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631- 589 -8100
72.19 -1 -11
BOX 26
03200
BRUCE R. —FOLEY
_ .:. -.,.:,,.:.:- ��. ��=: s •_��c���;,�i[eu�iii."Lireclor':
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
TeL (914) 278 - 6130 Fax (914) 278 - 7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET 9 ro q- &t. - Y- TOWN MAP #
NAME — I- PHONE 73� -< MPCHD # /7 a. f
MAILING ADDRESS
DESCRIPTION OF ADDITION ZA:floSkJ 0 ^ "
NUMBER OF EXISTING BEDROOMS Z PROPOSED # OF BEDROOMS 6
(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.
riease submit this oiiri and'the following to Putnarri County Health Dept., 4 Geneva Rd.,
Brewster, NY 10509, Phone 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.
OFFICE USE
Comments
Feb 98
t.� A
DEPARTMENT OF HEALTH
'Division ,Of Environmental Health Services
-4 Geneva" Road, Brewster, New York 10509
(914) 278-6130 . .
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S.
Acting Public *.Health Director
Re: 6 4�'5 I- 6r,,
Residence
Tax Map 72-
Town— P.1/,
According to records maintained by the Town, the above noted dwelling
IS
IS NOT
in compliance with Town code and the total number of bedrooms on record
is -2---
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
AX as
Building Inspector
� ikz
BRUCE R. FOLEY
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
October 16, 1998
Raymond Ill
665 Sprout Brook Road
Putnam Valley NY 10579
Re: Addition - Ill, 665 Sprout Brook Road
Increase in Number of Bedrooms
(T) Putnam Valley, TM# 72.19 -1 -11
Dear Mr. Ill:
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 latest revision date of
October 16, 1998 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 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, restructures 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,
William Hedges
Sr. Public Health Sanitarian
WH:tn
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A\ Area 003 Acres
C�
SURVEY OF PROPERTY
PREPARED FOR
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WIC, 5 - - - i-A'-7'RI6 - 1A ILL
SITUATE IN THE
TOWN OF PUTNAM VALLEY
PUTIVAM COUNTY
NEW YORK
SCALE / /17. = 50 ft. JUNE //, 1985
qunrrgrr
We hereof cartify that the survey shown hereon
,0 of E
was completed 0 us on June // 1965 , that
1h15 map was completed on /Una 12, /9&r,
1 8.cao/ by a licensed L,-d and that th15 survey has been prepared. In accordance
with the exislIng Code of Practice for Land Surveys
for this mop and copies r us adopted by The Now York State Association of
r copies bear the impressed Protesslonol Land Surveyors ,Inc.
'si;natuee appears hereon
easements or ancroochmcn;"
LAW 51 00
t IV? 48 as shown on that #fill ""'t Z
BADEY 8 WATSON
ental Village...., "which was k LAND SURVEYORS
ty Clerks Office on May 5,1954
/NCW role,- STATE LICENSE` LAND SURVEYOR
iLICENSE MV 41?167
!77-0/-//,' FILE N9 74-162.14.48
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rho map is certified only to
RAYAIOA'D P. ILL
PATRICIA' H. ILL
SADEY a WATSON
Land Surveyors
U. S. Route 9
Cold Spring, N.Y. 10516
(914) 265-9217
sc<
f NEW
NOTES `.�C �pN J. gy09','.
I. Alteration of this document, except by o licensed Lnnd
Surveyor, Is illegal. . * o z
p
2. All certifications ore valid for this mop and copies
thereof only if said mop or copies bear the impressed r
seal of the surveyor whose signature appears hereon. ,
J. Underground Improvements , easements or encroochments, s� y,{� <S 4818 -1
if any, ore not shown hereon. 'ry OfAm 5��',��� `
4. The premises hereon is Lot N- 48 as shown on that ~rrrrlllllnl�l
certain Mop 14 of Continental Village...., which ryas i
filed in the Putnam County Clerks Office on May 5,1954
as map N' 372-L.
NOTES
/. Alteration of this document, except Qv a .licensed Lon"
Surveyor, is illegal. `
2 All certifications ore volyd for Ibis mop c,nd copies
thereof only if said map or copies bear the impressed
seal of the surveyor whose signature appears heron
r $
.t
�a
521°35'00 "W
/00.00
Area = /. 003 Acres
° SURVEY OF PROPERTY
PREPARED PATRICIA RAYNOX9 . a 9 A TRICIA H
S/TUATE IN THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY
NEW YORK
.SCALE l in. = 50 ft JUNE //, 1985
��rnrgr W'e Aereby certify that the survey shown hereon
Eqv yr' was completed by us on June /1 ,1985 , that
r• W,y QP!.
Ibis map was completed on June 13 , 1985,
�
and that this survey has been prepared in accordance
z with the existing Code of Practice for Land Surveys
as adapted by The New York State Association of
Rau fessruno/ Land Surveyors , /no.
ILL
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NOTES
/. Alteration of this document, except Qv a .licensed Lon"
Surveyor, is illegal. `
2 All certifications ore volyd for Ibis mop c,nd copies
thereof only if said map or copies bear the impressed
seal of the surveyor whose signature appears heron
r $
.t
�a
521°35'00 "W
/00.00
Area = /. 003 Acres
° SURVEY OF PROPERTY
PREPARED PATRICIA RAYNOX9 . a 9 A TRICIA H
S/TUATE IN THE
TOWN OF PUTNAM VALLEY
PUTNAM COUNTY
NEW YORK
.SCALE l in. = 50 ft JUNE //, 1985
��rnrgr W'e Aereby certify that the survey shown hereon
Eqv yr' was completed by us on June /1 ,1985 , that
r• W,y QP!.
Ibis map was completed on June 13 , 1985,
�
and that this survey has been prepared in accordance
z with the existing Code of Practice for Land Surveys
as adapted by The New York State Association of
Rau fessruno/ Land Surveyors , /no.
ILL