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Home My WebLink About3211DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72.19 -1 -28 BOX 26 03211 '.' .. yL. 6�,'1 J �% r . 91 �� 91"` , . . ' � 03211 e QRL1TA AMLER, MD, MS, FAAP a 'C ROBERT J. BONDI Commissioner of Health .4t County Executive' LORETTA MOLINARI,.RN, MSN i1 "it`)R[ila; ,..;. Associate Director of Health e DESCRIPTION OF ADDITION V(0 �4N X05--me-n+ NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS 3 (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. l: • _. Cc- leu c' Lk eck or'money order for $100.0.0. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 3. Two sets of proposed floor plan (drawn -to scale —with name, street.and tax map #) , *Non- professional sketches are acceptable . 4. Copy of survey showing well. and septic locations to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. A Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling: OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7421 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6414 Fax (845) 278 -6648 I SHERLITAAMLER, MD, MS, FAAP . Commissioner of Health _ - - _ �.. - \: w-.:-.:..-• J�.r ry .rr�'._.:.uy�.`fr46ir��..v'.. �'.....g�. •o - _ ~' LORETTA MOLINARI, RN, MSN . Associate Commissioner of Health ROBERT J. BONDI County Executive r`:,: s, ea- �."):v.+..aasei.�- :...v'.� -:,� :a"� ;�.:v$aa- xe:ss•. -ew'�• ..,+ r.�. _ ROBERT MORRIS, PE Director of Environmental Health UtF'HK I MtN I UI- MLHLI h 1 Geneva Road..Brewster, New.York 10509 December 31, 2009 . David Acevedo 652 Sprout Brook Road Putnam Valley, NY 1057. 9 Re: Addition- A- 176 -09 No Increase in Number of Bedrooms 652 Sprout Brook Road (T) Putnam Valley, T.M. # 72.19-1 -28 Dear Mr. Acevedo: 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 30, 2009. 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 maintained. ..3 _. X11 T51liTiibitl flit'1re I;il3Ct �° tip tF w . _ �� a b .1, �wl a / i j 1— Ater .C.�i � ii,o L1V W iG Y� �L1laJL1 toilets, restrictors for shower heads and faucets etc. 4. A no time shall the basement provide a kitchen/kitchenette. 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) 278 -6130, ext. 43261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:kly cc: BI, (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 - Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health --,;, ':- �..`;"�v'3t'�''Iv3t�;ip+i�RT iiiv,'I��iV �';a�, ` :, . - "•:° _Associate Commissioner of Health Mr. David Acevedo 652 Sprout Brook Road Putnam Valley; NY 10579 Dear Mr. Acevedo: DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, Director of Environmental Health November 9, 2009 Re: Addition — Application Incomplete 652 Sprout Brook Road (T) Putnam Valley, TM # 72.19 -1 -28 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: 1. One set of sketches of existing floor plans, drawn to scale showing existing conditions . only... ThP n] must reflect all floors in Ae.house, ,includinb ` rooms`notng their dimensions and use. The plans must be noted as existing showing c� owner's name, address and tax map number. 2. Two sets of sketches of proposed floor plans, drawn to scale. The plans must show all proposed changes as a finished product. These plans should also reflect all floors in the home including the proposed, showing owner's name, address and tax map number. 3. Copy of survey showing well and septic locations to the best of your knowledge. Include date of installation if know. Upon a receipt of a submission, revised to reflect the above comments, this application will be considered further. Sincerely, A ma, V Gene D. Reed Sr. Environmental Engineering Aide GDR:kIy 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 de ' t �ase�en�- ,�- �u�re�� u�Fc�cshec� r it 0 �j C, P, s I g. tL ci\ 6FN Q b e- a oo 0 M-5 ge�r-oofyi %s' . +o--a.1 +ID ON e- I &(goL+ oc-6noonn rv, B ce-se me f\ t- Co SHERLITA AMLER, MD, MS, FAAP s lie. ROBERT J. BONDI . . Commissioner of Health County Executive �. ,. _�-'.�0�E- �:�- r��I-cL��►ti; >ii°��.sr��-�.� �..�,,- "�,>:" � �c�.�,:.Yp4�1 Associate Commissioner. of Health. ' f1 P'�r1'!• !� \T■ •rA lT / \r 1 Ir • I TI 1 According 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: SFT. C/ Building Inspector 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 Inter4eution/Preschool (845) 278 -6014 Fax (845) 278 -6648 -C. 5e,;2 cp o U. u !' L-.1 T, c asT .vA1.'_ Z ; AT z� liw VN'aa ?him orrw1 Q .. Or %: ' N C, v � w C k-� 0 LA V AA :i.CxaS ^r-'6 I •. LHO?y- .. \Y•G:: x �+. .. ° Kb a r•?t. _C41 ° NnY xo ant �• "P{, .SC.AL G& 60' (,A¢. 6.!14 fill ON [Q Sr APT 4 - 1�G7 :1 r �� I[�/ i- -20C 16Lb•4 -.4 A, BKOICA, PAT *C,NI{ �� cAg2Y F'2A4s, N6 DO TO j C+G N[:J .. � �• • 2i •kk+!. II 2A67 .nom g' ,,% L \ FC! PV ALL C:;a r� N A,L:. Nr:'2>` ti1.11AL1. Pj5 VONS IN ACo�'�? G/aL' cc-)v ,6 - i;'>27! ra A. i?•J T u.2AL I- ZA.iw 46 ; -'ALL YJ% t% ��`, ''�'�:" - - - -- CI •fl I � p:G � i �O�n /n�N �'b= 1d� P Ph I . Nh LA MN4".7tE pr;. 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