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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17 -3 -14 BOX 25 ,Iry 11 1 III ' _ 11 - I '.to Jig r.. Ll me ���. . ' loil%F go Ir go it ' Lk 02987 l� ERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive b DEPARTMENT OF HEALTH D 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET_ '71 Sta4i4w&- TOWN PLhUm 41 TAX MAP# NAME 10=q Ob 7 : PHONE WS S28 0107e PCHD #r ' Z3704 MAILING __ nn %-� , / //� ADDRESS 71 �S�P.Gc) �'7Y�• r�u n um UC1�LG�i' /LL/ /?)g 7 7 DESCRIPTION OF ADDITION t�ovhllx r no UIcY u NUMBER OF EXISTING BEDROOMS f 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 subm7 iitt this form and the following to Putnam County Health Dept_, 1 Geneva J..C9,ot.e �S� ,) ✓ Certified check or money order for $100.00. 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. 15. 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 • 4 Sgld♦;IE2LI'g'A AMLEIt,.W.11JS: FAA1°. '"-' ' ' w Commissioner of health y LORETI'A MOLINARI, RN, MSN Associate Commissioner of Health .-i..- -- ..' .. '. -...ice bt sl'a„ •'h � I'� � v .. . County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Court Re: '.W) SQD L (Owner's Name) Tax Map #: �� 7 Address: 'If ST1 kQ AVL K!.« Town: PU-TN MN1 b' J L-E Year Built: Accord in to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: f�--5GS S o Building Inspector -7 I1- % Date 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 k . SHERLITA AML:ER,.M:R, MS, F'AAP . .' mmissioiier oJ'fieaTh »_.n- s.,..: : c: o rr: . ,.... LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Joseph T. Driscoll 71 Starview Avenue Putnam Valley, New York 10579 Dear Mr. Driscoll: August 8, 2006 ROBERT J..BONDI . ° C uit1 : --E ecuiive .r� ROBERT MORRIS, PE Director of Environmental Health Re: Addition — Application Incomplete Driscoll, A- 237 -06 71 Starview Avenue (T) Putnam Valley, TM# 62.17 -3 -14 Review of plans and other supporting documents submitted at this time relative to the above regarded project has been completed. The following was not submitted with your application: This Department requires two types of plans for submissions as noted below: 1. Existing floor plans showing existing conditions only. The plans must reflect all floors in the house, including the . basement, with all rooms noting their dimensions and use. The plans must also be noted as existing showing owner's. named address andtgxx map:numher._ _ _..._.. efi`Propos w g firuslied product. These plans should also reflect all floors in the home including basement, with all rooms noting their dimensions and use. The plans must be noted as proposed, showing owner's name, address and tax map number. Non professional plans are acceptable. Upon receipt of a submission, revised to reflect the above comments, this addition application will be considered further. If you have any questions, please contact me at your convenience. Sincerely, Gene D. Reed Environmental Health Engineering Aide GDR:cj 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early InterventiontPreschool(845)278 -6014 Fax(845)278 -6648 L SHERLITA AMLER, KD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT,➢. BONDI County Executive - w ROBERT MORRIS, PE - Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 August 25, '2006 Joseph T. Driscoll 71 Starview Avenue Putnam Valley, New York 10579 Re: Addition — Driscoll, A- 237 -06 No Increase in Number of Bedrooms 71 Starview Avenue (T) Putnam Valley, TM# 62.17 -3 -14 Dear Mr. Driscoll: 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 24, 2006. 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 .. -- -.. _ _,.' _. _: ... e1�1Pic rPetr;�t,ir ��� �0S(l�E1PP _I'1P�liQ �iZr� Y��i�F��c atC• _, _: : -- _ �_ ... -- - .. . . 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. This 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. 2261. Sincerely, 0. '� G 19 ene D. Reed Senior Engineering Aide GDR: cj cc: Building Inspector, (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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP .'.+ ... - -•`-l. �nf /ilt:i.iiL %fei'Lf :'SC�.7%i: ".'.ho;..-:�,: r.. ..... -., .. .. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Joseph T. Driscoll 71 Starview Avenue DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 August 8, 2006 ROBERT J. BONDI ROBERT MORRIS, PE . Director of Environmental Health Putnam Valley, New York 10579 Re: Addition — Application Inco plete Driscoll, A- 237 -06 71 Starview Avenue (T) Putnam Valley, TM# 62.17 -3 -14 Dear Mr. Driscoll: Review of plans and other supporting documents submitted at this time relative to the above regarded project has been completed. The following was not submitted with your application: This Department requires two types of plans for submissions as noted below: 1. Existing floor plans showing existing conditions only. The plans must reflect all floors in the house, including the basement, with all rooms noting their dimensions and use. The plans must also be noted as existing showing owner's name, address and tax map number. �. rr�posea iiuui plans. 1110 �ilallJ nrasl- silow ail 'piopubeU alw1ges as a finished product. These plans should also reflect all floors in the home including basement, with all rooms noting their dimensions and use.. The plans must be noted as proposed, showing owner's name, address and tax map number. Non professional plans are acceptable. Upon receipt of a submission, revised to reflect the above comments, this addition application will be considered further. If you have any questions, please contact me at your convenience. GDR:cj Sincerely, RImay"' � -, i Gene D.. Reed Environmental Health Engineering Aide 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early InterventioniPreschool (845) 278 -6014 Fax (845) 278 -6648 4 p co ?tAl" U01-0 N e-, . OS71_ Soh row -TM tt, Z 1 NN I �V�A S( i o I I i /y Ir - 4 r. //7 , f / 1 A---r fltzv,- star .02 / ! /r 07D m PUTNAM COUNTY DEPARTMENT OF HEALTH HO S PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS ©.F ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCOOH FOR APPROVAL SIGNATURE TITLE DAZE Ina,4h 6I os.ePh T. -1)nsu) :J ice%` 1p,, n —.w �.,�.y.'y'. �f.�,dPnW :�..r.�" r rte.._ '1!—: ',•1 -��1�. .•:'�.w0 •'Y+r r.r y F-1k �� Qr fi aml*- �W) 1y' . PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY ;7, BEDROOMS 2 o -( 3 ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL - 4) - 6?" A/ SIGNATURE & TIT E DATE G, kcpWKt LZ -5+ayv\j" Ae. los- TM. -# Q�-.[-7 -:?-,) -iLI PUTNAM CANTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY 9-- BEDROOMS 3 ° ¢ 3 W THESE HOUSE 0 ALL T BE SUBM TITOED TO THETPO O PLANS S MUST OOH FOR APPROVAL IGNATURE & TITLE DA E IN rA6 qj I ..,f " K- rkvl-e� I I W% amyy) Cg_A-) P, -44 fl ol)-r k 'j �.P)A -r T)yl'. e COO 1 .. -v _1. _ r y __ . -71 S-toL YvUW At 4K _ _ __ !OS7� Jose -Dy"Scoll -71 -E5 t nua At - TF Ube • r.�yy• ei�.. - . . . e . �...�r.r �� '�aa!! Aa.XV .41,.•..,... .'�. �r'.•w�'m. ^.ah.1/�II'1r�4 �.i C[ef�:'.•i•.I���.,r_+. Tl :mac.' •' _ ��b"�Q�.M'�rrs�y�. 2f,7 7•�. tr - Ex I1 p T I ?,t WALL eEHDVLD 1 UV I . Le /\ LT rZ-'Ct_ J• ..rte i \ M I \ i I - S7og.1t N I _ I ' e JI. Bel \f 1s/a2c Paac�� Ib • I � 4 0 C 9cZ' aV vv E PAP V' • � llp� o > o. sees .vim �,.-� _ ��i6. ze ��- . sm�.r,✓ � ,o �.o�r,�r CERTIFIED TO: as