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62.17 -3 -4
BOX 25
02981
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SHERLITA AMER, MD, MS, FAAP
Commissioner of Health
Director of Environmental Health
PAUL ELDRIDGE
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390 '
Fax (845) 278 -7921 or (845) 808 -1937
ADDITION APPLICATION RESIDENTIAL ONLY
STREET 29 r(&Wfivehile TOWN a E TAX MAP #_62. R-_'_3 4
NAME m2 o PHONE 09 - OL PCHD# t / �:9' 3; /'
1
2aKa yya 1,ovge f
MAILING
ADDRESS _2q 5f;)
I
12
J� ore 9" close /wi,il" a," door'' o Id porch ..-
DESCRIPTION OF � P �'`�
ADDITION 2. Coti - Ague I* i oh hP y e>Pej4 Dec K
NUMBER OF EXISTING BEDROOMS 2 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. gketches of existing -floor plan (drawn to scale; ail uving area incittdiing basement; to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. 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.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
S.
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/SHERLITAAMLER, MD; 11 ;`FAA
' Commfssioner.ofHealth
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
- t�i)isEkl' l�Iii_ictct8, r't';
Director of Environmental'Health
DEPARTMENT OF HEALTH
l Geneva Road. Brewster, New York 10509
Town ] LeLal Bedroom Count & Proposed Addition Status
Re: ATRASHIYOUSEF (Owner's Name)
Tax Map # 62.17 -3 -4
Address: 29-Starview Avenue
Town: Putnam Valley
Year Built: 1915
According to records maintained by the Town, the above noted dwelling,
is . xx 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: C0 #93 -279 ' Alter Garage to Basement Storage
Other:, Assessor.'s Files
The plans for the proposed addition are considered:
New Construction
xx Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
John H, .LAndi
4/26/11
..Date
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursmg.Services (845) 278 -6558 Fax (845) 278 -6026
Nursing Home Care. Fax (845) 278 -6085 WIC (845) 278 76678
Early intervention / Preschool (845) 228 -2847 Fax (845) 225. -1580
Sherlita Amler, MD, MS, FAAP
Cominissioner of Health
Robert Morris, PE
Director of Environmental Health
August 3, 2011
Paul Eldridge
County Executive
Department of Health
1 Geneva Road, Brewster, NY 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
Ahmed & Zakareyya Yousef
29 Starview Avenue
Putnam Valley; NY 10579
Re: Addition- A- 093 -11
No Increase in Number of Bedrooms
29 Starview Avenue
(T) Putnam Valley, T.M. 62.17 -3 -4
Dear Mr. Yousef-
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 August 3, 2011. 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,
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4. This Department recommends you contact your local Building Department to ensure setbacks
and other current codes can be met.
5. 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) 808 -1390, ext. 43261.
Sincerely, ��Q
�- "6 `` -R"4
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI, (T) Putnam Valley
d
SHERMA AMLER, MD, MS, FAAP
Commissioner of Health
Director of Environmental Health
June 23, 2011
Atrash/Yousef
29 Starview Avenue
Putnam Valley, NY 10579
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390
Fax (845) 278 -7921 or (845) 808 -1937
PAUL ELDRIIDGE
County Executive
I am returning this addition application and money order. Please complete the application and
re- submit with the items listed on the application form.
If you have any questions, please call the Department at (845) 808 -1390.
Sincerely,
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