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36.32 -1 -2
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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
Charles Hoffman
555 Warburton Avenue
Hastings -on- Hudson; New York 10706
Dear Mr. Hoffman:
April 13, 2006
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition — Application Incomplete
Hoffman, A- 092 -06
85 South Lake Drive
(T) Patterson, TM# 36.32 -1 -2
Review of plans and other supporting documents submitted at this time relative to the above
regarded project has been completed. The following was not submitted with your application:
1. Sketches of existing floor plans .(drawn to scale, all living area including basement).
2. The proposed floor plans have been returned for the following reasons:
• Proposed floor plans are to note the owners name, street and tax map number.
• Proposed plans are also to include the basement: If a basement does not exist,'-then
please note this on the main floor plan.
Upon a receipt of a submission, revised to reflect the above comments, this application will be
considered further.
GDR:cj
Sincerely,
Gene D. Reed
Senior Engineering Aide
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 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early interventioniPreschool (845) 278 -6014 Fax (845) 278 -6648
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85 SOUTH LAKE DRIVE.
ppT(ERSON, N.Y 12563
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AREA AREA 12
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6.5 1 ENCLOSED PORCH
IAA HE SHORE DR .
PATTERS ON ., N s Y ■
SAID DIMENSIONS BEING MORE OR LESS AS
WOULD BE SHOWN ON A ACCURATE SURVEY.
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
rLORETTA MOLINAM, RN, MSNT
Associate Commissioner of Health
"TM ENT 'OF HEALTH
,oad, Brewster, New York 10509
ADDITION APPLICATION
STREET I sr LAV-E D KM-5
ROBERT J. BONDI
County Executive
RESIDENTIAL ONLY
TOWN N1 &9)Z b nl TAX MAP#
NAME CWi" A(VMA4 PHONE PCHD#
MAILING
ADDRESS 5 5 S lnJ aM 4 Q.-rog AV, ) O--;7db
LLk1 S� ivy j Z �C`Du��ib�InS �1iL Al'Rbk �6` I
DESCRIPTION OF C't,eC2 RED �sPA•yQs
ADDITION '?% bSe -ro f-.x.?Aj 6) j u f 1' °< I+� 1 ldl� 1 `13t`O R.00�+� To q t 1J x 7- J)
NUMBER OF EXISTING BEDROOMS Z— PROPOSED # OF BEDROOMS Z
(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)
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 locations 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 Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648
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F . SHE_RLITA AMLER, MDL MS. FAAP, - -. - - _
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
County Executive
Re: C/,� /—s Wo e 6IYQ A) (Owner's Name)
Tax Map #: 36, 32-1-4
Address: *5 S6,00 L V ke )k-
Town:
Year Built:
According to records maintained by the Town, the above noted dwelling,
is V 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: A s se s s e,
Building Inspector"O Da e
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648
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
Charles Hoffman
555 Warburton Avenue
Hastings -on- Hudson, New York 10706
Dear Mr. Hoffinan:
May 5, 2006
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition Approved — Hoffman, A- 092 -06
No Increase in Number of Bedrooms
85 South Lake Drive
(T) Patterson, TM# 36.32 -1 -2
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 this Department dated May 4, 2006. 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. This Department recommends you contact your local Building Department to ensure
setbacks and other current codes can be met.
5. This 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 Southeast.
If you have any questions, please contact me at (845) 278 -6130, ext. 2261.
Sincerely,
Gene D. Reed
Senior Engineering Aide
GDR:cj
cc: Building Inspector, (T) Southeast
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 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
2- BEDROOMS I o ' - 2
ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAI
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HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
BEDROOMS 2-
ALL SUBSEQUENT REVISION/ALTERATIONS T0 THESE HOUSE
PLANS MUST BE SUBMITTED TO THE pCD8N FOR APPROVAL