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23.07 -1 -7
BOX 8
00652
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00652
SHERLITAAMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN,�MSN .
Associate Commissioner of Health
July 17, 2009
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Wayne Anderson
109 Route 164,
Patterson, NY 12563
Re: Addition= Approval — Anderson
No Increase in Number of Bedrooms
109 Route 164
(T) Patterson, TM # 23.07 -1 -7
Dear Mr. Anderson:
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 July 17, 2009. The addition is approved with the following conditions:
1. The total number of bedrooms must remain at two 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 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.
K eciruny,
(I oseph S. Paravati, Jr., P.E.
Assistant Public Health Engineer
JSP: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
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OFHEALTH
1 Geneva Road. Brewster, New York 10509
ROBERT J. BO
County Executive >1
ROBERT MORRIS, PE
Director of Environmental Health
June 29, 2009
Wayne Anderson 1
109 Route 164
Patterson, NY 12563
Re: Addition — Anderson
109 Route 164
(T) Patterson, TM # 23.07 -1 -7
Dear Mr. Anderson:
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. The office on the first floor 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 reflixt 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,
L
(o seph S. Paravati, Jr.
Assistant Public Health Engineer
JSP:kly
cc: Paul R. Checco, RA
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
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
77---
SHERLITA AMLER, MD, MS, FAAP 4 ROBERT 1 BONDI
Commissioner of Health County Executive
LORETTA MOLINARI, RN, MSN�+� YOQ�� ROBERT MORRIS, PE
Associate Commissioner of Health Director of Environmental Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509 ^�
ADDITION APPLICATION RESIDENTIAL ONLY
STREET TOWN TAX MAP#
NAME PHO PCHD# 44",
MAILING
ADDRESS
DESCRIPTION OF Al
ADDITION . < %sly U /�S i lou k ��� ( � f�
NUMBER OF. EXISTING BEDROOMS _PROPOSED # OF BEDROOMS D
(FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR)
"Any addition which is4ponsidered 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.
1. Certified check or money order for $100.00.
2., Sketches of existing floor plan (drawn to scale, all living area including basement).
3. Two sets of proposed floor plan (drawn -to scale '7 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 Faz (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 InterventiontPreschool (845) 278 -6014 Fax (845) 278 -6648
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associdte Commissioner of Health
ROBERT J. BONDI
County Executive
Rd: (Owner's Name)
Tax Map #: -23
Address:
Town:
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 T,eual Bedroom Count is:
:r
>
N
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associdte Commissioner of Health
ROBERT J. BONDI
County Executive
Rd: (Owner's Name)
Tax Map #: -23
Address:
Town:
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 T,eual Bedroom Count is:
V-4
G.
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-
�1 rrl, r��;f ,'t ;!. property. {Show distance from
Diagram showing) location` of�,;. 1
course or source 'of water supp y,
adjoining property line and distanc •., ' r;,zx�a;'`- l u : ti
fx served) `^ t
within 200 feet Also show locatio,� 4 S
• ' � ����r'- ��,�.s•�s��r.'��+ � ���r� �-^- it'liR "sis'. ' 3 k� :�'� '� �� Test �� �;t �,:
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r �fN x --'` f Tmie iYlrMin inches,
f
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,� l ►+ , �` ' lAnear ft. of
Tack Cap.
•�'�� in Gals. Trench
Corrections, if gnv, to be msjdp by Inspector. i d z
• - � ;,.c�ontractor ------------------------
General Contractor :__.�. _- - • -- - ..; :. (sign) ,
(si ) ..
Address _
_::..::`Address ----------------- -
ceficate of �Occupanc�/
1'. <. application and find that the
I certify that I have inspected the facilities calleci.;orin the foregoing
same are installed as shown in the, diagram the ;g onwith_ the changes noted, and find that the same
comply with the' sewage reguiations�pfAhe Town Ward'of Health o the Town of Patterson and do
hereby grant this CERTIFICATE O.F.00CUPANCY
t =e= }
Premises were inspected on the following dates
` .
'First =
` Date Issiied - -• - -- .
________________ __ .,:
TAX MAP ID: 23 -7 -1 -7
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29.05,
GENERAL NOTES
BUILDING CODE INFORMATION
OCCUPANCY CLA66FICATION: R -3
COWRZTION CL4661FICATION:
Tps 1b
1.) All constriction shall be according to the Building Code of New
TABLE R 30120.
CLIMATIC AND GEOCAAPNIC Mrsi
Ground
Wind
6s(sm(c
& b,�xt To Damage From
W(nte
York State. Contractors are responsible for all permits other than the
general building permit and for arrangement of all inspections and
m d
c
Desk
ej�
WealF l
Frost. Line
pepo
Term(ts
��
30
95
C
Seywe
3-6"
Moderate
SModera to
7'
2.) Plumbing, HVAC and Electrical subcontractors shall survey the
respective existing systems for capacity and suitability. "Necessary
alterations to the existing systems not shown in these documents will
be desm1W and included by the contractor in his bid proposal. The
subcontractor shall provide all engineering for the system
NEW YORK STATE ENERGY
CODE
3.) Substitutions for items and materials specified must be of similar
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