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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.25 -2 -41 BOX 35 04733 Fir or , ; i IL-' 11 Ir I'` -, 11 JL 04733 ALLEN BEAIS9 M.D., J.D. Comndssioner ofHealth ROBERT MOYM -.7., Hedth Mr. Joseph Zakon 276 Route 6N Mahopac, NY 10541 Dear Mr. Zakon, MARYELLENODELL C0WV&ecwft DEPARTMENT - OF HEALTH I Geneva Road, Brdwster; New York 10509 Phone # (845) 908-1390 Fax # (845) 278-7921 May 10, 2013 Re: Addition —A- 052 -13 No Increase in Number of Bedrooms 18 Spruce Street Putnam Valley, NY TM #91.25-241 This Department has 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 Departinent dated May 10, 2013. The 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 existin g sewage disposal system and its expansion .area must'-be 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 modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on May 10, 2015. Any permits orvariances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me-at (845) 808-1390 ext. 43261. Respectfully, Gene D. Reed GR/img Senior Engineering Aides cc: BI (PV) "AI.ZEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. 6 a � a Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY MARYELLEN ODELL County Executive n STREET (c) LPrt/(,<. 5 TOWN PC"( 1111(ry TAX # q d. aZ'' 2"'� 1 NAME ����P �a ©� PHONE (Z�'7152- PCHD# MAILING ADDRESS � K 40,T-( �Al !o cLHcyge /0574/ . DESCRIPTION OF ADDITION *NUMBER OF EXISTING BEDROOMS NUll3ER OF PROPOSED NEW 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. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster.,.NYA0509, Phone: (845).808 - 1390.- 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COlVWNTS 4 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. t� =1�i e Por•" of r�viroimi�ntal Health ' '` >: - - .': ¢ _ MARYELLEN ODELL County Executive :. L. •.ri. r.�a1T. r i�•4 �' . r 1�r ^lS. ..♦ • �9i+T'l•? ��. 'Ai49 .p .. 4 •I DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Town Legal Bedroom Count & Proposed Addition Status Re: Zakon (Owner's Name) Tax Map# 91.25 -2 -41 Address: 18 Spruce St., Lake Peekskill Town: Putnam Valley Year Built: 1929 According to records maintained by the Town, the above noted dwelling, is XX in compliance with Town Code. Is not in compliance with Town Code. The-Legal Bedroom Count-is`- ' : _..... ,� ......, This information has been obtained from: Certificate of Occupancy: - & . ._. The plans for the proposed addition are considered: XX Addition to existing house only Teardown and/or re -build allowed under Town Regulations Building Inspector ,William C. Buj arski Date 5. 55 i 56 57 58 59 X —cut found an rock—,,,,. S 1 °10'00" E i r Iran DM found 0.1' W. BO.00 0.2' N. x-23' masonry stone I retaining wall 1.4- 1.4' 18 1 —STORY !FRAME HOUSE ( vinyl siding ) c Eg 0 8 7n T scadd COVERED WOOD PORCH YJ w wire fence I — ° eana 3 O wire fence s °c0 well I r0 0 4wgott° w 1 I ° 0 Z Ir $ I gravel wptk p0rkin9 I-- -_�ta� a r e a stone f— ough_ _ 'ran Dln found I N 1 °10'00" w !--F — a r W. lI ' Dolel paved shoulder , 1.1 " I r o u g h H GENERAL LOCATION OF EXISTING I I SSDS AS PER OWNER b stone fireplace ❑ I I o D a t l o I Ib 1 17 I 16 , s 15 c ( to be removed) ( masonry atone I Mowry istone retainingwd ratahlnq wall -- masonry stone retaining wall qq i ces a tlS (see NOTE hereon ) " step °t�p' PROPOSED DECK E � ruins 0�� and tnl Intact) got 18 1 —STORY !FRAME HOUSE ( vinyl siding ) c Eg 0 8 7n T scadd COVERED WOOD PORCH YJ w wire fence I — ° eana x.y t U C, �q r .�`titiri SPRUCE D- r W�O ? O d ail 7 9' O O O 0 14 concrete steps 60.00' 0.6' masonry stone U P paved shoulder 1 pole � ct TREET Alters lon of this 'map by anyone other the surveyor whose signature` and embossed seal appears hereon, including any erasures, notations, The premises shown hereon may be affected by easements, rights additions or changes for building department or survey inspection/ of way, covenants, restrictions and conveyances not specifically affidavit" purposes, is an unauthorized and unintended use of this referenced or recited In documents furnished to this surveyor and, surveyor's work. The use of any such altered map, particularly for therefore, not reflected hereon. It is hereby advised that any parties purposes of obtaining building permits, variances, certificates of with a current or potential Interest in this property obtain proper occupancy, or for any use related to purchasing property and ob— assurances as to quality of title and access, permitted uses and toining title insurance, is at the users own risk and is not covered pertinent environmental factors, If any, affecting this property prior under any certification appearing hereon. to conveyance. 3 O 0 I Itoaerl etas s °c0 well I r0 0 4wgott° w 8 O concrete cover ° 0 Z $ I gravel wptk p0rkin9 I-- -_�ta� a r e a stone f— ough_ _ 'ran Dln found I N 1 °10'00" w !--F — a r W. pale J� Y ' Dolel paved shoulder , x.y t U C, �q r .�`titiri SPRUCE D- r W�O ? O d ail 7 9' O O O 0 14 concrete steps 60.00' 0.6' masonry stone U P paved shoulder 1 pole � ct TREET Alters lon of this 'map by anyone other the surveyor whose signature` and embossed seal appears hereon, including any erasures, notations, The premises shown hereon may be affected by easements, rights additions or changes for building department or survey inspection/ of way, covenants, restrictions and conveyances not specifically affidavit" purposes, is an unauthorized and unintended use of this referenced or recited In documents furnished to this surveyor and, surveyor's work. The use of any such altered map, particularly for therefore, not reflected hereon. It is hereby advised that any parties purposes of obtaining building permits, variances, certificates of with a current or potential Interest in this property obtain proper occupancy, or for any use related to purchasing property and ob— assurances as to quality of title and access, permitted uses and toining title insurance, is at the users own risk and is not covered pertinent environmental factors, If any, affecting this property prior under any certification appearing hereon. to conveyance.