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BOX 22
02606
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02606
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINMU —, ;-WN" -
Associate Commissioner of Health
Annette Lindbergh
141 Wiccopee Road
Putnam Valley,l4Y 10579
Dear Ms. Lindbergh:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI.
County Executive
W BERT MORRIS, PE
Director of Environmental Health
May 9, 2007
Re:. Addition- A- 089 -07
No Increase in Number of Bedrooms
141 Wiccopee Road
(T) Putnam Valley, T.M. # 52: -2 =52
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 May 9, 2007. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at two. without prior approval by this
Department.
2. The area of the existing sewage disposal system and its expansion area must be
maintained.
3. All plumting.fixtures must.be updated with water saving devices, i.e.,, new low_fl:ush
'toilets; 'restri:ct6fs for shower heads and faucets etc. -
4. The approval is for the proposed changes only. This approval does not validate any
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. 2261.
Sincerely,
0 ..4D,
Gene 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 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
MAY -01 -2007 09:26AM FROM - ENVIRONMENTAL HEALTH
SHE RLITA AMLER, MD. MS. FAAP
Commissioner of Health
LORETTA lV1U[.11V;4Ri,`RN ;'MSN
Associate Commissioner gfHealih
8432787921
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster; New York 10509
T -108 P.03 /004 F -618
ROBERT I
County Ewc
Director of
DIATIf N APPLICATION RESIDENTIAL ONLY
STREET f �LI 11r11C(o TOWN V(AI�I�PCtTA ld)fAF#_
�FCHD#
MAILING
ADDRESS -Z, 9 . t_ yC neP -- . - � _ ti r�ram �a-i� i�� A05 �(
DESCRIPTION OF
ADDITION__f�1U �11�11d. �"d �Yl.�oc�c��(lrfrorlYlp�e '��1
NUMBER OF EXISTING BEDROOMS_ I PROPOSIED # OF BEDROOMS 2—
(FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR)
"Any addition which is considered a bedromn requires formal approval of plans (Comtruerion 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., 1 Geneva Rd,
Brewster, NY 10509, Phone. (845) 278 -6130.
1. Certified cheek or money order for $100.00.
.__.�:_.... -23_. . .. _.. n Sketches-of e x_ is_n .. floo Flan . ._.. w__.._
SCL. i4g:
T.w,o .sets _ _o. f _p...roposed srea.>inctui'd><ng basemertt�...__ :.
floor plan (drawn to scale — with name, street and tax map #)
*Non - professional sketches are acceptable
4. Copy of survey shaving well and septic locations to the best of your knowledge.
Include date of installation if known. Label all wells and septic systems within 200 feet
of the property line. Contact this office with any questions.
X 5. Copy of Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS.
Environmental Health (843) 278 -6130 Fttx (845) 278.7921
Water Supply Section (845) 225 -5186 Fax (845) 225.5418
Nursing Services (845) 278 -6558 Fnx (845) 378 -6026 WIC (845) 27$-667$
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Prcwohool (84$) 278 -6014 Fax (845) 278 -6648
It 4 .. --a.
SHERLITA AMLER, MD, MS, FAAP
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster; New York 10509. .
ROBERT J. BONDI
CAistttyxecattive -- - - -
Town Legal Bedroom Count
tt I
Re: - L� vIdb erq (Owner's Name)
Tax Map #:
Address: 14-1 W t c-c- oPc
Town: 4t
Year Built:
According to records maintained by the Town, the above noted dwelling,
is ✓ / in compliance with Town Code.
is not in compliance with Town Code.
The Legal Bedroom Count is:�
This information has been obtained from:
Certificate of Occupancy:
Other: PASS +S % S o M, S P i L E
J 0
Building Inspector Da
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
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