HomeMy WebLinkAbout2390DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
42. -3 -9.2
BOX 21
02390
'
■T
i I
�1
'�'� I�
N-6~
L
02390
ALLEN BEAL3, M.D., J.D.
Commissioner ofHealth
ROBERT MORRIS, P.E.
Director of Environmental Hearth
.. ..a�a,.sa...r,. .^v.., r..•f ac as • � .. v.... .. w.a
May 31, 2013
I
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Telephone: (845) 808 -1390; Fax: (845) 278 -7921
John & Judy Allen
24 Siefert Lane
Putnam Valley, NY 10579
Dear Mr. & Mrs. Allen:
MA.RYFJLEN ODL`I,L
County Execadve
Re: Addition— A- 053 -13
No Increase in Number of Bedrooms
24 Siefert Lane
(T) Putnam Valley, T.M. 42. -3 -9.2
This Department has 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 May 31, 2013. The addition is approved with the
following conditions:
L 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 is for the modifications only and does not validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
5. This approval is valid for two (2) years and expires on May 31, 2015.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43261.
Respectfully,
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI (T) Putnam Valley
AIBMION APPLICATION . RESIIlDENTRAL ONLY
STREET 51 EF rtT- t-. P�Ne" TowN QJNkm 1 A # � 2
NAME c 1 t-1.�-oJ PH®m8gS)8 --6b43 Pcm
3
V
f
MAILING
ADDRESS � k I
`UAL , 'O,VI j OS-7q
(DESCRIPTION OF
ADDITION O- L,®5 OV oz- gbh "CcGse-o C 01/aw
D ER O)F EXISTING BEDROOMS 3 NUMBER OV PROPOSIED NEW BEDROOMS
A (PROM CERT. OF OCCUPANCY OR CERTI EW ATION FROM BUILDING INSPECTOR) r
**Any addition. which is considered a bedroom requires formal approval of plans (Consavction 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,
Brewsteie, NY 10509, Phone: (845) 808 -1390.
I.. Certified check or money 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--l)
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
COIV�NTS
5.
ALLEN MW^MMIJ.D
OMMwancroffilft
DEPARTMENT
OF HEALTH
.
I GMM ROA &OWMir, No* YO& 10509
T&*M.- (845) 80 1390, P= (8" 278-7921
OWU
.-CoMtYEbwouft
Town Legal Bedroom Count & Proposed Addition Status
Re::X-04 413VbV /I-L-LEnJ (Owner's Name)
Tax Map # 3
Address.: L-A7j--t
Town: An VA-L-LL--Vi....,
Year Built: 19
According to records maintained by the Town,.the above noted dwelling,
is v'' in compliance with Town Code.
196t in compliance with Town. Code.,
The Legal Bedroom Count is:-3
Tlis information has been obtained from:
Certificate of Occupancy: ii
Other:
The plans for the proposed addition are 'considered:
V Addition to existing house only
Teardown and/or re-build allowed under Town Regulations
Insfector. D,a�(
6.
i.