HomeMy WebLinkAbout4727DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
91.25-2-18
BOX 35
% 7%. le, IN
in IL
IN
f IN 'IL
�* IN
04727
,y
BRUCE R. FOLEY
Plrbiie- .enith..Dirertor.
LORETTA MQLINARI.R.N., M.S.N.
•� �� + • - rssdriiil2`�L11c "�nfth' Director• ' "' '"'�"'�
Director of Patient Services
DEPARTMENT OF - HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Healt 845) 278 - 613 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 ONL)o
STREET Cv Ptt7p o b r St . TOWN e :5w I x MAP# i91
NAME J f m I �OnCe, PHONE(g14)_9,$- 9 +1$ PCHD# dtf - C
MAILIITG ADDRESS 55qrI L_,aI ngfon /0 e--, Qohe_4a.n Lake, N 4 10 -547
DESCRIPTION OF ADDITION — e_upayit)`on G� �i U I ngroor►m 4 beGLroom
—I
\A=MBER OF EXISTING BEDROOMS ,? 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.
sii iit tiiis£or::z na.th r^,1c�;rJ:g to utzarii Courl<y Iealt ;inept:; 4 veneva Fcoa , Brew�fer;`N�i "` ~: .
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.
P3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #)
*Non - professional sketches are acceptable.
Z 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
Feb98
BFhouseguidelines
Public Health Director
DEPARTMENT OF HEALTH
I Geneva Road
Brewster, New York 10509
REITIA;NOUNAM R. k., M.S.N.
Associate Public Health Director
Director of Patient Services
Environmental Health (945)27&-6130.- Fax(845)278-7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
October 5, 2001
Jim Defonce,
3397 Lexington Ave.
Mohegan Lake, NY 10547
Re: Addition-DeFonce, 6 Poplar St.
No Increases in Number of Bedrooms
(T)Putnam Valley TM#91.25-2-18
Dear Mr. DeFonce:
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 form this Department dated October 5, 2001. The addition is approved with the following
conditions:
The 46W -of bedro6ms mast rem n' A
RKiQf.a
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
flushtoilets. restrictors for shower heads and faucets,. etc_--___,
I
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Vaky—..
If you have any questions, please contact me at your convenience.
NCAM
cc: BI(T)Putnam Valley
Very truly yours
Michael Luke
Public Health Technician
BRUCE R. FOLEY LORETrA MOLINARI R.N., M.S.N.—.1-
Public Health Director
7 r. Director of Patient Services
DEPARTMENT OF HEALTH
I Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 -6.130 Fax (945) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (945) 278 - 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
Re:
Residence
Tax Ma' 2- -
Town
Gentlemen:
According to records maintained by the Town, the above noted dwelling
0
IS
in compliance with Town code and the total number of bedrooms on record is 21
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
b ( Q j;
OTHER -S ) * q I010o(
Building Inspector
BFhouseguidelines
v\R ,
W
it
PUTNAM COUNTY DEPARTMENT OF HEALiN
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
2— BEDROOMS
Signature &Tale ate
D
.c
C
C
Imo.
00
A1
it
%ONCE
7 FONG"E
TE IN
M j
VALLEY
UTNA M
YORK
1
is
L'n'—
1�1
'ell 1
'N,
. . . . . . .....
or
24
Pavement
I t Inside
twsin wall 1.5' his/de
R = 15.00'
� _ 124-47'00'L--'
L — 32.67'
1V 1 0 10, -Off O-J• 06 W \_ masorm�
Sion
POPLAR
I
LA
catch
bosin
0
':Z
20.0 S
48-4920 t
L := 17.04' 41 Inaft"r Stone
112.80' ends
inside
7 °33 40I 1
_t.0.7 1n t
er
j6 1
J5 3.
� of
32 jj J4 comer of fence
a 6' outside
J8
`b> ZZ
w
- - --------
10
k zS
22: 21 I I 1,7
4.1' inside
NYC., f RAME CO
vs 20 I 19 18
I J� '.
ENC. PM. -j i - '4
ka
212.79 r..........
rot. stonalWofninq wall z"..1.
woo a 9'—)
Ou"O
STREET
lk N
t is
di
/j,q, C
Is