSIARE NO1
TRANSFERABLE TO ADDITIONAL INSTITUTIONS Oa
SUBSEQUENT OWNERS.
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O �I`^ y\— UNAUTHORIZED ALTERATION Ot
\ S O �- �`� r C`� E 1 THIS DOCUMENT, IN ANY WAY,
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^3 W\ 0.e CONSTITUTES A VIOLATION OF
I ) THE NEW YORK STATE Cso �h sa,- Q\,o a.
EDUCA710N CAW Q 7209 2'
SCALE i as =,,, n,,,,,, ) = ELEVATION IN ASSUMED DATA
LORETTA MOLINARI'It.K, ' NLS.N:
Acting 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
May 1, 2003
Squillante
71 Johnson St.
Lake Peekskill, NY 10537
Re: Addition - Squillante, Johnson St.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #91.25 -1 -50
Dear Mr. & Mrs. Squillante:
T ROBERT J. BONDI
County Executive
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 30, 2003 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, 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.
Very truly yours,
Michael Luke
ML:lm Public Health Technician
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DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
May 18, 1993
Deborah & Steven Velardo
71 Johnson Street
Lake Peekskill, NY 10537
Re: Proposed Addition Velardo
Johnson Street
(T) Putnam Valley
Dear Mr. & Mrs. Velardo:
Review of plans and other supporting documents submitted at this tim
the above- captioned project has been completed. Comments are offere
1. Separation distance between well-and septic is approximately 45
feet is required by today's standards.
2. Expansion area for the existing septic system, 100 feet from the
well, is not available.
In light of the foregoing, you application is hereby denied.
It is advised that the proposed addition is revised to meet current
I may be reached at ext. 166 to discuss this possibility.
RM /jp
Very truly yours,
Robert Morris
Assistant Public Health Engine
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Deborah and Steven Velardo,
71 Johnson Street
Lake Peekskill, NY 10537
(914) 528-0999
April 29, 1993
Mr. Robert MOrris
Putnam County Health Department
Four Geneva Road
Brewster, NY 10509
Dear Mr. Morris,
Per our conversation, we are in need of a letter of approval from
you' to the" T'o*wn of Putnam Valley, stating that our 1,000 gallon
septic is sufficient for our house and proposed addition...
We would appreciate your attention to this matter as soon. as
possible so that we may begin our project. As requested, enclosed
is a copy of our proposed floor plan, a copy of our survey showing
the addition.
With s-incare �thanks, � C
Mr. &. Mrs. Steven Velardo, Sr.
JOHN KARELL Jr., P.E., M.S.
- -Public,; Health. Director
>' DEPARTMENT OF HEALTH
Division Of Environmental Health Services -
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Seotember 15, 1993
Deborah & Steven Veiardo
71 Johnson Street
Lake Peekskill NY 10537
RE: Addition
Dear Mr. & Mrs. Veiardc:
I have received and reviewed the plans for the proposed addition to the
above mentioned residence.
The.plans have been approved as per Plans bearing this Department's stamp
and dated September 15, 1993.
The survey indicates that sufficient area exists to expand or repair the
sewage disposal system should it become necessary in the future. Therefore,
based on the information submitted, the above - mentioned addition is approved
with the following conditions.
remain at .two :2)• 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 replaced or updated with water
saving devices, i.e., low flush toilets, restrictors for shower
heads and faucets, etc.
Approval is granted for sewage disposal only. Any other permits or variances
required are the responsibility of the application and the jurisdiction of
the Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
Ve ru l y yo�>���
Robert Morris
Assistant Public Health Engineer
RM:mk.
cc: BI (T) Putnam Valley
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Bre%vster, New York 10509
(914) 278-6130
11304AN f S 1 t VC- t-AIP�1 1
°71 5Tf9cT
L.iQ( � �(LSL�1�.� -" /�"�• f 3 Re: Addition
Dear MkS f "►'Fl ( t/E.�.,4/L� G
JOHN KAFELL Jr.. - P.E. M.S.
Public Health Director
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans have een approved as per plans bearing t_nis Departments stamp and
dated Jt 5 3
The survey indicates that sufiacient area exists to expand or repair the sewage
disposal system, should it become necessary in the future. Therefore, based on
the information submitted, the above mentioned addition is approved with the
following conditions:
1. The total number of bedrooms must remain at _ �_2'_ without prior approval
by this Department.
2: The area of the existing -sewage- di.sFosai " system,...• and -_its. expansion area, mum
be maintained. '
3. All plumbing fixtures must be replaced er updated with water saving devices,
i.e., low flush toilets, restrictors for shover heads and faucets, etc.
Approval is granted for sewage disposal only. Any other permits or variances
require Q. the responsibility of the applicant and the jurisdiction of the Town
of- - -- - V------- - - - - -- -
If you have any questions, please contact me at your convenience.
Very truly yours,
Robert Norris
I Assistant Public Heal-.h Engineer
RH /jp V
cc: BI (T)
FOP.w: STAMPED ADDITION
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DEBORAH A, VELARDO
71 Johnson Street
Lake Peekskill, NY 10537
( 914) 528--0999
August 19, 1.99.3
Mr. Robert Morris
Putnam County Department of Health
4 Geneva A"'oad
Brewster, NY 10509
Dear Mr, Morris:
Per our conversation earlier this week, enclosed is a revised floor
plan for the addition on our home. As we discussed, the addition
will be approximately 150 square feet.
At your earliest convenience, please return to us the required
letter we need to submit to the Town of Putnam Valley. Thank you
very much for your time and assistance with our project,
Deborah A. Velardo
77
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MAP NQ. 185A ENr /: ED "LAKE I PEEXSk1LL,
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CERTIFIED TO:=NTEfZCOU /vTY
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/EYED: JULY
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