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62.17 -1 -58
BOX 25
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,�'.'.I L i ; 3—ADDR =SS
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BRUCE R. FOLEY, F.S
Actirg Public Health p:2
D'LP?QT:�':: \T OF HEALTH
D.sia� 0. Emircn-en;al Health Services
Cene _ Ro?j-, 6 2,:s:2r, Nev,, York 10509
(9 i4) 276 -6130
Description of AZ::;iti_!-:
(R=SIDENT I_r,! 0:i;1 Y1
PCHD PERMIT r —?7
/04-7
N---ber of existing nu:,ber of bedroyns _
,rGu: C rL iica Oi C^. ,J�_ -. y G-
Certification -1 rc E'_:ldir: in:•-Ci0'
Any a_dltion which is consite -rcz a bet- c-:s, re"tuires formal approval o'i plans
(Construction Permit) prep =_.ed t; a Pro -essicnal Engineer or, Registered Architect
in accordance with a— ^iica':;ie s,ions o` the Putnam County Sanitary Code.
leas: submit this fo-,. a':_ the fo11c: {;;-: to RffR M 00U,TTY.HEALTH DEPARTM=Yi
A RO.;D, 6:1,DiST=-R, t;' 10509;' r -Z-2 7 E - 5 130 Vrith the foilowing information.
a
%. S'r:etch of existinc fl co plan (al i living area including basement, if any)-
Pion- professional draorin; is acceptable
3. Sketch of proposes floor plan." 1�
Non professional drawin= is acceptabi -a /
4. Copy of survey sharing well and septic location, to the best of your
-knowledge. Incluse date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
Copy of Certificate of Occupancy frcm Tore or Certification frog Building
Department of lec_l bedroom count of dwelling.
OFFICE USE
03mments and /or conditions
application
August 1995
July 1996 (Revised)
,. ... BRUCE - R. '; FOLE Y'
Public Health Director
L-OREITA--MOLINARI R.N., M.S.W
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF BEAUTY
1 Geneva Road
Brewster, New York 10509
Environmental Health (914) 278 - 6130 Fax (914) 278-7921
Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648
WIC (914) 278 - 6678 Fax (914) 278 - 6085
February 18, 1999
Robert O'Brien Re: Addition- O'Brien- Sunset Hill Rd.
19 Cindy Lane No Increases in Number of Bedrooms
Putnam Valley, NY (T) Putnam Valley Tax # 62.17 -1 -58
Dear Mr. O'Brien:
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 form this Department dated February 18, 1999. The addition is approved with the
following conditions.
1. The total number of bedrooms must remain at Three 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.
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
WH :kg Senior Public Health Sanitarian
cc: BI
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DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
NEWAMOM
FA
BRUCE R. FOLEY, P.S
Acting Public Health Oire:;o.
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Map G -o2 , /%— /— 5
Town
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS NOT
in com fiance with Town code and the total number of bedrooms on record
is / hrzL 3
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
Building Insp or
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P.' F ..,Iu%100UN1Y- DEPAR SENT 0V HEALTH
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,:r..P OVED FOR
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PUTNAM COUNTY REPARTMENT OF HEALTH ! a
- - - - T OF -
HOUSE PLANS APPROVED FOR
BEDROOM -COUNT ONLY;;
BEDROOMS
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Signature & Title - Date ' /��
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P.' F ..,Iu%100UN1Y- DEPAR SENT 0V HEALTH
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,:r..P OVED FOR
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PUTNAM COUNTY REPARTMENT OF HEALTH ! a
- - - - T OF -
HOUSE PLANS APPROVED FOR
BEDROOM -COUNT ONLY;;
BEDROOMS
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Signature & Title - Date ' /��
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BRUCE R FOLEY
Acting Public Health Director
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Ben & Robert O'Brien Brewster, New York 10509 October 8, 1997
Tel. (914) 278 - 6130 Fax (914) 278-7921
Sunset Hill Road
Putnam Valley, New York 10579
Re: Addition - O'Brien
No increase in number of
bedrooms Sunset Hill Road
Dear Mr. & Mrs. O'Brien:
I have received and reviewed the plans for the renovation to the above mentioned residence.
Records indicate that the enclosed porch was converted to additional living area in approiimately
1985 by the previous owners. Assessment records indicate that the dwelling was assessed as a
three (3) bedroom residence.
The proposal for the addition has been approved as per plans bearing the latest revision date of
October 8. 1997 and this Department's approval stamp. -
Based on the information submitted this Department has no objections to the issuance of a
Certificate of Occupancy with the following conditions.
1. The.total number of bedrooms must remain at 3 without prior approval by this Department.
... _ ....:....� _ �? _._ The area. of the. existli jsewage:_disposal:sgstem,: and its, e patlsioz� ar. ea, must be maizlt
3. All plumbing fi�nres 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 To «n of Putnam Valley
If you have any questions. please contact me at your convenience.
Very truly yours,
C
William Hedges
Sr. Public Health Sanitarian
�7-L':nh
cc: BI (T) Putnam Valley
addition
i
DEPARTMENT Or HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(911) 278 -6130
17� .
(MUCE• I►., FOLLY, R $•
Acing Public. Haahh Urrrr,►nr,
Putnam County Dept. of Health
11 Geneva. Road
Brewster, NY 10509
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According to records maintained by thc'1'own; llle above noted d„vclling +
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IS NOT
in compliance \vith 'l'o\vn code Ind the total number of bedrooms on record
This information 1115 been obtained rrolll:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORIJ:
OTHER or.► S,T
Building Insp c r
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_ PUTNAM COUNTY W-,PARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR s
BEDROOM COUNT ONLY;
�EDROOMS
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