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83.12 -3 -26
BOX 30
kill 9 IN
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IN
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03847
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LORETTA MOLINARI R.N., M.S.N.
Public Health Director
ROBERT J. BONDI
County Executive
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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648.
Ziobron
36 Orchard Rd.
Putnam Valley, 10579
October 22, 2003
Re: Addition — Ziobron, 36 Orchard Rd.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #83.12 -3 -26
Dear Mr. Ziobron:
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 October 21, 2003. 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 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,
1
Michael Luke
UUM Public Health Sanitarian
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-. - RRL1rp: R :FOY EY r -
Public Health Director
MbUiq k I R.N., M.S.N.
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
ADDITION APPLICATION (RESIDENTIAL ONLY
STREET JC OkNI i TOWN U E `/ TX MAPir �3 / ' 3 '-Z6
C
NA_INIE 21066 QA! PHONE 9� - 520'--331Z PCHD# 432 q `03
MAILING ADDRESS Sip OR l f} R R� Ui VALL E i All 1057-9
DESCRIPTION OF ADDITION
ej dt '
NUNIBER 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 submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, 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 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
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BRUCE R. FOLEY
.. Public �,Hea,�16.:._�,'ecl6�: .= �•� �'�� �' - '
M.S:N.:..
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
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: 3
Residence
Tax Maps 3 1 2-
Town
Gentlemen:
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:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD. ✓
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ROUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
3 BEDROOMS
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