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01240
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
L ORE TTEi=1GIULIlYARI,+ R1V,TVISN
Associate Commissioner of Health
Raymond & Helen See
14 Knox Road
Patterson, NY 12563
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
..DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
January 11, 2010
Re: Addition- Approval — See
No Increase in Number of Bedrooms
14 Knox Road
(T) Patterson,'T.M. # 25.64 -1 -8
Dear Mr. & Mrs. See:
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 January 11, 2010: 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: tQl_ 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 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.
j�pTeeciiuiiy,
Joseph S. Paravati, Jr., PE
Assistant Public Health Engineer
JSP:kly
cc: BI, (T) Patterson
Environmental Health (845) 278 -6130 Fax (845)278 -7921
Water Supply Section (845) 225 -5136 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 : Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax .(845) 225 -1580
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
Director of Environmental Health
ADDITION APPLICATION RESIDENTIAL ONLY
STREET � TOWN TAX MAP #
NAME �(PHONE S!t *Q PCIID# — 1 ' 3 —Q
MAILING
ADDRESS k No) < Pa J4, Q)`1-z�o 11 N t U d 2LFi4,:?
DESCRIPTION OF
ADDITION d
NUMBER OF EXI TING BEDROOMS oZ PROPOSED OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR 6L, KT FICATION 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, NY 10509, Phone: (845) 278 -6130.
1. Certified check or money order for $100.00. V/
2. Sketches of existing.floor plan (drawn to scale, all Hying area i ncludang basement, to be
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
RA -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
COMMENTS
5.
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
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
0
APPENDIX B.
ti
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
Director of Environmental Health
Town Legal Bedroom Count & Proposed Addition Status
Re: 9/z (Owner's Name)
Tax ap#
Address:
Town:
Year Built: ,l
According to records maintained by the Town, the above noted dwelling,
is <�C _ 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: ✓� Z
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
9 d9
Buildin nspe o� Date
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
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention /Preschool (845) 228 -2847 Fax (845) 225 -1580
SITE :SCHEMATIC for. the
PROPOSED - RECONSTRUCTION of
the SEE RESIDENCE
14 KNOX ROAD, PATTERSON, NEW YORK
TM 25.64 -1 -8,9
`1m
11 West Main St.
Pawling, NY 12564
845.855.3771
845.855.3772 (fax)
�L+
AT(,.;L.L.C.
Ridgefield, CT 06877
203.438.7094
SHERLITA AMLER, MD,. MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
January 5, 2010
Curt Johnson, RA
Zarecki & Associates
11 West Main Street
Pawling, NY 12564
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Proposed Addition — See
14 Knox Road
(T) Patterson, TM # 25.64 -1 -8
Dear Mr. Johnson:
The application for the above referenced project is incomplete. Please provide the following:
Please provide .a survey showing the approximate well and SSTS locations. If the
existing septic tank is metal it is to be replaced with a 1000 gallon pre -cast concrete .
septic'tank or.equivalent (plastic tanks are acceptable if a concrete tank can't be
installed): Also, if.1he well is_ not. a'drilled well it is to .be replaced with.a drilled.well:_
All repairs and replacements require a permit from this office.
Review of your application will continue once the above documentation is received. Please do
not hesitate to contact us if any questions arise.
Sincerely,
Joseph S. Paravati, Jr., PE
Assistant Public Health Engineer
JSP:kly
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.
Nursing Home Care Fax (845) 278 -6085 WIC .(845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580