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74.17 -1 -4
BOX 29
03682
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03682
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINAR1, RN, M S N
Associate Commissioner. of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 105.09
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Directar Health
ADDITION APPLICATION RESIDENTIAL ONLY
STREET /✓r,3 .,9,406w G,1"' TOWN TAX MAP#? /?-
rA
NAME ,Lo St,�l f 71r' PH0NEWS- -S2.6. ;Z 1 B8 PCHD#
MAILING
ADDRESS /,S3 8AZ6z f-
DESCRIPTION OF
ADDITION W K4'1,� f40, i
0 1 !-' APPITtoAJ/
NUMBER OF EXISTING BEDROOMS _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
Putnam County Sanitary Code.
Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd,
Brewster: NY ,10509 g! ,, lz�n L l 2 Z33 bL30 ^_
P. 45_)
1. Certified check or money order for $100.00.
�2. Sketches of existing floor plan (drawn to scale, all living area including basement)
,t/3. Two sets of proposed floor plan (drawn to scale - with name, street and tax map #)
*Non- professional sketches are acceptable
k4. 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.
v/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
a--
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETYA MOLINARI,NRN, 488 i u
Associate Commissioner of Health
Robert Schmitt
153 Barger Street
Putnam Valley, NY 10579
Dear Mr. Schmitt:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT I BONDI
County Executive
ROBERT MORRIS, PE -
Director of Environmental Health
February 13, 2008
Addition — Approval — Schmitt —A- 023 -08
No Increases in Number of Bedrooms
153 Barger Street
(T) Putnam Valley, TM # 74.17 -1 -4
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 the Department dated February 12, 2008. 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. All plumbing fixfures iiiusf 6e updated with water saving de'v'ices; i.e.; view low flush
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 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.
Sincerely,
Lawrence C. Werper
Public Health Engineer
LCW: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
0i
SHERLITA AMLER, MD, MS, FAAP .. - .
.. , =,=4 �:— �} *= �.�•cmmwsrorferofKeatth.. ". � .
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health.
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 16509
Town Legal Bedroom Count
ROBERT..J. - _BO.NDI
County Executive
Re: M t TT (Owner's Name)
Tax Map #: �%�' , _ 4
Address: S 3 A
Town: P T iJ M y kL=L-E
Year Built: --
Accord* 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: 3
This information has been obtained from:
Certificate of Occupancy:
Other:
�---� 0
Building Inspector Da
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 Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
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0 C )VENANTS AND RESTRICTIONS,
i A!'O AGREEMENTS CONTAINED IN
422. AND IN L.372,c.p.60 AS MODIFIED
.p. t 29. i
ELf CTI?IC ANDIOR TELEPHONE CO..
IF ANY, FOR OVERHEAD ANDIOR
JND SERVICE.
\S IN POSSESSION, INo Lines of Possession
ndicated).
I S3 9,6,Z6at- s;
ros �9
SURVEYED IN ACCORDANCE WITH DEED OF Rf
RECITED IN L.722 OF DEEDS AT PAGE 107.
CERTIFICATIONS INDICATED HEREON SIGNIFY
WAS PREPARED IN ACCORDANCE WITH THE E',
OF PRACTICE I -OR LAND SURVEYS ADOPTED 8
YORK STATE ASSOCIATION OF PROFESSIONAL
SURVEYORS.
URCS ANDIOR THEIR ENCROACHMENI'S SURVEY OF PROPER'
DE, IF ANY, NOT SHOWN.
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885.09 to ihe Saut�e�19
_.. End of 0 25 Radius Cu"
at Some(sel Lane. .
t r�
:,.5�7 �jn 41.4 8 .T..�.v ••"""...
8 A R G _w�Laz- �34- ZO -W
ER
STREETL3
IV
0 C )VENANTS AND RESTRICTIONS,
i A!'O AGREEMENTS CONTAINED IN
422. AND IN L.372,c.p.60 AS MODIFIED
.p. t 29. i
ELf CTI?IC ANDIOR TELEPHONE CO..
IF ANY, FOR OVERHEAD ANDIOR
JND SERVICE.
\S IN POSSESSION, INo Lines of Possession
ndicated).
I S3 9,6,Z6at- s;
ros �9
SURVEYED IN ACCORDANCE WITH DEED OF Rf
RECITED IN L.722 OF DEEDS AT PAGE 107.
CERTIFICATIONS INDICATED HEREON SIGNIFY
WAS PREPARED IN ACCORDANCE WITH THE E',
OF PRACTICE I -OR LAND SURVEYS ADOPTED 8
YORK STATE ASSOCIATION OF PROFESSIONAL
SURVEYORS.
URCS ANDIOR THEIR ENCROACHMENI'S SURVEY OF PROPER'
DE, IF ANY, NOT SHOWN.
H5F-
TANK FOR WELL
X 7-OH GARAGE COOFZ
;� 'EXIS TIN G BASEMEIN'T PLAN
2,) 53GALE: 114" = T-0-
0 N 0 �4
------ -- -----
:2 x 6 Fl., Joists E>dsii,g _L< 6 Floor Joists
(gD 10 o.c.
'D
C 1 0 o.c.
ZSEWER
STACK
47 STEEL POST
f,
EP<ISTING 6- BLOCK
II ID IIII
D, IIII
R
FON. WALL
0 li
VN HOUSE VENT SEWER
H5F-
TANK FOR WELL
X 7-OH GARAGE COOFZ
;� 'EXIS TIN G BASEMEIN'T PLAN
2,) 53GALE: 114" = T-0-
a
A EXISTING 15T FLOOR PLAN
SCALE: 114."= T-O"
EXISTING
DECK
i•
lei ht at wall = 86
-3 1,2'
EXISTING
EXISTING
MASTER
BEDROOM #2
BEDROOM - -
(skylight = I - - - - - --
O' wide x
f I
Ceiling Joists = 2x4
Rafters = 2x6 @ 24' o.c.
l long-
L J — --
Ridge = 1x8
—
Gelling Height = 875'
_ — Height at ridge = 122'
II
II
_ Height at
- — - Interne -
w
— -
u �
Vy o
B EXISTING 2ND FLOOR PLAN
SCALE: 1/4° =1' -O°