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631- 589 -8100
35.-3-25
BOX 15
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BRUCE R. FOLEY
Public Hedith Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLMARI R.N., . M.S.N.
Director of Patient Services
Environmental Health (845)278-6130 Fax(845)278-7921
Nursing Services (845)278-6558 WIC (845)278-6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
August 8, 2000
Scott Hagendorf
110 Big Elm Rd.
Patterson NY Re: Addition- Hagendorf - 110 Big Elm Rd.
No Increases in Number of Bedrooms
(T) Patterson Tax # 35 -3 -25
Dear Mr. Hagendorf.
I have received and reviewed the plans for the proposed addition of the above - mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp form this Department dated August 8, 2000 The addition is approved with the following
conditions:
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3
The total number of bedrooms must remain at Three without prior approval by
this department.
The-area of the e�.dsting sewage disposal system, and its expansion area, must be
maintained.
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.
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Very truly you
William Hedges
Senior Public Health Sanitarian
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DEPAR T MEIv I OF HEALTH
DiviWon of Envirvnrnental Health Serrrees
4 Genava Road
BTeWstsr, Naw York 10509
Tel. (914) 278.6130 Fax (914) 278 - 7911
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BRUCE R. FOLEY
Aubli� Healih
DESCRIPTION OF ADDiTI011
NUMBER OF EMSTING BEDROOMS 3 PROPOSED # CF BEDROOMSQ
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BLILOI*!G INSPECTOR)
*.Any addition which is considered a bedroom requires formal approval of plar9 (Construction
Pertnit) prepavA- by a Professior l Engineer or Registered Architect in accordance with
applicable sections of the Pumam Co,=ty Sanitary Code.
Please submit this fe1z1 and the folowing to Putnam County Health Dept., 4 Geneva Rd.,
Brewsier, NY 10509, Phone 279 -E130.
1. Certified check or money order for $100,00
2. Sketches of existing floor plan (drawn to scale, all living area Including basement)
W Non- professional sketches are acceptable
3. Two sets of proposed floor plan (drawn to scale, with name, street, and ta;: r.2ap rr)
* Non- professionai sketches are acceptable
4, Copy of survey s' howing well and septic location, to the best of your krowledge. Include date
of installation if known. Label all wells and septic systems within 200 feet of the property line.
Contact this office wi,h any questions.
5. Copy of Cen. of Occupancy from Town or Certification front Building Dept, with legal
bedroom count of dwelling.
QFFIC.E �T'�
Comrnen`s
F -.b 98
DEPARTMENT OF HEALTH
®ivi .jion . Of Environmental Wealth Services
4 Geneva Road, Brewster, New York 10509
(914) 276 -6130 -
Putnam. County Dept. of Hea t
4 GeaeN!a Road
B.ewster, NY 105C9
Gentlemen:
SRUCE R.JOLEY. R.S
Acting PUNIC Health oi.ect.j
Re:
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Tax Map s..
Town
�ccoFdir, to reccrd� maintain ed by the To`��t, the above noted &,,elling
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in compl' n:;e vlth To %s code and the total number of bedrooms on record
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This it fo►7nation ha5 been obtained from:
CERTIFICATE Or OCCUFAMY:
ASSESSORS RECORD:
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-Buildinc, Inspector
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