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ALLEN BELLS, M.D., J.D. .
Commissioner of Health
ROBERT
Director ofEnviromnentalXealth
Joe Mansfield, R.A.
6 Homer Drive
Brewster, NY 10509
MARYELLEN ODELL
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
June 22, 2012,
Re: Addition — Approval - Godfrey
No Increase in Number of Bedrooms
4 Jerome Drive
(T) Patterson, T.M. 25.48 -2 -7
Dear Mr. Mansfield:
This Department has 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 June 22, 2012. 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, restrictors for shower heads and faucets, etc ... .
4. The approval is for the modifications only and does not validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
5. This approval is valid for two (2) years and expires on June 22, 2014:
Any permits or variances required under the jurisdiction of the Town of Patterson are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext: 43157.
Respectfully,
oseph S. Paravati Jr., P.E.
Assistant Public Health Engineer
JSP:cw
cc: BI (T) Patterson
e: p
a 401 -2n
PANEL
DOexPOSEp
CROCK
I
801
EXIST a AR EXIST racer" SPACE
14'- 3.1022' -6' CONCRETE BLAB
EXPOSED ROCK FLOOR
44'- 10'X18' -b' I
EXIST. EXPOSED ROCK I
OUTCROPPING 1
I
EXISTING 4 PROPOSED CRAWL SPACE
SCALE: 1/8"=V-0"
I �
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PLiTNAN1. COUNTY DEPARTMENT OF 'HEALT11
t:�3 rSE PLANS APPROVED FOR BEDROOM .COUNT ONLY"
BEDROOMS
714P
.AL.L SUBSEQUENT REVI•SIONIALTERATIONS TO THESE HU1'SE
PI.&N$ : lU',iT"BE SUBMITTED TO THE PCDOH FOR APPROVAL
_���� •�� ( /ace /rte
G'
! &TITLE DATE
GODFREY PLANS JFN ARCHITECT
4 JEROME DRIVE P.O. BOX 381
PATTERSON/ N.Y. BREWSTER, N.Y. 1050q
TAX MAP # 25.48 -2 -7 845 -25q -3801
.1-,1
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
MORRIS, -PE . --
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
ADDITION APPLICATION RESIDENTIAL ONLY'
STREET
NAME
MAILING
ADDRESS
N
PAUL ELDRIDGE
County Executive
TOWN TAX MAP .# oZ•� �'
PHONE
PCHD#
DESCRIPTIOT6%
ADDITION NN
NUMBER OF EXISTIN BEDROOMS PRO-9 D OMS_
(FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOG�
"Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by 4
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, NY 10509, Phone: (845) 278 -6130.
1. Certified check or money order for $100.00.
� " "-`� ° - " 2. "Ske�cfiesof exis'tirig`fToorplari (drawn'to "scal�e� °all living area'including iiasemen`I; tole ' -"' ' "-''
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional 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 best
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
5.
r'
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
Town Legal Bedroom Count & Proposed Addition Status
Re: AIA (Owner's Name)
Tax 47 '��� 07 - %
Address:
Town:
Year Built: % 3
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 0ccupancy:
Other:G�7.
The plans for the proposed addition are. considered:
New Construction
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
Buildin pec r Date
6.
PAUL ELDRIDGE
County Executive
EXIST 41 AA
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PANEL
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EXIST. EXPOSED ROCK I —
OUTCROPPWG
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EXISTING* PROPOSED CRAWL SPACE
SCALE: 1/8 " =1' -0"
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4 JEROME DRIVE
� P.O. BOX 381
PATTERSON, N.Y.
BREWSTER, N.Y. 1050q
TAX MAP # 25.48 -2 -7
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