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Home My WebLink About4743DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.26 -1 -20 BOX 36 17? me, I II J ,ti ' 'V ■I .- 04743 ��P►M CMG ERLITAAMLER, MD, MS, P'AAP a, ,.� ROBERT J. BONDI 'Commissioner of Health * *"� County Executive LORE:TTA Mg- LINA.W -, Rr T .VSV . -. Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 =' R RT IY- St PE ' Director of Environmental Health ADDITION- APPLICATION RESIDENTIAL ONLY '�)V STREET ` i /�G9 TOWN TAX MAP # of NAME l�l YiY. l V PHONE �y)� G�3 PCHD# — 64� = I t MAILING ' qq 'n vws ADDRESS c C U kco DESCRIPTION-OF - .- 1. ADDITION . ' r Wt sib' � E.-� 2N0 {tio c�— t PP-� E r+►'► £,..c3 NUMBER OF EXISTING BEDROOMS 3 .'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. Please - submit this form and the-following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY.. 10569, Phone: (845) 278-6130: -1. Certified check or money order for;$100.00. "2: Sketches of existing floot.plan (drawn to'scale, all living area including basement, to be ... __ r _.... ,. shown.and dimensipn .ed. and use of each ruoari specified):- (See ,Sectiona3.c 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 . COMMENTS " 5 Environmental. Health (845)278-61'30 Fax (S45) 278 -7921 Water Supply Section ($45)225-'5186 . Fax (845)225- 5418 Nursing Services (845) 278 -6558 Fax (845)278-6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678. Early Intervention / Preschool (845) 228 -2847 Fax (845) 2251580 SberhIlAmler9 MD, MS, FAAP Commissioner of Health Robert Morris, FE Director of Environmental Health August 3, 2011 Linh Vo 24 Pecoho Road PO Box 126 Lake Peekskill, NY 10537 Dear Mr. Vo: `'.,.. e r ent ® It 1 Geneva load, Brewster, NY 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 Re: Addition- A- 096 -11 No Increase in Number of Bedrooms .24 Pecoho Road (T) Putnam Valley, T.M. 91.26 -1 -20 Paul Eldridge 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 August 3, 2011. 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. 3. All plunibing.fixtures must be updated with-'%Nater-saving levices; :e., new low flu h�toilets, _:-' restrictors for shower heads and faucets etc. 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. 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 (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley %VC - ------ X SS ------------- -------- Z lw_ 3r I)l 019- - an rol- 9 J6 , ctr ----------- .... . .... . J- . .......... . . ............... nT - --------- ------------- --- ....... AE I SHERLITA.AMLER, MD; MS, FAAP Commissioner.of Health R06ERT I BOND[ County Executive l OfRF_.F'TA_I�!IOLFI�ARI; RN, USN �S`1y �4t� ..;p _ ROBERT MORRIS,1PE- . ��. -. Associate Commissioner of Health � Director of Environmental Nealtti DEPARTMENT OF. HEALTH I Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Pro-posed Addition Status Re: V0 (Owner's Name) Tax Map #. 91.26 -1 -20 Address: 24 Pecbho Rd /Lake Peekskill Town: Putnam Valley Year Built: LAA0 According to records maintained by the Town, the above noted dwelling, �s . in compliance with Town Code. Is not xx in compliance with Town Code. The Legal Bedroom Count is: 3 This information has been obtained from. CL:11 1. atl Vf`.Cccupa2lCy, : Other: Bldg and.Assessor's Records' The plans for the proposed addition are considered: New Construction xx Addition to existing hoase only Teardown. and /or re -build allowed under Town Regulations r 7196171 Date'.. Environmental Health (845) 278 -6130 Fax (845) 278 -:7921 Water Supply Section (845) 225 =5186` Fax (845)'225 -54 d 8 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Biome Care Fax (845) 278 -6085 VIIC (845) 278-5678 Early Intervention /Preschool (845) 228 -2847 Fax (845) 225 -1580 � -d d9Z :Zl L 9Z Inf �� - - �i� -�- - - I-- -•- ►___.�� -- - � �I- I_ I _� I i -i :.� I_I._� I__..�...I_��_L_._1_I_ __.- I._I -1 - 1. --I__l I .I._I___.i___� I+._1_.«_ _ ,. . . ... ..... I_�:I I --I -._ 1 I i-- .-- i I i -- �I -I �_I._ i- •I rl _l ol _�_._.I_ I I I .! I� l l I 1- l._I__L- _I 1 � I _i.�? I_.... _ I ? ., . ? I �: ► _ ,1_ �I --L..� � -- I •--T�. _l i� -CC- 1 I _ 1 - ,� Lo v I �; � os t l o dl N — i'_! I�� i• I I I li_i �_ ? t 1I ? I I I I{ I I I T 1 I �_ f�UTN 1 4OU E FANS M WTY APP OV D F EP R B TT DR � I mo I OMICO NT �NL �I _ I 1� 1 � I 1 ALL UBSiQUJNT I 0LA MOST BE(�RO MS kVI�IONtIAL E S�BMrE� TO RA THE IPC ION T H JOR THE I�PPgOV E dOUS >L vy r _I visa -- -L I 7 177- FF! F-I I Ll L Ll I I�I �(� 1 _I I_l __. I I_ ! i— ! I ! I il--." I ICI ! I I 1_I I ! 1 �? I I 1 I I 1�f�_I �! —' l —_I I, I � I_i I l i ._I l ! I I a !! I_! �� I _.I_ I!�_ � it i!�i I I i� 1 I_L_L_l ! I_i_ I� ( I ! _I� _.___� LI-L _ !� __1_I I I 1-I ! I I !_ I t ! TFT I I i.�1_i ! I ! _ BE _! ROOM _ I _U I� �i I_I.� 11� `i '�' t iI i ICI I- I I I ! I�l ! ^�! ! I , # I 1 t. ! I I%__� ! I I !� I 1 TI�.� I 1 i !-1� ! ! i I FT. -7, T _�- l !_I_I_, i= -� —I—� �_! I ! {� -T !� i I I I I► I I i I I I I I! l l 1 l i� I I I l I l I l l� I! �_I_I _I i ! it I ! I ! i 1 ! I %!_ 1 F 1 {i—I F F-7 111 1 ! ! -1 i 1 ! 1 I I �! � I � ! ! 1 1 1 ! 1 i 7-F � I` _�!- i -I -_ice -1 T-17-i I LL! I LLI L 1, LA- LL - Sri' Ali 61 1 1--44 I I r ' FTT it it 41 Fit .A Tv m •Rol,•." .•rho, 5�; , -� •. ms�n . I " V EYE 0:._.I tJty _3, %9.8 Z UGHT TO DATE- _._- ._.__._.____.- UGHT TO DATE— _- `._- ._— __...__.. —____ Certifications hereon are valid for Bank, Title Co. 8 Owners for this transaction only. Certifications are not transferable to subsequent Bank, Title Co. or Owners. All certifications hereon are valid for this map and copies thereof only if said map or copies bear the impressed seal of the sur. veyor whose signature appears hereon. "It is hereby certified that this survey was prepared in accordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Pro. fessional [.and Surveyors." I E N 1 s, Pr- X ,a p •r j { I 7//e lobs &0, 87 89 of Block 23, os s/?Oly/ -? 0/? ;mom °,Co•ke /fie, 5hl// 5ec .7oir C solo' rno o ?`i7e C �, 2y C�,h 01 Cd 9 OS IV-9 IBS-. "t 6.3 n� D S " I `2 I 1 ' JOHN SAi, VATORE ROMEO (:rrcvrlti,,g E.nRne:, - I Snntvn I NORT:WRIDGE ROAD PEEKS /KILL. N. Y. —&L-. S. NYS LIC. NO. 027846 ENCROACHMENTS BELOW GRADE IF ANY NOT SHOWN SURVEY OF PROPERTY FOR ROBERT JOAN/%1 2/ T TIWE YER SITUATE IN THE T01VM OF PUTM4 0 YA L L C Y PUTNA tv( COUNTY NEW YORK SCALE: 1 .50 SURVEYED AS IN POSSESSION - (8Z 65-7Y) CeA E � DRQIAI /L4 v, Oo .5"60' ' r 1 � W Is,. �- Zal-s 142 - 14B _ V EYE 0:._.I tJty _3, %9.8 Z UGHT TO DATE- _._- ._.__._.____.- UGHT TO DATE— _- `._- ._— __...__.. —____ Certifications hereon are valid for Bank, Title Co. 8 Owners for this transaction only. Certifications are not transferable to subsequent Bank, Title Co. or Owners. All certifications hereon are valid for this map and copies thereof only if said map or copies bear the impressed seal of the sur. veyor whose signature appears hereon. "It is hereby certified that this survey was prepared in accordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Pro. fessional [.and Surveyors." I E N 1 s, Pr- X ,a p •r j { I 7//e lobs &0, 87 89 of Block 23, os s/?Oly/ -? 0/? ;mom °,Co•ke /fie, 5hl// 5ec .7oir C solo' rno o ?`i7e C �, 2y C�,h 01 Cd 9 OS IV-9 IBS-. "t 6.3 n� D S " I `2 I 1 ' JOHN SAi, VATORE ROMEO (:rrcvrlti,,g E.nRne:, - I Snntvn I NORT:WRIDGE ROAD PEEKS /KILL. N. Y. —&L-. S. NYS LIC. NO. 027846 ENCROACHMENTS BELOW GRADE IF ANY NOT SHOWN SURVEY OF PROPERTY FOR ROBERT JOAN/%1 2/ T TIWE YER SITUATE IN THE T01VM OF PUTM4 0 YA L L C Y PUTNA tv( COUNTY NEW YORK SCALE: 1 .50 SURVEYED AS IN POSSESSION - (8Z 65-7Y)