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631 - 589 -8100
83.80 -1 -50
BOX 32
NJ j. I ,4 .
I a 6.. 617
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6 16'1 MINN
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IN
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI,RNV, MSN '
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
John Olmstead
102 Becker Street
Lake Peekskill, New York 10537
Dear Mr. Olmstead:
June 23, 2006
ROBERT I BONDI
County Executive
_116- MORRIS, PE
Director of Environmental Health
Re: Addition Approval — Olmstead
No Increase in Number of Bedrooms
102 Becker Street
(T) Putnam Valley, TM# 83.80 -1 -50
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 22, 2006. 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.
_w .:... 3, fixtures must be u- pdated wi,h water -savi' - &v- icc&s, i '.e. 'nw -low flush.
toilets, restrictors for shower heads and faucets, etc.
4. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
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,
Mike Luke
Public Health Sanitarian
ML:cj
cc: B.I. (T) Putnam Valley
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648
r,JI_
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
� . °i"'. 'uk. ?:Tatl `ZYG v.w a, 5. .pry' "' -. -a f•. .� t.. � -'Y ..TLr
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive Qq
ADDITION APPLICATION RESIDENTIAL ONLY
STREET !Od? 96610- c51 TOWN j�dk ?a&;11 TAX MAP#
NAME :[7ilyr% Z 611tIS7eed PHONE ° 7.31- -10:V PCHD# 11r
1VIAHANG
ADDRESS
ADDITION
IAI�I,Okj SeWAJ roV41J
NUMBER OF EXISTING BEDROOMS __1 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., ;1 Geneva Rd
Brewster,NY`-',1-_6-509',P hone: =��5) 7g X130 _...._....
2: w..
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
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 locations 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 Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
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
SHERLITA AMLER, MD, MS, FAAP
Commissioner-of. Health—
LORETTA MOLINARI, RN, MSN
Associate Commissioner ofHealth
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
RO8ERTJ._8ONDI..
arcidt've'P
Re: Olmstead (Owner's Name)
Tax Map #: 83.80-1-50
Address. 102 Becker Street, Lake Peekskill
Town.. Putnam Valley
Year Built: 1929
According to records maintained by the Town, the above noted dwelling,
is XX in compliance with Town Code.
is not in compliance with Town Code.
This information has been obtained from:
Certificate of Occupancy:
Other 'il din g Dept.
assist Building Inspector . John Allen Date
Environmental Health (845) 278-6130 Fax (845) 278-7921
Nursing Services (845) 278-6558 Fax (845) 278-6026 WIC (845) 278-6678
Nursing Home Care Fax (845) 278-6085
Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648
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D .....:....... >i ...._. TOWN OF PUTNAM VALLEY N9 &S 959
Zone District -. -, --2 . BUILDING PER IT RECORD ,, ,r,2
Application is hereby made to erect (alter) ........ - �`' .49w��Work to start._G..B.I�
Building .. .._... - - --
- --- - - - - -- --
Location of Premises -- Street or Road -__- _ -.TRONTAGE G . 5 SEC. �- BLOCK `� LOT 1 ` �'-3 . Depth --------------- .... Rear
ACRES (other description) or number of square feet........... .......................................................................... ...............................
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ms DOWNER ...... !l..:
Dim,-nsig of Building
Width Depth Stories
Type Foundation ..... ...............................
Size & Use Each ..............................
Room with Window Area .... ................
• -------------------•--•-...... ...............................
Sewerage Type ......... .%`.......
Size of Septic Tank ..... 7J- U............
Lineal Ft. Drainage... :G......._: ✓..?
Side _Qf. D:xypWEl�s- == :..:............ .
Additional Information :......................
• .......... . . ..
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This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all infor.
mation requiro by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector.
Fee W'•-:....................
USE
CONST.
ROOFING
I LAND
1 Family
Food
Rood Shingle
Paved
2 Family
Steel
jAsb. Shingle
Dirt
Log Cabin
Brick
ITile
Oiled
Bungalow
Concrete
Metal
Swamp
Apartment
Stone
Brook
Store
FNDTNS.
INTERIOR
Lake F.
Store & Apt.
Stone
Rooms
Dams
Store & office
Concrete
Apt. Rooms
Sw. Pools
Office
Blocks
Apt.
Ten. Courts
Gas Station
jBrick
Attic Open
Garage
Ipiers
Attic Finished
OTHER BLDGS.
EXT. WALLS
PORCHES
Barns
BASEMENT
lWood
X Front
Shacks
Part
jBrick
X Side
Cottages
Full
Brick Van.
X Rear
Bungalows
Cement Floor
ILog
X Encl.
Electric
Finished
Shingle .:..
=
Phcne _ -••
Garage B. ln.
Qomp.
Furnace
Field Stone
Dim,-nsig of Building
Width Depth Stories
Type Foundation ..... ...............................
Size & Use Each ..............................
Room with Window Area .... ................
• -------------------•--•-...... ...............................
Sewerage Type ......... .%`.......
Size of Septic Tank ..... 7J- U............
Lineal Ft. Drainage... :G......._: ✓..?
Side _Qf. D:xypWEl�s- == :..:............ .
Additional Information :......................
• .......... . . ..
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This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all infor.
mation requiro by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector.
Fee W'•-:....................
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