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83.72 -1 -52
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LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10500
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Prescbool (845) 278 - 6014 Fax (845) 278 - 6648
June 4, 2004
Cottrell
51 Reichert St.
Lake Peekskill, NY 10537
Re: Addition - Cottrell, 51 Reichert St.
No Increase in Number of Bedrooms
(T) Putnam Valley, TM #83.72 -1 -52
Dear Mr. Cottrell:
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 4, 2004. The addition is approved with
the following conditions:
2.
3.
The total number of bedrooms must remain at two without prior approval by this
Department.
The area of the existing sewage disposal system, and its expansion area, must be
maintained.
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.
Sincerely,
Michael Luke
Public Health Sanitarian
ML:Im
cc:BI (T) Putnam Valley
V.
BRUCE R. FOLEV
Public Health Director
LORETTA MOLINARI R-N., M.S.N.
-
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 I e-, cl�. e- f + s TOWN L • Pee kSKr X MAP# � 3
NAVIE >� ; el R.- � r� 1 PHONE Sys t13 V- PCHD#
MAILINTG ADDRESS ;S-I 9 e,tLcJ s 4 , L . Pe, e is 4, il, iv
DESCRIPTION OF ADDITION
0 6l-
NUMBER OF EXISTING BEDROOMS I 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 follolvir? to Putnam Courity.Health.Dept. 4 Genev,a Road;,Brewsterj -rf
10509, Phone 278 -6130.
1. Certified check or money order for $100.00. .
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.
X.7" 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.
,a! Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom
count of dwelling.
OFFICE USE
Comments
Feb98
BFhouseguidelines
_A
BRUCE R. -FOLEY 4� LORETTA MOLINARI R.N., M.S.N.
Public Health Director Associate Public Health Director
-;'ADEPA
I Geneva Road
Brewster, New York 10509
Environmental Health (845)278-6130 Fax (945) 278 - 7921
Nursing Services (945) 278 - 6558 WIC (945) 279 - 6678 Fax (945) 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:
A.
Re:.
Residence
Tax Map
Town
According cords 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 OCC*UPANCY-..
ASSESSORS RECORD:
OTHER
Aiii1dingInspector
BFhouseguidelines /V l/ %G��
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PUTNAM COUNTY DEPARTMENT OF HkMt
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
Z. BEDROOMS
Signalurrt }ems - Date —'
Second Floor Plan
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Foundation Floor Plan
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT OP•1LY:
2— REDROOMS/J
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Foundation Floor Plan
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT OP•1LY:
2— REDROOMS/J
5ft�nah;re 8 Titfc m. 0-1
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First Floor Plan
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SITE LOCATION
OWNER'S NAME _
MAILING ADDRESS
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
.TM# Q 3• —12
_PHONE I Tl F L,/0 3 - 0
PERSON INTERVIEWED PCHD Complaint #
Name & Relationship i.e., owner, tenant, etc.
DATE l S -' o '), TYPE FACILITY
PROPOSED INSTALLER e.v— PHONE
ADDRESS
REGISTRATION#
Proposal (include sketch locating all adjacent wells):
NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location
may require submittal of proposal from licensed professional engineer or registered architect.
I, as owner, or rep rte ent of owner agree to the conditions stated on this form.
SIGNATURE TITLE Q) L,) A) DATE 1 S O -1—
Proposal Q12roved 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 approved v
1110Z07--
.
Inspector's Signature & Title DATE
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
PC -RP 99ML
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