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03248
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA! MOLINARI R.N., 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
Anne Estrella Balzer
24 Cherry Lane
Putnam Valley, NY
Dear Ms. Balzer:
April 29, 2002
Re: Addition- Balzer- 24 Cherry Lane
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 71-1 -40
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 April 29, 2002 —The addition is approved with the following
conditions:
The total number of bedrooms must remain at Four without prior approval
by this
-. -- - - -- - - -- - -.�. - department.
-The
, aric, 1Ls- expa.lisloIi 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 try.00u'r8 - --
William Hedges
WH:kg Senior Public Health Sanitarian
CC:BI
BRUCE R. FOLEY
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
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 Preschool (845) 278-6082 Far.(845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET LI (2 ( CCV -� T OWN a TX MAP# 3' ' l-
a� z0�
NAME &Le- 2jre (f 6THONEIVIj- 6, -29 2 [% PCHD#
MAII.INTG ADDRESS l&Q
DESCRIPTION OF ADDITION a� •
NL VIBER OF EXISTING BEDROOMS Z4 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.
Fiease submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY
10509, Ph a 278 -6130.
Certified check or money order for $100.00. .
y 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
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BRUCE R. FOLEY \F 1, ,LORETTA MOLINARI RN., M.S.N.
\ s�` ,mow
Public Health Director ,� ,, 0.a . • ; ' :, -x: � �'= :a��c- :zeif,•' �,rrc[or "_" "'
_ F , : _ „� , ,_ > Y • ,`_ 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
Re: Z, %i cfa%" f'-ej
Residence
Tax Map T;
Town Put ., vof
According to rec rds maintained by the Town, the above noted dwelling
IS
IS NOT.e.....:...
in compliance with Town code and the total number of bedrooms on record is 4
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
uilding Inspector
BFhouseguidelines �°r
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