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83.80 -1 -10
BOX 32
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ALLEN BEALS, M.D., J.D.
Commissioner of Health
Director of Environmental Health
October 2, 2014
DEPARTMENT
OF HEALTH
Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390 Fax # (845) 278 -7921
Edward Sisco
40 Reichert Street
Lake Peekskill, NY 10537
Re: Addition — A- 145 -14
No Increase in Number of Bedrooms
40 Reichert Street
(T) Putnam Valley, T.M. 83.80 -1 -10
Dear Mr. Sisco:
MARYELLEN ODELL
County Executive
This Department has 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 2, 2014. 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.. .Thc.armof 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 ...
4. The approval is for the modifications only and does not validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
5. This approval is valid for two (2) years and expires on October 2, 2016.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43261.
Respectfully,
�e
Gene D. Reed
Principal Engineering Aide
GDR:cml
cc: BI (T) Putnam Valley
D
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT. •MORRIS, I'E::;-:
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road,'Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re:(, a �( S L� (Owner's Name)
Tax Map # �°
Address:
Town:'
Year Built:
According to records maintained by the Town, the above noted dwelling,
is - in compliance with Town Code.
MA.RYELLEN ODELL
County Executive
Is not in compliance with Town Code.
The Legal Bedroom Count is':
This information has been obtain from:
Certificate of Occupancy: 6.O 21, WA
Other:
The plans for the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
Building Inspector Date
5.
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' PUTIVAt4 COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED_FOR. BEDROOM COUNT ONLY
BEDROOMS A
H, ; ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE -HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
SIGNATURE & TITLE DATA
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HOUSE PLANS APPROVED_FOR. BEDROOM COUNT ONLY
BEDROOMS A
H, ; ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE -HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
SIGNATURE & TITLE DATA
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Pi1T�AM COUNTY .DEPARTMENT.OF. HEALTH
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.HOUSE PLAN S� APPROVED T-OR BEDROOM ZOUN41311 Y
3 BEDROOMS
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ALLSUBSEOLfENT "REVISION /ALTERATIONS TO- THESE
PLANS- MUST! bE SUBMITTED
TO THE PCDOH FOR :APPROVAL
S,GN 7URE & T{TLk
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3
ALLEN BEALS, M.D., J.D.
Commissioner of Health
- ROBERT. MORRIS, P.E.
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, :Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
743 a)/V"�o V"
MARYELLEN ODELL
County Executive
ADDITION APPLICATION RESIDENTIAL ONLY
STREET �IU �tC�l�,�'� TOWN LO�f_ +'e.e t AX MAP #
NAME St SCo PHONE %4S`
MAILING
ADDRESS HO Qj�1C�Q��- SV. LW PeeksW�
DESCRIPTION OF
ADDITION Pbb 1+6N To K;;c.�eH gHfl SQui3rpo, ( hoj5c.
*NUMBER OF EXISTING BEDROOMS -3 NUMBER OF PROPOSED NEW BEDROOMS p
* (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., 1 Geneva Rd,
Brewster, NY 10509,--P-hone: .(845) 808 -1390. - --
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
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PREPARED FOR
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PUTNAM. COUNTY NSW YORK
` 1 SCALE •I in.= 46 ft. 19 T/ .
ti x IT IS HEREBY CERTIFIED tHAT•THIS SURVEY WAS PREPARED IN ACCORDANCE WITH
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"T14 IDUSTINOVOODE OF PR7LCMIDEi.FOR LAND SURVEYS ADOPTED BY THE NEW YORK
K 4c STATPS Ai3OCIkT10N OF PROWONAL LAND SURV,EYbRS.
ALL CtRTIRCATIONS ARE VALID FOR THIS MAP AND COPIES THEREQF ONLY IF SAID
S MAP OR COP ES BEAR THE, IMPRESSED SEAL OF THE SURVEYOR WHOSE S1614ATURE
rA RS HI:AElN.
I RiCHARif. H GORR, THE SURVEYOR WHO MADE THIS MAP, DO HEREBY CERTIFY
TF1E SU(tV Y SNOW! HEREbN_ W� COMPLETED ON Ajf L/ ..19.7/ AND
�a THIS , , RYAS COMPt 1�N H y a7 19 7/ . ✓ .
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