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BRUCE R. FOLEY, R.S.
"Piitilic Health' DiPecti'r
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
ADDITION APPLICATION _ (RESIDENTIAL ONLY
STREET: 6& CAKe 34oee UP. TOWN TX MAP #
NAME: Dot QA i LL,' �S PHONE PCHD PERMIT #
MAILING ADDRESS / 6 �f9Ke ShoKe p�2t' !�t°�'w�r ioSWj
Q�•4 ke p poor r � D &JO t� i t� � 'f e
Description of Addition � �KP� -D �
Number of existing bedrooms y Proposed number of bedrooms 3
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 DEPARTMENT,
4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information.
1. Certified Check for $100.00.
2. Sketch of existing floor plan (all living area including basement, if any)
Non - professional drawing is acceptable.
3. Sketch of proposed floor plan....,_ _.
. Non • professional drawing -i s• accept-able.--
4.
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.'
OFFICE USE
Comments and /or conditions
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application,
August 1995
903- Sr& 2 - 6-�o�'�
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PUTNAM'COUNTY HEAL1
4 Geneva Road (91'4) 27&f
` `Brewster, NY 105092
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" -" BRUCE R. FOC6, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
April 11, 1996
Dennis & Mary McPhillips
156 Lake Shore Drive
Brewster,' NY 10509
Re: Addition - McPhillips
No increase in number of
bedrooms
Dear Mr,. & Mrs. McPhillips:
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 April 9, 1996 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with
the following conditions:
1. The total - number of bedrooms must remain at three without prior approval by
this Department.
2....._- :ha.- ai~ea -,of -the -exi st.i -ng.. sewage d-i sposal. system, - and-- i.ts.- -expans- on- 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.
Any other permits or variances required are the responsibility of the applicant
and the jurisdiction of the Town of Southeast.
If you have any questions, please contact me at your convenience.
WH/jp
cc: BI (T) Southeast
Sincerely,
William Hedges
Sr. Public Health Sanitarian
0
In
-ft-ttim Coup* DaVartment of Ilealtr
i4ision off, EnvW'onmental Realth Serrvic,
approved as noted for conformance wit"--
,n,licabile Vules and Regulations of the
?wtnam Coentyr nt
2nd floor
Dustir
Rm.
Room
17'6"x 9'0"
Q03- 9&z- - 6 05-S'
Peaked Roof
Bedroom ! Office
Room
29 0" x 12' 6"
2nd floor
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