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,., > .. . < <�- BRUCE:.R:...�`bll✓Y-r ,.,. _ ..-,t ...... .... ........... ,.
Public Health Director
�_ .. �. ,....:- io�rrar -1VtOLiI�1ARI- R:N.;�M:S:N: • . ..-
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
December 7, 2001
H. Eliot Subin
540 Commerce St.
Thornwood, NY 10594
Re: Addition- Subin, 482 E. Lakeshore Dr.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM 441.6 -2 -7
Dear H. Eliot Subin:
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 December 6200 1. The addition is approved with the
following conditions:
_.... _._. __._._._.... _._:._I .:.._ .. 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.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Valley .
If you have any questions, please contact me at your convenience.
ML:lm
cc: BI(T)Putnam Valley
Very truly yours,
Michael Luke
Public Health Technician
BRUCE R. FOLEY
. u. �.- ._ • :. •Publie::.tlealth � Direcion • - -- •- • -� �- q- �>
_ LORETTA MOLIN_ARI.R - N..- M.S,N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF -HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 6558 WIC (845) 278 -.6678 Fax (845) 278 - 608S
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONLY)
DESCRIPTION OF ADDITION BOO
NLIPYIBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS 13
(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., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scald, all living area including basement)
*Non - professional sketches 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 dwelling.
OFFICE USE
Comments
Feb98
BFhouseguidelines
BRUCE R. FOLEY
Public Health Director
DEPARTMENT. OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINA R S.N."
i�ss`ociale 'Public Health Director
Director of Patient Services
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509 p
Re: 4'0 7- 9.W ?Z
Residence
Tax Map
'
Town FzA&A fj
Gentlemen: (�
According to records maintained by the Town, the above noted dwelling
IS L%
IS NOT
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
U
OTHER
ui ding Inspector
BFhouseguidelines
t No.
Address
Date
..:._ = .APPROVAL AND- PL2,.N APPLICATION'
UNDER
ZONING ORDINANCE OF TOWN OF PUTNAM VtiLLEY
AND
NEW YORK STATE BUILDING CODE
Ad /�4 -C 90/1 IFI? T 1/7/,-�� Zril R
Size of Plot QIAZ—ce:�2 %7�/� Area
Location �� csd4loz ��,� 22.2-- -.2 7
Street Sect. Block / Lot
Zoning District If /J L Maximum Height %p /
/
Size 'of Yards - Front ��� /fie ���
"`� Rear
No. Families per Bldg. Proposed Use / � cti_ .6o
No. of Bldgs. Estimated Cost of Bldg.
T-Z DO HEREBY GREE TH. &T THE
NOT; AS VTELL AS THE SANITi.RY CODE,
1'FECTING S.ci.ID STRUCTURE OR
Date J ✓Alt lZ �"5Signed
7
RTIETHER THE SAME ARE SPECIFIED OR
AND ANY OTHER LAT, RULE OR REGUL..1TION
I find plot plan to'conform to the Zoning Ordinance of the Town of
Putnam Valley and hereby approve same; subject to further approval and
compliance with the requirements of the State Building Code and the
Sanitary Code of this Town; as well as any other law, rule or regulation
of the State, County, Town, or Bureau or Depasvfment thereof.
Date tp 9 7 -&�' t
g and Zoning Inspector
Paid: Building Permit $ G c
Sanitary Permit /d. °—
Plumbing Permit s U c
Well Permit jy G
Occupancy Inspection Made:
Certificate of Occupancy Issued:
L- PPLIC11TION TO BE 2LCCOIM'i TIED BY 2 COPIES OF A SURVEYOR'S lUtP IND
COMPLETE PLANS :;ND SPECIFICATIONS 1,LL INFOR1lI�TION REQUIRED BY THE
ZONING ORDINANCE AND S:iNITARY CODE MUST BE SHO'M BELOW OR ON THE
REVERSE SIDE OF THIS..APPLIC11TION0.
n� ...::...:...... TOWN OF PUTNAM VALLEY
//�f� N° ?od582
Zone istrict........ . L.c........ PERMIT. RECORD: a.y_
t/ �,�> .
Application is here made for ...... ............................... ......... ................ j...................Permit Work to start... .............. .............
Description....... ..... ✓... .........✓ ............................................................................... ...............................
Location' of Premises — Street or .Road ....... ..... ::.. - ,..* ............................ ......................1........ ................... ..�'.............
SEC............................ BLOCK ........................... LOT ........................... FRONTAGE ............. ............................... Depth ...................... ...,. Rear ...........................
ACRES(other description) r dumber of squar t ..................................................................................................................................... ...............................
.....- ->
SUBDIVISIO A E ...... OA.. ........... ....................
OWNER ................ ........'(-:............ .....L.................... ... ..
....... ...... .. �.............. ADDRESS ... ......
Dimension of Building
s '
idth >' Dept Stories
Type Foundation ...................-
Size & Use Each ....................
Room with Window Area.,
SewerageType ....................... J.. ...............................
Size of Septic Tank ............ . ...............................
Lineal Ft. Drainage ....................... .............
Size of Dry Wells ................. ...............................
Plumbing
Description ...X..:.. ...............
Well
Ddscription ::.:. `'.:... ... .....
Additional Informationh4.cr.rr /..`��........ .. 1.Tit.�,,r...... Wry../... �CtQzc. s : ..............................
This application must be aCcom anied �b a co of surveyor's map an complete plans! specifications and all information required
PP P Y PY
by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector.
Fee s ...... ;3....N'.- ................ Building
fZ/G�a ..... ............................... Sanitary 0/ Total Livable Area .....
C9_� Date Zoning Board Approval ............................... .
S............ ................. Plumbin
$ ..... ............................... Well
Sanitary Permit p
Plumbing Permit 8►�r --
Well Permit
Occupancy Inspection Mader
Certific•ite of Occupancy Issued:
I
".ePLIC�ITION TO BE ACCOMP�LNIED BY 2 COPIES OF A SURVEYOR'S MixP AND
COMPLETE PL�0S ;,ND SPECIFtC11TIONS ILL INFOM :1TION REQUIRED BY THE
ZONING ORDINJASCE JIND S:LNITARY CODE MUST BE . SHO ",'N BELOW OR ON THE
REVERSE SIDE OF THIS iPPLIC:�TION.
i USE
I CONST.
ROOFING
LAND
f1 Family
Wood
Wood Shingle
(Paved
2 Family
Steel
Asb. Shingle
I Dirt
!Log Cabin
Brick
. Tile
i Oiled
Bungalow
Concrete
Metal
Swamp
iApartmitnt
I Stone
! Brook
Store
FNDTNS.
INTERIOR
Lake F.
Store & Apt.
Stone
Rooms
Dams
15tore & Office
i Concrete
Apt. Rooms
:Sw. Pools
IOffi5,e
Blocks
! Apt.
iTen. Courts
Gas Station
! Brick
Attic Open
Garage
Piers
: Attic Finished
OTHER BLDGS.
i
EXT. WALLS
PORCHES
Barns
BASEMENT
Wood
X Front
Shacks
Part
Brick
X Side
! Cottages
Full
Brick Van.
X Rear
Bungalows
Cement Floor
Log
X Encl.
; Electric
Finished
Shingle
MISC.
;Phone
Garage B. In.
Comp.
Plot Plan
!Furnace
..Field.
Stone
Driveway -�:
:i•- ... -.._; .,......_..
Dimension of Building
s '
idth >' Dept Stories
Type Foundation ...................-
Size & Use Each ....................
Room with Window Area.,
SewerageType ....................... J.. ...............................
Size of Septic Tank ............ . ...............................
Lineal Ft. Drainage ....................... .............
Size of Dry Wells ................. ...............................
Plumbing
Description ...X..:.. ...............
Well
Ddscription ::.:. `'.:... ... .....
Additional Informationh4.cr.rr /..`��........ .. 1.Tit.�,,r...... Wry../... �CtQzc. s : ..............................
This application must be aCcom anied �b a co of surveyor's map an complete plans! specifications and all information required
PP P Y PY
by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector.
Fee s ...... ;3....N'.- ................ Building
fZ/G�a ..... ............................... Sanitary 0/ Total Livable Area .....
C9_� Date Zoning Board Approval ............................... .
S............ ................. Plumbin
$ ..... ............................... Well
Sanitary Permit p
Plumbing Permit 8►�r --
Well Permit
Occupancy Inspection Mader
Certific•ite of Occupancy Issued:
I
".ePLIC�ITION TO BE ACCOMP�LNIED BY 2 COPIES OF A SURVEYOR'S MixP AND
COMPLETE PL�0S ;,ND SPECIFtC11TIONS ILL INFOM :1TION REQUIRED BY THE
ZONING ORDINJASCE JIND S:LNITARY CODE MUST BE . SHO ",'N BELOW OR ON THE
REVERSE SIDE OF THIS iPPLIC:�TION.
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MEASUREMENT IN U.S. STANDARD
THE TD ISTENGE OF RIGNT or WAYs ANOIOR £AsEMENTs OF RECORD. IF. ANY, NOT!MOWN ARE NOT GUARANTEED,
THE DIMENBION6 SHOWN HEREON, FRON TMESTRUOTURES TO THE PROPERTY LINE, ARE FOR A SPECUIO PURPOSE ONLY. THEY ARE
NOT INTENDED to BE USED FOR THE ERECTION OF FENCES, STRUOTUM OR ANY OTHER IMPROVEMENT.
UNAUTNORQ ED ALTERATION OR
ADDITION TO A SURVEY MAP BBARINO
ONLY COPIES PRqu THE ORIGINAL
OF TTUB SURVEY MARKED WITH AN
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