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85.13 -1 -27
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04645
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
.: i:fitir;c:
Associate Commissioner of Health
Nemerj Design Group
215 Hilltop Street
Mahopac, NY 10541
To Whom It May Concern:
DEPARTMENT, OF HEALTH
I Geneva Road, Brewster, New York 10509
January 16, 2007
Re:
ROBERT J. •BONDI
County Executive
ROBERT ➢C�Itt1Y1S; ICE.:-:: = :=
Director of Environmental Health
Addition- A- 361 -06
No Increase in Number of Bedrooms
55 Barger Street
(T) Putnam Valley, T.M. # 85.13 -1 -27
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 January 16, 2007. 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.
3. All plumbing .fixtures must be updated with water.saving devices,;i.e., new. low•flush.
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= "u`° "° � ` °' � "' �� "- toilets,'i•esiiictors�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 Southeast.
If you have any questions, please contact me at (845) 278 -6130, ext. 2261.
Sincerely, PCZ4
14ene D. Reed
Senior Engineering Aide
GDR:kly
cc: Building Inspector, (T) Putnam Valley
Vukaj at 515 Route 6N, Mahopac
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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOL;INARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT
1 Geneva Road, Brewster, New York 10509
ADDITION APPLICATION
RESMENTIAL
STREET 5 E5 � f5 M <:�T- TOWN
ROBERT J. BONDI
County Executive
1 -2i
ADDRESS 5 G U VE; 61N r 16 5 4)
DESCRIPTION 0,
ADDITIOI®1
NUMBER OF EMSTING BEDROOMS I- PROPOSEID # 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,
$ r�� :rNl�r;-1`.'3'�0509,.Phe(84)713
Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area iincludiing 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.
15. 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
r,
SHERLITA AMLER, MD, MS, FAAF
:.•,�;.;. ' ::..: ...vCl JNI.;SiG'/Ic! "fi� fc''i! ?Ti
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
County Executive
Re: V L<" 4 (Owner's Name)
Tax Map #: TS- . 1 -3 - 1 — 2—:7
Address:
Town: J?U( 7-1\i A.4 144 t _ L_E- L'!
Year Built:
According to records maintained by the Town, the above noted dwelling,
is
in compliance with Town Code.
is not in compliance with Town Code.
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other: C�'SSESsa V -,5 g '�S
12, 1 a J d&
Building Inspector 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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1TTLE EVIDENCE OR ANY 0%" FACT5 THAT AN ACCURATE AND CUa W
TITLE 5EAlaGH MAY 015C1,05E. CEMVICATION5 INVICAT V HEIMON
510MFY TH15 SURVEY WA5 rWPA V IN ACCOWANCE WIlH THE EXI9nNG
CODE OF PRACTICE FOR L*V aRVEY5 AfJCf'W W THE NEW YOM
SPATE ASSOCIATION OF PROFE599NAL LAND 51JNEYORS. INC.
CERITICA110N5 SW L IM ON,Y TO THE PERSON FOR WHOM TH15
5LRVEY WAY I'MPA EP AND ON HIS BEHALF TO THE TITLE CO. AND
LENDING IN5ftWON W51ED HERON. CEF'•TIFIGA110N5 AMA NOf
TRAN5PERABLE TO ADDITIONAL W5 ITIMON5 OR 5L85eaLVW OWNERS.
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ROM-17 H. PeRr NI7 &, M5
N.Y5, ROWc, No, 40507. CONN, Req, No. 8000
559 UTE 6
MAHOPAC. N.Y. 10541
1}E &TERAWN OF SURVEY MAPS VY ANYONE OTHER 1MM
CWNAL MPAOR 15 MI%WING, CONFU5I140 AND NOf
CENERAL WELFAa; AND BENEFtf OF THE FIVWC. LICEN5M
SLRVEYORS SHALL NCX ALTER SURVEY MAF5, %wytY OLAt,
PLA15 FREPAW BY OTHERS. LWLITHO OV &1ERA110N
TO 11115 9IZVEY 15 A VIOL -ATVN OF 0411-ON *7209 OR 1
YOM 5fATE EDUCATION) LAW, 1FE WCA110N OF LTNDERO
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HEwON, Am NOf awriED, A.L OERTIFICAT10N5 HeRea
FOR TH15 MA' AND COPIE5 THEREOF ONLY IF SNO'MAP OF
BEAR THE UvWtZE55ED SEA. OF THE ° RWYOR VN10% 5a
AFFMAR5 HEREON. 145 MAF MAY NOf BE U5ED IN CONNE
"5LRVEY AFFIDAVIT" OR 9MLAR DOCUMENT, 5TATEMENT'
MECHANI5M TO ODTAN ME IN5lRM1GE FOR ANY %"C
FUrtI E AZANTEE5,
JOD NO, PV 85.13 -I-27 AC,A7\VIX .1