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41.10 -2 -32
BOX 20
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02318
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LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
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
February 23, 2004
DiLeo
c/o Lynfield, Architect
82 Oscawana Heights Road
Putnam Valley, NY 10579
Re: Addition — DiLeo, 569 Lake Shore Rd.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #41.10 -2 -32
Dear Mr. & Mrs. DiLeo:
I have received and reviewed the plans for the proposed addition to the above - mentioned residence.
The propgsal for the addition has been approved as per plans bearing the approval stamp from this
Department dated February 20, 2004. The addition is approved with the following conditions.
1. The total number of bedrooms must remain at 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 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.
ML:lm
cc:BI (T)Putnam Valley
Sinerely, Y/D
Michael Luke {
Public Health Sanitarian
BRUCE R. FOLEY
Public Health Direr'
fal lel'i
LORETTA MOLWARI R-N., M.S.N.
Associate Public::afealth..Direttor,— v. -, _ ____.
Director of Patient Services
DEPARTMENT OF - HEALTH
a tiQf� 611" 1 Geneva Road
etiltiS �o h5'L Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
O�'b j Nursing Services (845) 278 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Z Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Far (845) 278 -6648
4 %
ADDITION APPLICATION (RESIDENTIAL ONL)0
STREET 56 1 4A* AAA 1�d TOWN PWran 64 x MAP#
` 1/ i Lto PHONE .¢ �5 t7i �
NAME , f PCHD# Aq -Q l
MAILI\TG ADDRESS
2 D�Ca G aL n 3 I�A'x,� >aW n4w raAeej
DESCRIPTION OF ADDITION 9" FkO
NUMBER OF EXISTING BEDROOMS_3 _PROPOSED # OF BEDROOMS 3
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM 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
Putnam County Sanitary Code.
Please submit this form and the following to Putnam County.Health Dept., 4 Geneva Road, Brewster, NY
10500, 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.
OFF7CE USE
Comments
Feb98
BFhouseo idelines
/O5
BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N.
i
Public Health Director . Associate Public Health Director
Y O� „Director oj. Patient _ Services.
DPARTMENT OF IAI;'I HH
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 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: , V I
Residence
Tax Map
Town 1.
Gentlemen:
According to `ecords 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:
i
CERTIFICATE OF OCCUPANCY: ✓
ASSESSORS RECORD:
OTHER
uilding Inspector
BFhouseguidelines
Jacqueline Lynfield P"14n
82 Oscawana HeightsYo
Putnam Valley, rk 10579 -2304
tel 845 528 0068 fax 845 528 2010
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SUBo /V /S /O�/
MAO of ROAR/ BROOK LAKE, MAP / nro7 E: pP�pr co.� N/r e �
Si bw, i R QE -Sff 's A
F/L ED .JULY 28, /94S SEC. B - MAP N° 308 B DeTE'RM/NnTo..i of [o7e
BASELi UPuN EX157'i/G
SEC C " AAAP N° 3O8 C /NFoe.vc.vTio../.
LoT S 7 iN SEC. B L07 SCn /N SEC . C
Karen and Louis DiLeo
569 Lake Shore Road
Putnam Valley, New York 10579
AAP AA
dM16 10402 -02