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-• ..__ ... _ _ BRUCE R..
Public Health Direc!cr
DEPART MF*IV I OF HEALTH
Division of. Environmental Health Services
4 Guava Road
Brewster. Naw York 10309
Tel. (914) 278-6130 Fax (914) 278 - 7911
1
PROPOSED ADDTTI N APPLY�ATIO?� �x.SID 'vT O11 .Yl
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IVLAMINO ADDRESS—R Aje��� la,
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DESCRIPTION OF ADDITION
INUMBER OF EMSUNG BE6ROONIS'S PROPOSED 4 O REDRO MS C%
(FROM CERT. OF OCC MANCY OR
CERTIFICAT10'44 FROM 81;1LDLNG ENSPECTOR)
Any addition mvhich is eons:dered a bedroom requires formal approval of plans (Construction
Peanut) prepared by a rrof_ssional Engineer or Registered Architect in accordance with
applicable sections of the Pumarn County Salutary Code. `
Please submit this fc=. and the fo'lowing to Putnam County Health Dept., 4 Geneva Rd.,
Brev: star, i�IY '1U5i1y, Phone >78- �13c�. .. .. .
1. Certified check or money order for $100.00
Ar. Sketches o>: existing floor plan (drawn to scale, all living area including basement)
" Non - professional sketch --s are acceptable
3. Two sets of proposed floor plan (drawn to scale, with name, stree.., and Ix., map #)
* Non -p oFesslorW sketches are acceptable
4. Copy of sunley snowin; well and septic location, 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 1iis office with any questions.
5. Copy of C,ert, of Occupancy from Town or Certification front Building Dept. with legal
bedroom count of dwelling.
OFFICEI1�E
comments
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DEPARTMENT OF HEALTH
Division . Of Environmental Health Services
4 iened Road, Brewster, New York 10509
(914) 276 -6130
Putran: County )Dept. of Health
4 Geueva Rvad
3:ewster, NY 105C9
BRUCE R— FOLE`.'. R.S
Acting PUNIC .health
Re:
ResidencO.
Tax Map a2.� �D —/ : o2oZ (e6� -02 l�P)
Town ,
Gentlemen:
Accoiding to records mai;ntair:ed by the Town, the above noted dwelling
is
IS NOT _.... ..... .
in compliance v,ith ToNN code and the total number of bedrooms on record
is
This information has been obtained from:
CERTIFICATE Or OCCUPANCY:
A. SESSORS RECORD:
OTHER
Buildina Ins; ector
BRUCE 'R ' FOLEY
Public Health Director
LORETTA MOLINARI 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
July 23, 2002
Martin Maciej ewski
8 Salisbury Rd.
Patterson, NY 12563
Re: Addition- Maciejewski, 8 Salisbury Rd.
No Increases in Number of Bedrooms
(T)Patterson, TM #25.70 -1 -22
Dear Mr. Maciejewski:
j 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 July 21, 2002. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain it-three without prior approval by this
department.
Z. __..::_The area of .ft. existing sewage di.sposal..system; end its_ expansion -area, must-be.
maintained.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictois 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
WHAM Senior Public Health Sanitarian
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