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631- 589 -8100
25.55 -1 -52
BOX 11
01121
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BRUCE R FOLSY
Public: Health Dlrecfcr
-
DEPARTNENTI OF HEALT r i
VvWon of Environnwntal Health Services
4 Genava Road
Brews-tor, Naw York; 10509
Tel. X914) 278.6130 Fax (914) 273 - 7921
PQ,�p S _.ADDIT1O- � PP TIOti
SID EN j, Q�� Yl
SMEET/ - TOWN' Tit N�LA.P - #
MAII MO ADDRESS
DESCRITPTION OF ADDITION.
\L II3ER OF EXISTING BEDROONAS� PROPOSE GF nROOy1S�
(FROM CERT. OF C1CC ?AXNC( OR
CEPInFiCATI0zi Mom BiLuoLNG r,:spficToa)
*:any addition which is coakda:ed a bedroom iequires formal approval of plain (Construction
Perniif) prepz:Pd by a Prcf_5sioral Eno�eer or Registered Arc'n tect its accordance with
aoplicab:e sections of tht Pu== Coznty Sanitary Code.
Please submit ails ferc: azd the f9'1owing to Put= County health Dept., 4 Geneva Rd.,
Brcws=.er, NY 10509, Phone 27S -6130.
1. Certified` died or money order for 5100.0D
L. Skmhe; of existing floo *plan (drawn to scale,, all living area Including basement)
" Non- professional skete'nts are accept=bit
3. Twa sets of proposed door plan (drown to scare, ,Kith name, street., a.:d ta.;: nap 4)
* ikon -p.o Lsimmai sket,hes are acceptable
4. Copy of sarvC), showing well and septic location, to the best of your knowledge. Include date
of insiallatioa if r10 .an: Label all wets aid septic systems witikn 200 feet of the property line.
Contact this office wi-h any questions.
5. Copy of Cen. of Occupancy from Town or Certification from Building Dept. with legal
bedroom court of dwellit~g.
OFFICE £��E
C:ommen-.s
r'-.b 93
DEPARTMENT OF HEALTH
Division . Of Environmental Health Services
C,ene4 Road, Brewster, -New York 10509
(914) 278 -6130 -
Putnam. County Dept. of Heait"
4 Geneva Road
B:ewstcr, NY 105C9
C;t;nti::men:
BRUCE R._FOCEY, R g
Aeting PUNIC Health pi�.•t,�,
i
Rcsidenc& /
Tax Map S��— /'.SaC
Totivn
According to rexrds maintained by the Tow-n, the above noted dwelling
IS
r n J '�J (D r
. 1 i
in Toti,,,, cod-. and :rte tctal number cF'oedrooms on record t
is
This info-Lrnation ;aa5 been obtai.Ied from:
CERTIFICATL OF OCCUPANCY:
A.3ESSO,S RECORD: —Y
U-: HF,R
Building Inspector
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Noce:
9rittoCTurc- -5 A AN✓,
"07' JHOWIV.
i' U ���� —? TU lily G:Gi1'VE•YCa� Y.3
V a �
9 i - /
`C T f :is tf'E �'�(i E.+ ` �s` k w ! {ia C+i 4 ' i / /�.,. i•r� P J / \, v /L. '�., /
E /WNTN MAP Gi'r PC/iNAh: ,t. A'- i'I'ARCH zo, /;7J/
7-0WIV OFPATT,E JO/V C'OUIV T � A' Y.
SCALE /'- JO' SEP'T ?_ 9) /57/
ce,Qr /F /LD TD TiI!: V47-- cKAn'5 ADM/N/ST(M. eON,
AL 4. C4M- IF/C117' 10n'.5 /,',rA'EON ARE
T //C 11AR /NE M/D LA"D 6ANh Cf
FOR T / %/S !'J•i:� Ar; O
NEW Yt),Z/: N.A., /In'J 7}JE T 17"1.::
—, "' eexoF 3i;:
11
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
April 23, 2004
Martins
10 Vesper Road
Patterson, NY 12563
Re: Addition - Martins, Vesper Rd.
No Increases in Number of Bedrooms
(T) Patterson, TM #25.55 -1 -52
Dear B. Martins:
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 April 22, 2004. 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.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
Rush 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.
Sincerely,
Michael Luke
Public Health Sanitarian
ML:hn
cc:BI (T) Patterson
O�-
�' PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO CONSTRUCT A WATER WELL I
please print or type -- -PCHD Permit # 0q.
Well Location:
Street Address: TownNVilla
fa,
Tax rid #
! rLot(s)
2 �,
2� ,
,y Ma lock
Well Owner:
Nam
9�17�L
Address:
d U
e �v�A -
Use of Well:
_- Residential Public Sup ly
Air /Cond/Heat Pump Irrigation
1- primary
Business Farm
Test/Monitoring Other (specify)
2- secondary
Industrial Institutional
Standby
Amount of Use
Yield Sought .S' gpm # People Served — Est. of Daily Usage o d gal.
Reason for' ,
Replace Existing Supply
Test/Observation Additional Supply
Drilling
New Supply (new dwelling)
Deepen Existing Well
Detailed Reason
for Drilling
Well Type
. Drilled Driven
Gravel Other
Is well site subject to flooding? ................................................. ............................... Yes No >l
Is well located in a realty subdivision? ......................................
............................... Yes No X
Name of subdivision
Lot No
Water Well Contractor:
Address: VL
Is Public Water Supply available to site? ....................................................
........... .. Yes No x
Name of Public Water Supply:
To illage
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on s arate sheet/plan.
i
1
Date: ,J V Applicant Signature:
PERMIT TO CONSTRUCT A WATER WE
This permit to construct one water well as set forth above, is granted under pr visions of Article 10 of the
Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York Stat Sanitary Code and provided
that within thirty (30) days of the completion of water well construction, the ap licant or their designated
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the we tan rdance with the
requirements of the Putnam County Health Department. 3) Submit a Well Comp eport on a form
provided by the Putnam County Health Department. During all well drilling opehe applicant and/or
well driller shall take appropriate action to assure that any and all water and wastis from such
well drilling operations be contained on this property and in such a mannerjas not ade or otherwise
contaminate surface or groundwater. I
APPROVED -FOR CONSTRUCTION: This approval expires two year from the date issued unless
construction of the well has been completed and inspected by the PCHD d is revocable for cause or may be
amended or modified when considered necessary by the Public Health D' ector. vision or alteration
of the approved plan requires a new permit. Well to be constructed by wateFZ7 ' fie by Putnam
Co unty. Date of Issue Z-(' / / _ Permit Issuiu Ca�icial: ;
Date of Expiratiod ,11 2- G / 0J Title:
Permit is Non - Transferrable
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WP -97
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LIGHT & VENT SCHEDULE
LIGHT
VENTILATION
N6z = 91-00`W
Area (s E)
v
Provided
Required 4%
Provided
'M
186
14.9
33.24
7.5
18.86
Bedroom #2
pyjr
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20.62
4.8
11.46
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LIGHT & VENT SCHEDULE
LIGHT
VENTILATION
Room
Area (s E)
R uired. 8%
Provided
Required 4%
Provided
Master Bed
186
14.9
33.24
7.5
18.86
Bedroom #2
120
9.6
20.62
4.8
11.46
Bedroom #3
155
12.4
30.93
6.2
17.19
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91
6.5
10.31'
3.3
5.73
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