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73.17 -1 -6
BOX 27
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�.»;- - - �.I�RE�'T�'�.::i� ?OLII�11Ai�:i �.� _-:n•� �- ....,. f�: .,
Public Health Director
- ��• .mo w R0BER -T -; J4;8@ND1 `I
County Executive
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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
October 1, 2004
John Cekaj
7 Dogwood Lane
Putnam Valley', NY 10579
Re: Addition — Cekaj, Dogwood Ln.
No Increase in Number of Bedrooms
(T) Putnam Valley, TM #73.17 -1 =6
Dear Mr. Cekaj:
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 October 1, 2004. 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 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.
ML:lm
cc: BI (T) Putnam Valley
Sincerely, Q
444
Michael Luke
Public Health Sanitarian
T
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BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI RN., M.S.N.
Associate Public Health Director
Director of Patient Services
Environmental Health (845)278-6130 Fax'(845) 278 - 7921 qqqq
Nursing Services (845)278--6558 WIC (845) 278 - 6678 . Fax (845) 278 - 60 Ste!
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Far (845) 278 - d / d D
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET ®C7C-rWao0 LArle T0WNPo.RJA'Jh r�TX MAP# 73-17 " ! '-1P
NA,IE Ca PHONE�`¢S PCHD# - IZ`1-0,V
MAILING ADDRESS 7 Aa6-Wda,o t1J. ;?l'Nfrm t/ALLN_ ' r Ib57 �!
DESCRIPTION OF ADDITION 900AA
NUABER 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
PutliaKf County Sanitary -Cone.
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 &dec fbt S 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 9)
*Non - professional sketches are acceptable.
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.
Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom
count of dwelling.
OFFICE USE
Comments
Feb98
Khouscguideltnes
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BRUCE R.*' FOLEY ° �^ LORETTA MOLINARI
R.N., M.S.N.
Public Health Director ti� Y O� Associate Public Health 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 Preschool (845) 278 -6082 Fax (845) 278 -6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509 el �
Re:
Residence
Gentlemen:
Tax Map 13 ° ("? ' ' I
Town V Jn C,,, . Vj, I Lo,I
According to records maintained by the Town, the above noted dwelling
IS
IS NOT
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
i
ASSESSORS RECORD:
OTHER
BFhouseguidelines
Building Inspector
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HOUSE PLANS APPROVEO FOR - -
BEDROOM COUNT ONLY;
gtoROOMS
'Sig�%ature &y'Cit a Date
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-- - --- PUTNAMCGUNWAPARM 4Wr*M.
HOUSE PLMS--A.0"-wom
BEDROOM COUNT'do
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