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Home My WebLink About3831DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -2 -61 BOX 30 1 INS all—I 'NMI .� �� L 03831 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 October 29, 2002 Deborah Sheridan 56 Foradon Rd. Putnam Valley, NY 10579 Re: Addition - Sheridan, 56 Foradon Rd. No Increases in Number of Bedrooms (T)Putnam Valley, TM #83.12 -2 -61 -- - Dear lyis: Sheridan.:. _... __ _ .. _.. _ .... . _......... _ .. _ - 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 29, 2002 . 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. 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 ygurs, ... William Hedges WH:lin Senior Public Health Sanitarian cc:BI 0 BRUCE R. FOLEY Public Health Director LORETTA MOLINARI RN., M.S.N. Associate Public Health Director 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) 27 &6082 Far (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) STREETS /nrQ dZ/1 4/ TOWN l MAPS S ` % z -z-61 ti�E G ShWI�A PHONE�PCD H#_1 "Oa .41 MAILING ADDRESS DESCRIPTION_OF ADDITION NTL:NMER OF EXISTING BEDROOMS_ `. PROPOSED # OF BEDROOMS�+ne} (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., 4 Geneva Road, Brewster, NY 1 509, Phone 278 -6130. Certified check or money order for $100.00.. r—jUO ..5enf r,2. Sketches of existing floor plan (drawn to scale, all living area including basement) .*Non-professional sketches are acceptable. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) *Non - professional sketches are acceptable. . 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. D: Copy of Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom count of dwelling. OFFICE USE Comments BFhouseo idelines O BRUCE R. FOLEY Public Health Director LORETTA MOLMARI RN., M.S.N. Associate Public Health Director Director of Patient Services DEPARTN ENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)279-6130 Fax (845) 278 - 7921 Nursing Services (845)278-6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (945)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 n Residence - _ _ . _ .. _ _... • ..:. "Tax Map •° __ - - Town w l� 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: \__`+ OTHER Building Inspector BFhouseguidelines /VOW T Tiq P� 'rA,(� S. 6CIS6 E: REMA /NS F ,;TONE N/ALL 000 O � 0 ' W � Z 2 V / sroay FRAME .vousE /EO TO SECUR /TY CERT /F T /TLE qN0 GUA4ANTY COMPANY. Po/KN Nn• .. y+ ti ti � ti ti R W. S.�- SO SPIKE -"L. ORA DA N ROAD SURVEY OF oROPE -197TY P.�PEPAREO FCIR SOL ` L EMORE S/ 7 4E /N 0 IQ i ! OAp. X . i SITE LOCATION -J OWNER'S NAME MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES OFFICIAL USE ONLY � a67 -o-2- PERSON INTERVIEWED Ok-S' &4= �SDG PCHD Complaint # bl NN `` eat o�nTis i�i.e., owner, tenant, etc. DATE 7�k�� TYPE FACILITY PROPOSED INSTALLERS f ¢ PHONE ZOC W_ ADDRESS _�0- ae REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in.same location and of same type. as original sewage . disposal system Differ.ent location ma y require' submittal of proposal from licensed rofessiona en inee Apr _ . . regisxered architect: I I, as owner, or agent of owner agree to the conditions stated on this form. SIGNATURE TITLE G7-_"V� DATE Proposa abnroved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approve Inspector's Signature & Title SATE COPIES: _ White- (PCHD); Yellow:.(Tbwn BI) Piiikr(apPlicauit).;_ .._ . _ _...... - PC -RP 99NII. s� 1 v od@g. � Veil cR� 1 Ali ON O A!