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631- 589 -8100
83.16 -1 -20
BOX 30
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03891
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BRUCE R. FOLEY
...--Public Health Director _
LORETTA MOLINARI RN., M.S.N:., -
_, 4. °/ixs�aciaie = cubit`[FBiiif [7ireclor` —^
Director of Patient Services
DEPARTMENT OF HEALTH
I Geneva Road
Brewster, New York 10509
Environmental Health (84.5) 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 PRESIDENTIAL ONLYI
STREET] / groak)ale 90dd TOWN ✓Uwg 9V, i/ TX MAP# 93 /(v ' 2-0
i\,TA�IE%1�l�ia Vffe- PHONE 6Y6)5).s8 -5�5z PCxo# Ioa -03
MAILING ADDRESS // 960, 011111 A'. A&CIA G'r lan , !�'� /057
DESCRIPTION OF ADDITIONmrv►,e��'
NU�ER OF EXISTING BEDROOMS Z PROPOSED # OF BEDROOMS 2--
(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.
Pieas? .submit phis foam and t c -fello �t.�ing � IL ai:.- County Hip th Dept.; 4 vetieva Road; Brewster; ivy
LL - 10509, Phone 278 -6130.
L'--1. Certified check or money order for $100.00. .
V2. 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.
L-14. 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.
tl 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 LORETI'A MOLINARI R.N., M.S.N.
Public Health Director
'sq Wic
- �P'Coov
Director of Patient Services
DEPARTMENT. OF HEALTH
I 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
Gentlemen:
Re: R
Residence
Tax 1
Tow
According ords maintained by the Town, the above noted dwelling
IS
:7
IS NOT
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUP7.
ASSESSORS RECORD:
OTHER
le,
ding In cto
BFhouseguidelines
fS
Acting Public Health Director
Director of Patient Services
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
Mario Schiavone
11 Brookdale Rd.
Putnam Valley, NY 10579
Dear Mr. Schiavone:
April 22, 2003
Re:Addition- Schiavone, 11 Brookdale Rd.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #83.16 -1 -20
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 April 21, 2003 The addition is approved with the following conditions:
.1 - :'. �.� The tot aLs:�;mbe. er bedroen7s L?:5� v:i;fiii at two �v vi�hcut prior "approval iuy- 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 Vallev.
If you have any questions, please contact me at your convenience.
Very truly yours
William Hedges
WH:lm Senior Public Health Sanitarian
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