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03837
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03837
DEPARTMENT OF HEALTH
"BRUCE 'R. F LEY, R.§-
Acting Public Health Director
Division Of Environmental Health Services `
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130 Septem6er 12,
Brian & Edith, Mishk
51 Floradan Road
Putnam Valey, NY 10579
Dear Mr. & Mrs. Mishk:
199b
Re: Addition -
No increase in number of
bedrooms
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 latest revision date of September 11, 1996 and this
Department's approval stamp.
Based on the information submitted, the above mentioned addition
is approved with the following conditions:
1 'T The total number of bedrooms must remain'at one 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, re.strictors 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.
RM/jp
cc: BI (T) Putnam Valley
Very truly yours,
w /W #X40
Robert Morris, P. E.
Public Health Engineer
SEP -F4-96 WED 2:54 PM PUNAM CTY ENV HEALTH FAX NO. 19142787921 P, 3
BRUCE R. FOLEY, R,S•
Acting Public Health Director
DEPARTMENT OF HEALTH ' h
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509 (�
(914) 278 -6130
PROPOSED ADDITI.SZN ,4PPLICATION = tRESIDENTIAL dNLY
STREET: TOWN S 1, V Y TX MAP # 03 al 2
a® s rs-¢ pia i�A-1
NAME' m 1 b PHbN� 7�7Z PCHO PERMIT #
MAILING ADDRESS 51 ,041VX~1U 1PVT A11i `lA-� �•�f. ei ®•�
Description of Addition erL-V
Number of ,existing bedrooms Proposed number of bedrooms _
from Certificate 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 this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT,
4 GENEVA. ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information.
-1•. Certified Check for $100.00. p. ..�' -� �" . •_ ...... ._ : -._ _ _... - - -- - -.- -- q ....___
2. Sketch of.existing floor plan (all living area including basement, if any)
Nan - professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, tp the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
Comments and /or conditions
Application
August 1995
July 1996 (Revised)