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62.63 -1 -2
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03074
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BRUCE R. FOLEY
... - .Pohl; ^., �: Flt�:_-DercC:P•. "...�, , ..:. ..... . u.�, -Y. -, -. .— ". .
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
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 Preschool (845) 278 -6082 Fax (845) 278 - 6648
August 29, 2000
Staurat Markowitz
One Baltic Place
Croton -on- Hudson, NY 10520
Re: Addition- Mulzoff- 53 Shawnee Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 62.63-1-2
Dear Mr. & Mrs. Mulzoff:
I have received and reviewed the plans for the proposed addition of the above - mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp form this Department dated August 2929, 2000 The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at Three without prior approval by
this department.
The.area of the existing.sewage- disposal sterna, and-its expansion, area, must l)e
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
■\
• . * BRUCE R POLEY
Public Health Director
DEPARTIv ENT OF BEAU
Division of Environtruntal Health Services
4 Geneva Road
Brewster, New York I0509
8 e1. (914) 278-030 fQ (914) 278-7921
STREET 53 Sha ee Read T0N VNVPutnam . TXNL4p# 62.63 -1 -2
VIM —y
NAIL Paul &Lisa Mulzoff PHO, , 528.5570 PC14D 0
.MG ADDRESS 53 Shawnee Road, Putnam Valley, NY 10579
DESCRIPnO` OF ADDITIO'1N Enclosure of a screened porch.
Ni i IBER OF VaSTING BEDROOMS 3 . PROPOSED # OF BEDROOMS 3
(FROM CERT. OF OCCUPANCY OR
CERTIFICATIO` FROMIBUILDINGMPECTOR)
*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 Pwaa n Count} SanitayCode:
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
Brewster, NY 10309, 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 Oert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling.
4��
Comments
t t Y7
uiwcE ll IOLEY' I S
ncunp Nubl�c flualtlt. Utrr Iqr
DEPARTMENT Of . HEALTI h
Division Of L•rrvironmcntnl .I l�ailfh`.'Scrviccs
4 Geneva Road, Ilrmster, Ncw Nark 10509
(9.11) .270 -6.130
Putnam County Dcht. of I•Icalth
4 Geneva Road
Brewster, NY 10509
Rcsidcnce `
Tax Mal)
'Town .. a
Gentlemen:
Accord.1lig to records mill llallled by the 1•bwn, the above. noted dwelling
IS V
IS NOT
in compliance with 'Down cods and the total number of bedrooms on record
This inforlllatlon has bccn obtained from:
CL•RTII'ICATE OF OCCUPANCY:
AS S LS S ORS RECORD:
.OTHER
"All ccrtificatio
d1 thereof only if
RTIFIED TO: WILLIAM R. FINNIGAN seal of the sul
A ICAGO TITLE 1145. CO. G;
XPITAL COMMUNICATIONS :i
FEDERAL CREDIT UNION 6�
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