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631- 589 -8100
36.57 -1 -18
BOX 18
02109
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02109
DEPAR T MEIv T OF I-MALTIH
VvWon of Environmental Health Services
6 Genava Road
Brewster, New York: 14509
Tel. (914) 278-6130 Fax (914) :78-7921
BRUCE R. FCLSY
Public Hecht Dirac :cr
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FxotiTI %/I 0- PCB r A,3 a-o3
IMAM DTe ADDRESS
DESCR PTiON OF A
\UMBER OF EMS'
(FROM CERT. of :+C 'tJP?,NCY OR
CERTIFICATION FROM BULOLNG I:vSPECTOR)
BEDROONLS 0
Any addition xhich is consad=d a bedroom requires formal approval of plans (Conduction
Permit) prepa::ed by a - rcfessio:al Engineer or Registered Arcrdtect in accordance with
aoplicabie sections cf &L-c Purnarn Cou-lty Sanitary Code.
Please submit this fcm.. azd the fo :lo Mng to Putnam County Health L'ept., 4 Geneva Rd.,
Brcwster, Y 1'0509, Phone 2378 -F? 30.
Cenified*check or moia: y ord?r for $100.00
2 'retches of existing floor plan (drawa to scale,. all living area including basement)
* Mon- professional sketc'nes are accept_ble
3 . w sets o f proposed floor plan (drawn to scare, with name, stree'., and ',x, map Y)
* Noa- professionai sket:,hes are acceptable
Copy of sarvey suowinc well and septic location, to the best of your k,owledoe. Include date
of installation if w -ovvn: Label all wets and septic systems within 200 feet of the property line.
Ccntact this office wi->r any questions.
Copy of Cent. of Occupancy from Town or Certif cation fro:r Building Dept. ,Nith'egal
bedroom court of dwelling.
OFFiC,'E li F
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BRUCE a._ oct';.sk
Acting Puhile Meaith. p,, -a :1."
DEPARTMENT OF HEALTH
Division . Of Environmental Health Services
Geneve Road, Brewster, New York 10509
(914) 278 -6130
Pt:*r._:^ County Dept. of Health
4 Geneva Road
3:ewster. NY 105C9
Re: E7
esidenc�
Tax Map
Town ,�•i
Genti� men:
Acco ► ding to rece*ds maintained by the Town, the above noted dv elling
is
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in corn-pl, e N"ith ToNti code and .re total number of bedrooms on recd; d
is
This irLforrnation yap been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
Building inssector
Jan 19 OS 04.'43
PA.M, P.. PIAZZA
Building Inspector
p TOWN OF PATTERSO '845 -878 -2019 p•1
TOWN OF PATTERSON, - _ - --
a= .`CODE- ENF0RCEMENT OFFICE
PUINAM COUNTY P.O. Box 470
Patterson, New -Fork .12563
TO.
FROM:
DATE.
RE:
FAX COVER SHEET
BILL HEDGES
Paul P. Piazza, Building- Inspector
January..] 9, 2005
MOTTA TM 36.57-1-18
2 Pages being faxed, including cover sheet.
Telephone
(845) 878 - 6319
Fax
(845) 878 -2019
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LORETTA MOLINARI R.N., M.S.N.
Public Health Director
ROBERT J. BONDI
County Executive
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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
Motta
27 Wesley Road
Brewster, NY 10509
October 30, 2003
Re: Addition — Motta, Wesley Rd.
No Increases in Number of Bedrooms
(T)Patterson, TM #36.57 -1 -18
Dear Mr. Motta:
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 October 30, 2003. The addition is approved with the following conditions.
1. The total number of bedrooms must remain at two without prior approval by this
department.
- .27--The area, of , the, existing. sewage. disposat. system, _ and..its..expansion,are�,.must he, _.
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,
Michael Luke
ML:lm Public Health Sanitarian
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