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25.40 -1 -39
BOX 10
00931
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00931
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DeColores Construction
26 DeColores Dr.
Carmel, NY 10512
Dear Sir/Madame:
ROBERT J. BONDI
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
April 22, 2005
Re: Addition- DeColores Const., 34 Kendall Dr.
No Increases in Number of Bedrooms
(T) Patterson, TM #25.40 -1 -39
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 this
Department dated April 22, 2005. The addition is approved with the following conditions:
.1. The total number of bedrooms must remain at three without prior approval by this
department.
hP_arPa_�nf Vhe. .Pert. sting- eP.ivaa.P iet1oSa1- -p,�tam _anc�.;tc_avpa ».a;nn_. raa— cnl:£t 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.
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.
V ly y s,
obert Moms
RM: hn Senior Public Health Engineer
cc:BI (T)Patterson
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
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
t
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
d
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ADDITION APPLICATION RESIDENTIAL ONLY
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NAME I /.�!��� �� i •
MAILING
ADDRESS
DESCRIPTION OF
ADDITION
NUMBER OF EXISTING BEDROOMS Q� PROPOSED 1# OF BEDROOMS —0
(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 Healt ept., 1 Geneva Rd,
__.._.--- - - - - -- �ievtiawi;;-ly r iv ) , P1TUlm. ko'+5) zi8 =oioi3
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 — 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
e '
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
PUTNAM COUNTY DEPT. OF HEALTH
1 GENEVA ROAD
BREWSTER, N.Y. 10509
To Whom It May Concern:
ROBERT J. BONDI
County Executive
RE:�
Residence ��s
TAX MAP# 6 r
TOWN ,
According to records maintained by the Town, the above noted dwelling:
IS
IS NOT
IN COMPLIANCE WITH town code and the total number of bedrooms
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY
ASSESSOR'S RECORD %O
OTHER
BUILDING INSPECTOR i
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
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