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631- 589 -8100
36.25 -1 -31
BOX 18
01945
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DEPARTIVMN T OF IMALTIi
Division of Ensironmental Health Services
4 Genava Road
Brewster, Naw York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
BRUCE R FOLEY
"-'Public Health Direc!cr
• ;, 1s :— � � ' 1� a �. • �;
STREET AV. TOWN MAP #
DESCROTION OF ADDITION
N M 3ER OF EXISTING BEDROOMS
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDLNG INSPECTOR)
o
PROPOSED # OF BEDROOMS�r•+z�
*Any addition,,rfdoh is coDs:dared a bedroom requires formal approval of plans (Construction
Permit) prepared by a Pref_ssio.'ial Engineer or Registered .Architect in accordance with
applicable sections of the PuLn= County San tub Code.
Please submit this fcrrl a,Fd the following to Putnam County Health D c t., 4 Geneva Rd.,
1. Certified check or money order for $100.00
Sketches of existing floor plan (drawn to scale, all living area including basement)
0 Non - professional sketch--s are acceptable
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map,',')
* Non - professional sketches are acceptable
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date
of installation if known. Label all wells and septic systems within 200 feet. of the property line.
Contact this office with any questions.
5. Copy of Cert, of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwe ?ling.
Q LK'-E ICE
C:ommen:s
Feb 93
BRUCE R. FOLEY
Public Health .Director... _.
LORETTA MOLINARI RN.,, M.S.N...
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH.
1 Geneva Road
Brewster, New York 10509
Environmental Health (914) 278 - 6130 Fax (914) 278-7921
Nursing Services (914) 278 - 6558 WIC (914) 278-6678 . Fax (914) 278 - 6085
Early Intervention (914) 278.6014 Preschool (914) 278 -6082 Fax (914) 27 648
ay 11, 2000
Edward Rice
1503 Brentwood Dr.
Brewster NY 10509
Re: Addition - Rice - Ilion Rd.
No Increases in Number of Bedrooms
(T) Carmel Tax # 36.25 -1 -31
Dear Mr. Rice:
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 form this Department dated May 11, 2000 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 lnust be- updated with water saviiig 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.
Very truly yours,
Michael Luke
ML:kg Public Health Technician
cc: BI
LIVING AREA
2078 sq ft
49'11-
Mai 11 00 12:27p
MAY-11 -00 F R I 11 : 40 AM PUNAM CTY ENV REA! T8
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BEDROOM
11'4 x 127
1 CLOSET
II B'6 x T3
MASTER BDRM
10 x 127
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LIVING AREA
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DEPARTMENT. OF HEALTH
Division. Of Environmental Health Services
4 Gene4 Road, Brewster, New York 10509
(914) 278-6130
Putnam C6urtty Dept. of Healtti
4 Geneva Road
B--ewste-, NY 1050
Re:
Residen&
'Fax Map
MUCE R—FOLEY.
Atting PUblIC MGalth Di,
Gentlemen:
According to records maintained by the Tow-,-, the above noted dwelling
IS
IS N T- -
in compliance with Tomm code, and the total number of bedrooms on record
i5
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS ",CORD:
OTHER
Build.iri,g, Inspector a.0
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y /p g6A
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SURVEY OF PROPERTY
NRE°RARED FOR
BR /DOET R /CE
BEING
LOTS 1640.1646 INCL.
SHOWN ON
"SECOND MAP OF PUMAM LAKE"
S /MATE IN
TOWN OF PA T TERSON
PUTNAm COUiV TY NE" w YORK
SCALE 30°
Sold mop f//ed March 20, 03i as atop lvlz 14.9 -tee
L eoend
stone wire fen ce - ----
Aril/ MIA
N�
cA \'IV
O mo 61.65'
N�
N62 ° =20"W co 61.96' \ \O
_ 735 I 1 4, OC�
cp 1.31 meta/ sh d
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to
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lb
Of Q1
- 44206 =00 4,rp045
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SURVEY OF-PROPERTY -
PREPARED FOR....... -. ...... _.....- _._.._. .,.- .....; .._. .
BRIDGET RICE
BEING
LOTS 1840 -1846 INCL.
SHOWN ON
"SECOND MAP OF PUTNAM LAKE"
SITUATE /N
TOWN OF PA TTERSON
PUTNAM COUNTY NEW YORK
SCALE /'.'- 30'
Sold mop filed hbrch 20, N3/ os mop N4 /49 -A
Legend
stone wall wire fence
hedge row ��0�4 drill
pole 9 wiresQ - - - - - — iron pin —;
James C. Edgett, the surveyor who mode Note: All cart /ficatlons hereon are valid
this mop, do hereby certify that the survey for this mop and copies thereof onl,
of Me property shown hereon was completed If sold mop or copies bear the
Dec. 7, 1971 and this mop was completed impressed seal of the surveyor whc
Dec. /0, 1971 s/gnoture appears hereon.
York License A1937212
Registration N °5632
Office of James C Edgett
Land Surveyors
fain Street Brewster Nei
11 Church Street, Pine Plain's, New York Job N-VZ 201'