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74.19 -2 -34
BOX 29
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03760
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
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
July 12, 2004
Fiore A. Palmer
19 Greenway Terrace
Mahopac, NY 10541
Re: Addition — Palmer, Greenway Terrace
No Increase in Number of Bedrooms
(T) Putnam Valley, TM #74.19 -2 -34
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 July 12, 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 pium`ffijlixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors i'or shower heads and faucets, etc.
Any permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of PutnamValley.
If you have any questions, please contact me at your convenience.
ML:hn
cc: BI (T) Putnam Valley
Sincerely,
6
Michael Luke
Public Health Sanitarian
BRUCE R. FOLEY
°&blic;^' Health Dir ectei + ..
- ...- �L.ORETTA MOL,- :,:<M:S.N:�Q
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
. z
ADDITION APPLICATION (RESIDENTIAL ONL)O
VAi1��
STREET A) e-r#-4 c&— TOWN vt-bco- TX MAPir 711.
Na�IE b� 9, PA f e PHONE 8'yS fj — 7976 PCHD#
—�
M1 AILIi\,TG ADDRESS
DESCRIPTION OF ADDITION
{u Vise
NUMBER OF EXISTING BEDROOMS_,3 PROPOSED # OF BEDROOMS
D
(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.
form and-the follo�vuig to Putnam ty Coun Health Dept., 4 Geneva Road, Brewster, NY
5
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 9)
*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 L
Public Health Director � �� e MOLINHRI R.N., -
°. �' Director�o�t tPatienttt Services
As S N
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 5
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 qt 1r'
Town Zk-
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS V
IS NOT
in compliance with Town rode and the total number of bedrooms on record is t�
This information has been obtained from: /
CERTIFICATE OF OCCUPANCY-
ASSESSORS RECORD:.
OTHER
uilding Inspector
BFhouseguidelines
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PUTNAM %®li"
DEPARTMENT ed 81ocK RTMENT F HEALIH-
H011SE KANS APPROW[) FOR
BEDROOM COUNT ONLY,
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
3-BEDROOMS
i nature & Title Date
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MAP OF SURVEY
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MAP NO.
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I ccrtl/.i that this map was rnade from an (ji-tawl
survel, of the property.
Nurv,, rnntplrtrd on 5c
Alap completed on Scl,oIe,6cl- /3 06ic
Certified to: 7,7.s 5 q n,
BURGESS & BEHR
Prv.fe.f.rion.j! 1--n.vnee,t?q t Land.1urvei.,nq
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