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Home My WebLink About2264DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -2 -40 BOX 20 1!62 ` r r 1% + , a !� ir J - ir ImN ti 1. 02264 ! � e BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA; MOB INARI RN., M.S.N. Associate 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 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET /0 4 "C' /� TowNZw 2eL �/� f'x MAP;r NA EDeA, 9W M61 dN PHONE_ ?� � 5: 6 AS PCHD-9 0 MAILLNTG ADDRESS DESCRIPTION OF ADDITION f�M91ZO NUNIBER OF EXISTING BEDROOMS_ PROPOSED # OF BEDROOMS .0 (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 scale, 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 4) *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 MOLINARI R.N., M.S.N. Associate 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 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 January 14, 2002 Donald Dorion 10 Birch Rd. Putnam Valley, NY Re: Addition- Dorion - Birch Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 41.6 -2 -40 Dear Mr. Dorton: 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 Jan. 11; 2002 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. 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. Very truly yours, Michael Luke N L:kg Public Health Technician cc: BI(T) BRUCE R. FOLEY Public - Hea -!tti ` Director LORETTA MOLINARI R.N., M.S.N. Associate Public Healtk 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 . Residence Tax Map Town Gentlemen: According to records maintained by the Town, the above noted dwelling IS 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: V OTHER CJ. uilding Inspector BFhouseguidelines -Z/ Ssdtan s i — 6 .s Long -ma awmam 92 R i� PUTNAM COUNTY DEPARTMENT OF HEALTH ROUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; BEDROOMS Signature & Titie Date Exisshng hear pfa r r c a c c c c Cp a� Ilk- 1 011 t 777L -- �tstnsidon I a �0. ✓►', i 00 vv% i . j t Smak dbWW -"`— PUTNAM COUN-1Y DEPARTMENT OF HEALTH i HOUSE PLANS APPROVLD FO,q — BL.OR00M U N T ONLY; FU V ature Tt<iL a k'^ d r� Date Q U 44 i % V Wolf, _..._ _.. _ q 3 U � Wlr IRs On tlisi i i OY bar�t } 11/08/00 09:47 FAX ii 7-4 uc 11111 IF ...- 0 I— I". L ............... IF 11 /tltl /'18btl y14:24 M � J 718 -4�5 -9828 _ FRANK J DIDERO E5Q PAGE_ 02 1 ARISTOTLE BOURNAZOS, P.C. This B to cartfy that f tiavu curvayoa Loi n.. stt +wo . lJNO Su11VlY0118 • P6ANN�19 tstl,on oL 601 N..1,%4 M S%Gwm 44' 1W t ac tetaw� who. rta6 w lttlostnc laln►u IQCw"11TRW "Wolmn , I —vj. Iul—m cauwl �, wN1 '1004. Hm f 1� eaa K 10eD1 a0e �e+nmao,w SSE � NPp. n1Piiv. tha Ve,w. Cou* Clo•ab Office, Dwismn of Land Rewdi - �.^aVy 0, �vwt, es py •%' have log" a8 G*Mq buadlnpt and Was of paceoiibn ane nave shm mek poaldgns herMn, t SUnWCompleled: aunt ♦,,ttt. Map Drafted: , auMt ►, art 011s. on Coale of arts Mom to %a leaf. �a e10ntLL LtK9 ,1l It LOaI. ' • norMy terafy m15 aWVey to wneOwt.�lt �.wa I1Ttt LFSVtntK w. Oett40 \aa1., 4L .J f A w s a J J/ I .g • V �1 s 1 1 1 v.I V� tl► 4� J A st1 1 O 1 w S � � 3 r D P � M = A e r 0 R d � J p!p f Y r� : M� CERTIFICATE OF OCCUPANCY 7—W — s-�� of Occ-No -- o -_:W1 :ppljcat' Igo„ -.. 3 V�`y-- sk...� - k _ ....... , ... LocaY'n of Pr Ynapplication /3�'�'� .:/ r'' . . - 5./. ohaving her tofore filed for a building permit pursuant to the Zoning OrdinanCe�anitary Code and the Laws in effect in the Town of P ram Valley, Putnam County, New York, having paid the required fee therefor and the u ned fa g by p sonal i ctio ascertoined that the applicant has subseq r�c9ede 4exe�'r6 or oposed struc- ture in compliance the requirements the laws .a 'aforementioned and th the said work 'and materials every requirement of he laws as aforementioned and that t e premises have now been full cornp.leted and are eady for occupancy pursuant to the provisions of law, Now, therefore, this%�rtificate of occ panty is hereby - issued under .the seal of the Town of Putnam Valley this day of 1p .. • . 19 4—:� .- .. Not valid unless signed in ink by a duly authorized agent TOWN TNA V LL9Y, NEW YORK of and under the seal of the Town of Putnam Valley. By . .. . . ....................... .............................. _ .. - ........................... .............................. TOWN OF PUTNAM VALLEY, Application N? 1078 Putnam County, New York. 4 /p Date ....... ......... "..f4:'; .......n.l /..•5.�. ?� L I, health officer of the above Town, hereby certify that the installation of one.��'...°� r/j~ on the property is in accordance with the provisions of the Sanitary code ....................... ..... .......... of the above 111own, and is in all respects satisfactory, and that the information on =.. nd said blue print or sketch is correct; and do hereby grant said owner BILL OF OCCU Y. .......................... ......... ....... .............................. ealta Officer REMARK$ .,.., .....�- .......... _ _ .. ................Z,..."y, r.....__ ..................... ............. __ ... ............................................................. ................._......._..... . .......................................................................................................................................... L