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41.06 -2 -52
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REBECCA WIITENMG, RN, BSN
Public Health Director
ROBERT MORROh PE
Director ofEnyiromnead Health
March 5, 2012
Richard & Diane Thomas
501 Lake Shore Road
Putnam Valley, NY 10579
MARYBLLEN ODELL
- - - CosuO,ExecwYve
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Re: Addition- A- 036 -12
No Increase in Number of Bedrooms
501 Lake Shore Road
(T) Putnam Valley, T.M. 41.6 -2 -52
Dear Mr. and Mrs. Thomas:
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 5, 2012. 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.
_ . .pi bing fixtures rriust be updated' witli water' saving device`s; i.e., neviilow flusTi loilefs; "' `
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. The 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 Putnam Valley.
If you have any questions, please contact me at (845) 808 -1390, ext. 43261
Sincerely,
4 ene� D. Reed
Senior Engineering Aide
GDR:cw
o: BI, (T) Putnam Valley
REBECCA WTPTENBERG, RN, BSN
Public Health Director
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (W ) 808 -1390
Fax # (845) 278 -7921
ADDITION APPLICATION RESIDENTIAL ONLY
0
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MARYELLEN ODELL
County Executive
.1
STREET 561 h a v c ed TOWNC4 Vej
n nn TAX MAP # /' (o — a -,5 a.
NAME_b I'aAAe +' etc hard oma5 PHONE PCHD# " o,3%-,/ a-
MAILING '
ADDRESS SO 1 La V c 5 ko i'e kJ m r1A m U G[ L, P Y 1 dS7S
DESCRIPTION OF I
ADDITION Contife c-t if n c 16,5 CA o rc h 4-0
*NUMBER OF EXISTING BEDROOMS ;2- NUMBER OF PROPOSED NEW 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 nty _Putnam Cou Health Dept., 1 Geneva.Rd, . .
Brew ter, NY 10509, Phone: (845) 808 -1390.
Certified check or mone Y ,.
order for $100.00.
2. Sketches of existing floor plan (drawn to'scale, all living area including basement, to be
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.
1. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
4.
REBECCA WITTENBERG, RN, BSN
Public Health Director
v ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re: THOMAS (Owner's Name)
Tax Map # 41.6 -2 -52
Address: 501 Lake Shore Rd.
Town: Putnam Valley
Year Built: 1965
According to records maintained by the Town, the above noted dwelling,
is XX in compliance with Town Code.
MARYELLEN ODELL
Cowdy Executive
....�,....__.._..<...... not._....._,�_.an.comptance.�n ..____..._......_.:.�:. :.._ ._..._.. �.... ...__.....__.__., --- .- e_.�....__..._.... - --
The Legal Bedroom Count is:
2
This information has been obtained from:
Certificate of Occupancy: C0112011 -148
Other:
The plans for the proposed addition are considered:
xx Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
?�1T12
uilding Inspector, Code E ement o f f Date
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4 CElTItFrCATE OF f k° CCUPANCY
do: 201, 1. Z,- 8 " 'Date of Issue: 7/27/2011
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