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HomeMy WebLinkAbout4786DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.27 -1 -22 BOX 36 Ih F..:7 J �ti I k."14 6 y i� 7 , BRUCE R. FOLEY, R.S. Acting Public Health D:,-e „_ DEPARTS E-IN T OF HEALTH Division Oi Environ-mental Health Services 4 Geneva Road, 6rewster, New York 10509 (914) 278 -6130 P-R'*QPvS =D A-2DITION) APPLICAT ION _ (R_SIDENTIA! STRHT 3 1''Inc"� TOW; [KQ 9e0- Tx r ,P T . / 'AME: ®aq e I azy) it't t ��`�1� P� 0 \= �l �i 50"� ��� i PCHD PERMIT r yo ADDRESS ► nchl,�he Description of addition P:uimber of existing bedrooms Proposed number of bedrooms from Certificate of Occupancy or Certification'frcn Buildin_ Inspector - ny addition which is considered a bedj.rcc,,, 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 PUTWAN COUM Y hEA_TH.DEPA9TMcNT,. ^. G „��1� .ROAD; _�R'MSTER P:,:.:105 3:, P. oo ,_ 278 -5130 �r-itn - the 'TO I-lowing information. 1. Certified Check for $100.00. a2. Sketch of existing fioo- plan (all living area including basement, if any) Non- professional dravring is acceptable. 3. Sketch of proposed floor plan .i \\ Ron professional drawing is acceptable 4. Copy of survey showing well and septic location, to the best of your -knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy free Torn or Certification f rom Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions application August 1995 July 1996 (Revised) 1 BRUCE -,9. FOLEY, ' � `Public Health Dr'reclor DEPARTMENT OF HEALTH Division of Environmental. Health Services . 4 Geneva Road ;Brewster, New York 10509 Tel. 914) 27'8-6130 Fax (914) 278 - 7921 August 12, 1998 Dave and Karen Miller 3 Finch Lane Lake Peekskill NY 10566 Re: Addition - Miller, Finch Lane Increase in Number of Bedrooms (T) Putnam Valley, TM# 91.27 -1 -22 Dear Mr. and Mrs. Miller: 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 latest revision date of August 11, 1998 and this 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. 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. WH:tn . cc: BI (T) Very truly yours, William Hedges Sr. Public Health Sanitarian DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: 1,1,4 R sidence Tax Map 10-7 Town BRUCE R. FOLEY, R.S. Acting Public Health Director According to records maintained by the Town, the above noted dwelling •.�._; .. ._.,. - -.. .. ._..<. -... _...•.. ..,.,, .. �. ..r,a ..... ,r, .::... .. .., .. .�� _ ....... .. .. � -.�._ .. .. .. ....... .. v ..fin.... ,.h IS NOT in compliance wit T \vn code and the total number of bedrooms on record is —7� 0 2 This information has been obtained from: CERTIFICATE OF OCCUPANCY: a ASSESSORS RECORD: OTHER -- Buildin nspector O F �� PUTNAM COUNTY DEPARTMENT OF HEALTH MUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; 49,BEDROOMS Signature & Title //Ilaie � 10 % V. po o O a Lw n� r ---7 PUTNAM COUNTY DEPAR J ' MENT OF HEALTH ROUSE PLANS'APPROVED FOR BEDROOM -COU14T ONLY; ,2s.3EDR Signature &Title D e 1 r4 0 31 0 tr 31 0 N� .. ............ TN AM C( ri,fi f OF HEALTH HOW- PLANS WD/FOR 13E VT 0 Lyt i9nallilro r4 7It {� Da J- u rIV- I= DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road 1,Brewster, New York 10509 Tel. 914) 278 - 6130 Fax (914) 278 - 7921 August 12, 1998 Dave and Karen Miller 3 Finch Lane Lake Peekskill NY 10566 Re: Addition - Miller, Finch Lane Increase in Number of Bedrooms (T) Putnam Valley, TM# 91.27 -1 -22 Dear Mr. and Mrs. Miller: BRUCE_R. FOLEY Public Health Director 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 latest revision date of August 11, 1998 and this 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. 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, William Hedges Sr. Public Health Sanitarian WHAn cc: BI (T) .5e r .1 . I flN 8 PUTNAM COUNTY DEPARTMENT DF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; ,2.-BEDROOMS "�o Olr'iluUul "C a 111.1-- / ` a t , \) 0I L o0 �.. D� r --7 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; 13EDROOMS7 ill Signature &Title C,-T G, e-- fops I 11 ;tbC) LA) —A> i; i 'k i J .Ar t- � a �dT /No7 =so =ev E o f; O I /3 k,u ,e O D. / /'N D�4G�✓ Q O i i c H WETT 7Q![GS/ Glfr �U7A/AA! i/ALLEi/ TAA.l9AP 1iES /GN./TJON. �.GTI'ON /07 BGJ,te Z LoT � .4,2EA = O- /3-7 liGL ES Gooa S.F. CERTIFIED TO: Peicc 11ti� .r�ctts SI/Ok'N W r -CW !tom LoTJ /Z —/G BLOC/L. 7S ON d Zn4 . IW .0,40 E'N7771 c n 'LADE. PFry !'L'/LL .SELTlDA/ /a/ yS /L "MR NY/1 Fi[F3 /N 7.NE QX7- /CE Q- 7A'—V G2 CL o ®d �I ?N.O.N COUNTY G�OOAIEL JY. Y. AJ /L1AP ii/0 /BS6 flA�' ZB, /129. b 0 I �.� z1, /wee Certifications hereon are valid for Bank, SURVEY OF PROPERTY SURVEYED: _pF Title Co. B Owners for this transaction FOR - Poach j I transferable to .. subsequent Bank, Title Co.jor Owners. BROUGHT TO DATE HOWARD /���T ' All certifications hereon are valid for this map and copies thereof only if said map or � ] `/�/ v TM l-B-'7 - A - 3 � copies bear the impressed Iseal of the sur- / STOeY f2usE� 9.B /' 0 J " ,: •.� ... , .• /OWN (fir RiiA/.iN.' YAClEi' 1 NORTHRIDGE ROAD "It is hereby ertified thatjthis survey as y Y PLl7 -NAM COUNTY PEEKSKILL. N. Y. ,A /� prepared in accordance with the existing NEW YORK 4 ,/' , Ae. e , Code of Practice for Land Surveys adopted by the New York State Association of Pro. d F. E. & L. S. NYS LIC. NO. 027646 fessional Land Surveyors." } y SCALE: 1 1111111 9..3Q' \� 1� w� 0 0 0 0 a so, -�o��� i 60.00 - : I �. H WETT 7Q![GS/ Glfr �U7A/AA! i/ALLEi/ TAA.l9AP 1iES /GN./TJON. �.GTI'ON /07 BGJ,te Z LoT � .4,2EA = O- /3-7 liGL ES Gooa S.F. CERTIFIED TO: Peicc 11ti� .r�ctts SI/Ok'N W r -CW !tom LoTJ /Z —/G BLOC/L. 7S ON d Zn4 . IW .0,40 E'N7771 c n 'LADE. PFry !'L'/LL .SELTlDA/ /a/ yS /L "MR NY/1 Fi[F3 /N 7.NE QX7- /CE Q- 7A'—V G2 CL o ®d �I ?N.O.N COUNTY G�OOAIEL JY. Y. AJ /L1AP ii/0 /BS6 flA�' ZB, /129. b 0 I �.� z1, /wee Certifications hereon are valid for Bank, SURVEY OF PROPERTY SURVEYED: _pF Title Co. B Owners for this transaction FOR - BROUGHT TO DATE only. Certifications are notl transferable to .. subsequent Bank, Title Co.jor Owners. BROUGHT TO DATE HOWARD /���T ' All certifications hereon are valid for this map and copies thereof only if said map or � ] `/�/ v TM l-B-'7 - A - 3 JOHN SALVATORE ROMEO copies bear the impressed Iseal of the sur- SITUATE IN THE l:oniulhng Eiigincn b' Land Surveyor veyor wh'ose'signature appears 6reon: " ,: •.� ... , .• /OWN (fir RiiA/.iN.' YAClEi' 1 NORTHRIDGE ROAD "It is hereby ertified thatjthis survey as y Y PLl7 -NAM COUNTY PEEKSKILL. N. Y. ,A /� prepared in accordance with the existing NEW YORK 4 ,/' , Ae. e , Code of Practice for Land Surveys adopted by the New York State Association of Pro. d F. E. & L. S. NYS LIC. NO. 027646 fessional Land Surveyors." } y SCALE: 1 c � r 109 / 108 to 2 1 --------------- \ \ \\ ''' ' - :♦ \ I 'lei ,\\ `/,�'1.`•' �. - �� a \B l r� ' -/ � `.�` i'y a \.\ 1 \\ 1 r •'r'� ' �'S, . \\ `.\rog 4\ dv � S .. \�� _�� •� +` `0.Y,` :i '• /� // � �_,�r�' #: a 106. I 1 , ( 1 1 , •` iC Gt " 1 [' I, _ ,_ 1. .�. .:: '. :. -. 4 •V� I�\ �.\` \' �r -�..- � i '` i � - 105J i .. t # J R r � YY REVISIONS .. ,.: SPECIAL IXSTRKT INFORIMT,ON ' ' � � � LEGEND ' FOR TA%PURPOSES ONLY -. .. ° ::I — = - -- ,,. �.[ —._ K� _ m PRELIMINARY sEuxD 1oN fO YtrANC6 ln.,...... -- i •.c a =' TOWN ' OF PUTNPM VALIEX z aoa [, ..aE,. a ww... K„ �,t _ _ —AN At. 4YM1EY ;rNC - I •. u[... •. ..... rvr .r -- , ___� I •..:tur[[ I PUTNAM COUNTY N Y ., stn <yar r 1 . • • - - _...__.__.._--- _- �— __.— _. -_._�� d u.ra v• —�— I n.. .r . s ,f v,[ r— [v.,.[v .,[ fu II 0A[E,AE0.4Iwmalwl. r'z I. 1 IRY tj D C. ft �OD 4-vl "c? r4. F i% i �t �. �� -�. r�. 1"1 '�, s' i` 1 ,F +� .� M G J�% -I -1) t. is zt pYO F-T.- C°! 1iL�atii:lTH "D a�.l-- iR .13 DIVISION :OF- 'ENVIRONMENTAL'HEALTH SERVICES_ John M. Simmons- M.D.: ,F Deputy Caninissioner of Health -: FIELQ ACTIVITY, REPORT -Sheet l of-, . l INSPBCTION Orig: Routine Orig.' •Complain: ADDRESS Orig:;Request TM ance No. Street ° : Town CaVIi : No _ - F Ccmpiaint Camp MAILING ADDRESS / 4: 7%`7 Final° P O. Box Post Office Zip Code roup,Illness :struction - - . TELEPFIC�IE :> - r. Renspe_ction y.PERSON IN CHARGE= Field, Samping'Only v OR=INTF.EtVIEWED Y , Field Conference _ - Name and Title Other FACILITY .DATE TYPE -' TIME ARRIVED ; :Q TIME LEFT _ bcpl ain FINDIAIGS: x. >' � '` �✓��� ��1��`G-� %mom ``�" �_�.��� - ,� /�� _ `I • — x U ' r r' c, - . e iu ,e ° Z� r INSPECTOR: TELEPHCINE. rZ! g - Tide 3 = F Si a and .. - ... .. ... Y j PERSON IN CMRGE -OR INTERVIE�rVED: >:I acknowledge this° Fiel Activity Report. °- SIGN,TtAZEs 6/86+ TITLE: x E L)Cr?1RIIV►uvi . vi I ILr%LII I : Division Of Environmental Huh Services TWO COUNTY CENTER — CARMEL, N.Y.. 10512 (914) 225 -3641 _ _ �... �. APPLICATI.ON, TO_ CJNSTRUCT-:=A. WATER:;WEL•Ln = ; =:�::. �: .: s , .• r ....., �: WELL LOCATION A, 5 ioww VILLAGE /GIIY , . IAX GRiU NLIM8EA. .�"r r WELL OWNER N km R . W AOOR s: �- �" l( ;,�,;�v f, PSIVATI: ❑ EUSLIC USE OF WELL RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/CONO. /HEAT PUMP ❑ ABANDONED 1 -- primary ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ aTANO -BY ❑ MOUNT OF USE YIELD SOUGHT — gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE T gal. REASON FOR ❑ NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION GRILLING �kgEPLACE EXISTING SUPPLY DEEPEN EXISTING WELL WELL TYPE DRILLED. DRIVEN E] DUG GRAVEL E] OTHER IS WELL SITE SUBJECT TO.FLOODING? YES /i NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 0 LOT NO -: WATER WELL CONTRACTOR: Name 4t -ft%lP Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:. — YES _ NO S *lce#� L NAME OF PUBLIC-WATER SUPPLY. s1� TOWiN /V /C DISTANCE TO PROPERTY FROM N-EAREST WATER..MAIN LOCATION SKETCH & SOURCES OF CONTAMINATION ;v dat) (signature) PERMIT " TO CONSTRUCT A WATER WELL This permit to construct one water well asset 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.Department. Date of Issue: Gfll� 19 ermit I suing Official Permit. is .Non - Transferrable DAVID D. BRUEN County Executive c� /C DEPARTMENT OF HEALTH Division Of Environmental Health Services September 15, 1986 Howard B. Gragert Box 11, RD #2 Putnam Valley, New York 10.579 Dear Mr. Gragert: JOHN SIMMONS, M.D. Deputy Commissioner Re: Proposed Well Construction Application #W -30 -86 - Review of the above captioned application has been completed Additional information or clarification is required as checked below: 1. A detailed reason for drilling the well is required. A short narrative is required. For what purpose will the well be used, i.e., drinking, lawn watering, etc. 2e. Is.the site presently served by a well? Explain. 3. Is the site presently served by a sewage disposal system.) Explain. 4. Is the present structure to be reconstructed: Expanded? How? 5. A sketch showing the location of: - the proposed well - the existing sewage system on this parcel - the existing house on this parcel - existing sewage systems and wells on. adjacent parcels within 200, feet of the proposed well - all of the above is not provided .Upon receipt of the above infl considered further. JK;pt cc:Bldg. Inspector TWO COUNTY CENTFR Environmental Health Services DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services September 15, 1986 Howard B. Gragert Box 11, RD #2 Putnam Valley, New York 10579 Dear Mr. Gragert: JOHN SIMMONS. M.D. Deputy Commissioner Re: Proposed Well Construction Application #W -30 -86 Review of the above captioned application has been completed Additional information or clarification is required as checked below: 1. A detailed reason for drilling the well is required. A short narrative is required. For what purpose will the well be used, i.e., drinking, lawn watering, etc. 2.` Is the site' presently served by a well? Explain."' 3. Is the site presently served by a sewage disposal system? Explain. 4. Is the present structure to be reconstructed: Expanded? How? 5. A sketch showing the location of: - the proposed well - the existing sewage system on this parcel - the existing house on this parcel - existing sewage systems and wells on. adjacent parcels within 200 feet of the proposed well - all of the above is not provided Upon receipt of the above informa io this application wil considered further. in tr 1 y u Kar , .ector, JK :pt Environmental Health Services cc:Bldg. Inspector