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HomeMy WebLinkAbout0538DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 22.16 -1 -4 BOX 7 00538 SHERLITALA1114LER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner. of Health ROBERT J. BOND[ County Executive ROBERT MORRIS, PE Director of Environmental Health -DEPARTMENT OF HEALTH. I Geneva Road.: Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET WN 0 Z44'Z_�TAX MAP # -4z /W NAME PHONE P C H D # MAILING ADDRESS DESCRIPTION'OF ADDITION . ' //, 0 NUMBER OF EXISTING 'BEDROOMS �k_PROPOSED #OF BEDR004S (FROM CEgT,, OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) "Any addition which4s; considered a bedroom requires formal approval-of plans (Construction permit) prepared by a Professional Engin&r or Register6d. Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit-this form and the-folloWing to-Putnan! County Health Dept., 1 Geneva Rd, :Brewster, NY 10509, Phone: (845) 278-6130. 1. COrtified check or money. order for $100.00, 2. Sketches of existing floor pla'n (drawn to scale, all. li.ving area including . basement, to be shown and dimensioned and use, of each room specified) (See Section 3.c of Bulletin HA-1j Two sets of proposed floor glans (di to scale with name, street and tax map ap 0. Non:-professional-sketcfies are acceptable and preferred. (See Sectto i n ..3.d of Bulletin - 4,. Copy of survey showing all well and septic locations on. the subject property b to tie best T y of your knowledge.. Include date of installation known. Contact this office with any -questions... 5. Copy of Certificate of cy Occu P an from the Town or Certification from the Building . Department with legal bedroom count of dwelling. OFFICE USE rnmmPmT4z 5. Ehvironmental Health (845) 278-:6130 Fax (&45) 278-7921 Water Supply Section (845).22551-86 Fax (845) 225-5418 Nursing Services (845) 278-6558 Fax (845) 278;6026 Nursing Home Care Fax (845) 278-6085 WIC (845) 278-6678 E#rlylntervention /Preschool (845) 228-2847 Fax (845)'225-1'580 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commission4r of Health ROBERT J. BONIJI County Executive ROBERT MORRIS, PE. Director of Environmental Health DEPARTMENT OF HEALTH I Geneva.Road. Bre.wkerl New York 10509 Town Lmal Bedroom Count & Proposed Addition Status. Re: (Owner's Name) Tax Map•# Address: T6ww. 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: This inform'ation has been obtained- from. Certificate of Occupanc Other: The plans for the proposid,aiddition are considered: New Cohitruction Addition to existing P h6' U e-only. Teardown and/or re-,build allowed under Town Regulations Build Ing 1)dpeadr- 6. Environmental Health (845)278-6130 f 27 ix (845) 8-7p21 • . Water Supply Section. (845) 2.25-5 1`86 Fax (845) 225 -5418 pursing Services (445) 278-658 Fax (845) 278-6026 Nursing Home Care Fax (845) 278,-6085. WIC. (845) 278-6678.. Early. Ifitervention Preschool (845) 228,2847 Fax (845) 2254580 CA 0 Tl 0 z 0 C i m 1 na �o- G V. (� 0 am u�r 0 L Ir 0 a CA i rnC OY G� o�oc) v. d� CA � ro r � � p � G U .7 r r N p- ..o o� r- c N� �o �C C IT i 0 A �of d d rn � do 0 0 om oc� ,,nn e ",fAe C ca,M S7. 0: �x rz 0 co d � v rk a � L 0 . G� 19 *I I b► of d� rLg ZIC �p pp.9Zh � 0 /� anima no c 7tr x.00. a,,yy � y J = 1tb1�yY Oiti bo�C?'4rgl _� 'S bah U dd.4 N A w �4 a 3�iyyo 1 Y � �n d A Pd � � ♦ 117OCbM rhk S � li O -rag i-i �( ... 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" ys ,,: }: to F ..—,� ..__ E� [' j 31},• —_il L 3y'' —� - '� t f - _4_T-5,_V F4 TLe. JkL a� � `-! - � —L--i— j ___- I I � ! + 71 1 ' 1 I --I-- �- -I ! -J-�- l_ � � '— - - � � � i ,_ i_I_ I { � , I Ile -rit -V—j IA L ilk ir, 711 151 Z.; 7 .�_ __ _ _-�'� , ' . / --^ -1� ! ` _ ` ---_ --l- . � -r � | -- - '_ . --[' | | � -'|- ' ~� � | �' � � | � � � | ' | . � ' i | | ! / ( i } | i ' / ' / | ( � �'' | i- � - -/ � ' � �� � i � i ' ' � � / � i -' / ` ' | � � ' . | ! � / � � ' ' ` FT 1---+- J-1 04/13/2014 14:10 8456282807 JOEL GREENBERG PAGE 02 04/13/2014 14:10 8456282807 JOEL GREENBERG PAGE 03 r , ' I ' I• ' ...• _ � ..�, _ r ,_.. r... _�Sr � 1 t ... � � MIS. .• ... � .... '.1. r. �. ea- •�- : r - . t r ' t 1 I 1 li i .. 1; ,��n.,fc�z.,. :L,.-- ,..,.I„�• .— ._�� ..�j..— +„'; .i i i i `.r. t i � r i 1 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road,. Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Michael & Erin Haddeland 39 Ludingtonville Road Holmes, NY 12531 Dear Mr. & Mrs. Haddeland: MARYELLEN ODELL County &ecutive April 7, 2014 Re: Addition — Haddeland 39 Ludingtonville Road (T) Patterson, TM 22.16 -1 -4 I have received and, reviewed the latest set of 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. The proposed playroom is a potential bedroom. 2. The legal bedroom count for the dwelling is two. The potential bedroom count of your proposed addition is three. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than two potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Respectfully, J seph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cml cc: BI, (T) Patterson