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03130
y T LORET rA MOLINARI R.N., M.S.N.
Public Health Director
ROBERT J. BONDI
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845)279-6130 Fax(845)278-7921
Norsing Services (845) 279 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (945) 278 - 6648
Trombetta
21 Richard Dr.
Mahopac, NY 10541
August 21, 2003
Re: Addition — Trombetta, Richard Dr.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM#63 -4 -19
Dear Mr. & Mrs. Trombetta:
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 21, 2003. The 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
i" 012, wi: :. _ - .. .... .. .. ..... ..
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 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 truly yours,
Michael Luke
MI,:lm Public Health Technician
cc:BI
BRUCE R. FOLEY
Public Health Director
LORETTA MOLINARI R.N., M.S.N.
Associate Public Y.ealih DLL. : ;c•
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 = 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET a�/ XoWA?i) I Jfe-: TOWN -f-44n. U49 TX MAP# 6
NA`1E °rtc' _ 7,*, -a&h P_HONE 3' Ja- (- f/ PCHD#
MAILING ADDRESS c2/ /e,164 A) OR-I t/
DESCRIPTION OF ADDITION / i2 ,
NTU:VIBER OF EXISTING BEDROOMS 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 follow -ning to Putnam -rOur '�-= ue�� *,h DPot_, 4 Ge leV Road; RreV,' er, Ivy-
i050jhone 278 - 6130.
1. Certified check or money order for $100.00. .
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
*Non- professional sketches are acceptable.
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 location, 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 Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom
count of dwelling.
OFF7CE USE
Comments
Feb98
BFhouseguidelines
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15 03 09:37a BUILDING DEPT
9145268806
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Director w 0
DEPARTMENT. OF HEALTH
1 Geneva Road
Brewster, New York 10509
P.1
LORETTA MOLINARI RN., M.S.N.
Associate Public Health Director
Director of Patient Services
Environmental Health (945)278-6130 Fax(945)279-Ml
Nnrslog Servka (845)278.6558 WIC (845)278 -6678 Fax(845)278.608S
Early Intetyeatlon (945)278-6014 Presebool (84S) 278.6082 Fax(94S)278-6649
0
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
Re: d AJ!S--
Residence 4
Tax Map 3 +
Town i
According to records maintained by the Town, the above noted dwelling
IS
a
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERIMCATE OF OCCUPANCY:
ASSESSORS RECORD: �(
OTHER
Building Inspector
BFhouseguidelines
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE. PUNS APPROVED FOR
BEDROOM COUNT ONLY;
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'PUTNAM'COUNTY DEPARTMENT OF'-HEAUH
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BEDROOM COUNT ONLY;
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I' TITLE. NO. FA 004050P
CERTIFIED TO:
t•' PETER A. TROA/BETTA 6 ROSE 2ACCAROO
); TRW 7/TOLE INSURANCE OF NEW VORN, /NC.
,i ARBOR NAT /ONAL MORTGAGE, INC. /TS
SUCCESSORS ANDIOR ASS IGNS.
IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE
. FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE
?f ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
I.
CERTIFICATIONS SHALL RUN ONLY TO THOSE INDIVIDUALS
AND INSTITUTIONS SHOWN HEREON UNDER THE TITLE POLICY
>� NUMBER SHOWN ABOVE. SAID CERTIFICATIONS ARE NOT
j' TRANSFERABLE.
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PREMISES Sf/OWiV HEREON BE //VG GOT S
q AS SHOWN O/V ".BUBO /V /S /O/V MAP KNOWN
AS DOGW000 ACRES ", F/L EO /N Ts/E
` PUTiVAd 1 COUNTY CLERK'S OFF /CE O/V
. MAR. 6, 1907 AS MAP /Vo.22/3•
LOT S
AF?EA = /. 7/7 ACRES
1 MII certifications hereon are valid for the map and copies
;'thereof only it said map or copies bear the impressed seal
I fit the surveyor whose signature appears hereon.
•� SURVEYED & PREPARED BY
BUNNEY ASSOCIATES
LAND SURVEYORS
. t; RURAL ROUTE ir2 . FIELDS LANE
NORTH SALEM. NEW YORK 10960
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Unauthorized alteration or addition to a survey map bear- 'I,,
ing a licensed land surveyor's seal is a vinlalion of Section j ;JJCA L E. / SO' DA7
72D9, subdivision 2. of the New York State Education law. y f _
BROUGHT
The location of underground improvements or j,I
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CERTIFICATE OF OCCT)'ANCY - One Family Ranch W /Garage & Deck
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94 -30 93 -518
Certificate of Occupancy No .................... .......... Application : P7o .............................
Location of .Premises .....21: Richard Drive - TM #�5 . -4 -19
..................... ............................... . .................
Victor Spaccarelli Constr. -Co. of P.O. Box 74' s - Baldwin Place, N.Y. having
... ...............................
heretofore filed an application fora building permit pu>�iiant to the Zoning Ordinance, Sanitary
Code and the Laws in effect in the Town' of Putnam V`ftey, Putnam County, New York, having
paid the required fee therefor and the undersigned havi by personal inspection ascertained that
the applicant has .subsequently proceeded with the erectinu or improvement of the proposed struc-
ture in compliance with the requirements of the laws ash .aforementioned and that the.-said work
and : materials met every requirement of the laws as afbiementioned and that the premises have
now been fully completed and are ready for occupancy, pursuant to the provisions of law, Now,
therefore, this certificate of occupancy is hereby issued :i -jinder the seal of the Town of Putnam
Valley this ......1.5..... day. of .......FebP4. rY ............. 199'x.
Not valid unless signed in ink by a duly authorized agent TOrX OF AL VALLEY, NE
of and under the- seal of the Town of Putnam Valley.
By'�- ```�•—
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