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34.13 -1 -66
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ADDITION APPLICATION
RESIDENTIAL ONLY
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STREET103 OyLL : i Oxc iD TOWN P I �n TAX MAP #3q, 13 ^ ` -66
NAME MOLCO i. H J-A ILL PHONE_, )DT `44 �-36 PCB# C
MAICLING
ADDRESS 103 &)Lu (LD (Sq(i.m6L_ vAY 105-1
DESCRIPTION OF ,.,,,
ADDITION PLAY aa)m r0 uaL �fc LA t01 ✓)(n r G cove
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(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, NY 10509, Phone: (845) 278 -6130.
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two setts of proposed'floor pans (drawn to scale = w`itfi 'name,`sfreet and tak 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
COMNffiNTS
s.
Town Legal Bedroom Count & Pronged Addition Status
Re: f j,zo ( - .�G - k�l
(Owner's Name)
TaxMap# 5qoI3-1-66,
Address: / 0. l�
Town: Pr, h- er�) X
Year Built: "-- / q q--b
According to records maintained by the Town, the above noted dwelling,
is L"'X in compliance with Town Code.
b not in compliance with Town Code.
The Legal Bedroom Count is: -
This information has been obtained from:
.-.--C-crtificaW.ofQccupancy:..-....--
Other: 164%
The plans for the proposed addition are considered:
New Construction
Addition to existing house only
Teardown and/or re-build allowed under Town Regulations
�2 112-011
Buffaing Inspector Date'
6.
REBECCA WITTENBERG, RN, BSN
PublicReakh Director
ROBERT MORRIS, PE , . ,
Director ofE>mromnv tal Heakh
Meredith Jackel
103 Bullet Hole Road
Carmel, NY 10512
Dear Ms. Jackel:
DEPARTMENT, OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 80 8-1390
Fax # (845) 278 -7921
April 23, 2012
Re: Addition — Jackel
No Increase in Number of Bedrooms
103 Bullet Hole Road
(T) Patterson, T.M. 34.13 -1 -66
` MARYELLEN ODELL
Coway Ewcutim
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 April 20, 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 April 20, 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,
(0sepph S. Paravati Jr., P.E.
Assistant Public Health Engineer
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REVISIONIALTERATIONS TO THESE IloVsE
1 O THE PCDOII FOR APPROVAL
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ALI- SU- ' �'! QlUENJI TIEVISIONIALTEP IIf1i ,1
PLAN';,S, 21�n--UST BE SUBMITTED TO THE PCDOII FOR APPROVAL
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PUT NAM COUNTY DEPARTMENT OF HEALTH
M-USE PLAINS APPROVED FOR BEDROOM COUNT ONLY,
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REBECCA WMZNBERG, RN, BSN a� s MARYELLEN ODELL
Public Health Director k. # County Executive
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ROBERT MORMS,-PE
Director of Environmental HealthW
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
December. 1, 2011
Meredith Jackel
103 Bullet Hole Road
Carmel, NY 10512
Re: Addition — Jackel
103 Bullet Hole Road.
(T) Patterson, TM 34.13 -1 -66
Dear Ms. Jackel:
I have received and reviewed the plans for the proposed addition at the above mentioned .
residence. Based on the information submitted, the above mentioned addition cannot be
approved for the following reasons:
1. The proposed playroom is a potential bedroom.
2. The legal bedroom count for the dwelling is two. The potential bedroom count of your
proposed addition is three.
_.:.._ . _.....;..3.....The._additiQn.of apotential bedroom requires this Department's. approval. of-a.revised -r
septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than two potential bedrooms, or have a
professional engineer or registered architect design a sub - surface sewage treatment system
meeting present code requirements.
If you have any questions, please contact me at your convenience.
JSP:cw
cc: BI (T) Patterson
RERE &A wrmNBERG, RX, BSN
Public Health Director
r7:..*I'..*- -'. ROBERT MORRIS, PE
_ Director of Environmental Health
Meredith Jackel
103 Bullet Hole Road
Carmel, NY 10512
Dear Ms. Jackel:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808-1390
Fax # (845) 278 -7921
November 16, 2011
Re: Proposed Addition — Jackel
103 Bullet Hole Road
(T) Patterson, TM 34.13 -1 -66
MARY ELLEN O DEL L
County Executive
The application for the above referenced project is incomplete. Please provide the following:
o Please provide the entire existing and proposed layout of the house (basement, first floor,
second floor, etc ...).
Review of your application will continue once the above documentation is received. Please do
not hesitate to contact us is any questions arise.
Respectfully,
oseph S. Paravati, Jr. P.E.
Assistant Public Health Engineer
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