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Home My WebLink About0500DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 15. -1 -8 BOX 6 00309 SH.ERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 ERT J. BONDI unty Fxecutive ERT MORRIS, PE :tor of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET,/ - 3 y TOWN TAX MAP# /S. "/-e - N PHONE f5f, 0q � t =,3S:- PCHD# ^' � � �� 7 T qcq 4 5'132 MAILING ADDRESS DESCRIPTION OF � . ADDITION A alacrz v.-I- t-D VGA 12- cc,.Lrmi.&,rt �- l"mejye NUMBER OF EXISTING BEDROOMS -S PROPOSED # OF BEDROOMS O (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 - 61.30. k Certified check or money order for $100.00. / 2Sketches of existing floor plan (drawn to scale, all.tiving area including basement) 3. Two sets of proposed floor plan (drawn to scale - with name, street and tax map #) *Non - professional sketches are acceptable . 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 an y questions. �5. Copy of Certificate of Occupancy from Town or Certification from Buflding ' - • :Y Dept. with legal bedroom count of dwelling. ? OFFICE USE COMMENTS 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 Salvatore Triano 11 -13 Stage Coach Lane Patterson, NY 12563 Dear Mr. Triano: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — A- 189 -07 ROBERT J. BOND1 County Executive ROBERT MORRIS, PE Director of Environmental Health September 10, 2007 No Increase in Number of Bedrooms 11 -13 Stage Coach Lane, (T) Patterson T.M. # 15. -1 -8 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 September 10, 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. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. 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 at (845) 278 -6130, ext. 2261. GDR:ens cc: BI (T) Patterson Sincerely, OAK- 1 Gene D. Reed Senior Environmental 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 5 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: / (Owner's Name) a � Tax Map #: ZS. Address: Town: Year Built: According to records maintained by the Town, the above noted dwelling, is c 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: Building specto� 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 � av ._ Gp '14 �QQ e S 18 °52'..40 "W Q`Q�5 5 J ABOVE GROUND POOL FRAME SHED l PARCEL II 1 4-3,393 5q. Ft. 3.29 10. Acres i MASONRY STONE O Q/ FIREPLACE y02ot�672, 0 Ste/ p 12�30M/ 0� p.8 STN. & CONO PATIO % 168.97' •_.: NTiU 0 - -- - - -- ROAD STONE WALL ` ' ♦� CP N ` N_ - V 500-83 FRAME SHED ' MAS STN. £T. WALL } RET WALL S 2I 00 � CONC. PROPERTY LINE DEVEL01 PA flo TWO STORY FRAME DWELUNG ONE STORY OD .. ' ~ ' FRAME METAL SHED 7 HA7gH MAS STN ON WOOD PLATFORM CoNa PATIO RET. WALL '. 6so TWIG STORY ?� \ /� FRAME \ ��O BUILDING WOOD 1 --� DECK i r ;BE lkAM 516 °20'00 "W 124.85' S70NE WA• %tEMAINS OF 713AVELt�A�_ '321 ° 1 0'00 "E '62.06 3130 00lit 0 50 24 , -79. EASTERLY LINE c 0°35'30 "E 0 PREMISES ARE DESIGNA 83.20' TOWN OF PATTERSOI MAP 15.00 * BLOC AREA: 24.2694 Acre,