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HomeMy WebLinkAbout0928DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.40 -1 -30 BOX 10 I IF 1 'Fri; T'{ ` 08/11/2010 10.28 8458782019 PATTERSON PLANNING PAGE 01/e3 SHERLITA AM LEK MA MS, FAAP Commissioner oJ'Health LORETTA MOLINARI, RN" MSN Associate Commimlon¢r of Health ROB ROHERTh DirQctor of Envi. DEPARTMENT OF HEALTH 1 Genova Road. Brewster, New York 10509 ADDITaOIY APPICATION RUjQEWML ONLY C./ STREET 1 TOWN TAX MAP #D PHOIYE���H�� ri�8 pCHD# 16 MAILING ADDRESS DESCRIPTION OF ADDITION W/7"r XIPAP MoD l-n off+ NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS- (FROM CERT, OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) "Any addition which, is wnsideted a borlroom 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 ealth Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. 1. Certified check or money order for $100.iDO. 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) I Two sets of proposed floor plans (draw-n -to scale_- with name, street and fax rna - - - - - - IN1011- pffifIe ianal 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 beat 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 s. • Envirmmental Health (845) 278.6130 Fax (845) 278 -7921 Water Supply Sectio0 (845) 225.5186 Fax (845) 225 -5418 Nursing Services (845) 278-6558 Fax (845) 278 -6026 Nursing Rome Caro Fax (845) 27$4085 WIC (845) 278.6678 Early intervention / Preeehool (845) 228 -2847 Fax (845) 225 -1580 uv, ii, cola tv: to ti47Yf lWlbly PATTERSON PLANNING NAUt 10�1/0a SHERLITAAMLEFt. NO, MS, FaA,P C-ommirsiorer of Health LORET Tai MOLi iVAR[, RX, MN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva. Road. Brewster, New York 10509 ROBERT J. BOND1 Counly Executive ROBERT MORRIS, PE DmectorofEnvironmental Health Togo Bedroom Cwmt & Pronased AdditioA StBtu� Re, (owner's Name) Tax Map # .M. p-- llddress: �� Town: Year Built: According to records waintained by the Town, the above noted dwelling, 1s , in compliance with Town Code. Is not it compliance with Town Cede. The Legal Bedroom Count is: -: -3- . This information has been obtained from: Certiflcate of Occupancy: _ - 4. her•. - . -- The plans for the proposed addition are considered: New Construction Addition to existing house only Teardown and/or re -build allowed under Town Regulations Environmeatal Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845)225-S186 Fax (845) 225.5418 Nursing 5crricea (845) 278 -6558 Fax (845) 278.6026 Nursing Homc Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Prewhool (845) 228 -2847 Fax (845) 225.1380 wes C Edged, the survoylw irAO mode map, do o ajv by corMl Mar tho sur v ov „� prqpc;-�r ;,4, 1966. ',!e Yuri, License ru.. ? =gistrolion N°"5632 0 'Ce ol layrus idgeff Survivors 31— Q-1 to Or- 14 Vl .:3rD-z7 3627 3620 362? 3630 3G31 3r 1A til AM HA VI(_ .4 1 I) 3663 100. 00, nge" 3635 363S ra of .0 tum I t I-Ma 0.06 E-.71V 77 N #7909'.091E 0.40' DRI VE SUR, vE Y Of- AYOPER T Y PMEPARED •qR JAWS J 64 ANN MONAGHAN LOTS 362 ,x3635 IAICL. SHOWN Oh' ,SIXTH 10.4P (,I/-- PUTRAM LAKE" 51711A rC IN rGMV OF' PATTEHSON PUTAe,111.4 CO1,J'A1TY,,1VEW YORK SCA L E 30' Soid map filed March PO, I-Q.J/ as AIOP N-' 149 -E COrfiflOd t&.'S49CUfiPy TWO a GVOMRty Co- poffica? CCUjIty sovin3_9 8ai?A I- eg 6 r, d wires Ll C,14 T.5" Oev4F_p__ 414A HAWLANO 0- (T3 PM19V*" .M 00 N CR _j 00 LO Slherlita Amler, MD, MS, FAAP Commissioner of Health - -Robert-Morris, PE- - - --- - -- - - - -- - - -. Director of Environmental Health R. Lichtenberger P.O. Box 466 Brewster, NY 10509 Dear Mr. Lichtenberger: Department ®f Health 1 Geneva Road, Brewster, NY 10509 Office (845) 808 -1390 Fax (845) 808 -1937 . September 17, 2010 Re: Addition- Approval — Lichtenberger No Increase in Number of Bedrooms 419 Haviland Drive (T) Patterson, T.M. # 25.40 -1 -30 Robert J. Bondi 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 the-Department date September 17, 2010. 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. _ - _ _ _- _ _ _ devices i e new low flush toilets 3. Ah:nlumbtng fixtures_ roust be updated with water saving . , _., ., _ _ _ ,^ _ restrictors for shower heads and faucets, 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 Patterson. If you have any questions, please contact me at your convenience. Respectfully, oseph S. Paravati, Jr., PE Environmental Engineer JSP:kly cc: BI, (T) Patterson. t �t i t i PUTNAM COUNTY � rT OF HEALTH 'ROUSE PLAT YS APPROV h COUNT. ONLY, BEDROOMS A ALL SUBSEQUENT REVISIONJALTERATIONS TO THESE HOUSE P ANS MUST BE S BMITTlEI3 TO THE PCDOH FOR APPROVAL, GNATURE & TITLE j t i j I 1 ,all t D W ce-• 44a WA (T) PA"rmou TM qX •h0 - 1- °�,� L "il Lj � 1 lea 6 AL W-A uf, p- 00 00 m -#I W-mm Z�-- r-1-0 L-AH �N -� ° � � �9�1� ®� �{'d'�'"i n'd 11 b b .... tad �. j� . .777 I ul