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51.14 -1 -6
BOX 22
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02497
BRUCE' R. #6UY`-
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
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
April 23, 2002
Etherington
c/o Lynfield
82 Oscawana Heights Rd.
Putnam Valley, NY 10579
Re: Addition- Etherington-7 Pine Hollow Ct.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 51.14 -1 -6
Dear Applicant:
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 Al2fp it 23, 2002 The addition is approved with the following
conditions:
1. The total number of bedrooms must remain atilree 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.
ML:kg
Very truly yours,
Michael Luke
Public Health Technician
BRUCE. R. FOLEY
Public health Director
LORETTA MOL114APJ R.N., M,S.N.
Attociate Public Health Director
Director of Patient Service,;
DEPART�INENT OF - HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 778.6130 fax (845) 278 - 7921
Nursing Services (845) 278.6358 WIC (845) 278.6678 Fax (845) 278 .6085
Early Intervention (84S) 278.6014 Preschool (845) 278.6082 Fax (845) 278 -6648
ADDITION APPLICATION MES)DE�ITIAi ONLYI
STREET -7 pt lit: qO Ll O VV (r ItTTOWN POTNA'111 V I-Y TX MAPg
y CONrae,-r: LYNFIEL.9
i`'AvlE � 1 Nl?Zoo_ PHONE__ 52$ vo (og PCHD#
I y w e-6 r �o TH 5 Tt2E6—T
M.ALFti'G ADDRESS P�PT Sc. , N. P I-602 3
p,5MOVg� ��tSr. I �� �r -00th Z 3ED(ZooMS+ B�7'r�
DESMPTION OF ADDITION - Ept- P�t'.E y�!/ �I�l aft, 2- B�D� -I✓lS , 1 psArTH' -� N�+�
tin.MBER OF E)CSTING BEDROOMS S PROPOSED # OF BEDFZ00MS
(FROM CERT. OF OCCUPANCY OR
CERT71CATION FROM BUILDING INSPECTOR)
'Any addition which is considered a bedroom requires formal approval of plans (Constructior. Permit)
prepared by a Professional Engineer or Registered Architect, in accordance
nth applicable sections :o£ the
_ ;.
_....-.D"� =c.0 ounty 5anlu Code.
Please submit this form and the following to Putnam County health Dept., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order for $100.00.
2' Sketches of existi::g floor plan (drawn to scale, all living area including basement)
•Non- professional sketches are acceptable,
>� Two sets of proposed floor plan (drawn to scale, with dame, street, and tax map I*)
'Non- professional sketches are acceptable.
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.
4/ Copy of Geit. Of Occupancy from Town or Certification from Building Dept: with legal bedroom
count of dwelling.
0FFIC5 WZ
Comments /
nh Ov-G per r, . rk
car- eh -fftrT
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BFhousepidelkies
P
BRUCE R. FOLEY _
Public Health Director �_ _.. lTT-- :7it°^ `
-. .
., _.... �atth' Direcfo
. , �,.,,,�....,. .� -�:.. -.• =..- z,.�'°" " ""�' "._'"'„' "':': 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
Re: r--T 14E21 KJ C,T W
Residence
Tax Map . 14
Town ur t-1 AM VAILf —Ll
According to records maintained by the Town, the above noted dwelling
IS v
IS NOT
n - in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: 1V
OTHER
Building Inspector
BFhouseguidelines
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