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HomeMy WebLinkAbout2962DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17 -1 -65 BOX 25 02962 I .` iL f 4 ti T ` 02962 SHERLITA AMLER, MD, MS, FAAP Coirimissioner of Hea'!th` LORETTA MOLINARI, RN, MSN Associate Commissioner of Health November 2, 2005 Joseph Allocca 23 West Shore Drive Putnam Valley, NY 10579 Dear Mr. Allocca: ROBERT J. BONDI . _... , ._...... .,, :.a'. • "bounty °Ezecu`tive` ._ � _ ' ;:.. ... DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — Approval - Allocca No Increase in Number of Bedrooms 23 West Shore Drive (T) Putnam Valley, T.M. 62.17 -1 -65 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 the Department dated November 2, 2005. 'The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four without prior approval by this Department. -. 2. The area of-the existing sewage disposal system and-its expansion area must be ....... , w . ....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 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 your convenience. Ve truly yours, oseph S. Paravati Jr. Assistant Public Health Engineer JSP:cw cc: Building Inspector, Town of Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 ' L r SHERLITA AMLER, MD, MS, FAA? Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 D 5 ADDITION APPLICATION RESIDENTIAL ONLY 0 0 0 STREET 93 TO �!1/tsS'S�c.= I�,�Z �fi N &(-;- TAX MAP #� .1 - - �,�"" DAME .� QS G Rd 6'W0CC,4 PHONE 73.7 - 3 20,E 1 S"'4/ PCHD# -33 0 MAILING ADDRESS DESCRIPTION OF ADDITION C'/��A,,6; %4 77E .bc:CA 6911�d ZA-ZM A�VCZOSUb NUMBER OF EXISTING BEDROOMS_Y_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) 2778= 61-30: - "--. 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 AMLER, MD, MS, FAAP Commissioner of Health LORETTA• &I0Ur XjkY; RI�1;1415N Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: ROBERT I BONDI County Executive Re:I..L_O C—G Residence TAX MAP# (9 TOWN PU T hJ A L. According t records maintained by the Town, the above noted dwelling, IS IN COMPLIANCE WITH TOWN CODE: IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS This information has been obtained from: CERTIFICATE OF OCCUPANCY: OTHER: Building Inspector Date CERTIFICATE OF OCCUPANCY Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 lm 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 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, -fhft 69-17- 1-&5' BEDROOMS A - -3 3o ALI, SUBSEQUENT REVISIONIALTERATIONS TO THESE HOUSE UST SUBMITTED TO THE PCDOH FOR APPROVAL URE & TITLE �2- i. < DATE Ie 171 cl) it_-x PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, -fhft 69-17- 1-&5' BEDROOMS A - -3 3o ALI, SUBSEQUENT REVISIONIALTERATIONS TO THESE HOUSE UST SUBMITTED TO THE PCDOH FOR APPROVAL URE & TITLE �2- i. < DATE Vt I Ie cl) it_-x Vt I cl) it_-x Vt I R D \. 0 � O. aZ r A ooh a MA'roN'er aravc An 0 mn °I a i �� C t•__ q r 8d�s 3/3b7N07 i a n 0 10 aO b 0 o,Eb6 1476 k .. 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