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73.20 -1 -5
BOX 28
03481
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BRUCE R FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI ILK, M.S.N.
Associate Public Health Director
Director of. Patient Services
Environinental Health (945)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 MSMENTIAL ONLY
STREET SI) W &CSf - LO AL TOWN30 •Tx MAPg
o - o D
MAMNG ADDRESS
DESCRIPTION OF A
NUMBER OF EXIST —�
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
*Any addition which is considered a bedroom requires forirlal approval ofplans (Construction Permit)
prepared by a Professional Engineer or Registered Ambitect in accerda_nce' ur�t>? anplicabl; sect!�a oFtLG
utnaw County Saniiary Code.
a��
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY '
10509, Phone 278 -6130.
7' 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.
i 4. Copy of survey showing well and septic location, to the,best of your knowledge. include date of o
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 iZ3
Comments w
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Feb98
BFhouseguidelines
BRUCE; R. FOLEY LORBTMA MOLINARI ILK, M.S.N.
Public Yealth Director �� ��L� A;-srciote s!Fl.� t121►r� �±:;•,., :: ;. i_,. _ ;
Directornof 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
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Ma a °
Town d.
Gentlemen:
0 1
According to records maintained by .the Town, the above noted dwelling
IS
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD
'1 7
Nhouseguidelines
J a
BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
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
February 11, 2003
Williams
49 Somerset Lane
Putnam Valley, NY 10579
Re: Addition - Williams, Somerset Ln.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #73.20 -1 -5
Dear Ms. Williams:
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 February 110 2003 The addition is approved with the following conditions.
`
-fie �%toui'i.7 i%:J ' "vf �cCiiu:iih iiu si rcinw l'ai fuur without prior approval by ^thrii _.. -_
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 me at your convenience.
Very truly yours,
Michael Luke
ML:lm Public Health Technician
cc:BI
TOWN TAX MAP DATA:
Section 69, Block 3, Lot 5 and Part of Lot 4 4
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PARCEL SHOWN HEREON KNOWIj AS LOT No.2 and Port of Lot No, I CERTIFICATIONS INDICATED HEREONY SIGNIFY THIS SURVEY
ON SUBDIVISION MAP ENTITLED Subdivion Mop For Louis Mallutib-J i. „ , , WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE
FILED IN COUNTY CLERK'S OFFICE ON. Ott.31,1977 OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW
AS MAP No. 1622. YORK STATE ASSOCIATION OF PROFESSIONAL LAND
SUBJECT TO ELECTRIC ANDIOR TELEPHONE CO. SURVEYORS, SAID CERTIFICATIONS SHALL RUN ONLY TO
EASEMENTS, IF ANY, FOR OVERHEAD ANDIOR THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
UNDERGROUND SERVICE. ON HIS BEHAW-TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED'HEREON; AND TO
THE ASSIGNEES OF THE LENDING INSTITUTION, CERTIFICATIONS
SURVEYED AS IN POSSESSION, (No Lines of Possession ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
Other Than Indicated). SUBSEQUENT OWNERS. ,
SUBSTRUCTURES ANDIOR THEIR ENCROACHMENTAPP fZOVL J B i THE hu T WS *VE'YL ' PRQPERTY
BELOW GRADE, IF ANY, NOT SHOWN.
HOUSE OFFSETS TAKEN TO WOOD OR BLOCK M. 'ANNING 40ARD BY RESOLUTi
QNP/A'Z'EC) FOR ,
PROPERTY CORNERS NOT STAKED. ,
TOTAL COMBINED LOT AREA: 1.2ftkTWI0 DATED: 2 D AY N A CO LU C C I
THIS SURVEY IS HEREBY CERTIFIED OhtkA`.dFd : OCATED IN
1. DAYNA R. C.OLU.CCI. CHAIRAIAP
2. THE SECURITY TITLE and GUARANTY CO.
3. F art r TOWN OF PUTNAM VALLEY
J. HENRY CARPENTER & CO..`'�
PVTN.AM COUNTY,N.Y. ,
CIVIL ENGINEERING & LAND SURVEYING
YORKTOWN HEIGHTS, N. Y. An C.num.uen. H.r.en ,,, Valid to, Tnl. Map and Copies Thereof We. J. H.nrY C.rp.nt.r a Co. De Har.DY Caitiff That on June 17,198{ Only /1 S.Id Map or Cep1w B..r Th. tmpr....d Sea$ or Th. S.—y.,
. S—ey of The Pram l..a Shown H.r.on Mad. and Tn.l TAI M.D Whose Slen.tur. (kppe— H.r.on.
la Mad In <ard.nce Wlth Th. Id No of S.I Surv.y Ai1.r.11.. of This Map Othe, Than oY . U ..... d land .. -eye, I. Ill.e.l.
SCALE: V'= 50' DATE: June 22,1981.
S H . S ABOLDT, P.L.S. • N0. 4 9 286 Rev. Sept. 14,1981.