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74.17 -1 -45
BOX 29
03707
L
Ir
03707
LORETTA MOLINARI
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
February 13, 2004
Zurhellen
c/o Mr. Mike Bernard
44 North View Drive
Mahopac, N.Y. 10541
Re: Addition — Zurhellen, 174 Barger St.
No Increases in Number of Bedrooms
'(T) Putnam Valley, TM# 74.17 -1 -45
Dear Mr. Zurhellen:
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 13, 2004. The addition is approved with the following conditions.
1. The total number of bedrooms must remain at three (3) 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 fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc.
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.
Very truly yours,
C
Michael Luke
ML:cf Public Health Sanitarian
cc: BI (T) — Putnam Valley.
BRUCE R. FOLEY
Public Health Director,
a
LORETTA MOLINARI R.N., M.S.N.
Asse jaf °.. -. ,Public._Healih. -Director I -
Director of 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
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET 114 � + TOWN T'j-W kJ► /1 TX MAP#
NAME ��,�rfz�IN
PHONE ir;, . o 5 �k' 34- 3L ' PCHD# d -0
MAILINTG ADDRESS
DESCRIPTION OF ADDITION rIN S'he -D &J;f t_, 4-
N'LT?vfBER OF EXISTING BEDROOMS _� PROPOSED # OF BEDROOMS J
(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 submitahis f
orm and the folloNyWg to Putnam County.Health�Dept.;, : Geneva Road; BrtSvi,#eF; I*t '-
..- ..__•.. -..... c.. _. .. - .... -.. r. .r.. ................. . -. .L-- .......
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 #)
*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.
OFFICE USE
Comments
Feb98
BFhouseguidehes
a d. ►C
BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N.
Public Health Director �LC►w �Ot� Associate Public Health Director
Director, o . _Patient" .Sgrycgt ;,...: T ?,•
DE 'ARTMEIVT
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 III
Tax Map 1-+
Town
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS
IS NOT
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: V
•
e�uildin& Inspector,
7 BFhouseguidelines
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
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 13, 2004
Zurhellen
c/o Mr. Mike Bernard
44 North View Drive
Mahopac, N.Y. 10541
Re: Addition — Zurhellen, 174 Barger St.
No Increases in Number of Bedrooms
(T) Putnam Valley, TM# 74.17 -145
Dear Mr. Zurhellen:
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 13, 2004. The addition is approved with. the following conditions.
1. The total number of bedrooms must remain at three (3) 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 fixtures must be updated with water saving devices, i.e., new low flush ,
toilets, restrictors for shower heads and faucets, etc.
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.
Very truly yours,
C �,Y
Michael Luke
ML:cf Public Health Sanitarian
cc: BI (T) — Putnam Valley.
PUTNAM COUNTY DcPARTMENT Or HCaLCN
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
_ BEDROGt1,QS
Signature Tale Date
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PUTNAM COUN T Y DEPARTMENTOF HEALTH
R
HOUSE PLANS APPROVI FOR
BEDROG W COUNT ONLY:
3 OEDROOMS
Date
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Certifications hereon are valid for Bank
Title Co. d Owners for this transactior
only. Certifications are not transferable to
subsequent Bank. Title Co. or Owner.
CERTIFIED TO-
AD certifications hereon are valid for thii
map and copies thereof only if laid map or
copies beer the impressed seal of the sur
veyor whose signature appears hereon.
SURVEYED' Ffe�✓rFLy .1'r /9B2
"It is hereby certified that this survey wee
prepared in accordance with the existing
fieer.vw• r s l9 8t (Novs6 unessL a Jr.)
BROUGH'r TO DATE
Code of Practice for Land Surveys- adoptee
by the New York State Association of Pro
BROUGHT TO DATE
fessional Land Surveyors."
Oe lj
X63 z
1
JOHN SALVATORE ROMEO
fConsulting Engineer b' Land SeneynT
1 NORTHRIDGE ROAD
P,E'E /KSKILL. N. Y.
�. UP. EE..' & L. S. NYS LIC. NO. 027846
.i
ENCROACHMENTS BELOW GRADE IF ANY NOT SHOWN
i
SURVEY OF PROPERTY
FOR
SALLY A. MILLER
u
SITUATE 7N THE
TOWN OF PUTNAM VA[.I-£Y
PUTNAM COUNTY
NEW YORK
i.
SCALE: _t"--- 30 r
SURVEYED AS IN POSSMBSION
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