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631- 589 -8100
74.10 -1 -13
BOX 28
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BRUCE R. FOLEY
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 (8,45)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)228-6108 Fax (845) 278 - 6648
Mr. & Mrs. Andriola
19 Butterfly Lane
Putnam Valley NY
Dear Mr. & Mrs. Andriola:
June 19, 2001
Re: Addition - Andriola- Butterfly Lane
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 74.10 -1 -13
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 June 19, 2001 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- .... c . � t� r r -
Th„ area - f,`he existing sewagc d sYosal system,-and Its - expansion -area, rlsust 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.
i
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. FOLEY
- Public Health . Director
LORETTA MOLINARI R.N., M.S.N.
Associate:
Public, flealf.h. 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
ADDITION APPLICATION (RESIDENTIAL ONLY)
PV rMAA-f —1--13
STREET I�7`�"���� ,)� TOWN VA4L TX MAP# O
NAME A wt 6Q 6 e;>L, A PHONE 6 A $— 9,7 /_3 PCHD# . Q
MAILING ADDRESS V U
44d
DESCRIPTION OF ADDITION
F.C. V J, A a/
I-DD rmg 'D vexy- '1 &Lr-� `,
rye. 6$inbio room
t +10
NUti1BER 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
Putnam County Sanitary Code;
- - - Please.subriut,tn . ifolm d the followin to Putrrn�C un Health_De t.; 4` enev3 Road; rewster, 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 LORETTA MOLINARI R.N., M.S.N.
Public Health Director OQI� Associate 'Public Health Director
D. - Cir. :-(Pa;:ent :Services -.
.�r. .... 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
Re:
Residence
Tax Map 174./o—/ — / r
Town PL-17A/Am VALLC
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS X
IS NOT -
_�_
in compliance with Town code 'and rthe total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
" r,,,,
ASSESS"" „
roll i'
Building Inspector
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