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01697
ALLEN BEALS, M.D., J.A.
Commissioner of Health
ROB RT IV ORRIS, EE., MPH
Director ofEnvironmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster,'New York 10509
December 8, 2014 phone # (845) 808 -1390 Fax # (845) 278 -7921
Stephen D'Ottavio
2400 Route 22
'Patterson, NY 12563
Re: Addition — Approval _ D'Ottavio
No Increase in Number of Bedrooms
288 -290 Farm to Market Road
(T) Patterson, T.M. 35:4-13
Dear Mr. D'Ottavio:
MARYELLEN ODELL
County Executive
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 December 8, .2014. 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.
1, All_plumbing fixtures must be updated. with water saving'devices, i.e., new low flush
ioileis, resinctors 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 December 8, 2016.
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,
J seph S. Paravati, Jr., P.E.
ssistant Public Health Engineer
JSP:cml
cc: BI (T) Patterson
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PUTNAM COUNTY DEPARTMENT orl
HOUSE PLANS APPROVED FOR BE�R
OOM COUNT ONLY,
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DEMBOOMS
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ALL SUBSEQUENT REVIST 7kT
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PLANS MUST BE SUBMITTE T-0 " HIE P--`DOkH FOR APPROVAL
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; ;I;1uE1�1,'dEAI;Si T ;..D.; J. D. ,. r:IARYE� -LEN ODELL
Commissioner of Health County Executive E D
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ROBERT MORRIS, P.E.
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
ADDITION APPLICATION - RESIDENTIAL ONLY
PCFM# I_0.1 --�
Owner's Name:r� X % Owner's Phone #:
°N 7 �0 . q ?13
Site Address: r � �o� z Town : Tax Map #
Owner's Mailing Ad
Owner's Signature:
Description of Proposed Addition: ��� l �GL9/
*Number of existing bedrooms:,, Total number of bedrooms (existing + proposed): 3
* (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-ProfessionalEngineer or Registered Architect in accordance with applicable sections ofthe-
Putnam County Sanitary Code.
Please submit this form and the following to Putnam County Department of Health, 1 Geneva Rd,
Brewster, NY 10509, Phone: (845) 808 -1390.
1. Certified check or money order for $100.00.
2. Two sets of 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 RA-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. Contact this office with any questions.
S. Copy of Certificate of Occupancy from the Town or Certification from the Building Department
with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
Rev. July 2013
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PUTNAM COUNTY DEPAIITMENT OF HF \LTR
HOUSE PLANS APPROVED FOR BRDROOM COUNT OINT,
BEDFOOMES
ALL SUnl:s-'ZQUE;-'-R-E -i-O'NI
ALTERATIONS TO THESE HOTISE
HE PCDO F., FOR APPROVAL
SIGNATURE & TITLE
POTENTIN
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PUTNAM COUNTY!DEPARTMENT OF HE kLTH
HOUSE
3 PLANS -APPROVED P OR BEDROOM COUNT ONLY',
BEDROOMS
ALL•SUBSEQUENT REVISIONJIALTERATIONS Td..',THFSE HOTTSE
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P._,.'4NS_MUST.__Bl: SURIVAWE-D TO THE, PCDOH t*OR AP'
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SIGNATURE TITLE
DATE
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POTENTIN
_BEDROOM
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PUTNAM COUNTY!DEPARTMENT OF HE kLTH
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3 PLANS -APPROVED P OR BEDROOM COUNT ONLY',
BEDROOMS
ALL•SUBSEQUENT REVISIONJIALTERATIONS Td..',THFSE HOTTSE
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P._,.'4NS_MUST.__Bl: SURIVAWE-D TO THE, PCDOH t*OR AP'
PROVAL
SIGNATURE TITLE
DATE