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53. -3 -9
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DEPARTMENT OF HEAL'T'H
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
Mr. & Mrs. Johnson
11 Seifert Lane
Putnam Valley, NY 10579
Dear Mr. & Mrs. Johnson:
a U ^ � ,qj J Via.
BRQ;E K FOLEY.......
WE Health Director
July 9, 1997
Re: Addition - Johnson
11 Seifert Lane
No increase in number of
bedrooms (PV) TM #53 -3 -9
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 latest revision date of
July 9, 1997 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
-1. _ The total number of bedrooms must remain at' three Mtfiout 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 yours,
William Hedges
Sr. Public Health Sanitarian
WH/jp
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(9 14) 278 -6130
BRUCE R. FOLEY, R.S
Acting Public Health Oirectcr
PROPOSED ADDITION APPLICATION _ (RESIDENTIAL ONLY
STREET: 1z 'se / coe- r '�Aode TOWN Pd/ , r TX MAP #
WE: _?' 0AJ 4h :J-0HAls ,) PHONE' 527— K4!v Z PCHD PERMIT #
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MAILING ADDRESS 6 eli=Ex?' �A��`, rra% i//ia Al' /V�",07'!?
Description of .Addition S"art9 �l1E O�ia�.�
Number of existing bedrooms Proposed number of bedrooms
from Certificate 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 DEPARTMENT,
4 GENEVA ROAD, BREWSTER, NY 10509, Phone`278 -6130 with the following information.
1 Certified.Check for $100.00. =-
:.•. - 2:�Sketci1 of` e;6sting floor plan (all living area including basement, if any)
Non- professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and/or conditions_
application
August 1995
July 1996 (Revised)
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F{ules and Pngulations of the
'utnam Co De tment.
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rutnam Count Department ivision of E vi onm nt 1 H aothHSe vice
- oproved as noted for conformance with
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!Utnam Count gUlations of the
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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
Gentlemen:
Re:dG7���1
Residence
BRUCE R., FOLEY. P.S.'
Acting Public Health Director
Tax Map
Town �0
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i
According to records maintained by the Town, the above noted dwelling
IS
IS NOT
in compliance with Town code and the total number of bedooms on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
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