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62.13 -1 -70
BOX 24
..
Y.
W.
SHERLITA AMLER, MD, MS, FAAP
Coo
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
June 22, 2006
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Corey Neilson
63 West Shore Dr.
Putnam Valley, NY 110541
Dear Mr. Neilson:
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition- Neilson
No Increase in Number of Bedrooms
63 West Shore Drive
(T) Putnam Valley, TM # 62.13 -1 -70
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 the Department dated June 22, 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
lush ,�� ,� +., f., ��,c.� °er h ° -ac and Lancets, etc.): -
VVY 1 1 LV 11V LJ, 1VJ1.1lvLV l..r Vl Jll • vU.r.� i
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 your convenience.
Very truly yours,
Michael Luke
Public Health Sanitarian
ML:mcb
cc: Building Inspectors, (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
Crrrnti..s tI ze. ;:f L r-h
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT I BONDI
ADDITION APPLICATION RESIDENTIAL ONLY
�� O' • 13 V
STREET am. Al w
NAME C- os�+�l OZVan PHONE 914 UZ 381 ' PCHD# V�
MAULING ` 3
ADDRESS �0
DESCRIPTION OF
ADDITION ="D L, KE_jq_� ZAL te,L �op� y _ �" c�j�try $q"Aems, .
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(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.
f411r►W?►. 9 tn. 3zf1! %!1r1 Cntin�v TTP !ti'. ��QnT.,. anPya _ ;
Brewster,'NY 10509, Phone: (845) 278 -6130.
1: ertW _check or money order for $100.00.
Sketc es of existing floor plan (drawn to scale, all living area including basement)
Two sets of proposed floor plan (drawn to scale — with name, street and tax map #)
*Non - professional sketches are acceptable
C4. 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
i,
SHERLITA AMIXR, Mn,.MS,.FAAp. _
'- - Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
'- County Executive
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
Re: N E 1 L SC--, Ili (Owner's Name)
Tax Map #: Ip L . 1 3 — 1
Address: �o 3 W E S t S t4 of?-L ' 0i ,! V
Town: &-r N P-4v \ VAt- L E t-�1
Year Built: 1
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: 7/
This information has been obtained from:
Certificate of Occupancy:
Other: �`'� s� /S t L�
043 10L
Building Inspector Date
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
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, ~RN, MSN ~
Associate Commissioner of Health
DEPARTMENT ' OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County_ Executive _
r
ADDITION APPLICATION RESIDENTIAL ONLY
STREET West' 44t,-- lti;Vt TOWN 211iAm-, VoAN TAX MA.P#
NAME Cot d'e' �on PHONE Sly 392 -3818 PCHD# e" —
MAILING
ADDRESS
02,13-1 -70
DESCRIPTION OF
ADDITION 1 �) ef, c I ose c\. 44 4- key 7 _ (h-f -- oft,- �+t�►n c� .
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(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 County Health.Dept.,..1._- Geneva.Rd,.:
(0�+5) `f'48 .6130..E _ ... _
1. ertified check or money order for $100.00.
Sket�f existing floor plan (drawn to scale, all living area including basement)
Two sets of ro osed floor plan drawn to scale – with name. street and tax ma #
P P P ( P )
*Non- professional sketches are acceptable
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
Eavironmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early TntPrvPntinn/PrAerhnnl NAil 77R -AnIA Pav (QA4Z1 774 ttAQ
l
a
SHERLITA AMLER, MD, MS, FAAP
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Le2aI Bedroom Count
Re: N E I L-. S o ►\i (Owner's Name)
Tax Map #: w Z- 1 3 _ 7
Address: (o 3 W S; S q OR-IC
Town: &-r N P 4+M V Q t.- L- t- c j
Year Built:
According to records maintained by the Town, the above noted dwelling,
is q/ in compliance with Town Code.
is not in compliance with Town Code.
I'he'Legal'Bedroom Count is: ~�
This information has been obtained from:
Certificate of Occupancy:
Other: �� S-p�S t L L<-
09 )0L
Building Inspector Date
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
County Executive
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