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631- 589 -8100
91.26 -1 -83 & 91.26 -1 -84
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D 97 'WED 4; 26 PM. HN.AM rTY ENV HEALTH FAX Ni), 19142787921 ?• 2
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6RUCE R..ROIEY, R.S.
Acting Pubic HeAh bire�-tcr
DEPARTMENT OF H£ALTH
Division Of Environmental Health Services
a Geneva Road, Brewster, New Yar;c I050'-
t9 ice) 278 -6130
Pz�Of�USEU
,:C -r ON_NSO1� S'fQ�' i'__ �o4�rI i. -i4k.E P K�SkI�I.Tx NtnQ ��?(�'!'g3
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(oo PCHD P #,
Ess 3s5 offt4SoN Sf I ArLe P, SK,iLZ- N 10557
;- ription of Addition 2N0 Gvuolz ACDOI TioN R - oc,�r�TiNC� o�fE
?o NpNpS��:.
-,gar of Existing bedrooms Proposed r :j!; ,ber of bedrerx,s
1r^ Certificat® of Occupancy or
Certification from Building Inspector
key add,i t' On which is considered a bedro::n requires formal aopro,eal of p1 an<
(v- nstruCtion Permit) prepared by a Professional Engineer or registered Architect
.i,71 4:- cgrdance with applicable sections of the Qutnal) County Sanitary Cods.
Please 5ui:,'iJ.t this • f orm an . -. �- the tQls' ,,. .... m .... _..:::.: �� -••- - °t �;�r-c: � ' _`'..Y.
� iorling W Pity =�.M LCXIKTY'�'TF{ L7FA,i�f :,v; °�
a• GENEVA ROAD, SREti$TER, 1vf 105k)S, Poona 279 -0130 With the following information.
1. Certified Chec% for, $ : Q0
2. Sketch of existin=g floor
t3 lion - professional drawing
3. 4_�,etch or proposed floor
professional drawing
.ao.
pla (al' living area including bmsement, if any)
is acceptable..
P1 an.
4 of survey showing well ane septic locetion,.to the best of your:
iedg�, Includs date of itls {.,•llation if kneel:
•°•elude all wells and septic systeis wit }rill 2v0 f�!-:t of Property lira,
gt_>estions please contact this office,
5. wpy of Certificate of Occupancy from To�gn or Certification from Building
Department of legal bedroom count of dw611in2:
OrFICF U
0omments and /or conditions
ar °;�lication
August 1995
M
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�PuWh Health Director
DEPARTMENT OF BEA,TH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
February 6, 1998
Cindy Calidonna
3 5 Johnson Street
Lake Peekskill NY 10537
Re: Addition - Calidonna Johnson Street
No increase in number of
bedrooms
TM# 91.26 -1 -83
(T) Putman Valley
Dear Ms. Calidonna:
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The proposal for tfie aad- dition as een approved as re pans bearing fhe latest revision date of
February 6, 1998 andthis Department's approval stamp'.
Based on the information submitted, the above mentioned 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.:
Approval is granted for sewage disposal only. Any other permits or variances. require are the
responsibility of the applicant and the jurisdiction of the Town of Carmel.
If you have any questions, please contact me at your convenience.
Very truly yours,
Mike Luke
ML-tn Public Health Technician
cc: BI (T)
t.
CALeDONNA RESIDENCE
35 JOHNSON STREET
LAKE PEEKSKILL, N. Y. 10537
LP ROPOSED S OND FLOOR
PLAN
SCALE- 1/4 =1'0" DATED 1.28.98
. Sx
L
C n /I d O N v-C�-
�5
C�70 sin st (T) FV
LIVING AREA
405 sq ft
JACQUELIN LYNFIELD
ARCHITECT 25 EVERGR EN ROAD
PUTNAM VA LEY, N.Y. 10579
914 5280061
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:
{
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CALeDONNA RESIDENCE
35 JOHNSON STREET
LAKE PEEKSKILL, N. Y. 10537
LP ROPOSED S OND FLOOR
PLAN
SCALE- 1/4 =1'0" DATED 1.28.98
. Sx
L
C n /I d O N v-C�-
�5
C�70 sin st (T) FV
LIVING AREA
405 sq ft
JACQUELIN LYNFIELD
ARCHITECT 25 EVERGR EN ROAD
PUTNAM VA LEY, N.Y. 10579
914 5280061
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UP
71 -19
LAUNDRY/
I
13'5
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STAIR TO 2ND FLOO
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PORCH
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97
26'—
LIVING AREA
760 sq ft
CALIDONNA RESIDENCE
JACQUELINE LYNFIELD
35 JOHNSON STREET
ARCHITECT
LAKE PEEKSKILL, N. Y. 10537
25 EVERGREEN ROAD
GROUND FLOG
PUTNAM VALLEY, NY 10579
PROPOSED PLAN J
914
SCALE 1/4
DATED 1.28.98
OF III'LT11
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97 16'5
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LPORCH
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97-
CALIDONNA RESIDENCE -
35 JOHNSON STREET
LAKE PEEKSKILL, NY 10537
GROUND FLOOR
EXISTING -PLAN
-1
SCALE 1/4" = l'-O"
DATED: 1.28.98
LIVING
15'9 x 8'8
LIVING AREA
762 sq ft
1615 '1
Fb
b
JACQUELINE LYNFIELD
ARCHITECT
25 EVERGREEN ROAD
PUTNAM VALLEY, N.Y. 10579
914 528 0068
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KITCHEN
T6 x 164
BEDROOM
413:.4 x 6'5
127
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97-
CALIDONNA RESIDENCE -
35 JOHNSON STREET
LAKE PEEKSKILL, NY 10537
GROUND FLOOR
EXISTING -PLAN
-1
SCALE 1/4" = l'-O"
DATED: 1.28.98
LIVING
15'9 x 8'8
LIVING AREA
762 sq ft
1615 '1
Fb
b
JACQUELINE LYNFIELD
ARCHITECT
25 EVERGREEN ROAD
PUTNAM VALLEY, N.Y. 10579
914 528 0068
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DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
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APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT
WELL LOCATION
Street Addres // Town Village City Tax Grid Number
WELL OWNER
/Name` Mailing Address rivate
7h- Jlr
ee re- rr- iS --<-- D X /38f� rte f N O Public
USE OF WELL
1 - primary
2 - .secondary
GIRRESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
0PUBLIC SUPPLY OAIR /COND /HEAT PUMP OABANDONED
0 FARM 0 TEST /OBSERVATION 0 OTHER (specify,
U INSTITUTIONAL 0 STAND -BY O.
AMOUNT OF USE
YIELD SOUGHT
gpm /# PEOPLE SERVED /EST. OF DAILY USAGE dbO gal
REASON FOR
DRILLING
EW SUPPLY []PROVIDE ADDITIONAL SUPPLY O TEST/ OBSERVATION
OREPLACE XISTING SUPPLY 0DEEPEN EXISTING WELL
DETAILED
REASON FOR
DRILLING
�C. �,�c. <� ✓�° �'�
WELL TYPE
06RILLED
DRIVEN
[jDUG
-
a
GRAVEL
® OTHER
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: .L
Lot No.
WATER WELL CONTRACTOR: Name &
J7 eY e- s-.$ o /J
Address: fl.�
G yiu ✓1�T � /i
`710r 17 •// G
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES /�` NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE TO PROPERTY FROM NEAREST WATER JMAIN:
'�1/Jj��^
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
ON REAR OF THIS APPLICATION LdON SEPARATE SHEET
1/ 7 5
date ) (sig re)
PERMIT
TO CONSTRUCT A WATER WELL
This permit to construct one water well as s.et forth above is granted under the
provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and
provided that within thirty (30) days of the completion of water well construction,
the applicant shall:
1. Pump the well until the water is clear.
2. Disinfect the well in accordance with the requirements of the Putnam
County Health Department attached to this permit.
3. Submit a Well Completion Report on a form provided by the Putnam County
Health De artment.
Date of Issue: 19
Date of Expiration: 19 Issuing cia
Permit is Non - Transferrable White copy: H.D. File
Yellow copy: Building Inspector
Pink Copy: Owner
287 Orange copy: Well Driller
JOSEPH F. SULLIVAN, P.E.
e0ntUftin9 4En9i�zeEt _
• �:,•+i .. ; �.6 :.'c- ,.':v..a` �';ri� -'..._ , .:.:� %•`: f�'' y do o-°er1...'r'"�;: %c.� F as.r3. _ .. .. ...�i� �':c;:' yiui ^:�'.� »:'7 �. aC;"i�•' _. . ca.= .:.'it:
� `2es"72'F'EPi17�E��i1�f25V�y- r�y>' � ��: •• %:aa. r kip +v � �:oc�..
YORKTOWN HEIGHTS, N. Y. 10598
(914) 962 -4248
l
y
or rr `G �r r✓
/41
� •��m � o'er :� � �-
""09 A�-/v
;s
MARVIN O'DELL
Inspector
Fj
_41 T-6 W N
PUTNAM VALLEY, N.Y.
(914) 526 2377
TOWN OF - PUTNAM VALLEY
BUILDING, ZONING, AND SANITARY DEPARTMENT
December 29, 1989
Departmerit of Environmental Health
110 Old Route 6
Carmel,.N.Y. 10512
Re: Proposed Well - Morrissey
TM# 103-2-2 & 3
Gentlemen:
The proposed Water Well site..as shown on the attached
drawing was inspected on 12/28/89 , and as could
be determined was found to be a minimum of one
hundred (100') feet from any reported sub-surface
sewage disposal area.
Applicants that receive permits shall upon completion
of construction, submit to the Town of Putnam Valley.
(Building. _Pe�pc
jr.tment)a copy of the well drillers L
Wat er -an-a
ysis, -r ep o r 1 T-b e fb` e said- w -mss put -
in service.
MARVIN O'DVLL
Building Inspector
MO'D:es
V
Ft
DEPARTMENT OF HEALTH
Division of Environmental Health Services ~"
TWO COUNTY CENTER
APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT y'
WELL LOCATION
_--- Street Addres
✓o 17
Town /Village /City Tax ' Grid Number :.
3 Z
WELL .OWNER
Name Mailing . Address rivate
��,G! D a °, /w.,— My D Public
USE OF WELL
1 - primary
2 - secondary
RESIDENTIAL
l BUSINESS
0 INDUSTRIAL
❑PUBLIC SUPPLY C]AIR /COND /HEAT PUMP
O FARM O TEST /OBSERVATION
0 INSTITUTIONAL O STAND -BY
13ABANDONED
D OTHER (specif;
,AMOUNT OF USE
YIELD SOUGHT
S_ gpm /#
PEOPLE SERVED .4 /EST. OF DAILY USAGE �OU ga
REASON FOR
DRILLING
EW SUPPLY,
❑ REPLACE EXISTING SUPPLY
❑PROVIDE ADDITIONAL SUPPLY
0 DEEPEN EXISTING WELL
0 TEST/ OBSERVATION
DETAILED
REASON FOR
DRILLING
Part, 5 of the New York State Sanitary Code.,.andak,k
%G. �-�
-, t_sr�f�r�, �—^�>- .
�-' -5
the applicant s.hall:
`
WELL TYPE
the water is clear.
RILLED
DRIVEN
in accordance with the requirements of the Putnam
aDUG
t
County Health Department
GRAVEL
;.
® OTHER
3. Submit a Well Completion Report on a form provided by the Putnam County
i. IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: d o / G �cJl3 13
Lot No.
WATER WELL CONTRACTOR: Name Address:.�u.'77Arn ,YO/jG�
I,, PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES No
NAME OF PUBLIC WATER SUPPLY:
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN:
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
[]ON REAR OF THIS APPLICATION WON SEPARATE SHEET
(date) (sig re) r
PERMIT
° TO
CONSTRUCT A WATER WELL
?.
This permit to construct one
water well as set forth above is granted under the
provisions of Subpart 5 -2 of
Part, 5 of the New York State Sanitary Code.,.andak,k
provided that within thirty
(30) days of the completion of water well constructiongks
the applicant s.hall:
`
1. Pump the well until
the water is clear.
2. Disinfect the well
in accordance with the requirements of the Putnam
t
County Health Department
attached to this permit.
;.
3. Submit a Well Completion Report on a form provided by the Putnam County
Health Department.
Date of Issue:
19
Permit Issuing
7
Date of Expiration:
19
i;►iii'i i s �'i -fir n era l
White copy: H.D. File
Yellow copy: Builcli g Tnspector
. ,
..PUTNAM COUNTY
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
John M. Simmons, M.D.
Deputy Ca►nissioner of Health FIELD ACTIVITY REPORT - Sheet of
INSPECTION
NAME i Routine
ig. Cmplain
4
ADDRESS j d 170!5 en /I Orig. Request
No. Street Town TM o. Campliance
Ccmplaint Camp
MAILING ADDRESS Final
P.O. Box Post Office Zip Code Group Illness
Construction
Reinspection
PERSON IN CHARGE Field, Sampling Only
OR INTERVIEWED .4 Field Conference
Name and Title Other
DATE TYPE FACILITY /W
TIME f LEFT Explain
FINDINGS:
INSPECTOR:
PERSON IN CHARGE OR INTERVIEWED:
I acknowledge this Field Activity Report. SIGNATURE:
6/86 TITLE:
TELEPHONE: ,