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Home My WebLink About3923DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.50 -1 -16 BOX 30 I INS Is . L T f ` No m _ .r r� �. I ILL I 03923 G- a BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. Y 0� Associate Public. Health - Director Director of Patienf' 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 g` 9.c w .-,.-T OWN w 3% TX MAP# Cf 3 - i`,'AME l.A fh -,,j JI. 0. PHONE CHD# -o � MA1LI\TG ADDRESS P. O. 41 el. DESCRIPTION OF ADDITION zg)[Jk -^ g ir• NUTIMBER OF EXISTING BEDROOMS Z 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.,. 4 Geneva Road, Brewster, NY 10509, Iblione 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 BFhouseguidelines BRUCE R. FOLEY Public. Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient. Services DEPAKINIENT11—OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 1 Nursing Services (845)278-6558 WIC (845) 2781- 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 Gentlemen: _ Zoo / Re: do 8 Residence Tax Map Y3,5-0 Town 61419VI a e 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 .R iCB . fit.. F%Y, Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 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 (845) 278 - 6014 Fax.(845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 October 1, 2001 Catherine Cobb PO Box 265 Lake Peekskill, NY Re: Addition- Cobb- 186 Tanglewylde Rd. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.50 -1 -16 Dear Ms. Cobb: 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 form this Department dated October 1, 2001 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..gf_the existing sewage disposal system, and its.expansion area, m;zst b_c, 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 t ly yours, William Hedge WH:kg Senior Public Health Sanitarian cc: BI Area = 11.577 Sq. Ft. M/s mop was prepared /br the exdus/w use of and Is certAled only ta• CAWZWNE CW8 BLOCK 53 s�Ike Set 237' Pin Set \ 265 Idfo�e S65VO'00'r�---- 1018fT \ \� \i ------- - - - - -- `PA7 Set 231 Notes J. COPYRIQ4T oi- by sADEY B wAJmv - %1rw)mg B Engmewbng, P.G A# Rights Resrrrod Unouthodzed oupl/cot /on Is o *Wot /on of wp//cab/e Iowa 2. Unauthorized a/terab n w aaWto n to! o abcwmwt pr*0vd by o licensed /and surw.Wr Is o rtdatlw of Sectlan 72M, Sub -DUsan 2 of the New Yak State Education Low. J All cwtl/kntians are m1ld for this niop and copes thereof only If sold mop or cepas bear the embossed anal of the surw)w chose signature ,wn�w,w A�.y.... � 9 •. •'i t 4 .t, ttt: - 1 ------- - - - - -- 123.38' Pfi Set \\ 271l' t. SURVEY OF PROPERTY CA THE -RIM %I. COBB g7ZIA JE /N ME TOWN OF PUMAM VALLEY a PUTNAM COUNTY NEW YORK C/`d /� 1 in — 9n FI ///AIC ♦c nnn• ii j• f' r� a• 2 Mocadam Poking I - - 236 p 266 r� Concrete steps Mwd steps GYctet Porkkr9 - -- - Nbad steps - -^ -- E 2 -$ ------ - - - - -- I - - - -� Ororhead Wfros 23•g -, 235 2 67 ----- - - - - -- J Stary Froms -- -' -- - - - - - - - - - - - - - l Owet /m� Me// 234 wood 0 268 45.4 G Steps Frame 10 4 O v. 'I 233 269 - - - - - -- - ------------ - - - - -- ------ - - - - -- 0 5'• C lT 232 0 270 `PA7 Set 231 Notes J. COPYRIQ4T oi- by sADEY B wAJmv - %1rw)mg B Engmewbng, P.G A# Rights Resrrrod Unouthodzed oupl/cot /on Is o *Wot /on of wp//cab/e Iowa 2. Unauthorized a/terab n w aaWto n to! o abcwmwt pr*0vd by o licensed /and surw.Wr Is o rtdatlw of Sectlan 72M, Sub -DUsan 2 of the New Yak State Education Low. J All cwtl/kntians are m1ld for this niop and copes thereof only If sold mop or cepas bear the embossed anal of the surw)w chose signature ,wn�w,w A�.y.... � 9 •. •'i t 4 .t, ttt: - 1 ------- - - - - -- 123.38' Pfi Set \\ 271l' t. SURVEY OF PROPERTY CA THE -RIM %I. COBB g7ZIA JE /N ME TOWN OF PUMAM VALLEY a PUTNAM COUNTY NEW YORK C/`d /� 1 in — 9n FI ///AIC ♦c nnn• ii j• f' r� a•