HomeMy WebLinkAbout2861DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
62.13 -1 -13
BOX 24
7 IL
lt� 1 Ll
ji � TdL
'-, F L{ `
02861
BRUCE R. FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH.
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
PROPOSED ADDITION APPLICATION = (RESIDENTIAL ONLY
STREET: TOWN 7'17) - A �� tL TX MAP # (e f J < =:-' - 3
NAME: ` s�1:11'�t��. )T Cf Ct% rA'��PHONE �j PCHD PERMIT # 1 ��
MAILING ADDRESS "+� Vtq j '_b(Li
Description of Addition '2poz -,wlM y� x Z STo';t\f -T,..2,sTON /ft �r70 Z"jO
SI -LYLA (
Number of existing bedrooms _3 ___ Proposed number of bedrooms 3
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 .. Cprt.if fed-Check. for- M0.00..
-�2. Skjt :cn or'exfisfi`ng 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 ifknown.
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)
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278 - 7921
Ronald I Chicotra
43 Hudson View Drive
Putnam Valley, New York 10579
Dear Mr. Chicotra:
_. BRUCE R. FOLEY
Acting Public Health Director
October 29, 1997
Re: Chicotra
43 Hudson Drive
Addition
No increase in number of
bedrooms
Putnam Valley
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
October 27, 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 3 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.
Approval is granted for sewage disposal only. 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
NVH /mh
cc: BI(T) Putnam Valley
.aa;r;-n
xa
1�7
CI
P7
-=-,elr cxlrE�-r
rb RCWR— 1--rau
_4
.14 1 6 , `r 4j,,- ot
I VOOZ,
't-A! 60
arour
V.
A2!—
PV-f
App-ecq zw�- ck- "E,:Z:je
!':.Xocjr 0-51149ul, IWO
�lz `'r /�S 3il'.E `
'
Kl
Yz '44 -444 41
Sq
'4
-=-,elr cxlrE�-r
rb RCWR— 1--rau
_4
.14 1 6 , `r 4j,,- ot
I VOOZ,
't-A! 60
arour
V.
A2!—
PV-f
App-ecq zw�- ck- "E,:Z:je
!':.Xocjr 0-51149ul, IWO
�lz `'r /�S 3il'.E `
7P
:It
-0. 7&AfA7r-W
wpc ra's" e (E)e .0.0
a
5i6
IL
IT. 4-
1 . wv,=i 4 LOMB I
-2
:?UTMAM COUNTY DEPARTMiNT OF HEALTH
iiQ.:'`r T-T,A1, Fj PP
T', �VFT) FOR
Ckj CC'
D, at
Title
. f
t4
4'
IIIA14 tl
;L
7,1
Z
t ;rD
-M& -
Lrly
D4L
4u Fma T 41 U"atw.
X
I mzta5 ft '410 9
Nc
-XAWWCA�e PIP Ima
fxqw 41P oPAJA
M M44 'ru 14A rU4
• -1,14 aar.-4,vti
81_4W1 M *A
fie
�j
a
iK
ry
PUTNAM COUNTY DEPARTMENT OF HEALTH
[IoUc0 E APPPOW"D FOR
BED1'-,C,D;*'1 colu';,"T 01:111y;
le 2
77 -4s
Signature & Title
ti 4. t14 7--z
10
L -7
DG
t4
r- wo cfcpe-4m
4,
77-\
Z�zz;,
A r
pt;. i0r;
lAj6Aji- AwA r dr je.4 Pic
RONALD J. CHI COTKA
CERAMIC TILE & MARBLE CONTRACTOR
2-6
Yorktown Heights, New York 10598
914-245-2294
4�1
fV,
. . ..................
4 2
�r�rCfl
`
BRUCE jIt.. f'OLCY, R S. .
Acting Public Haalth UU14:101
DEPARTMENT Of MEALTH
.'...',Division:-O( Invironmcntil Health Services
4.: ;Geneva I:o-ict, Brewster, New-York-10509
(91-1) 2713 -6130
Nlnanl COU11ly )7CI)l ;OFY'iCilllh,
I3rcNvster, NY�.10509
: Rc: Liq I. C�iicp�Yq
Residence
N1,a��
. �1•own�
by t
Accoid.ilis to,rccords mainlainccl he Town, the above notcd.dwelling ►►
is NOT
III compliance with Town code and the total number of bcdroom, s on rccord
is.;
''bi`s inforination has been obtained from:
'
CERTIFICATE L OIL OCC UPANCY:
ASSES SO.RS,Ri;CORD:
t 1 l It, 'f , i• �U ,, I
' � }: '' I`•��E ��t„t�s�. , tl i +if tldtl'�` �p tfl�� � ..
7 � ,,,,�._ • ' I } � r.116�1 �1 �, S
} OTHER
gyp 7� al}
I .( Iii �dl ;i l'ilrti I }i1. S( }+� /8, 1��r �,l��r I,
rI,I�NI' il'X(iil� 1�t( SN�tillr1
��lt�N•1���tlt1���d1
It bcr a Adk i ,!p wW�+,u'I ls'
�y ^ •' :I ` 1° i 3(ila�` tl
tit}i ,.11 tYl�t 1' �l�ltj,•� '�(I'�'
r r
' k3lllidlllg•ill I)CCIOI' ":::..� " +�