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"UM-18 -2008 04:54PM FROM-ENVIRONMENTAL HEALTH 845Z787921
SHIERLITA ANILIER, MD, MS, FAAP
Commissioner of gealth k
LORETTAMOLINAAT, 1W,'M8"`1N"`"
.4ssoeiate Commissioner ofHealth
DEPARTMENT OF HEALTH
1 Geneva Road- Brewster, New York 10509
T -371 P.006/013 F -974
ROBERT J. BONDI
County &ecu1tv0
ROBERT
Director of Environmental ALlealth
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/ 1 1 1 �....0 8
STREET o erg �Cesl�v�e �Ra TOKmr ,PML w► Ual Ax MAPS - ! -24
NAME X02 tr ✓t 2 PHONE Q i q l31(, PCHD# �-
NWLING
ADDRESS A
DESCRIPTION OF
ADDITION A .NO-L- tuts
NUMBER Of EXISTING BEDROOMS PROPOSED # OF BEDROOMS��
(FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPEC70R)
*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
Sanitayy Code,
Please submit this form and the following to Putnam County Health Dept., I Geneva Rd,
Bre.WCter, NY 10509, Phone: (845) 278 - 6.130.
Certified cbeck or money order for $10().00.
2. Sketches of existing floor plan (drawn to scale; all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
/3. Two-stts'of prpposed floor plans (drawn to scale - with name, street and tax map #)
! 4� . . .. ... .... .. 4 .. .....
Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
/4. Copy of survey showing all well and septic locations on the subject- property to the best
of your knowledge. include date of .installation known. Contact this office with -any
A questions.
5. Copy of Certificate of Occupancy from the Town or Certific4tion from the Building
Department with legal bedroom count of dwelling.
QFFICE USE
COMMENTS
5.
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845)225 -5186 Fax (845)225 -5418
Nursing Services (845) 278.6558 Fax (845) 278.6026
Nursing Home Care Fax (845)27 8-6085 WIC (845) 278 -6678
Early Intervention /Preschool (845)228-,2847 Fax (845) 225 -1580
SHERLITA AMLER, MI), MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
ssocra e ommrssrone o ea
ROBERT J. BONiDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
January 4, 2010 1 Geneva Road. Brewster, New York 10509
Robert Berne
.37 Washington Square West, 7A
New York, NY 10011
Re: Addition- A- 202 -09
No Increase in Number of Bedrooms
222 Lakeshore'Road
(T) Putnam Valley, T.M. # 41.6 -1 -24
Dear Mr. Berne:
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 January 4, 2010. The addition is approved with the following ,
conditions:
1. The total number of bedrooms must remain at four 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, restriciors for shower heads and faucets etc.
...4... The. approval' is for.the-preposed-changes only._:.This. appr_oval.does not :validate,an ' _
construction shown as existing that has not obtained proper. approvals
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 (845) 278 -6130, ext. 43261.
Sincerely,
Ine D. Reed
Senior Engineering Aide
GDR:kly
cc: BI, (T) Putnam Valley
Environmental health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
z�OIEC- 18-6009 04:38PM
0
FROWENVIRONMEVAL HEALTH 4 '
SHERLITAAMLER, MD, MS, FAAP
Commissioner of Health
MOLINARI'
Assoclare Commissioner of Health
1-
DEPARTMENT OF HEALTH
I Geneva Road. Brewster, New York 10509
T -371 P -010 /013 F -974
ROBERT J. BONDI
County Executive
ROBERT•MORRIS;1i'E }., ...: -�. -,,.: -I....
Director of Environmental Health
Town Legal Bedroom Count & Proposed addition Status
Re: 13 lZNt. (Owner's Name)
Tax Map # 247
Address'
Town: —PU IWA M VA t --L-9- f
'Rear Built:
Accor ing to records maintained by the Town, the above noted dwelling,
is _ in compliance with Town Code.
Is not _ in compliance with Town Code.
The Ugal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other �L��r �- l 1.�� Op
The plans for the proposed addition are considered:
New Construction
—7::�� Addition to existing house only
Ttardown and/or re -build allowed under Town Regulations
Building Inspector Date
6.
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225-54 18
Nursing Services (845) 278.6558 1 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278-6085 WIC (845) 278 -6678
Early Intervention / Preschool, (845) 228 -2847 Fax (845) 225 -1580