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DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
. PROPOSED ADDITION APPLICATION. (RESIDENTIAL ONLY)
Public Health Director
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STREET t3 ), 6 TOWN v , Af F X MAP #
NAME —1 ±Ski , " e- PHONE SSG :�4 PCHD #
MAILING ADDRESS I r r, fi Dc, t" I jZA L �TwN &M Vs8_" `1 , A) 1. (o S -7 f
DESCRIPTION OF ADDITION ktks i c STU 1&0
NUMBER OF EXISTING BEDROOMS. PROPOSED # OF BEDROOMS —0
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDNG 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 Putnam. County, Sanitary Code—, .. .. I .. . - .
...^ v - .. - y . .... ... .. . . .. ..-... y. o .... ..�..... -, ... ...
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
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 #)
* 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
Fcb 98
DEPARTM NT OF BEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
December 29, 1998
Ed & Rosemary Xiques
17 Long Ridge Trail
Putnam Valley, NY 10579
Re: Addition - Xiques, Long Ridge Trail
No Increase in Number of Bedrooms
(T) Putnam Valley TM #61.8 -1 -30
Dear Mr. & Mrs. Xiques:
BRUCE R. FOLEY
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 latest revision date of
December 28, 1998 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
L 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.
Approval is granted for sewage disposal only. 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.jp
cc: BI (T) Putnam Valley
Very truly yours,
to
Michael Luke
Public Health Technician
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TNAM COUNTY DEPARTMENT d(fiEALTH
FXIST ING FAA JIL Y FfrV7v I 1.r. r 7�� = :: = __ = �__ = =
ROME PIANS APPROVED FOR i
CEDRO 0,
QPA COUNT OWY;
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Date
9T.UDIO.—
L�VATOR,
WOOD FLOOA
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77-7777
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F - I - FIST " FL ' 00 " R ' PLAN
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S'�:_OND FU'Os ABOVE
1,Ell WILKINSON, R.A.
DELL STREET, BEACON, NY 12508
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PH. 9)A-83).6326
PROJECT:
ADDITION TO XQUES RESIDENCE
17 LONG RIDGE TRAIL. PUTNAM VALLEY, NY
OWNER: . ED.AND-ROSEMARYXIQUES
17 LONG RIDGE TRAIL
PUTNAM VALLEY, NY
TITLE
FLOOR PLANS
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FIRST ' FI-00 ' R
-LF 114-= V-G"
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1_�V TORT
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— — — —
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EXl'5TtNG FAMILY
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1_�V TORT
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JEFF WILKINSON, R.A.
,d WODELL STREET, BEACON, NY 12508
PH: 91A-831,6326
PROJECT: ; .
ADDITION TO XIQUES RESIDENCE
17 LONG RIDGE TRAIL, PUTNAM VALLEY, NY
OWNER: ED. AND ROSEMARY XIOUES
17 LONG RIDGE TRAIL
'PUTNAM VALLEY, NY
:ONSULTANTS,
TITLE
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I j.;P. OF EX,Ul ING SECOM, F--',)OR APOVE
JEFF WILKINSON, R.A.
,d WODELL STREET, BEACON, NY 12508
PH: 91A-831,6326
PROJECT: ; .
ADDITION TO XIQUES RESIDENCE
17 LONG RIDGE TRAIL, PUTNAM VALLEY, NY
OWNER: ED. AND ROSEMARY XIOUES
17 LONG RIDGE TRAIL
'PUTNAM VALLEY, NY
:ONSULTANTS,
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-it is heieby certified tMt this su—ty S17-Vq7-e 11V
prq;,—d In-..tth the
.T:i— Code of P=t1c. Im LwW 004—
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SURVEYED & PREPARED BY
Assodauc,rof PmfesslmW Land Surwyams
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-BUNNEY ASSOCIATES
hereon art� valid for the map mitil copies )--O/Pff
"GINEERS & SURVEYORS "All wtil"timm b
th,,,,,d .Iy if said .p ,, —pi b,- the ipresard
pears
t" KATONAH OAVE. 929 MAIN SIREET w of the ii�y- -h— .4-11— 1p
KATOXAH;:NEW .YORK ICS-W PEEKSKILL NEW YORK 105" S4•A L -50
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SURVEYED AS IN POSSESSION FILE N0:
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DEPARTMENT OF 'HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
December 16, 1998
Ed and Rosemary Mques
17 Long Ridge Trail
Putnam Valley NY 10579
Re: Addition - Mques, Long Ridge Trail
(T) Putnam Valley, TM# 61.8 -1 -30
Dear Mr. and Mrs. Mques.-
RUCE R. FOLEY
�'® blic Health Director
., �i. _,., ..� r...sn... r, ,:. aro.i •....,
I have received and reviewed the plans for the proposed addition to the above - mentioned residence.
The plans indicate that the proposed addition will consist of the following:
A two -story addition of a music studio and loft.
The legal bedroom count for the dwelling is two. The potential bedroom count of your proposed
addition is four.
information- subm addition- cannot be approved.- for -the = - = -= - -•�� --
following reasons:
1. The office and loft are considered potential bedrooms.
2. The addition of a potential bedroom requires this Department's approval of
a revised septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than two potential bedrooms, or have a
professional engineer or registered architect design a sub = surface sewage treatment system meeting
present code requirements. -
If you have any questions, please contact me at your convenience.
ML:tn
Very truly yours,
Michael Luke
Public Health Technician
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CERTIFICATE OF OCCUPANCY
1086 6— 244 1 Family)
Certificate of Occupancy No...7.7 . ....................Application No..7........3.................
Location of Premises .........Long „Ridge.. Trail.I Sunnybrook ... ...............................
dWa7�4...X que. s .. ............................... of ...Putnam Valle. ?.... N.Y. ............................... having
heretofore filed an application for a building permit pursuant to the Zoning Ordinance, Sanitary
Code and the Laws in, effect in the Town of Putnam Valley, Putnam County, New York, having
paid the required fee therefor and the undersigned having by personal inspection ascertained that
the applicant has subsequently proceeded with the erection or improvement of the proposed struc-
ture in compliance with the requirements of the laws as aforementioned and that the said work
and materials met every requirement of the laws as aforementioned and that the premises have
now been fully completed and are ready for .occupancy pursuant to the provisions of law, Now,
eieW0 - :this._ di tificate- .of. occupancy. is hereby._. issued 'ilnder�tl e:::seaF' of tlie:_Town of : Putnam
Valley this ..13:th... day of ... ........June ................... 1977
Not valid unless signed in ink by a duly authorized agent TO N Qy PUTNAM VALLE W YORK
of and under the seal of the Town of Putnam Valley. /
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- �; ~:�.:~• -� � _ .. T BRUCE R vFOtEY A.S^ _ - -
Acting Public .Heeith oirect.,
DEPARTMENT OF HEALTH
Division , 6f Environmental Health Services
4 Geneva' Road, Brewster, New York 10509
(914) 278.6130
Putnam County Dept. of Health
4 Geneva Read
Brewster, NY 10509
Re:a
Residence I —OAIC— Rrj�90 ?'Mlz-
Tau Map -4b 1-36
Town _uMV . y
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS
IS NOT
,w.... -.._ ..- ........_..._..._.. in compfiiance wit}i " 6 code and the tote! number of bedro2ms on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
!E�%N'r, X\ . S ,
V%
IZ . 7,
Building Inspector