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HomeMy WebLinkAbout3521DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. J r I,` r- www.scanyourdocs.com 631- 589 -8100 74.- 1 -5C11 BOX 28 03521 r 9 v r:8 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health - LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director vironmental Health 4 ,7 J ADDITION APPLICATION RESIDENTIAL ONLY STREET 1 W i N T114 t5 TOWN �� N A M *TAX MAP# NAME I ).P k-F V 1510 PHONE a 1 Z vb �2 ! I 3 PCHD# - MAILING' ADDRESS ' -7,o d V 5f E NY AyeN14 -F ) N �� N J V 1 00 �5 DESCRIPTION OF 1 ADDITION Pa (G In n k i ied NUMBER OF EXISTING BEDROOMS 2 PROPOSED # OF BEDROOMS 7' (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 . 105 :09,.Phone:�(845).271,6130.. ,..._.._... .. w.. _,.. }. Certified check or money order for $100.00. �2 r ` Sketches of existing floor plan (drawn to scale, all living area including basement) Two sets of proposed floor plan (drawn to scale — with name, street and tax map #) r *Non - professional sketches are acceptable ./ 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. 5. 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 -7921 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 -6014 Fax(845)278 -6648 SHERLITA AMLEI;4 MD, MS, FAAP LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI ".qwwErecudye.. Re: BISKEN (Owner's Name) ' Tax Map #: 74.-1-5 (Three Arrows Cooperative) Address: jq Twin pine gnq(i Town: am Valley Year Built: - 1936' According to records maintained by the Town, the above. noted dwelling, is in compliance With Town Code. is not in compliance with Town Code. T '& C-LWl--Be&bbh1-ount is: 2,— h This -information has been obtained from: Certificate of Occupancy: Alteration - CO 7 8114 7 4/18/78" As s i s tB uilding Inspector Date Environmental Health (845) 278-6130 Fax (845) 278-7921 Nursing Services (845) 178-6558 Fax (845) 278-6026 WIC (845) 278-6678 Nursing Home CAre Fax (945) 278-6085 Early Interveotion/Preschool ' (845) 278-6014 Fax (845) 278-6648 A Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Dear Sir /Madam: Andrew Biskin,. 820 West Enid Avenue New York, NY 10025 andybiskin @gmail.com Home: 212- 662 -4039 Cell: 917- 301 -1602 Enclosed is my application for an addition to our house in Three Arrows Cooperative at 19 Twin Pines Road, Putnam Valley. The addition would consist of an unheated 12'x 13' enclosed porch with windows. . I have included the following: 1. Money order for $100 2. A sketch of the existing floorplan.. 3. Architect's plans for the addition. 4. A tax map showing location of well and septic. (The neighboring houses at 16, 17, 21, and 23 Twin Pines do not have - wells.) 5. Copy of Certificate of Occupancy and Bedroom Count from the Building Dept. Please let me know if you need any additional information. , Andrew Biskin SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORE —ftA MOLINARI; RN; MSIY Associate Commissioner of Health Mr. Andrew Biskin 820 West End Ave. # 58 New York, NY 10025 Dear Mr. Biskin: ROBERT I BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: October 7, 2008 Addition- A- 192 -08 No Increase in Number of Bedrooms 19 Twin Pines (T) Putnam Valley, T.M. # 74. -1 -5 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 7, 2008. The 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. i= toilets, i g,- f�es ... .�4` ~ toilets, restrictors for shower heads and faucets etc. 4. 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. 2261. Sincerely, Pe-c� ene D 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 v '11T , IAM IE I Q. -T to. 64 3A--TLI F--- -*I 41r. a4l /11= U L7�,; LjF .... .... Ir %U iN S, 77 12- so, 2-- Li Ee—I-p BiskinfT*omer House (Formerly "Fischer") 19 Twin Pines Road Three Arrows Cooperative Putnam Valley, New York 10579 Proposed Porch Addition - t-i 15 1(7-) T t W 0 qo%� LH ill (,rTr.) i - I� ✓ -o� � �,�o To�� �N. �1��.�}�� "`Mrs 1 G1 'T�w t ►.1 �'t►;1�..� �a�P, �E E ��-, t: r'cJTYt .. d i 1 . 4 jF } r— Cr__ -7-1 6,, i i i b c S Y i �. S S 12> I -T ...... ... . ....... ........... . 4>u 41 EXL 12> I -T ...... ... . ....... ........... . 4­-Tc, I . . . .. ...... 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