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62.10 -1 -20
BOX 24
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
September 26, 2006
ROBERT I BONDI
County Executive
Director of Environmental Health
Kevin Heady
10 Victoria Drive
Cold Spring, New York 10516
Re: Addition Approval — Heady. A- 281 -06
No Increase in Number of Bedrooms
222 West Shore Drive
(T) Putnam Valley, TM# 62.10 -1 -20
Dear Mr. Heady:
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 September 25, 2006. 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 plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, re_strictors for shower heads and faucets, etc. _
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setbacks and other current codes can be met.
5. This 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,
Gene D. Reed
Senior Engineering Aide
GDR:cj
cc: . Building Inspector, (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
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
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LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDI
County &esutive _
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DEPARTMENT OF HEALTH D
1 Geneva Road, Brewster, New York 10509
ADDITION APPLICATION RESIDENTIAL ONLY
STREET 22-2- WBjr+ 51va Dr. TOWN TO nofrn VCA"MAP# 42,.10 - 1 -20
NAME 5livosa PHONE 6Vr 2kS''64 ,#51/ PCHD #�' j:156j
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MAILING
ADDRESS 4V;
0 O'cl-oti'vi Dr. I
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DESCRIPTION OF Nd
ADDITION 5*'VV- ir'4�1 a/ 4' P Ch w ?xAti-SI dow
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NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS 2—
(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. untry Co Health De ...��
��-l.:
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
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 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.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Dept, with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
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
SHERLITA AMLER, MD, 1:1S. riAAP _._ ..
-` '_c6 biissioner of Health .
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
Re: Sk,m1.�J
J.
"County Executive
(Owner's Name)
Tax Map #:
CD 'Z .
(o — 1 -
2 0
Address:
2 2. .2
0 6. ST
.S 1L t
Year Built: ) 9 L's
Accord' to records maintained by the Town, the above noted dwelling,
is 7 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: '-&L-1>c, 2) &V* T, R£C, o(LDS (POROL' Efl� 11 L-P PLA lv,
Building Inspector
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Dad
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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RVEYED AS IN POSSESSION FILE IoiO. 7-726 -21
N. Y. S. VC. No. 28894
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