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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.47 -1 -28 BOX 10 ro r ..;b,,. AL 01004 a r !11�. DB.PAR.1 MEIv 1 OF I-MALT.H Division of E'nvirontnental Health Services 4 Genava Road Brewster, New York LOS09 Tel. (914) 278.6130 Fax (914) :79-7921 GiC4.v��Vu7 BRUCE R FOLLY Public Hecifii Direc!cr STREET �iry TOINiV X 11AP # YZ NAME 4 -'f P HONE Pcxm r �i.4II.IlVC} RES3 �D ,�in ��ii✓��� DESCRPTiON OF ADDITION \L�£'it ER OF EMSTIL G BEDRO01IS PROPOSED # OF }3EDROOy1 —� nOM M.F.T. OF GCCJPAINC'r OR CERTIFICATION FROM BLILOLNC INSPECTOR) *Any addition «which is cot:siderzd a bedroom tequires formal approval of plae (Coax- truction Permit) prepared by a -rcf_sko -. a Bngsee: or RV -'Mred Arc'nitect in accordance with applicable sections of the Pumarn County Santa -*y Code. Please submit this fcrm a,.d the fo :lvNing to Putslam County health Dcpt., 4 Gereva Rd., Brewster, Y 10509, Phone 279.6-? 30. 1. Cei2i1iecl check ormozey- order for 5100.00 Sketches air existing floor pIkri (drawnto scale,. all living area including basement) " Non- professional sketc'=s are acceptable 3. Two sets o: proposed f oor plan (drawn to scare, Frith name, street, and •a;: r~ ap T) . * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of Your k,owled,e. Include date of installation if known: Label all -ells and septic systems with 200 feet of the property, lane. Contact this office wi-!� any questions. 5. Copy of Cent. of Occupancy firm Town or Certification from Buildirg Dept. vith legal bedroom count of dwellin-g. OF C'E U E Co,-nme=s F-.b 93 :A� DEPARTMENT OF HEALTH Division . Of Environmental Health Services 4 Geneva' Road, Brewster, New York 10509 (915) 278 -6130 - Punt ^ County Dept. of Health 4 Geneva Road B.ewster, NY 105C9 Genu mem 6RUCE R..FOLEY. R c Reting PUhHe Mealth Oi -e-j„ Residences Tax Map Town According to records maintained by the Town, the above noted dwelling IS tt+ NOT in conlplian- v „th T code and the total number of'oedrooms on record This idoimation has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHF,R Building inscector LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 March 24, 2004 Troy Hamel 30 Sanborn Road Patterson, NY 12563 Re: Addition - Hamel, 30 Sanborn Rd. No Increases in Number of Bedrooms (T)Patterson, TM #25.47 -1 -28 Dear Mr. Hamel: 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 this Department dated March 24, 2004. The addition is approved with the following conditions: L...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. 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 Patterson. If you have any questions, please contact me at your convenience. Very truly yours William Hedges Senior Public Health Sanitarian WH: lm cc: BI (T) Patterson 7J1.. . 25 cl) F hiEl A V. ITI voc� -1 * ' .; � s . - •� . _ , `f5=' �E +.�Ow.:S S P�9 �'•'�'�1v'�'h9v!•i.S"'"td� PERRY "ROAD 2- &WN PIPE MOAVAIENT N r w a� �o E mM O� 0 N O N /2' APav PIPE / MMR/AfENT CERT /F /ED TO.• CLAUDIA F. BARRY AND TROY B HAMEL HOME FUNDWG MORTGAGL•' HANK ' FUTURE TITLE CO. TITLE No. 914 -1996 OLD REPUBLIC NAT /ONAL TITLE INSURANCE CO. MAP OF SURVEY LOTS No 4841- 4843 AND No. 4789 -4792 MAP No 149F 71h MAP OF PUTNAM LAKE TOWN OF PATTERSON PUTNAM COUNTY, NEW YORK JULY 27, 1996 SCALE: I 30' I r } 4793. RR iIE ° =00'E I RET WALL 200.00' App O WNB9 o -40 ROW Of sravEs Q Qj, O " I C.E. 4841 0..82' WELL � 2 O 4792 � {p Q ::49 I Me sTQ4Y: /STY. o 4642 0 4791 I GwEtAMC i 0 Q O O COVC cave , r aK PA TV N O 4790 PLAT. GARI GE gpVRCpy BLOCK RET. pq 1 N 55.0.7•• '.. ( m4cAa4m QR/VE 4843 • x769 2LBJ _ 50.00'______ S89 °- 40' -00 "W /00.00' SO0 ; 4844 " "W ?0,00 f S89'- 40 =00 /00.00' ?000, ; 4768. 4845 a I a "v � i N N 0 m I Underground u1X1 1e; shwlure; and h7Wovemen1; If any, not shown except os noted P. Any allerolion of or addition to INs survey Is o violation or SECTION 7209 of /tie NEW YORK STATE EDUCATION LAW, except as per SECT /ON 7209 - UB KYL . AYLER, P.L.S, b. C. Lia Na 49887 mop dnd copies thereof are ro114 irus surveys. any If the sold map beer the impressed or copies Soo/ of the surveyor whose signature a pears hereon 4. TNs map and copies /hereof are cent /1Ped to the ©1996 Kyle L. Kayler All Rights Reserved - . cl /led hereon and to those parties only, ' pail /ea !to KA Y/_ FR GFO.SCIFNCF. L TD. PERRY "ROAD 2- &WN PIPE MOAVAIENT N r w a� �o E mM O� 0 N O N /2' APav PIPE / MMR/AfENT CERT /F /ED TO.• CLAUDIA F. BARRY AND TROY B HAMEL HOME FUNDWG MORTGAGL•' HANK ' FUTURE TITLE CO. TITLE No. 914 -1996 OLD REPUBLIC NAT /ONAL TITLE INSURANCE CO. MAP OF SURVEY LOTS No 4841- 4843 AND No. 4789 -4792 MAP No 149F 71h MAP OF PUTNAM LAKE TOWN OF PATTERSON PUTNAM COUNTY, NEW YORK JULY 27, 1996 SCALE: I 30' I