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Home My WebLink About2946DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 63.1- 589 -8100 62.17 -1 -19 BOX 25 IN -j � I ,` , ` . r' lrr i 02946 ice. SHERLITA AMI,EK, MD, MS, FAAP Commissioner of Health LORETTA M01,1NARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive ROBERYMORRIS,'PE Director of Environmental Health DEPARTMENT.OF HEALTH o 1 Geneva Road. Brewster, New York 10509 D ADDITION APPLICATION RESIDENTIAL ONLY STREET Q1S0(\ VW . �� TOWN # Z. ' NAM'._ �U�-�` ,)f �S to 1'I PHONE(q LO 3Y6 oy f PCHD# MAILING p ADDRESS vcX•S o VXW DESCRIPTION OF l ADDITION GoA ye (�-40� ro!c1q S kivi ro 43 s'-C 30^ P0,127 NUM;ER OF EXISTING BEDROOMS _PROPOSED # OF BEDROOMS_ (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *"Anyaddition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Profssional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Saniiay, Code. Pleas submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Bremner, NY 10509, Phone: (845) 278 -6130. -4 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 -1) Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) k Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 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. f. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. ONCE USE COIMENTS 5. Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 't. Nursing Services (845) 278 -6558 Fax (845) 278 -6026 1 ' Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 IE SI RLITA AMLER, MD, MS, FAAP Commissioner-of Health LORETTA MOLINARI, RN, MSN Associate Com.nissioner of Health DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 ROBERT J. EONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Town Legal Bedroom Count & Proposed Addition Status Re: D'Asco1i (Owner's Name) Tax Map# 62.17 -1 -19 Address: _It) N»dcnn Vi acT�, Town: Putnam Valley Year Built: 1937 According to records maintained by the Town, the above noted dwelling, is x:c in compliance with Town Code. Is not _. in compliance with Town Code. The Legal Bedroom Count is: 2 This information has been obtained from: Certificate of .Occupancy: Other: The plans for the proposed addition are considered: New Construction - iRE — Addition to existing house only Teardown and /or re -build allowed under Town Regulations .2/19/10 s i s t Buildin I nspector John W..-Allen Date 6.. Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing.Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 A 10,, Im SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Steven D'Ascoli 10 Hudson View Court Putnam Valley, NY 10579 Dear Mr. D'Ascoli: DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 March 2, 2010 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition- A- 028 -10 No Increase in Number of Bedrooms 10 Hudson View Court (T) Putnam Valley, T.M. # 62.17 -1 -19 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 2, 2010. 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 sh.6wer. heads and•faucets etc —. - 4. 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) 278 -6130, ext. 43261. Sincerely, L Gene D. Reed Senior Engineering Aide GDR:kly cc: BI, (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580