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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.05 -138 BOX 27 03311 p . �� ,i Lin is I T � I ml PL r 03311 LORETTA 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) 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 O'Gorman 12 Hickory Lane Putnam Valley, NY 10579 October 10, 2003 Re:. Addition — O'Gorman, Hickory Ln: No Increases in Number of Bedrooms (T)Putnam Valley, TM#75.5 -1 -38 Dear Mr. & Mrs. O'Gorman: 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' October 1.0, 2003. The addition is approved with the following conditions. .,f �; dru611iirlasr re'm "ain at�tluee without prior approval by this `~ r 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, 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 nie at your convenience. Very truly yours, Michael Luke ML:Im Public Health Sanitarian cc:BI ( - + ± -� x J'1 I d. F +' LA I • 4 y I r 1 : 1 I I Ti i�►__ } —i �— ice,- -- S its , A i t 'I(.�.. 'tI �`'t I tix °'� _ — �t � .Uy_,.: � .:,,•A� �.7s y }= >i Ft AT I i r` • µ _ i 7 -vim' •�t a y,. I I t .177 4,L I f .. , � - , : , Q _ . - . , ;',� , - , - ---,---..-- I p T-t (+) �-:! - J-� - r=�'. �,� , �. i*. . 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T ::Doge T WOMAN wo 1: wn Ole :w tin 2v Q01" Q W502 0 :A f nor w! fem BASS& sy� . . . . . . . . . . . . .. I N l , I i , { _i I j i r J e ,BCC r I; 3 ; It Q. 1Y y I i�: t. � t �..i.` may' /" �'-•K .c �� m 3-1 .e 1 ♦ ti � � J 4tY � Sat. { tJ ♦ NV r w u t i y I i�: t. � t �..i.` may' /" �'-•K .c �� m 3-1 • _ _ .. ..: _;_ .�. f[: !i t i ;. r' z.z = �r 1 � �,X t .,.,. ,. � �<a7, \� -,red �ntw .e 1 ♦ ti � � J 4tY � Sat. { NV • _ _ .. ..: _;_ .�. f[: !i t i ;. r' z.z = �r 1 � �,X t .,.,. ,. � �<a7, \� -,red �ntw rr- -.~.;. �.`•:: �sra :vv >u�asom ": o'.i�:+«�_'s.:+.se:: :rs�.i.:'es',.'�... :�- e.�•=�°+}`�. . "w LORETTA MOLINARI R.N., M.S.N. Public Health Director n�•irr ✓`+�enw.��••cwnn:�iew. -tis "a.:�.::`is�:�ii`�ia.�. -a: ora�ya.::v�4My�wvoa v. ROBERT J. BONDI County Executive I 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 October 8, 2003 Pat & Sue O'Gorman 12 Hickory Lane Putnam Valley, NY 10579 Re: Addition: O'Gorman, Hickory Lane (T) Putnam Valley TM# 75.5 -1 -38 Dear Mr. & Mrs. O'Gorman. I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The plans indicate that the proposed addition will consist of the following. Adding a dormer to a second floor office. Based on the information submitted, the above - mentioned addition cannot be approved with the vllowin2- -candi ions 1. The office is considered a potential bedroom. 2. The total number of bedrooms must remain at three. The potential bedroom count of your proposed addition is four. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. ML /jp cc: BI (T) Putnam Valley Very truly yours, i i Michael Luke Public Health Sanitarian o' yy',. :- :y..:s::a- wr= +.�"!Y- t't•�nr' Seri-` v�rotae. a�: � wns.:�n:- �ie�;= r'm'a.rs.�n°::: � _ a` sat=+:' ar_ �R" �n::-. ri y+as.:�.ca`.ais:.asn.�.�..:c_; mie^��..'�'. =.; LORETTA MOLINARI R.N., M.S.N. ROBERT J. BONDI Public Health Director �'� � County Executive 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 October 8, 2003 Pat & Sue O'Gorman 12 Hickory Lane Putnam Valley, NY 10579 Re: Addition: O'Gorman, Hickory Lane (T) Putnam Valley TM# 75.5 -1 -38 Dear Mr. & Mrs. O'Gorman: I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The plans indicate that the proposed addition will consist of the following. Adding a dormer to a second floor office. Based on the information submitted, the above - mentioned addition is approved with the ivilG��rL�,�3Pt'11,?I1S 1. The office is considered a potential bedroom. 2. The total number of bedrooms must remain at three. The potential bedroom count of your proposed addition is four. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke Public Health Sanitarian ML /jP cc: BI (T) Putnam Valley r cC'iwcN ' . -•S'�O VA's VR -ra !•.e ,a •t� >:T ":"tK.'�SR' +vF'rs:t. Y_e_r. , .tG • b'i<u�:r. Public Health Director DEPARTMENT, OF HEALTH 1 Geneva Road Brewster, New York 10509 q+f9.A'•: 1r �..Y iYb-" tTr: i�,O- n.- u:��/Wt.s:��Kn...nti.'t6 QTY.- V�'1.M ^1ro��T iTTA 'MOLINARI RN.; M.S.N. sociate Public Health Director Director of Patient Services Environmental Health (845) 278 -'6130 ,Fax (845) 278 - 7921 j Nursing Services (845) 278.6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014' Preschool (845)278;.6082 Far (845) 278 - 6648,' ADDITION APPLICATION (RESIDENTIAL ONLY) STREET TOWNfc 4,v 4lT: TX MAPIr 73S —/36` PHONES /T_ eJ -3Ksy-. PCPID# 3 -a3 MAILING ADDRESS DESCRIPTION OF ADDITION 00)OVz4 NUMBER OF EXISTING BEDROOMS 3 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 - -� Putna-n-C:��.`y Please submit this form and the following to Putnam County Health Dept:, 4 Geneva Road, 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 4) *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. , BFhouseguidelines 1, 1 — ------BRUCE R.- FOLEY c or M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH I Geneva, Road. - Brewster, New York 10509 Environmental Health (845) 278 - 6130, Fax (945) 278 - 7921 Nursing services (845) 278 - 6558 , WIC (845) 278 - 6679 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (945) 278-6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: rM 6oy- a,,, Re:_ Residence T I . * ') 7• t� - ( - -S� Tax Ma Town According to records maintained b y the Town, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is Is - - This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD NWIff"I Building Inspector BFhouseguidelines ' c •�� +y+YJ .:'CF?i : '•a•��V yCMtxx ,..x.;p e1.• .•��' I LOT a4 ! LOT 30 .� LOT 31 LOT 32 '.LOT 33 LOT 34 red " set S 65' 14' Z.i f50.oO f°l unu 'rep "tenee .6'. S v .0 14' AREA. 15,300 SF stets roserveir i 0.3512 AC2' 5TY Fly r O well F. J 5DS FHNk� deck N & ti : g1 ti ' _p sas L17S f1E 4e0 T v O dock oo •. _ 2 red eNi �`b' a H set' �... N 65 -14' 00" W eo a ,r vement 150.00' N BUNGALOW TRAIL, vole . _. -- - k SURVEY nF ?,4L�!.�F.R. ►`� rRi� -REi:� Fitt'". _ - - ' GKGOR Y J. & H5/A 0 HSl1HU MIZLL BE/NG LOTS 44 45, 46 „47,,48 d 44 ONA, FQEDMAP . ENT/TLED " : BUNGALOW BLOCK” FXi5D AV PUTNAM CO CLERKS OFFICE AS REAP NO. 121F...' SITUATE IN TQWN OF P0TNA:M'VA.LLEY:.'. P401AM'000NTY, NY SCALE: 1 " =30' DATE FEB 14, 1985 CERTIFY TO L CIT6AW,.AlA.. . 2. COMMONWEALTHLAATITLE ANSCRANCE CO.' CERTIFICATIONS I.NDICATED'.HEREOH SIGNIFY TNTS SURVEY WAS PREPARED IN ACCORDANCE WITH THE ,EXISTING CODE OF PRACTICE FOR L'ANO'SURVEYS UNAUTHORIZED ALTERAFION.OR ADDdTION.TO.THES ADOPTED BY..THE N.Y.S, ASSOC. OF,PROFESS.0NAL SURVEY IS -A VTOLA'T- I.ON_OF N.;Y ;S 'EDUC:. LAW:, LAND SURVEYORS.' SECTION NO<.:3209 " GERT{F'ICAT.IONS 'SMALL :RUN ONLY TOJHE'PERSON UNDERGROUND'STRU,CTORES', iF. ANY ,. NOT SHOWN:, ..FOR:'WHOR >TH.;15 SURVEY WAS .PREPARED AND,ON °HIS - BEHALF TO.`THE TITLE CO`. AND LENDING INSTITUTION ALL CERTIFICATIONS ARE VALID FOR.,THIS.MAP ". LISTEO HERlrON. AND :COP IES THEREOF ONLY" 1F.SAlD HAP ;,OR .60P4ES BEAR'THE IMPRESSED SEAL''OF THE SURVEYOR WHOSE SAID CERT'IFIC'ATIONS ARE NOT TRANSFERABLE.'.T0 SIGNATURE APPEARS'HEREON.' ADD(T10NAL_INSTITUTIONS OR SUBSEQUENT' OWNERS. DONALD J. DONNELL.Y, L.S. 1929 COMMERCE STREET .: YORKTOWN HEIGHTS, NEW 'YORK 10598 DONALD. J. DONNELLY., N.Y.S. LIC.,'NO.. 49000 (994) §62- 221.5_ "