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15. -1 -27
BOX 6
00511
CO
L
* x ERUCE R. FOUY, F,.s
�. �• Acting Public H::? Di•e_
DEPART,V' =-1,; 0: HEALTH
Divis 0. Services
Nev v Yori; 10509
(91 278`130
9 -T�� TIC; _ (R=SID_tiiih! ONLY)
c -P_•_T . Haviland - Hollow ;y;,;,.;Patterson Tx M.I. 0 _ 15. -1 -27
`,;_:John and Christine Ne�•ub er 878 6879 Hr+u, _�"�
J Pc, , T r—_1 r
350 Haviland Hollow
Cz- scription of r._;i ti_n
Haviland Hollow
of exis'in: c= -'ac-= 4
. r .: Ca- rti -1i icata- of G : :,Jp 0'
Cart i f ication f rc:m E,-. dir,:
_ _ =d n! --,- -r of bedror-�:ls —
any E :iition Y;lic"i i- conS'te— e_ _ .c. r:'U1rcS fOrmal approval of plans
(Construction Per-,it) .• e- c; E Pr_._s_isnal Engineer or Registered Arcnitec..
n E�Cordance m t(1 ate= 1 1 cE l _ S° , iC ,= trie Pu L a Sanitary e.
County S ni�ary Cod
i ea5 sub-mi t tni s fir,:. a•i. lne i J l l c .. _ t0 P'J T ii -`: i CW NT`! HEALTH D =Pr,:RTME1\u
ROAD, CRF�;3T N'-" 1050x, _ 27c -5`130 Yritn the folloY+ing information.
Certified Cnec:, -to-
Sketch of pY,istinc plan (Ell 1i':in area including basement, i-i any)
Non-professional Cra +fin: is EcGep E Ie
3. Sketch of proposed floc- plan. a 11
*Non professional dnaNin: i s Eccep tE: Ee `� . /
4. Copy of survey s;nc,;ing yell End septic location, to the best of your
-knGYrledge. Include date of instellEticn if knvein.
Include all Yells and septic systems within 200 feet of property line. Any
questions please contact this office.
�. Copy of. Certificate of Occupancy frc:- Tvr,:t or Certification from Building
Department of lecal bedra ,,� count of c'n' =fling.
OFFICE USc
Comments acid /or conditions
application
August 1995
July 1990 (Revised)
It
DEPARTMENT OF HEALTH
Division of Environmental Health Services.
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
John Neubauer
360 Haviland Hollow Rd.
Patterson, NY 12563
1
BRUCE R. FOLEY
Public Health Director
September 3, 1998
Re: Addition - Neubauer, Haviland Hollow Rd.
No inem. ase in number of bedrooms
(T) Patterson TM #15 -1 -27
Dear Mr. Neubauer:
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 latest
revision date of September 3, 1998 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the
following conditions:
1. The area of the existing sewage disposal system, and-its'expansion area, must be maintained.
2. 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 your convenience.
WH/ML /jp
cc: BI (T) Patterson
Very truly yours,
William Hedges, Jr.
Sr. Public Health Sanitarian
. DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914). 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Map
Town
Gentlemen:
J() 1r(-)
C JJ�
BRUCE R. FOLEY. R.S.
Acting Public Health Director
According to records maintained by the Town, the above noted dwelling
IS V .
IS NOT
in compliance Nvith Town code and the total number of bedrooms on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
;# WC s
ing Inspector " ,
John Neubauer
360 Haviland Hollow
Patterson, N.Y. 12563
May 21, 1998
Putnam County Health Dept.
4 Geneva Road, Rt. 312
Brewster,NY 10509
Gentlemen:
I request approval regarding an addition which I would like to make to my home on 4W Haviland
Hollow, Patterson, N.Y. 12563. I would like to add a 93 square foot addition to my kitchen.
There would be no increase in septic use since the addition involves relocation of the existing
clothes washer from the basement to the kitchen addition.
,h �y
DEPARTMENT OF HEALTH
Division OE Environmental Health Services
Gene,'va Road, Brewster, Ne�v York 10509
(914) 278 -6130
BRUCF. R. FOI.F.y, R.s.
Acting Put,lic Health Director
A1jDITi'0N APPIICATI'LN_.- RESIDENTIAL ONLY).
STREET: L (U D I 01 L0 UJ_'OWN . ,: I� r o
-or
N/',ME: ►itI (UI:.0 � at =!� PHONES (q' �IL' G"M-. PCHD PEAMIT (t� i
K. \ILI:NG ADDRESS L 0 ����)L
Oe s6ription of Addition
Number of existing bedrooms � F.rD.Dosed num0)er of bedroc,,s
Any addition which is considered a bedroom requires -,-ormal approval of plans
(Construction Permit) prepared by a Professional Engincier or Pegistere' Architect
in accordance with applicable s3ctions of the Putnam County Sanitary Code.
Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTi�ENT,
4 GENEVA ROAD, P_P,EWSTER, NY 10509, Phone 278 - `613(x0 with the following information.
1. Certified Check for $100.00.'- S e
2. Sketch of existing floor plan (all living area incluo ing basement, if any)
Non - professional drawing is acceptable. kr\o riled
3. Sketch of proposed floor plan. !C- 4,Ircc4L
Non professional drawing is acceptable.
a. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of. property line. Any
questions please contact this office. sQ�
01-FICE USE
Comments and /or conditions -
�(`'l,iitr� �w�1� � �� �(� � l� i, (- �` (i) l- 6L11.1\� • - ��lrt -1�� tI�Ir'
�� 4��
application
August 1995
'44, V w . 11YlI F' .1!
J
t Prt coy
* BRUCE R. FOLEY, P..S.,
- acting Public Health Oire.ctor
1.
DEPARTMENT OF HEALTH f
i Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 2.78 -6130
Putnamr'ounty Lent. of Health
�. Geneva Road` • ' �-
w -.G,;�
I3rewster, NY 10509
Residence
Tax Map
Tol"M ti.J
}
Gentlemen:
a.
According to records maintained by the Town, the above noted dwelling
IS �� r
IS NOT
in compliance Nvith Town code and the total number of bedrooms on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER�eyGt�/C -/
uilding Inspector
t i
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