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30. -2 -46
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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 (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648
WIC (914) 278 - 6678 Fax (914) 278 - 6085
Gerard & Pamela Cartwright
202 Pudding St.
Putnam Valley, NY 10579
Dear Mr. & Mrs. Cartwright:
February 8, 1999
Re: Addition - Cartwright, Pudding St.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 30.2 -46
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 Feburary 8, 1999. The addition is approved with the following
conditions.
1. The total number of bedrooms must remain of Three 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 Putnam Valley.
If you have any questions, please contact me at your convenience.
Very truly you
William Hedges
WH:kg Senior Public Health Sanitarian
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PUTNAM, COW11,117Y. 11'--PrA%RTMINT 01 HEALTH
IV/ • HOUSE FOR
BEDROOM COUNT ONLY;
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NAM COUN -17 DEF,",RTMIENT OF HEALTH
PLANS APPROVED FOR
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISI ®N OF ENVIRONMENTAL HEALTH SERVICES,
INITIAL INDIMUAL ADDITION / REPAIR FORM
SECTION A. GENERAL INFORMATION
Name of Project 7,0 Z PdliKti �,L(T)m
TM#
Year of Construction Size of Parcel
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. ®Hilly Rolling
OSteep slope ®Gentle slope ®Flat
2. nEvidence of wetlands OLow areas subject to flooding ®Bodies of water
Drainage ditches Rock outcrops
YES NO
3. Property lines evident? Li
4. Water courses exist on, or adjacent to parcel? U
5. Existing individual wells within 200ft of the existing SSTS?
SECTION C.. EXISTING SUBSURFACE SENVAGE TREATMENT SYSTEM (SSTS)
1. Physical character of existing SSTS area.
A. 11evel Libentle slope OSteep slope
B. OWell drained Moderately well drained
OSome what poorly drained OPoorly drained
C. Area available for SSTS. (Primary, & Reserve)
CIE x-tremely limited OSomewhat limited dequate R x f1
r . 1%
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
BXewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
STREET_ Pu dd wi 2�re,
NAME 67-cf�A2j &���
MAILING ADDRESS
DESCRIPTION OF ADDITION
.BRUCE R. FOLEY
Public Health Director
(RESIDENTIAL ONLY)
TOWN PyfN ImVA*X MAP # -�6 T�
J-IONE ,5`J9 - , +-X?V PCHD # 9 l
oldies; s- re.4r-
S
NUMBER OF EXISTING BEDR�OMS
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
v4de
PROPOSED # OF BEDROOMS
*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.
lease submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
Brewster, NY 10509, Phone 278 -6130.
1. Certified check or money order for $100.00
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
* Non - professional sketches are acceptable
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 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 this office with any questions.
5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling.
OFFICE USE
Comments
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J .a
k '# BRUCE R. FOLEY, R.S.
.� . Acting.Public Health Director
' DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health .
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Map 30,
Gentlemen:
According to records maintained by the Tom, the above noted dwelling
IS f/ _
IS NOT
in compliance with ToNNm code and the total number of bedrooms on record
is r1t12�2
This information has been obtained from:
;CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER 5' r't l_ OW EC-Ma -
Building Inspector
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