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BOX 28
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Paul Stein
48 Rochdale Road
Putnam Valley, NY 10579
Re:
Dear Mr. Stein:
ROBERT I BONDI
County Executive
` RCIBERT`lt'IORRIS;'PE'`
Director of Environmental Health
January 2, 2008
Addition- A- 250 -07
No Increase in Number of Bedrooms
48 Rochdale Road
(T) Putnam Valley, T.M. # 74.4-5
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 January 2, 2008. The addition is approved with the following
conditions:
L' The total number of bedrooms' rust remain at two without prior approval by this
Department.
2. The area of the existing sewage disposal system and its expansion area must be
maintained.
3
2
All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toileis, re9 iciorsrfokshower Beads.' M:faucets etc. `:. °--
The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals
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 (845) 278 -6130, ext. 2261.
Sincerely,�, %�
Gene D. Reed
Senior Engineering Aide
GDR:kly
cc: BI, (T) Putnam Valley
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
SHERLITA AMLER, MD, MS, FAAP
px . Commissioner bf Hela#h
LORETTA MOLINARI, RN, MSN
Associate Commissioner. of Health
ROBERT ,I. BONDI
..County,l xecutive. -
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ADDITION APPLICATION RESIDENTIAL ONQ
STREET .1�� T® I L V - TAX MAP#-Z���
NAMIE . AO 1. S T 1,10 PHONE R 17 , y 7 y - 'FzsV PCHD - 2 - .
MAILING
ADDRESS Li 7S- '+ �L �� �U. vi^rt V ct
DESCRIPTION OF
ADDITION
F4/6105f, (906(t
NUMBER OF EXISTING BEDROOMS 2- ]PROPOSED # OF BEDROOMS M&
(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 tlus form.:and -the followi i to PutnaimCoun _Health D t 1 Geneva_Rd -- -
Brewster, NY 10509, Phone: (845) 278 -6130.
Certified check or money order for $100.00.
Sketches of existing floor plan (drawn to scale, all living area including basement)
�3. Two sets of proposed floor plan (drawn to scale - with name, street and tax map #)
/4. *Non- professional sketches are acceptable Copy of survey showing well and septic locations 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 Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
Environmental Health (845) 278 -6130 Fu (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845.) 278 -6014 Fax (845) 278 -6648
�.e ;.. SIIERLIIA.AML,r1IS- .A�1Pa
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health.
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 1609
Town Legal Bedroom Count
Re: 'S-Tr::' 10
County Executive
(Owner's Name)
Tax Map #:
Address:
Town:
Year Built:
Accord7—in records maintained by the Town, the above noted dwelling,
><s compliance with Town Code.
is . not.... in compliance with Town. Code.
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other: {�SES.S a (1—` S R 6c otiC + )
Building Inspector Date
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Forly lntorvantinn /Pracrhnnl (945) 77R -6nlA FnY (R4Sl ?79 -61QR _.
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