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25.40 -1 -45
BOX 10
00933
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
March 6, 2007
James Hajkowski
43 Lawrence Drive
Patterson, NY 12563
Re: Addition — Approval — A- 051 -07
No Increases in Number of Bedrooms
43 Lawrence Drive
(T) Patterson, TM # 25.40 -1 -45
Dear. Mr. Hajkowski:
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 March 6, 2007. The 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;-restr-ictors� 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 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 meat your convenience.
Sincerely,
Gene D. Reed
Senior Engineering Aide
GDR:kly
cc: BI (T) Patterson
Environmental Health (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 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early InterventioniPreschool (845) 278 -6014 Fax (845) 278 -6648
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
ADDITION APPLICATION RESIDENTIAL ONLY
th
STREET ���,l�y, ,� TOWN TAX MAP# ohs. 410' /- z7-
NAME - PHONE o2 % <f' 0,31"71 PCHD# 14-0 3_ 0
MAILING
ADDRESS ..4t /0c: A-)
DESCRIPTION OF `
ADDITION -9 N °�
NUMBER VEXISTE
(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, I�r 105:09,- Phone, -.( 845 -)- 278- 6- 1- 34: - - - --= - -- —/-
�Certified check or money order for 100.0 �k /'
• y $ 0.
Sketches of existing floor plan (drawn to scale, Aliving area including basement)
✓3. Two sets of proposed. floor plan (drawn to scale - with name, street and tax map #)
*Non- professional sketches are acceptable
/4. Copy of survey showing well and septic locations to the best of e. our knowledge.
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Include date of installation if known. Label all wells and septic systems within 200 feet
of the property line. Contact this office with any questions.
15. Copy of Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
Environmental Health (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 WIC (845) 278 -6678
Nursing Home Care .Fax (845) 278 -6085
Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648
I
SHERLITA AMLER, MD, MS, FAAP
_ .. . Commissioner of Health - -. _ -
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
. - i /. �:i �_ /ire •
Tax Ma4: 2,5" 4,�? —
Address: ,
Town:
According to records maintained by the Town, the above noted dwelling,
is in compliance with Town Code.
is not in compliance with Town Code.
The—Legal—Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other:
7
Wetlo-
Buildtdg Inspector Date
ROBERT J. BONDI
County Executive
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool(845)278 -6014 Fax (845) 278 -6648
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PUTNAM COUNTY DEPARTMENT OF.HEALTH
HOUSE-PLANS APPROVED 101 BEDROOM COUNT ONLY
BEDROOMS 7
;Z 6-
ALL SUBSEQUENT REVISION/ALTERATIONS TQ THESE HOUSE
PLANS MUST BE SUBMITTED TO:THE PCDOH FOR APPROVAL
lofiA,t LE & TITIE DATE
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
BEDROOMS
ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
3 /4z-07
MNATURE &TITLE OATE
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PUTNAM GOON-ly' 'U'LIPARTIMIE-N-T
OF HEAL-fl$
HOUSE PLANS APPROVED FOR BEDROOM COUNT01%11LY
A-- 0 i!�; 0
ROOMS
ED
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ALL SUBSEQUENT REVISION/ALTERATIONS TO THEgE HOUSE
PLANS MUST BE SUBMITTED TO THE PCOOH FOR APPROVAL
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SIGN AIURE & TITLE !DATE
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