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DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
t t�_ to �: • t o �, . i NA I I PHONEaa-j��-010�PCHD# h'k
MAILING ADDRESS
BRUCE R. FOLEY
DESCRIPTION OF ADDITION C Ine- i r,j acre YAP -MP Cpl
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
9
*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 this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
Brewster, NY 10509, Phone 278 -6130.
V/ 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
X4. 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
Feb 98
DEPARTMENT OF HEALTH
Division , Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S.
Acting Public .Health Director
Residence
Tax Map 13 t 1a -. I
Town T,
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:
6 011- 01 A) 9-. A L C D� 0 5 �1
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ASSESSORS RECORD: ,/
OTHER
/Building Inspector
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DEPARTMENT OF HEALTH
Division , Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S.
Acting Public .Health Director
Residence
Tax Map 13 t 1a -. I
Town T,
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:
6 011- 01 A) 9-. A L C D� 0 5 �1
C
ASSESSORS RECORD: ,/
OTHER
/Building Inspector
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:RTIFIED TO:
ACCORDANCE WITH THE EXISTING CODE OF PRAC-
'E FOR LAND SURVEYS ADOPTED BY THE NEW YORK
aTE ASSOC. OF PROFESSIONAL LAND SURVEYORS.
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:ertifications shall run only to those individuals and institutions
,hown hereon under the title policy No. shown above. Said certi.
';cations are not transferable
Now or Formerly Burchefto ;'
COTTAGE #65
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SURVEY OF PROPERTY
�j O SITUATE IN THE
TOWN OF PUTMAM VALLEY
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PUTNAM COUNTY, MY
SCALE: I"= ZO' DATE: OCT, 8, /985
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FL ORA DA N R OA L
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293. 99'
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SURVEYED & PREPARED BY I O
BUNNEY ASSOCIATES ac
LANDp SURVEYORS i
20 WOODSBRIDGE' F<OAD ROUTE 777
KATONAH, NEW YORK IOS36 Prepored For -
�1 florr y & 50//y Eidenbe- r9
/ 17 e �Qz3C{ T738 - 8A
._____. SURVEYED AS IN POSSESSION FILE NO.
N. Y Ii=IC No. 49332 P3I-5
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;CESTIFICATE` OF 'OCCUPANCY
Certificate :-ofFt®ccupancy ' No.. `:�. `.'. :....;Application` No- 2074(�0r h}
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Location of Premises FP loF3 Rd� F1ora.,Qan• % od&p
Harrydenberg of Putnem Valle,�,r N.Y. Navin
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heretofore: filed an- application fora building- permit pursuant to, the Zoning Ordinance; Sanitary
t Code and the Laws -in .effect in the Town =of Putnam Valley, Putnam' 'County; New York; .having
paid the required fee therefor and the undersigned having by ' "- onal-;_inspection ascertained. that
the appplicant has subsequently;;proceeded with the erection. or 'improve ment.of the proposed struc-
ture in compliance with the requirements of the' laws as ,aforementioned and :that the said work
and materials met every requirement of the laws as aforementioned ..and that the premises have
now been fully, completed - and are -ready for occupancy puisuant to' ahe provisions of. law, -Now,.
therefore, this certificate of occupancy is .hereby issued under the seal of the Town of Putnairi .
Valley this...:..;.0t day of ........'?eY... :.....:.:.: :,
Not valid unless signed in -ink by a duly authorized agent TOWN OVIPUTNAM VALLEY,,::NEW . YORK.
of and under the',seal, of the Town of Putnam :Valley. �� r
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PU*AM COUNTY DEPARTMENT OF HEALTH
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HOUSE PLANS APPROVED FOR
9EDROOM COUNT ONLY;
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Public Health Director
- L`0R ! 1Av N; Lii•�Ai`iE ii:`-: , M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278.6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648
January 27, 2000
Dina DeFrancesco
34 Floradan Rd.
Putnam Valley NY 10579
Re: Addition- DeFrancesco - Floradan Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley-Tax # 83.12 -2 -50
Dear Ms. DeFrancesco:
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 January 27, 2000 The addition is approved with the
following conditions:
-The total - number of'bedrourns must remain at " Two without "pfior approval `
by this department.
2. 1 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 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,
Michael Luke
ML:kg Public Health Technician
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