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51.15 -1 -2
BOX 22
17-2 IL-1
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02516
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SHERLITA AMLER,.MD, MS, FAAP
Commissioner of Health
..LORET'I k NITO' LIi'dAly -RN, MW
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
DEPARTMENT OF HEALTH c
1 Geneva Road, Brewster, New York 10509
ADDITION APPLICATION RESIDENTIAL ONLY
STREET�5j PoV*14 e . 0 TOWN 1 TAX MAP#
1/
NAME I(a(t L���t�Q,n �iuti In���^ PHONE (5S x,2-5 b ✓6 S PCHD# 6;2.0)
MAILING p
ADDRESS `�21 PufaM. GlAo✓e
DESCRIPTION OF
ADDITION
NUMBER OF EXISTING BEDROOMS 27, PROPOSED # OF BEDROOMS Z-
(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 -6130.
lam' 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
S'HERLITA AMLER, MD, MS, FAAP
Commissioner of Health
-
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
PUTNAM COUNTY DEPT. OF HEALTH
1 GENEVA ROAD
BREWSTER, N.Y. 10509
To Whom It May Concern:
ROBERT 1 BONDI
County Executive
RE: os"W I-r- l -oz 10
Residence ` Z
TAX MAP# �a!d
TOWN
According to ecords maintained by the Town, the above noted dwelling:
IS
IS NOT
IN COrL.L4,NC E WITH town code and the total number of bedrooms
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY
ASSESSOR'S RECORD
OTHER
BUILDING
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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
•, ",� �;ORE 1�'��C'iVi`C►I:INART; RN;1�i5ri '� _ `. -, "
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT I BONDI
County Executive
March 8, 2005
Kori Hann
51 North Shore Rd.
Putnam Valley, NY 10579
Re: Addition- Hansen, 51 N. Shore Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley, TMN #51.15 -1 -2
Dear Ms. Hanson:
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 8, 2005. 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 iixil'res must "be "updated wit I�wafer saving devices,
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 y ;
William Hedges
WH: lm Senior Public Health Sanitarian
cc:BI (T)Putnam Valley
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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ADDITION APPLICATION RESIDENTIAL ONLY
STREET�� "] )0v,l4 S iae U TOWN an t, ut TAX MAP# S�f . �
NAME Y(l I�ccw �n 1/; �,n j� �;��LA ]EnI� ®NE �a �✓L °y S PCHD# Mol-05
MAILING
ADDRESS 61 Pu,/ktt 4;Lw✓e_
DESCRIPTION OF _
ADDITION / ,7Aee�e
_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 -6130.
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
SHERLITA AMLEY, MD, MS, FAAP
Commissioner of Health
_'j,04U -AOLIN ,P '�N.
-_,!A -A
Associate Commissioner of Health
DEPARTMENT. OF HEALTH
I Geneva Road, Brewster, New York 10509
PUTNAM COUNTY DEPT. OF HEALTH
1 GENEVA ROAD
BREWSTER, N.Y. 10509
RE:
Residence
TAX MAP#
TO"
To Whom It May Concern:
According to records maintained by the Town, the above noted dwelling:
IS
IS NOT
towuco& and the total riuiiiber-oi-beurooiris-
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY
ASSESSOR'S RECORD
BUILDING INSPECTOR
ROBERT IBONDI
County Executive
Environmental Health (845) 278-6130 Fax (845) 278-7921*
Nursing Services (845) 278-6558 WIC (845) 278-6678 Fax (845) 278-6685
Early Intervention/Preschool(845)278 -6014 Fax (845)278 -6648
k. a .3u 11YdW1dQddU h1NI IU:J WUNind : 3WON
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
-.- LORXTTA. MULIIVARI,.RN,. MSN ... _- .... - - -..
- " "" "- " Assoctale�"ommissioner of 1iCealth
T26Z- 8z2- St8:_131 �M:OT C3M 9002- TT -1DO
ROBERT J. BONDI
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509 f.J49
1 Ie 41MIC .
March 8, 2005
Kori Hanson
51 North Shore Rd.
Putnam `Walley, NY 10579
Re: Addition - Hmson, 51 N. Shore Rd,
No Increases in Number of Bedrooms
(T) Putnam Valley, TMN #51:15 -1 -2
Dear Ms. Hanson:
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 8, 2005,:. The addition is approved with the following conditions:
1. The total number of bedrooms must rernain 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 - -
_. _
•toilets, restrictors for ehower 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 y�.,.�.�, ,.
Williarn Hedges
'H: lin Senior Public Health Sanitarian
ce :BI (T)Putnam Valley
Environmental NeUtb (845) 278.6130 Fax (845) 278 -7921
Nursing servifts (845) 278.6558 WIC(845)278-6678 ]Fax(845)278-085
Early InterventiontPresehool (845) 278 -6014 Fax (845) 278 -664$
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EXISTING CONDITIONS
WAL- 110 -110'
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Sl NORTH SHORE ROAD
Q MNAY VALI£Y, NY 10679
MARTIN CANTOR ARCHITECT
7 Cook Lone
Croton on Hudson, New York 1052
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\ \ RESIDENCE OF KOM HANSEN & DANIEL FLORIN
51 NORTH SHORE ROAD
\ PUTW VALLEY, NY 10579
MARTIN CANTOR ARCHITECT
7 Cook Lane
Croton on Hudson, New York 1052
DRAWN 1/21/05
PUTNAM COUNTY DEPARTMEt1'P OF =JR
HOUSE PLANS APPROVED FOR
BEDR0011K COUNT ONLY;
,._BEDtt00i ?S �Z��
z��
r1F nature & Titl.e A't
this is an anderaen casement unit
12ft ride x 5'-4" high- koving 1' -4"
SCAlE:1 /4 " =1' -D' N
me know how much window
wag cabinets you woud fike7
ban shown 2 -3 N wide units)
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_ A2
RESIDENCE OF KORI l"EN b DANIEL FLORIN
51 NORTH SHORE ROAD
PUTNAN VALLEY, NY 10579
MARTIN CANTOR ARCHITECT
7 Cook Lane
Croton on Hudson, New York 1052 al
MM 1/21/05 arvaro 1/WM
this is an andersen casement unit
14R wide x 5' -P high- leaving 114•
SCA1E1 /4'=V -O` x
amen french door
ride x 6' -11' high
am casement unit
wide x Y -P high
!ft wide units (center faced)
P�
A 2
RESIDENCE OF KOM HANSEN At 04 M FIARIN
51 NORTH SHORE ROAD
PUTNAM VAIIEY, NY 10579
MARTIN CANTOR ARCHITECT
7 Cook lane
Croton on Hudson, New York 1052
mm 1/21/m mm 1/31/m
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