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631- 589 -8100
91.26 -1 -50
BOX 36
I IN r
17-2 NN j;
so
J IN IN
I 'I., ti �
Nio 'I
04755
SHERIATA AMLER, MD, MS, FAAP
Commissioner of Health
1LORETTA MOL,iNA&L;Riiryll�[!v er : ;=e.�:;: >•
Associate Commissioner of Health
'DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
ADDITION APPLICATION
ROBERT J. BONDI
County Executive
Director of Environmental Health
RESIDENTIAL ONLY
STREET ' S ';7 . CM 4Ttft 5T� TOWN IL- i(- v uTAX MAP # 6 —1
NAME .e —, ^PHONE Cf A0 INO --Z<M PCHD# —
MAILING
ADDRESS
DESCRIPTION OF
ADDITION_
NUMBER OF EXISTING BEDROOMS' PROPOSED # OF BEDROOMS
(FROM- CERT.. OFOCCUPANCY OR CERR.. IFICATION FROM. BUILDI.NGINSP CTOR)
*. *Any addition which is considered a bedroorri 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 10509, Phone: (845) 278-6130:
1. Certified check or money order. for 1100.00.
'2: Sketches of existing floor plan (drawn to scale, all living area including basement, to be
.... _ .. -,.. ;. shown.,and dimensigned arld -use. of;each. roorri specified).: -(See° Section 3.:c of Bgl- letin:.,
.. �. .ra -.. ..... l.0 1 -1).0 a ... .. ♦ ...-v wl'N.. .. .. .. r- .. _ -.... r. -.w vae -. .�... .. _ ._... .q .. .. .• ...—. v. .v
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
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:
Environmental. Health (845) 278 -600 Fax (845) 278 -7921
Water Supply Section (845) 225 =5186 . Fax (845)225-.5419.
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
SH.ER.LITA-AMLER, M% MS, FAAT
Commissioner-ofHealth
�6
Associate Commissioner of Health
ROBERT J. BONDI
:County .Count Fxecutive
�A
BERYMQRRIS, PE
Director of Environmental'Health
DEPARTMENT OF HEALTH
I Geneva Road. Brewster" New York 10509
.Town Legal Bedroom Count & Proposed Addition Status
Re:
Vallejo (Owner's Name) '
Tax Map #
91.26.-1 -50
Address:.,
Kt-hjpci qt,
.55
Town:
Puttiam Valley
Year Built:.
1.931
According to records maintained by the Town, the above'.noted dwelling,
is . XX in compliance with Town Code.-
Is .not in compliance with To W*n Code.
The Legal Bedroom Couht is: 4
This infonn'ation has been obtained from-
CG#2008-.72
Other:* Septic Repair gyp. and Asse'ssor s Office
The plans for the proposed addition are considered:
New Construction
XX Addition to existing house only
Teardown- and/or re-build allowed under Town Regulations
'Q /07 /1
.....wilding Ins ctor pate
6.
'Environmental He " alth (845) 278-6130 Fax (845) 278-7921
Water Supply Section (845) 225-5186 Fax (845) 225-5418
Nursing.Services (845) 278-6558 Fax (845) 278-6026
'Nursing Home Care. Fax (845) 278 -6085 WIC (845) 278-6679
Early Intervention/ Preschool (845) 228-2847 Fax (845) 225.-1580
m
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- - RI TIT -Mr o n -aw-
C TIF C C`'E F OCCUPANCY
CERTIFICATE NO: 2008 -72 DATE: 4/29/2008
PERMIT NO: 2008 -80
TAX MAP #: 00/91.26 -1 -50
LOCATION: 55 MATHES STREET
ISSUED TO : RIORDAN EVELYN HORAN
55 MATHES ST
LAKE PEEKSKILL, NY 10537
This certificate covers the construction off:
�( THIS C.O. COVERS WORK UNDER PERMIT�� k —?o
f� #81- 6004,WHICH WAS NEVER CLOSED OUT TOGETHER
W /REPAIRS AND CODE COMPLIANCE DECK PER
PLANS. (As per v sual inspection on 4/10/08, there seems
to be no outward violations).
.:he -app . a., t l a��: ;nom h`j-ewo; nre..f.led;an_apm at n fir a building pq rrr'ilt
_ .. _a
pursuant to the Town Code, Sanitary Code, the Uniform Building & Fire
Code and the Laws in effect in the Town of Putnam Valley, Putnam County,
NY, having paid the required fee therefor and the undersigned having -by
personal inspection ascertained that improvement of the proposed structure
is in compliance with the requirements of the laws as aforementioned; that
the said work and materials meet every requirement of the laws as
aforementioned and that the premises have now been fully completed and
are ready for occupancy pursuant to the provisions of law. Now, therefore,
the Certificate of Occupancy is hereby issued under the seal of the Town of
Putnam Valley.
TOWN OF UTNAM VALILR ] 9 1`� 1L
By
ode Enforcement Offnce'r
TOWN OF PUTNAM VALLEY
DEPT. OF HEALTH DIV. OF SANITATION
APPLICATION FOR SEWAGE SYSTEM
�Atr; fi.7E2
Owner op, #0 P-J4 i t �Ag Tel. # 155- 2. c6l
Mailing Address ?{0, (ok �-,44C 54ttl , M (0G-37
Location _r rVA 10 3 — 3 —1 G
Lot Block Sec.
No. of Reoms_ Aa g Bedrooms Future
Fixtures: Dishwaster Garbage - grinder (50% increase) ._.
Bathrooms Laundry SKWM m Other
Tank Material CoAi C RFTc Tank Capacity 10o,_
Description of Fields or Pits o? iTS AQc-d ^o XtS ni
"gcei -o5 4!Yd-
Distribution boxes needed ____L Usable area on premises (a4iL
Well- drained usable area MUST be.provided before approval is issued.
SKETCH IS REQUIRED and must show all pertinent features, north point,
property lines, existing structures, driveways, water or gas lines,
water courses, wells, springs, dry wells.or drains for roof or area
drainage; DISTANCES BETWEEN SUCH FEATURES; COMPLETE PLANS FOR
ADEQUATE DRAINAGE OF SEWAGE DISPOSAL AREA - all details of workable
sewage system.
DATA SUBMITTED BY: � Date 10 3 Q't7
nature)
e
Owner( ) ; Contractor (t/' ; if corporation, give title _ 1v ile
BZS 1 -77
-Sher1ita Ammer, MD, MS, PAAP
► Commissioner of Health
I Robert Morris, PE - -r....
�' '�Jir�G"iCJk i1 ^Hi�virorrn�nul He`ultri
Robert J. Bondi
County Executive
e .artment o Health
.1 Geneva Road, Brewster, NY 10509
Office (845) 808 -1390
November 29, 2010 Fax (845) 808 -1937
Victor Vallejo
55 Mathes St.
Lake Peekskill, NY 10537
Re: Addition- A- 147 -10
No Increase in Number of Bedrooms
55 Mathes St.
(T) Putnam Valley, T.M. # 91.26 -1 -50
Dear Mr. Vallejo:
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 October 28, 2010. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at four 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
sh6Wet hka� k an fau4s 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 (845) 808 -1390, ext. 43261.
Sincerely,
ene D. Reed
Senior Engineering Aide
GDR:kly
cc: BI, (T) Putnam Valley
Sherlita Amler, MD, MS, FAAP
Commissioner of Health
Robert'Morris, PE
Evil tr'iJ31�7ferlla�'Reahn }
Robert J. Bondi
County Executive
Department of Health
1 Geneva Road, Brewster, NY 10509
October 29, 2010
Victor Valle'
55 Mathes t.
Putnam,,alley, NY 1057
Re: Addition — Approval —A- 147 -10
No Increase in Number of Bedrooms
55 Mathes Street
(T) Putnam Valley, TM # 91.26 -1 -50
Dear Mr. Vallejo:
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 October 28; 2010. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at four 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 show °r he uds and Faucets ctc..
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 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.
Sincerely,
Gene D. Reed
Sr. Environmental Engineering Aide
GDR:kly
cc: BI (T) Putnam Valley
Environmental Health .,(845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845):22575418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026
Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
F�:.-,;-�-.-L__...�_ .,-
ECTRIC BASE
OA HEATS
RIOR
RESID
ADDITI
1 55 MATHES
boF-
AT TFE Dir-ECTION OF Ti E BULDING
DEPARTMENT THE WIERAL We
SHALL APPLY FOR ANY NEW WORK
TO BE DONE,
EXISTING FINIS14 NOTES
BAD*MM
FRAMM FOR U - TLE
CATHEDRAL CELNG -1 GWB, M
cELNrs Be-ow ara WiT. - a-o"
Im, B -Jvcio PTD, Iiv
TILE 52" AFF.
- E45TM DOUBLE
wjwx wow WINDOW,
30x4'0-7
14 STAR CZ)hISTIRACTION:
E)CISTING FINW NOTE&
;r
BED ROM
FLOOR - CARPET
CELINGs - h PTD
Z.
W JOISTS, 2K4 P.T. DIE00-rx =
C WjT,
wA.Ls - PANELNrj
P.T. LANDING
', RALINGS, 3(o' ABOVE DECK AND
AND STAM TO
- E45TM DOUBLE
wjwx wow WINDOW,
30x4'0-7
14 STAR CZ)hISTIRACTION:
NEW Z YEAR 3 TAB ASPHALT
STS 6 16' OC., W/ METAL FLAWING
61,41NG.L.86, TO MATCH IDMT.
W JOISTS, 2K4 P.T. DIE00-rx =
STRINGERS, AM 2d0 P.T, TREADS.
P.T. LANDING
', RALINGS, 3(o' ABOVE DECK AND
AND STAM TO
AM, 44 PT. POSTS AND 2m* P.T.
DECK BELOW
STEP FLASHING TO REPLACE
RAILS.
wm�m
gum
pilillillillim
A E4914G,FINISH NOTI
CARPET
CL& Wit -
Uwl -1S° DUB, cp
EXISTING DOUBLE -
I" WOOD WINDOW.
7-1'10 x 3,11
EXISTING FINISW NOTM:
EOTR
RDOR - TLE
CEILING .h PTD
C" WJT. Z.
WALLS - V C48, PANELING
EXISTING 2ND FLOOR PLAN
�SCALE: Y�.'=VV .7.
E)MRIOR WALL CQNSIRCIth,
24 STUDS 6 lb"Or— W/ R-13
BATT INSULATION. , 5# ASPHALT
FELT PAPER OR EQ 141 V T-111
SIDING NAILED TO STUDS. }'GWB,
V W= PANELING FNB14 INSIDE
TYPI
24 S= 916" OZ, W/ r GWEI
AND WOOD PANELING ON 50r,4
SIDES, 6 LWM SPAM, TYR
R.COR CONSMMION:
26 FLOOR JOISTS 6 lbo Of—, I"
CDX PLYWOOD, CARPET IN
BEDROOMS, AM TILE N FOYER
CEILING oXISTRUCTION;
Z* JOISTS 6 lb" Or—, V R-15
BATT INS"TION, AM J' US- ON
LINING SIDE, TYP.
io
RIDGE BEAM. P CDX PLYWOOD
614EAT14WA rj# ASPHALT FELT
PAPER AND Z YEAR 3 TAB
ASPHALT SHINGLES.
ELECTRIC BASE
BOARD HEATER
.14
Is I
Bra
Ph:
Ft
erva
RE
NC
NEW Z YEAR 3 TAB ASPHALT
61,41NG.L.86, TO MATCH IDMT.
I "D
sw, 30 Rom
ASIN,ALT FELT PAPER ON
CDX PLYWOOD. AalNum
STEP FLASHING TO REPLACE
VC16T.
.14
Is I
Bra
Ph:
Ft
erva
RE
NC
I
14-. . V . .. - -
5,1st"q vi,od Deck Above,\ L +/-61-01 L
IAdjust As "ed
New 61 Window
244 614
Existing Door EXIStN Widow Andersen or equal
Existing fk c ders W Metal Hangers
/-E I xIstN NaN 4' Concrete Slab
P" Waste (ExlstN Dropped Floor)
8--0- COHN HgL
rt, 6trder To Be oor Void arti, Removed/Replaced o I6' o%
see c7irder/C.Okm Detall 4' ad Steel
X�x Hanger 12' x 24' x I= Footing
/— W (3) 94 Bors
• Ex),
6irder _J —m-574- 4 in. L\11-;�; �6�d- L
Nam itm Dow (2 9!��
Concrete or. wood
4 , d Steel I'll Wmm
24' x 24' x W Concrete Footing
H/ (4) 04 B" E" Legend:
o
Lot' a New or ExlstN Walls
0_
Existing &Irder. Recessed Lqt Fixbre
Surface Mounted Lkfit
Duplex FlAure
Outlet
Ground Fault Interrupter
(6FI) At All Net Areas
(As Reqlred 04 Code)
Exik SLO I I —or 9roke Detector
W-1- GeIIN Hqt.
(Optional Propped.I'L',or
—F&r4Lz 6D Caton K*,WxIdu,P&te,6w
U)
N Smoke Detector In All Be&m. If Nc
= Ad enl To Becirm's. 01
d.9 Tf,
He
York State Resl
Steps
fi
O
5ccilo; 1/4" = 1'-0"
PUTNAM
HOUSE PLANS API
7, BEDRO
ALL SUBSEQUENT
PLANS MUST BE S
DEPARTMENT OF HEALTH
FOR BEDROOM COUNT ONLY
4- IV7 -/0
WALTERATIONS TO THESE HOUSE
I TO THE PCOOH FOR APPROVAL
Rouse FxIstIN Hangers
Header
�Z:a —r
Now LVIL Beam (see man for Sue)
(4) N' d() Lag 130115 (2) Per Side Of PkI14
6,xrx 'Reel Beaiq
Plate (AdYA *8 To Mabcfi bider H*
Uneral Notes: 'SIG'NATURE & NIT 4LE'
1, sg7'C
I
I. ALL NOW, MV MATERIALS 5RAU. C*fM TO ALL LOCAL, COM A ND
4. ALL FRAH% UHBER TO 13E 4 2 D00-M KR - LARCH OR BETTER
STATE CODES
5. lei KN" 514" ARE AIIIA36EH
2. (MRAGTOR SHALL PROVIDE ALL LAWR MATERIAL5 AND ELVP434T
6. ALL RATMAL5 SHALL BE IN5TALLED IN STRICT ACCORDANCE M
REWRED TO RUY W+LETE TIE JOB EXCEPT WE 9WIFIC.'aY
fMFA( 1111RERS SI'EGfl( AT06.
Al
AGREED ON BY MO� JOB 9KI BE R15Vr FOR OMPANCY IN
T. WAC CONTRACTOR SHALL C+EGK AND VERIFY THAT
6000 HOR104A011' KAHHER HM ALL WK WE AS 9M OR
EXISTING SYSTE16 Will MWiY WIIXE WJE450 DDM
REA"A&Y NSM ON MMK-6, IT SHALL WAIVE WT NOT BE
LIMITED TO THE •OLLOHNS:
b E1.156TRUL CONTRACTOR 5HALL C+ECK MID VERIFY THAT
EXISTING EECTRICAL 5Y5TEIS WILL PROPERLY
-IWJfflAWz - PAINTING 4 1`11,115HW
-CARPENTRY -ELECTRICAL
4. PROVIDE (1) COAT PRIHR 4 t2J COATS INTERIOR PAINT
4
-IWAATION -WAC,
3. (9TP5(H BOARD; 1/2' rolled Pilth rosin calls occordN to manufacturer's
specifications. All Joints to be " and receive Urea (3) coats of joint
canpewd. Finish to be smooth ad even, rwc4 for painting.
LVL
6 irdei
Align Hall Hb Gamer OF Kr&h
Mechanical
.WhIsIned Floor
5NIng 5/0' TWO W 6wan Bd
At
At = 4 Nam %'Tp I 6pm Ed.
Halls 0
0 Sleeping Level.
Exposed Concrete &11
ExIs" Floor — Above
_
Ex[5tN Fro nning
Exfstmg Dropped 6irder
(Rem as ledger for ExbtN Fronnh�
6" ay rotted cr dmwpd nand o5 req*eW
4' ad Steel Poe Colunnin
6' x 6' x 5/8' Steel Bearinci Plate
W (2) 112' dia ExparWon Bolts
New 4' Concrete 5W on 6 MI
Poly Vapor Barrier
7 . * 4
�7 q 4,
24* x 24'x IT Caude F" W
(4) 04 Ben E"
limn flv.�nil
ExlstN Hood Deck Mo'e\
/— = To Exterior
w-V GelIN Hgt.
Ejec Pop 4 Rt
To %W
Existing Electrical Panel
6 6 llh-/ Base I Box- Around As Reqjlred
0 BdstN Pips Galum
---------- — ------
Rce F
b'.
acm, To
C/ B
6zw 4
Flqroom
6--l' Ceilling Hgt.
Vadmis q&*�
(Optional Dropped Floor
For W*4 +/- 8'-0' C49. 1)
(Faked Concrete Floor
Exist
2x4 %A roll 16' o%
W 112' &jmn Boll %BP5
• — 9
Wall- - —01-
Treated 511 Platel
TWIcal At perkb,�r Pbll, ExlStVq
OOptional Metal Sbkb At 16- o/c
Finished 5
5ccile,; 1/4"1 = 1'-0": �
ement Plan
5 V? Batt IM14dim
V M Ak r Firm CaKreu I
VEM
I Revl5lon I Dote
Date
Job No
210-C
56016
As No
Drawing
7
4-
Provide soufarem, to` ainceal
T�1�
a
2 x 4 Z �?-bll @ 161 o1c.
duct mark or '0* penetratbns
&bw or mow ftb)
=—�Bddrq--, �," 14
Wed M Shd a 2 a&
I
To Close Of CaA4 AvAdo
"to 511, Insulation •
time M-9
Fin
VEM
I Revl5lon I Dote
Date
Job No
210-C
56016
As No
Drawing
7
4-
T�1�
a
VEM
I Revl5lon I Dote
Date
Job No
210-C
56016
As No
Drawing
FLOORPLAN
32.0'
26.0' J
�. FIRST;R.00R-
.1'� r'J, -" ^r f'9P'�s>Qi CH<f1J�C'3 • �_.. °` � �'
I
PU(NAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
y BEDROOMS A — 11%7 —/D
ALL SUBSEQUENT REVISIONLALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
SIG ATURE & TI TEE DATE ' J
26.0'
BATH
0 n�
17
26.0'
SECOND FLOOR
No 719o'Pos vD Cs(A0e C--5
01 1
-
SPUCHCALC"MNS
Perimeter Area
A7
At 1 .26.0 x 32.0 =
1
Fret Floor
832.0
832.0
A2,: 26.0 x 17.0 =
Secona f tour
442.0
442.0
A2
•
Total Living Area
1274.0
7
....... ... ' .. ... � ..... .: •;�.. �. K . •�.,n emu.: a ..
_a.J�T