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Home My WebLink About0086DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 3.19 -1 -10 BOX 2 lI1 out ' ' �` lI1 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT 'OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ADDITION APPLICATION RESIDENTIAL ONLY STREET ,d "%?-_ TOWN , TAX MAP# I �-C %`? j: i _ �' ,%�i �O� �i�s��PCHD# �Jb , — d NAMF PHONE MAILING ADDRESS DESCRIPTION OF - ADDITION NUMBER 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. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. Certified check or money order for $100.00. 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. 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 Iatervention/Preschool (845)278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI County Executive Re:_ A. /.j cam' d4' .r1 (Owner's Name) Tai Map #: �� ' /—/69 Address: �� / ✓� Town:_�,��v� 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: %C This information has been obtained from: Certificate of Occupancy: Other: 5 i Building In ector 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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Marcelo Arevalo 11 North Street Patterson, New York 12563 Dear Mr. Arevalo: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 November 17, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition — A- 323 -06 11 North Street, (T) Patterson (T) Patterson, TM# 3.19 -1 -10 I have received and reviewed the plans for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. It appears the existing floor plans do not show the entire house as shown on the proposed plan sheet A101 "Remove existing 1 story addition." Kindly revise all existing floor plans to show these additions. If you have any questions, please contact me at your convenience. GDR:cj Sincerely, I Gene D. Reed Environmental Health Engineering Aide 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 MOLINARI, RN, MSN Associate Commissioner of Health Marcelo Arevalo 11 North Street Patterson, New York 12563 Dear Mr. Arevalo: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health November 28, 2006 Re: Addition — A- 323 -06 No Increase in Number of Bedrooms 11 North Street (T) Patterson, TM# 3.19 -1 -10 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 November 27, 2006. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four 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 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 Patterson. If you have any questions, please contact me at (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:cj cc: Building Inspector, (T) Patterson 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` 0 W J 0 0 io C7 O Z PIPE FD 0.7' BENT 12.1' 171.50' GARAGE NELSON' O Z )K 0 o (U G' 0 .0.7' PINE ROW /��p o CHAIN LINK FENCE N79p30'00 „' PI`CO y' N SE6G LOT 9 N/F NELSON L757/P965 I HEREBY CERTIFY TO -- CQp THIS SURVEY IS ACCURATE ,A2C, MARCELO AREVALO AND CORRECT BY: �/ PREPARED BY LARRY L. LYNN, LS. -GERALD L. LYNN, LAND LARRY LYNN, L.S. SURVEYOR, P.C.' 1575 RTE. 376 WAPPINGERS FALLS. NY 12590, (945) 463 -2733. LOT NUMBERS ARE AS SHOWN ON MAP PLOT PLAN COMPLETED BY ME OR UNDER MY DIRECT SUPERVISION ON AUGUST 4, 2006, BASED ON A FIELD SURVEY I W COMPLETED BY HE OR UNDER MY DIRECT SUPERVISION ON ALL CERTIFICATIONS HEREON ARE VAUD LOT 11 ENTITLED "LANDS OF A.L. NEWCOMB" FOR THIS MAP AND COPIES THERE OF x 33.0' RGAD- ONLY IF SAID MAP OR COPIES BEAR THE WAPPINGERS FALL SOFIA AND FILED AS MAP NO. 72A. N.Y.S.R.LS. N0. O 31 I R.O.W. L766/P640 NY 6G PIPE S79 °30'00'E 2.5' 2.8' 186.83' SEP 12 FO PIP 10.2' DRIVEWAY CGRVI -) r�s�`JT� O ' O GARAGE - R cU POST -N -RAIL f NCE } ti o p� CONC. SIDEWALK `M nFRMDWG, o z p 4 J w ,� (n a a PATI❑ 44.6' u ^ ° N HECK 1 STY J a H PCI h � v _ VI O a I— _ N LOT 7 & 9 GARAGE AREA= 0.49 AC, _ A #11 NORTH ST. r` 0 W J 0 0 io C7 O Z PIPE FD 0.7' BENT 12.1' 171.50' GARAGE NELSON' O Z )K 0 o (U G' 0 .0.7' PINE ROW /��p o CHAIN LINK FENCE N79p30'00 „' PI`CO y' N SE6G LOT 9 N/F NELSON L757/P965 I HEREBY CERTIFY TO -- CQp THIS SURVEY IS ACCURATE ,A2C, MARCELO AREVALO AND CORRECT BY: �/ PREPARED BY LARRY L. LYNN, LS. -GERALD L. LYNN, LAND LARRY LYNN, L.S. SURVEYOR, P.C.' 1575 RTE. 376 WAPPINGERS FALLS. NY 12590, (945) 463 -2733. PLOT PLAN COMPLETED BY ME OR UNDER MY DIRECT SUPERVISION ON AUGUST 4, 2006, BASED ON A FIELD SURVEY COMPLETED BY HE OR UNDER MY DIRECT SUPERVISION ON ALL CERTIFICATIONS HEREON ARE VAUD AUGUST 4, 20D6. FOR THIS MAP AND COPIES THERE OF .UNAUTHORIZED ALTERATION OR ADDITIONS TO THIS PLOT PLAN ONLY IF SAID MAP OR COPIES BEAR THE WAPPINGERS FALL IS A VIOLATION OF SECTION 7209(2) OF THE NEW YORK STATE IMPRESSED SEAL OF THE SURVEYOR N.Y.S.R.LS. N0. O 31 EDUCATION LAW. COPYRIGHT 2006 LARRY L. LYNN. ALL RIGHTS RESERVED. WHOSE SIGNATURE APPEARS HEREUN. SCA SURVEY FOR /TO MARCELj.; AREVAL0- TOWN OF PATTERSON ` -04 COUNTY OF PUTNAM STATE OF NEW YORK AUGUST 4, 2006 26 -40 ,1