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Public Health Director
0
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
f ROBERT J. BONDI
County Executive
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
Polis -Wind
C/o Lynfield, R.A.
82 0scawana Hts. Rd.
Putnam Valley, NY 10579
December 23, 2003
Re: Addition — Poll s' —Wind, 34 Aqua Ln.
No Increases in Number of'Bedrooms
(T)Putnam Valley, TM #62.17 -2 -15
Dear Drs. Polis & Wind:
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 December 22, 2003. The addition is approved with the following conditions.
1. The total number of bedrooms must remain at three without prior approval by this
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.
Any 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:lm
cc:BI (T)Putnam Valley
Very truly yours,
Michael Luke
Public Health Sanitarian
o.. Ewa
BRUCE P. FOLEY
public Heahk Director
DEPARTMENT OF MALTH
1 Geneva Road
Brewster, New York 10509
LORErrA MOLiNARI R.N., M.S.N.
Avociale Fvhlic if_eah'h
Director of Patient Services
Environmental Health (84S)279-6130 Fix(143)271-7021
Nursing SeMcea (845) 273.6SS8 WIC(045)278-6670 Fax (8431 x78 - 6095
Early lotervenlioa (84S) 278 - 60I4 Preschool (843) 278.8082 Fm(845)279-608
ADDITION 6U I TION SWMAL ONLY
snEE -6 LA —i4e: TOWN TU T*JAHI Vq TX "# 6 a, 17 --Z-)5
04$ CjZ$cv �.fi , �i��.(E Ly^11= lEui �osvTAC"T.
NA1l� p C U S �- W I N D PI-IONN� _ •Kim. PCY�D# c
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FAILING ADDRESS g 2- ce, H'Ts . R.p , ?0 TN A-m u t-y iv -f
DESCRIPTION OF ADDITION r- 1TGl-1 f N buM n- o u T
NUMER OF EXISTING BEDROOMS_3PROPOSED # OF BEDROOMS 3
{FROM CERT. OF OCCUPANCY OR
CERT iCA710N FROM BUILDING INSPECTOR)
"Any addition which is considered a bedroom requires formal approval of plans (Construction Permit)
prepared by a Professional Engnteer or Ibrgistered Arcbitect in accordance with applicable sectioms of the
Putnam County Sanitary Code.
Please submit this form and the following to Putnam County It h Dept., 4 Geneva Road, Brewster, NY
10509, Phone 279 -6130.
1 . P.pr9�..�iwG F/b Aiivieb� ��g�� for 4'lU�Jrt1�l.
2. Sketches of toasting floor plan (drawn to scale; all living area including basement)
'*Non- professiotlai sketc1m are acceptable.
3. Two sets of proposed floor plan (drawn to scale, with tame, street, and talc snap #)
*NonVofessional sketches are acceptable.
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of
installation if known. Label all wells otd septic system within 200 feet of the property line.
Contact this ogee with any questions.
S. Copy of Cert. Of Occupancy f o m Town or Oeidfication fmon Building Dept: with legal bedroom
count of dwelling,
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PUTNAI +1 COUNTY UEpIARTMENT OF
KOU5E PL100S APPROVE "
BEDR0014 LOUNT OAiLY;
�BEDR-3V'S
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NEW lt99ERIOR
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ADDITION 5 X 1
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li DINING AREA
LIVING ROOM
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REMOVE EXISTING EXT.WALL
DRS.POLIS AND WIND
3$ AQUA LANE
PUTNAM VALLEY NY
GROUND FLOOR PLAN -
EXiSTING
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LAUNDRY
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c/o Lyrdield
82 Osaaw=a Heights Road
Putnam Valley NY 10579
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P,vocon
BEDROOM GARAGE
11'5 x 11'4
CLO-13W 205 x 142
�J. PUTNAM Cc ��;;` EPART;IMENT OF HEALIN
r 'SE 01 r P'C;`.jED FOR
BEDROTIA COUNT ON Y;
3
BEDROOMS
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POL1S RESIDENCE 34AOUA
LANE PUTNAM VALLEY NY
10579
do Lynfield
82 Oscawana Heights Road
Putnam Valley NY 10579
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POL1S RESIDENCE 34AOUA
LANE PUTNAM VALLEY NY
10579
do Lynfield
82 Oscawana Heights Road
Putnam Valley NY 10579
rig t
11011
November 13, 1997
DEPARTMENT ®F BEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
Jacquiline Lynfield
25 Evergreen Rd.
Putnam Valley, N.Y. 10579
Dear Drs. Polis & Wind:
rY
BRUCE R. FOLEY
Acting Public Health Director
Re: Addition - Polis & Wind
34 Aqua Lane
No increase in number of bedrooms
(T) Putnam Valley Tax # 62.17 -2 -15
I have received and reviewed the plans for the proposed attition to the
above mentioned residence.
The proposal for the addition has been approved as per plans bearing the
latest revision date of November 13, 1997 and this Department's approval
stamp.
Based on the information submitted, the above mentioned addition is approved
with the following conditions:
1. 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 maintairied:.' ......__� a,....
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.
Very trul yours,
William Hedges
Sr. Public Health Sanitarian
WH /kg
cc:BI (Putnam Valley)
addition
0
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
- BRUCE R. FOLEY, q.g.
Acting Public 'Haalth.birectar
Putnam County Dept. cif Health
4 Genera Road
Brewster, NY 10509
Re: fOILIS W)Nb
Residence
Tax Map (02. 11. 2' 15 4-10
Town P to T NAM VArLAA` f
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS
in compliance with T code and the total number of bedrooms on record
is - 3
This information has been obtained from:
- ` CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD-
OTHER..—
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Building Inspector
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Jacqueline Lynfield, Arch.
i25 Evergreen Road
Putnam Valley, NY 10,579
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POLIS RESIDENCE 34AOUA
LANE PUTNAM VALLEY NY
1057'9
Jacqueline Lynfield, Arch.
25 Evergreen Road
Putnam Valley, NY 10579
Phone /FAX 914- 528 -0068
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DRS.POLIS AND WIND ,
34 AQUA LANE
PUTNAM VALLEY NY
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PUTNAM COUNTY DEPARTMENT OF HEALTH I I Jaoqueline Lynfield, Arch.
' 25 Evergreen Road ' ,
HOUSE PLANS APPROVED - -
BEDROOM COUNT ONLY; Phone!FAX91a-52 &04bB
LIVING ROOM
3EDR0014S I ��
GROUND FLOOR PLAN -
I EXISTING
Signatur - -- � i
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