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Home My WebLink About2079DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.49 -1 -17 BOX 18 02079 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health 31 Oak Street LLC 25 Cameron Road Patterson, New York 12563 To Whom It May Concern: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 i March 14, 2006 Re: Addition — 25 Cameron Road, A- 048 -06 No Increase in Number of Bedrooms (T) Patterson, TM# 36.49-1-17 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 March 13, 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 Patterson. If you have any questions, please contact me at (845) 278 -6130, ext. 2261. Sincerely, ,��. 0. 3�� Gene D. Reed Senior Engineering Aide GDR:cj cc: Building Inspector, (T) Patterson Harry Nichols, PE 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 ALC•PR Offices: _._ _ _ Inc, 914- 225 -2745 EElmbr Galloway Road KatonAl Plow York 10538 . 914- 232 -8888 914- 737 -8686' 13 J5 i 1 SHE RLITA AMLER, MD, MS, FAAP Commissioner of Health 'r LORETTA- MOLINARr'i 1N MSN Associate Commissioner of Health DEPARTMENT 'OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ME ADDITION APPLICATION RESIDENTIAL ONLY - STR.EET2u TOWN TAX MAP# -3e9, G &Z-1 Al NAME PHONE K��'�� 6`� �`! PCHD# 1q MAILING ADDRESS ,2.S° /0 DESCRIPTION OF ADDITION 'I WO t�URVt X11 H40 — ACID KtbO EX,ihl , i�ou�c 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 County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY .10509, Phone: (845) 278 - 6.130.: 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 4 ' o SHERLITA AMLER, FAAP. -- °` "`° -;'`° LORETTA MOLINARI, RN, MSN Associate Commissioner of Health _ ROBERT J— BOND] . - - °., _ County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Levi Bedroom Count Re: i(�oWr44-� . (Owner's Name) Tax Map #: / Address: '/'\0 Town:C,�L•��'u / Year Built: 1�2 "D % 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: 02 This information has been obtained from: Certificate of Occupancy: Other: ` Date Bui ding spect / ' 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 22 I . 0. i. ............. ........... -77 _._ - f Jun. 7 '?4 15: 33 ALL —FRO +FOOTER 7E_ z 1 Riyo Yy LMTZOta Fu c ►r- t.c(>i (d,u , rr±T flLk_�, gLi . �. r r,, rJM, t449TMI ►u.zNC ADM MS 5 - a a, 5 s avC /vtA6 ,y ,RSW IN-TS WEWM M. k;v 'E PCFD Complaint # k) n, Name & Relationship (i.e, owner tenant, etc.) ATE % C1 TYPE F ILITY OEM ��- 1 ��; . �� . � . y, PH= (include sketch locating all adjacent wells): 7'm Repair must be in same location and of same type as original swage disposal system. afferent location may require submittal of proposal from licensed professional engineer or 3gistered architect. �4AV# C_ t-V) lc)�PAOn �E �C S��I LO (' 104 1C) o) A O tt ,'L i Rl�i'c'?(Z �71T. P� y,� i W/4 -oposal approved Ins'pector's Signature & Title 1 Disapproved �qposal approved with the following,conditions: Procurement of any Town permit, if applicable. !. Submission of as built repair sketch in duplicate showing: a. owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two :Fixed points d. System description (e.g., 1250 gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name And n=ber. (e.g-,house corners). three precast 6' diam. x 6' deep . System repair to be performed in accordance with the above proposal and conditions. as owner, or rep nt f owner�aggree to e above conditions. ;taTURE r TLE GATE Co 2 9 51JMY Or- FIZ0MI2'fY PREPARED POR �0 O,c sTIZE�E�T, LILC BEING L.a NO5. 828-M2 & e-58-8" A5 5HOWN ON "MAP OF PLK AM LAKE PILED MAP NO. 149 PILED 3 -20 -31 517UACM IN TOWN (X- FATItR50N rUtNAM CO., N.Y. 5CA1 e� : I" -- 20' r- r.PRLVYZY 2, 2006 COFYRIGHT O 2006 SWY MIRGENDOTTF COLLIN5, ALL RlaF RESERVED dm 'RnFICAnON5 INDICAMP MMON 510NIFY THI5 RVEY WA5 FRMPARED IN ACCORDANa WITH TM aSnNG CODE OF MACTICE FOR LAND SL"Y5 70PTED BY THE NEW YORK STATE ASSOCIATION F PROFESSIONAL LAl-v SLRVEYOR5. INC. ?RTIFICATION5 SHALL RLPI OKLY TO 11-E PERSON 5R WHOM THIS NRVEY WA5 FMFARU7 AND ON 5 BEHALF TO TFE TITLE CO. MID LENDING IN5n- .MON LI51ED HEREON. °Rf1FICAn RE ON5 A NOT TTZANSFERABLE TO ADDI- ONAL IN5tAMON5OR 9.05FQLENTOWNER5 MW PeRCENVOWp 024-IN5 52 5TAI& RIDGE ROAD THE &IVRATION OP 5U2VEY AW5 DY ANYONE O1FER THAN lit ORIGINAL PePARER 15 MI5 - LEAPING. CONFU5IN0 AW NOT IN THE GENERAL WELFARE AND BENEFIT OF TFE PUBLIC, LICEN5E17 LAND 5Ld YOR5 ` IALL NOf ALTER %"Y MAP5. 5L"Y MAN5 OR SURVEY MAT5 P1MPA01:2 BY OTMIM IAIAUniOWMt7 ALTERAnON OR ADDITION TO 11-1I5 5LRVEY 15 A VIOLATION OF %CnON 0 7209 OF TM NEW YORK STATE EDUCATION LAW. THE LOCAnON OF UNDERGROUND 1WROVEMEW OR EN=ACHMENT5. IF ANY EXIST OR ARE SHOW HEREON, ARE NOT CERnFED. ALL C1;RnFICAnON5 HEREON ARE VALID FOR THI5 MAP AND COPIES TFEREOF ONLY IF 5A112 MAP OR COPIES BEAR TFE INV'W55ED SEAL OF IM SURVEYOR WM05E 516NATUM APMAR5 FEREON, THI5 MAP MAY NOT M U5eD IN CONNECTION Wln - 9XVF-Y AFFII2AVh- - OR 9MILAR DOCUMENT. STATEMENT OR MECHANISM TO OBTAIN ME! IN51