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25.56 -1 -34
BOX 11
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01137
BRUCE'R. FOLEY
Public Health Director
Harry Nichols, PE
Dear Mr. Provost:
LORETI A � � MOUNARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
August 22, 2001
Re: Addition- Ron Provost- 39 Ravina Rd.
No Increases in Number of Bedrooms
(T)Patterson Tax # 25.56 -1 -34
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 form this
Department dated -August 22 2001 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.
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.
Very truly yours,
William Hedges
WH:kg Senior Public Health Sanitarian
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BRUCE R. FOLEY. P..S
Acting Public Health
DEPARTMENT OF HEALTH _......__ :.
.......... Division Of Environmental Health Services
4 Geneva Road, Brewsier, New York 10509
(910 278 -6130
r� PROPOSED ADDITION APPLICATION = iRESIOENTIAL ONLY
STP' -- �Ja yiMl'S p-9Psp TO'ti'iN PKT ___'R -i TX hlAc
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',AILING ADORECSS
Description of,AdditionL-' �'�'� C.4r►�d64�S�O�OF- by15(tn4 &_P)WNt T0
o � N kD 41yUD_' n
Number of existing bedrooms 1- Proposed number of bedrooms
from Certificate of Occupancy or
Certification fro,. 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 Putnaim County Sanitary Code.
Please submit this form 2nd the following to PUTWQM COUt'fiY HEALTH DEPA.4TMENT,
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 dra'rling is acceptable.
3. Sketch of proposed.floor plan.
Nonprofessional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all Yrells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Tawn or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Co+-rments and /or conditions
applic?tion
August 1995
July 1935 (°evise-}
DEPARTMENT OF HEALTH
Division , Of Environmental Health Services
4 Geneva � Road, Brewster, New York 10509
(914) 278 -6130
Ll
Putnam County Dept., of Health
4 Geneva Road
Brewster, NY 10509
BRUCE R. FOLEY. R.S.
Acting Public ,Health Director
�J
Re:
Residence
Tax Map 2-6, '� , WS; %.S1
Town
Gentlemen:
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 on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
JAM-
uilding Inspector