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Home My WebLink About2002DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.33 -1 -11 BOX 18 ��T . r i r , ri: i mn - i- ,1 11 A r+ . i SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health ROBERT J. BONDI County Executive MORRIS, PE 4ronmental Health DEPARTMENT OF HEALTH 1 Geneva Road.. Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET L �, y 6± —,TOWN TAX MAP # 3 ✓ 'j '/ t NAME PHONE 6451-78:2-737- PCHD# - - MAILING ADDRESS�3 DESCRIPTION OF do 4 �� Gsv.,¢nrf,� a�F ADDITION fir hoc .Q �(,f:)3 ti 4& td/ 0x4 134- 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 CountyflGl�" 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, oSketches.o existiaig.floor- plan?(drawn to seal,;, ll living ar.0 inea�tding hasement; te-be - _.._ _....- _...._.. ... P.., ens. _... shown and dimensioned and use. of each room specified). (See Section 3.c of Bulletin HA -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. 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 COMMENTS s 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 Nursing.Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 . Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 SHERLITA AMLER, MD, MS, FAAP y ROBERT J. BONDI Commissioner of Health * County Executive LORETTA MOLINARI, RN, MSN �!{i YO ROBERT MORRIS, PE. Associate Commissioner of Health Director of Environmental Health . DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Addition Status. Re: (Owner's Name) Tax Map Address: Town: Year Built: According to records maintained by the Town, the above noted dwelling, is 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: l� , Other.. The plans for the proposed addition are considered: . New 'Construction Addition to existing house only Teardown and /or re =build allowed under Town Regulations B-41144140spept o.. Date 6. 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 Nursing Home Care Fax (845) 278 -6085. WIC (845) 278 -6678 Early Intervention / Preschool (845) 2282847 Fax (845) 225 -4580 Sherlita Amler, MD, MS, FAAP Commissioner of Health Robert Morris,,P Director of Environmental Health ` Marilyn Lam P.O. Box 432 Brewster, NY 10509 Dear Ms. Lam: Department ®f Health 1 Geneva Road, Brewster, NY 10509 Office (845) 808 -1390 Fax (845) 808 -1937 August 6, 2010 Re: Addition- Approval — Lam No Increase in Number of Bedrooms 485 Lake Shore Drive (T) Patterson, T.M. # 36.33 -1 -11 Robert J. Bondi County Executive 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 the Department date August 6, 2010. 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. 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 -isfor--the - proposed -chaiiges,only-., 'Phis approval -does- not - validate - any- const_TuEtion • -_ _ -». 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 Patterson. If you have any questions, please contact me at your convenience. Respectfully, Joseph S. Paravati, Jr., PE Environmental Engineer JSP:kly cc: BI, (T) Patterson x N 32' ' 00- W v" TM6 FLC° A" °]"F GARAf£ S]1 SF. 66' 13' 00" W 99.92 t� SCALE Vr • ail 0.4099± ACRE 11PERVIOUS SURFACE Z = 2939 S.F. (96.5%. OF u LOT AREA) ' ® SITE LAYOUT PLAN mn SCALE ,.3e-C a LOTS 1479 -1487 I In SLAB ABOVE I I I I I Ij a - - -J L •'i I I I Jim GARAGE — SLAB ABOVE iBp�lllll r I I I I I I n.ca carome s..9 ImN I I I M1G r1Cy1 AwOro40n P1 9 I I � NmCYJ I I BLAB I I ABOVE FOUNDATION PLAN SCALE Vr • i-0 PUTNAM[ COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, BEDROOM! (T) - 7740 3r. -9 3- i -1 'ALL SUBSEQUENT REVISIONJALTERATIONS TO THESE HOUSE .PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL I Z .� 8/G /� T%N ATURE & TITLE c_ DA'R'E ® GROUND FLOOR PLAN v" TM6 FLC° A" °]"F GARAf£ S]1 SF. AREA = 17,855± S.F. t� SCALE Vr • ail 0.4099± ACRE O iaoroaeo PROP03P13 CJ2Qf0 FLOOR ARE4 3137 W. oPObcc ,n sr. LEOEW GROUND FLOOR III mn i oorParrt ........: uutms vaarmon ro ee aurovm eAnTrin +sroaT aeaoence .. . : : :J ' I \ — u�ar3w vaannoN ro RP11A3'1 9— _ O oA]e vei+o 11 Down M a +o (�� MALL McKifi: PK93N PL.00R TO Clllq ri R = 179.77' RL snli4a = 54.49' X11 p = 17' 22' 00' LAKE SNORE DRIVE .y IK SLAB ABOVE I I I I I Ij a - - -J L •'i I I I Jim GARAGE — SLAB ABOVE iBp�lllll r I I I I I I n.ca carome s..9 ImN I I I M1G r1Cy1 AwOro40n P1 9 I I � NmCYJ I I BLAB I I ABOVE FOUNDATION PLAN SCALE Vr • i-0 PUTNAM[ COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, BEDROOM! (T) - 7740 3r. -9 3- i -1 'ALL SUBSEQUENT REVISIONJALTERATIONS TO THESE HOUSE .PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL I Z .� 8/G /� T%N ATURE & TITLE c_ DA'R'E ® GROUND FLOOR PLAN v" TM6 FLC° A" °]"F GARAf£ S]1 SF. E"T "T L L'6 A1PA o9anr, ARE. EKPAI'15KJII LMIC AReA 'F u 31P. SCALE Vr • ail 3U'1 RO01 ENTRT )]O SF. onns ArseA uvenson 3+ sv. new nA3TER senaoon —S AR 339 �. PROP03P13 CJ2Qf0 FLOOR ARE4 3137 W. PROVOSeo LMK' AREA 60% E14STMG lJ AREA ,n sr. LEOEW GROUND FLOOR III 1'ICA R AI- LGM40Le EA9E IE6 SP. OI. ........: uutms vaarmon ro ee aurovm - NO NET BEDROOM site V,M'O' — u�ar3w vaannoN ro RP11A3'1 �. COUNT INCREASE oA]e vei+o E= NEW PARTRION Down PROPOSED a +o (�� MALL McKifi: PK93N PL.00R TO Clllq ' snli4a a 1 a 1In1IO°" ° "iO MILLIKEN ASSOCIATES ,pS LAXII SHOP[ SR19S TO9R3OIPATTwm%'RSATORR —111 .... IAIIA .—y ... I.... GROUND FLOOR III F:: s�s�eai °sio FOUWDATC" PLATY •," ^Q �•o�l W site V,M'O' oA]e vei+o Down a +o R.w w snli4a ol, X11 - - - - - - -- - - - - - - - - .. . ... ... . . ge fts mi I rig r - - - L ------ ----- --- ---- I Ail------------ PUTNAM COUNTY DEPARTMENT OITffF34ff 2WPM W-4e ve - 1-0 ROUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, / 4,0 -78 -tD o 3 —BEDROOMS. - 1740 36. 33-t AW SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL NNW"" Lam MILLIKEN ASSOCIATES 4 TvWN w "Tr5XIM up pm Flcclk PLAN New•YOwa 11400 Tll 463 3030 NATURE OITLE DATE 'C4~4a 4130/I0 sawn j Sherlita Amler, MD, MS, FAAP Commissioner of Health Director of Environmental Health Marilyn Lam P.O. Box 432 Brewster, NY 10509 Dear Mr. Lam: Department ®f Health 1 Geneva Road, Brewster, NY 10509 July 9, 2010 Re: Addition - Lam 485 Lakeshore Drive (T) Patterson, TM # 36.33 -1 -11 Robert J. Bondi County Executive 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 addition is greater than 50% of the existing living area. 2. The addition of greater than 50% of existing living space requires this Department's -- - -- - - - - approval ofa xe isedseptic_systexn plan'from a,professional- engineer.:: Please revise the proposed floor plan to reflect no more than 50% of the existing living area, 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:kly Respectfully, L�=, I I I vati, Jr., PE Engineer 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 Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 • f r ,,� daap,�� t r t1.l �1 /SD� i �� ,1 o� S h £ ) }I��4 r► �. A 'f %• t� Z" T. �� F' A y i ,i STUART W. BATES, INC. v ` e New acs & Repaks ¢ Excavatln.g a Demo :. -)n Trri=Mng .� Blacktop a Bare: Faun * Sand. & Gravel S Plowing 114 Starr Ririe Rd.; Brewster, NY 10509 6 345- 279-8952 FAX 845- 273 -707; I i I CUSTOMER'S ORDER NO. PHONE TDAT�j NAME fq t ADDRESS r J 1 7 t •i _SOLD BY -' CASH C:O:D CHARGE: .QNACCT. MDSE:RETD PAID`OUT 8 QTY. DESCRIPTION PRICE AMOUNT Al < 1 r 1 • I i 1 .. I.. X �f 1 1 1 ' 1 i I I i 1 I 1 1 I • I 1 , v Y TAX RECEIVED BY TOTAL 1 i r � All claims and returned goods MUST be accompanied by this bill. ! I U 6371 `Than&"Yo ii Li SZT ZA4- 6o,, k-i 1 SO -T a V- I to 40AA•P• 01 � I T 0.2838 ALBEE'S 4'J co 4251 t . /I � Dt. -.-tePpo?,-4 LoCAT-tiR vf.'r-*-oL. OV:4L. (De�►OARP) cif WGLA- C>CmfviL => P C-F-- F-,d5. e- e D Pc-)ea: NA.A.Pl 40r= pt.-n'L.)AA-A. S-31 40=4= AA 7 P#Z.EF42.ED �vtPa VFM AA r -1 PRELIMINARY GROUND FLOOR PLAN SCALE- 1/10" = T-O' La'm Residence Addition ARCHITECT ANDREW C. M-I--L:L-I-K--EN tti B Brewster,, NY ........... OCTOBER 16, 2009 0 o. ....... ...... Date ..... ....... - t - PUFTKAM COUN Y". Y. ntavto for Inotallation of WELL The undersigned hereby makes: application for approval of and a certificate of occupancy for the installatidn of, We I 1 0 on the property described below. . ......... rty .7 A:t ............. Location of Property ......... "WO - Street or Avenue Sul WIVI$ Ion '1 s. "7- ........... . ......... . ....................... ...... I ................. ....... $Wk Lot No. Size, of Lot' Character of Building Dwelling Garage ❑ Store C3 or other EJ No. of Occupants ..... !-il ........ Bedrooms ....... 137 ............... Baths ..... ..... :.... Extra Showers .......... Garbage Disposal Sink ........................ .... Automatic Laundry Washer ................................... Source of Water Supply Public 0 Drilled Well 0 bug Well 0 Spring 0 Ground 0 �#- 4--.v ... Nome of Qw..ner, Address .............................................. 10.00 We I I.— We I I DI&*,ram.vh;oWiftq,5 Upropos'e'd ins taAptioh,on -property. (Show distance froma&!-- joining property line and distance from nearest water, water course or source of water supply, within 300 feet. Also show location of dwerfling or building to �e served.) COMMON!, d any, to be made by inspector in red. Estimated Cost $ $ Fee ... General* Cqntr4cto r-)r..............L...1........ Subcontractor or- owfle r (sign) ................ (sign) ............ Address ...... Address _7 +t..... tti't :,,fj 1r CERTIFICATE OF OCCUPANCY AND COMPLIANCE Zjaftm of "'Hafterson e 4173 DATE ISSUED June 8. � }fell ,ff.'s tt THfS IS TO CERTIFY THAT PeteA . Bett >~�. 4•M 1 7l��rs� � 161': �; • rrrf :. ON THE PROPERTY OF Same l . LOCATED ON 485 Lah.0 hone DA 'vo HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE REQUIREMENTS � Q S OF THE BUILDING CODE, ZONING ORDINANCE'AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY B8 OCCUPIED AND USE-D AS Renovate Fx.i6'ti-na ThAee Beckoom Senate Farm; u Dwettina-w/One BathAoom I Building Permit Dated ...11.:1 Z. -06 Permit No. Application-No . ...... 5.2A6.......... SECTION -- 36.33= ......................... BLOCK .........1.:....: ... T.....1. ?................ FEE $ 50.00 - - - -- - -- - - - -- BUILDING INSPECTOR ' • .,. �,a.. , ,. ..� , .� ... .. , . • n. , -, ,. .� .. .r,ed' raty 'y� , , , ... -; �i spy', .'i '- *screw.. - - eren�. a .��erd is, fi:'r''•'�1' -- tr. ♦ �?## -- .::fir. t.r;� f = >•'`:: } r .:9i• # :,' . '.-. ., . �� .� -.. s - y . arI♦`4i.,i ,..�.+ ti.r.,•. 3 4r f r+'„, t ro vgr'y i •. o1fi tri•: {# rr','t - ... ••• ':+" '♦r: +. ,• 1r ,/ �i. ' .,' -r:. ..fie'•/ � 5a ''F• 5 F 1 r+'°F."y4. ,k ,' ":_+ 4 W r .4� n; :;,,•- �; d - --i -i•f ',T.y ,;:;. ii 'sJ. "J `4• r •'w str:. �' � �, tt,,'' '•. /�� •.i7g`•, •.•i•�.ar k4.i.y' ,. },aJ �.. i., .,r S ,r;,. •�:I,. 2 ,r 4,1 f • �,'i: - `y J''r ,•S.. J a,4 i9.• .. t�r1 r : ii+ r,ij4 ,,It•,, .5:. ,qi•;;� r',% •4,4I, �, {\ •,;� r: 4:4 ♦ J Y::. t t: }:: rt,. ::,5:•..srytl•' .. •t it•tS• • {4, ..S r _ 1 S • ..r . 'i w f• :i¢•:•:/.. `� ..:? r1 ". .: .�,: . t ! fir,. . }:t:st , j•r�,•, y:. t srr 9.''�x �i:'t , fr•:::� %r :.;4,•. :s,5 f ,;;1. t:s} t :. .,t • f 1 ,. �. 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M :f ii� f�'iii•: 1 / •t. : �'i � / t• ,t•` \4:•...: r• :/ ....,, tv...: :: �s�' ._.. //r r ?'.1 %•f•. 1, 1'stiti /):. •:::• ,.L JJf st ,t "'1, J '�Jr :'t. .p (( :,tL,.... �, .11' +r 1:••::.•;;.;:;::. �.• .r. ., - 1rs:;:• `,t _ l /..1. t� ... lifi .n�` ":ttls'•:�t+' _ 1 }•e %.a• #" - !' ?:;f�e':'�ii.::l:•: .>, :1 {+t. ,tr r i:,;..,.� � - � .yt. ..;,,., t /J :fi „t's ?s, i, { /iR+• 1:+. - -� f it - i 1.::. tr r) t,.... �i' .../ ��.. ��"�_ ✓� �� ':... ��' `.f� •. ui � r,t. •.;: %45 er, •S: •hot ��_. /ji+':• i� :h Permission is hereby granted to: Per Plans filed and approved by the Building Inspector at This Permit must be kept on the premises until completion of all the authorized work. Note: The Holder of this permit is required to familiarize himself with all ordinances under which this permit is granted. Any violation of these provisions will result in immediate revocation of this permit.