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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��% G�� TOWN TAX MAP# 3
NAME D-% � PHONE `� " �o PCHD# �—o 'O1?
MAILING
ADDRESS
DESCRIPTION OF
ADDITION FiW ft `4L O%Utke"
loo t t Wm -QOM
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1��1� '�j,OC,�., iMP�i+�: �tii(YCaQI'� •1�� 1 cn.�vl"�-'i�oa 0�- ��1hTl� ��- "Te Gl,at�ill.�y�G�i
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.
Al.. Certified check or money order for $100.00.
-//". ' Sketches of existing floor plan (drawn to scale, all living area including basement)
f3. 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 of Health
DEPARTMENT. OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
ROBERT J. BONDI
County Executive
Re: za- (Owner's'Name)
Tax Map #:`�
Address:
Year Built:
According to records maintained by the Town, the above noted dwelling,
is in compliance with Town Code.
is not 3 in compliance with Town Code.
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other:
a- •
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
^ 1 v
p�` b COUNTY OF' PUT
::now or formerly
STATE: OF NEW YOB I_;
o THOMAS .E. McNULTY & JUDY A. McNULTY SCALE: I"= 20'
(`Liber 1653, Page 456)
*° FRAME HOUSE o DA TE; DECEMBER 14, 2004
3,; .. /•' - 11 j / / / / //' j post and y
_ roi /cote
6 v /ran pin set -
S 76 °.30'00" E 38, 2,23.09 1.1• `15'
1\ ( Deed = 229'1 )
t -iron pin se!
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30'
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miH 6A5� concrete
AREA tl, 784 SQ. FT. SECOND Of-ED PARCEL FIRST OECD PARCEL
O1 ACRE) ! s
o stone J6.0 1C0 t rA
.�vY-1 6 _ _ _'• cP mneY f l . I lQ` t�l
b. �? concrete sloe work c� pr �: Ps oQow.D ?- .-qi0P-YADD11 i* ► 3
C conwood steps on C .o
crete slob
0 4/ HOUSE,
t_ O i O wood sldlo h '
9) I �j rbq'`f � p�� � Bti
po /e cone // / wood steps aop {OLI94{E D y C a
con. ete slob 7� I
repo• w " :- O, W bin F. d t e w o Y
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with
t ; - sl tonereurb
y _ 'evergreen hedge 1 ` pro set
sV 76 °30'00' 'W �� 5 D 212.60'.. -
�-- 216 t _
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FRAME HOUSE DECK "
7�' SovTH 2T CT) PAT`fpoN.
now or formerly
. THOMAS E. McNULTY & JUDY A. lVcNULT�' Certified as noted and limited be /ow, only ta'.
- COLIN L. CUNEO & 'EILEEN M. CUNEO
(
>reon Liber .876, Page. 57) - .FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
being lands described - in
f Deeds. ( Title No. 04 77402- 62804 -P )
- MORGAN STANLEY DEAN W!7'TER CREDIT CORFORA170N
Only copies of the original of this survey mop marked with both this The surveyor's seal, signoture and any certification appearing hereon
surveyor's embossed seal and his signature in red ink shall be con- signify thot, to the best of his knowledge and belief, this survey was
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PUTNAM COUNTY DEP LEDROOM ENT OPHEALTM-
HOUSE PLANS APPROVED FOR COUNT ONLY
BEDROOA4S 7
, #�3,
ALL SUBSEQUENT REVISIONtAL ERATIONS TO THESE HOUSE Gp y po
PLANS MUST BE SUBMITTED TC THE PCDOH FOR APPROVAL
IGNATU DATE
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PUTNAM COUNTY D PARTMENT OF HEALTH
HOUSE PLANS APPROVED F R BEDROOM COUNT ONLY
BEDROOMS A- 7
ALL SUBSEOUENT REVISION, 4LTERATIONS TO THESE HOU
PLANS MUST BE SUBMITTE TO THE PCOOH FOR APPR A!r ! j
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
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BEDROOMS 14- az9 - 0 7
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ALL SUBSEQUENT REVISIONiAL ERATIONS TO THESE HOUSSE
PLANS MUST BE SUBMITTED TC THE PCDOH FOR APPROVAL
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SIGNATURE & TITLE DATt
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4-A-1.9 ', '/.4'\r, ��'1_• n'1
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Colin & Eileen Cuneo
P.O. Box 206
Patterson, NY 12563
Dear Mr. & Mrs. Cuneo:
ROBERT J. BONDI
County aecutive
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509 February 27, 2007
Re: Addition — Approval - Cuneo, A- 029 -07
No Increases in Number of Bedrooms
74 South Street
(T) Patterson, TM # 13.8 -1 -92
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 the Department dated February 27, 2007. 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. 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.
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 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 your convenience.
Sincerely,
Gene D. Reed
Senior Environmental Engineering Aide
LCW:kly
cc: BI (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
GoLIN >� �ILEEN Gi.�1 -iEo
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