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02978
BRUCE K: FULLY::;;.
Public Health Director
DEPARTMENT OF .. HEALTH
1 Geneva Road
Brewster, New York 10509
0REi- `A� '48 LINARI k. ii. M.S.N. - -
Associate Public Health Director
Director of Patient Services
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
August 29, 2002
Jose Dominguez
188 Union Ave.
Peekskill, NY 10566
Re: Addition - Dominguez, 3 Hilltop Dr.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #62.17 -3 -1
Dear Mr. Dominguez:
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 August 29, 2002. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at two without prior approval
by this�depar1tment.
.�. _ .... The r°a -S r tL'. rlicYr.w.i..l °ij $ta—, "A i4."i °v`r'i,uivvri gar- a; -mus+ b °v
maintained. 1
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 meat your convenience.
Very trul ` ______.__— _............ .
William Hedges
WH:lm Senior Public Health Sanitarian
cc: BI
BRUCE .R. F( LEY
' -- Public Health Director
q
`LORE'i i-A MOLINARI RN., M.S.N. _ K
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (84.5) 278 - 6130 Fax (845) 278 - 7921
Nursing .Services (845) 278 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONLY
Y
STREET ;L2- P J)9 . TOWN && V _VTX MAP#
NAl\&E , 9 f tv C,, ?PHONE 92 ? 57.E PCHD# 43-7 0
MAIMING ADDRESS .%5g t: "i OA- &-eJ<s- ki L.L A.<f`% lo�'�i'
DESCRIPTION OF ADDITION ,�� h,,�, ; jv�oo;✓—
1
NUti1BER OF EXISTING BEDROOMS_ g 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., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order for $100.00. .
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
*Non- professional sketches are acceptable.
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #)
*Non - professional sketches are acceptable.
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of
installation if known. Label all wells and septic systems within 200 feet of the property line.
Contact this office with any questions.
5. Copy of Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom
count of dwelling.
OFFICE USE
Comments
Feb98
BFhouseguidelines
BRUCE R. FOLEY
Pj.,blic • Healh •- Direct:?! - -.:r_
LORETT.A -MOLINARi. R ;.r *� • *,. .:�
nssociaie Publi'— ealth Director
Director of Patient Services
DEPARTMENT. OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early Intervention (845)278-6014 Presehoot (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
Re:
iro e 1 ')Aq /i0 #u f L
Residence
Tax Map 62 / 7 3-1
Town AA Z"?tirt r1abl 17°
71/
According to records maintained by the Town, the above noted dwelling
IS
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:' el
OTHER
Building
BFhouseguidelines
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t.
.. ......... .
7Z'
:DEPTH :OF oHEALTMI-;.... TAT
'-: SANI ION(
APPLICATION FOR SEWAGE ,SYSTEM
Well-draided.ueab2L$fQ�.rga-.MUST be provided b0ovdF W61MI'DIIA. issued.
SKETCH 1 kt—_'t*-::fatiires' north point,, 9 REOU-1 t show all :.pertinent: e'
pk6pekty lihes.;, Lix.-istit.i'g..-..,!§truct-u-.r.et;-'V. dirivewayst water or gas lines•,
water -' courses, well for roof or area
drainag6i.DISTANCES B COMPLETE PLANS FOR
ADEQUAT,E:.DRAINAGE OF SEWAGE DISPOSAL AREA all details of workable
sew4ge system.
V_
PATAL &k.MMUTBB ;BY Date
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