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83.50 -1 -56
BOX 30
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16 r
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03938
LORETTA MOLINARI R.N., M.S.N.
Acting 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648
June 16, 2003
Mounier
25 Gilbert Lane
Putnam Valley, NY 10579
Re: Addition - Mounier, Gilbert Lane
Increase Number of Bedrooms
(T)Putnam Valley, TM #83.50 -1 -56
Dear Mr. & Mrs. Mounier:
ROBERT J. BONDI
County Executive
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 June 13, 2003 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 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 yours,
Michael Luke
ML:hn Public Health Technician
cc:BI
�w
A
:. , .. -BRUCE: R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH'
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Far (914) 278 - 7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
Gilbert Lane Putam'Vall
STREET TOWN TX MAP # . 83.50-1-56
NAME Pierre & Heather PHONE 8.45 528- PCHD #
Mounier 1035
MAILING ADDRESS 25 Gilbert Lane Putnam Val 1 P3, N Y 1 0 5 7 9
DESCRIPTION OF ADDITION Second Floor & Family Room Addition
NUMBER OF EXISTING BEDROOMS 3 PROPONED # OF BEDROOMS 3
(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.
P2ase submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
l'hewster, NY 10509, Phone 278 -6130.
.N
LECertifred check or money order for $100.00
Aketches of existing floor plan (drawn to scale, all living area including basement)
cam` 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
Feb 98
A
:. , .. -BRUCE: R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH'
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Far (914) 278 - 7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
Gilbert Lane Putam'Vall
STREET TOWN TX MAP # . 83.50-1-56
NAME Pierre & Heather PHONE 8.45 528- PCHD #
Mounier 1035
MAILING ADDRESS 25 Gilbert Lane Putnam Val 1 P3, N Y 1 0 5 7 9
DESCRIPTION OF ADDITION Second Floor & Family Room Addition
NUMBER OF EXISTING BEDROOMS 3 PROPONED # OF BEDROOMS 3
(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.
P2ase submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
l'hewster, NY 10509, Phone 278 -6130.
.N
LECertifred check or money order for $100.00
Aketches of existing floor plan (drawn to scale, all living area including basement)
cam` 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
Feb 98
• Jun 03 03 10:34a BUILDING DEPT 9145268806 P•1
06/02/2003 15:32 8456282807 JOEL GREENBERG PAGE 02
0
it C
DEPARTMENT OF HEALTH,
Division OE En ironmerital Health Services
4 Geneva Road, Ure%vger, New York 10509
(914) 278 -6130 -
Putnam County Dept. of Health
4 Geneva Road
I3eewster, NY; 10509
Re: Mounier
Residence
Tax Map
To,,vn Putnam. Valley
Gentlemen:
BRUCE n. FOLEY, R.S
Acting Public ,Hoallh Uiro•
According % to records maintained by the Town, the above noted dwelling
IS �/ !
i
i« eomplia, ce with To%Nn codc and the total number of bedrooms on record
This information has been obtained hom:
CERTIFICATE OF OCCUPANCY: nn
ASSESSORS RECORD: rb C�MdC
OTIIER
~wilding Inspector
HEAT TYPE
RESIDENTIAL BUILDING SECTIGN
2 HOT AM
i —F--tI
SWIS/SR /CD
BURDOIG STYLE
3 HOT WATER/STEAM
4 ELECTRIC
1 -!
L_�._,,
FB7 POLE F
FBB HORSE
01 RANCH
07 MANSION
13 BUNGALOW
3 ELECTRIC 401
,f
STRUMRE CODES'
02 RAISED RANCH OB OLD STYLE 14 OTHER
03 SPLIT LEVEL
09 COTTAGE
15 TOWN HOUSE
MISCELLANEOUS '
RCI CARPORT
GH2 GREENHOUSE _
TCl TENNISCOURT
CENTRAL AIR BLANK - NO 1 = YES
BASEMENT TYPE
04 CAPE COD 10 ROW
05 COLONIAL
1 I LOG CABIN
�i
GARAGES
OB CONTEMPORARY
12 DUPLEX
D
"GI ATT T STORY
RG2 ATT Vh STORY '
fl83 ATT 2 STORY
RG4 GET I STORY
MS GET 1112 STORY
STORY HEIGHT
?
EXTERIOR WALL MATERIAL
Ol YWOD
05 CONCRETE
CONDITION
FIGS DET 2 STORY
02 BRICK
06 STUCCO
QUANTITY
OR
POOLS
03 ALUMORIM/VINYL 07 SRONE
04 COMPOSITION -
3
SHEDS
FC1 MACHINE
FC2 ALUMINUM '
L/
L
LSI STEEL VINYL
LS2 FIBERGLASS
D ECONOMY
L
BUILT
YEAR BUILT
FC3 GALVANIZED ,
FC4 BARED ENAMEL
r,o
GRADE ADJUSTMENT
LS3 POURED CONCRETE
L GUN17E
LS5 ABOVE GROUND ?
NUMBER OF KITCHENS
NUMBER OF BATHS
..
BARNS '
FBI T STTIRY DAIRY
+; TR2 11h STORY DAIRY
FB3 2 STORY DAIRY
F84 1 STORY GEN
NUMBER OF- BEORDOMS a o3
FIREPLACE
MOBILE HOME
RM5 MOIRE HOME
MHl MOBILE HOME BASEMENI
MH2 MOBILE MIME ROOF '
M 16 MOBILE HOME 7X12 ROOM
MH7 MOBILE HOME 7X24 ROOM
ATTACHED GARAGE CAPACITY
PORCH TYPE
F85 Ilh STORY GEN
HEAT TYPE
I NO CENTRAL
2 HOT AM
i —F--tI
FBG 2 STORY GEN
3 HOT WATER/STEAM
4 ELECTRIC
1 -!
L_�._,,
FB7 POLE F
FBB HORSE
RIEL TYPE
1 NONE
2 GASH
3 ELECTRIC 401
,f
5 WOOD
6 SOLAR
7 COAL
4
MISCELLANEOUS '
RCI CARPORT
GH2 GREENHOUSE _
TCl TENNISCOURT
CENTRAL AIR BLANK - NO 1 = YES
BASEMENT TYPE
1 PIER/SLAB
2 CRAWL
�i
3 PARTIAL
4 FULL
+qp;
CANOPIES .
FRS. ROOF ONLY'
�•
BASEMENT GARAGE CAPACITY
"r-i
CPO WITH SLAB
CP7 SLAB /SCREEN
CONDITION
1 POOR
2 FAIR-
3 NORMAL '
QUANTITY
OR
4 BODO
5 EXCELLENT
3
SHEDS
FC1 MACHINE
FC2 ALUMINUM '
GRADE A EXCELLENT B GOOD C AVERAGE
L
D ECONOMY
E MINIMUM
FC3 GALVANIZED ,
FC4 BARED ENAMEL
r,o
GRADE ADJUSTMENT
13
1 /1 9; X13
MOBILE HOME
RM5 MOIRE HOME
MHl MOBILE HOME BASEMENI
MH2 MOBILE MIME ROOF '
M 16 MOBILE HOME 7X12 ROOM
MH7 MOBILE HOME 7X24 ROOM
ATTACHED GARAGE CAPACITY
PORCH TYPE
AREA
MRS MOBILE HOME TIP -OUT RM
MRS MOBILE ROME V400 ADOGN
RESIDENTIAL BUILDING AREA SECTION
FIRST MY AREA
SECOND STORY AREA
ADDITIONAL STORY AREA
HALF STORY AREA
THREE QUARTER STORY AREA
FINISHED AREA OVER GARAGE
FINISHED ATTIC AREA
FINISHED BASEMENT AREA
UNFINISHED HALF STRAY FLOOR AREA
UNFINISHED THREE QUARTER STORY AREA
UNFINISHED FULL FLOOR AREA
SQUARE FOOT OF LIVING AREA
FINISHED RECREATION ROOM AREA
MAP M
. i I I
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-'
_L1 i .
PORCH TYPES - •.
RPI OPEN
RP2 COVERED •N. ,
RP3 SCREENED
RP4 ENCLOSED
RP5 UPPER OPEN
RPB UPPER COVERED
RP7 UPPER SCREENED
RP8 UPPER ENCLOSED
i —F--tI
I•-T-'-I
7
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L_�._,,
' 't
IMPROVEMENT CODES
MEASURE CODE
1 QUANTITY 3 SQUARE FEET
2 DIMENSIONS 4OGLLARS
i-`r
L
GRADE
A EXCELLENT a ECONOMY
8 GOOO E ?AKLMUM
C AVERAGE
CONDITION
1 POOR 4 GOOD
2 FAIR 5 EXCELLEN7
3 NORMAL
MAP M
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I•-T-'-I
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L
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IMPROVEMENT SECTION
STRUC CO
MC
DIMENSION 1
DIMENSION 2
QUANTITY
OR
CD
YEiF. BUILT
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13
1 /1 9; X13
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