HomeMy WebLinkAbout3912DOCUMENT CONVERSION SERVICES PROVIDED BY
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631- 589 -8100
83.20 -1 -11
BOX 30
03912
BRUCE R. FOLEY
Public Health _,Director.. -
LORETTA MOLINARI R.N., M.S.N.
>- •• -- -" ••�= Asseeia'te = Public �ffe3t`t1i'�'�1F¢clor"" " °`' ""
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 Ar /!"� Ae TOWN TX MAP# 3,�' • /- //
NAME /&/f_ /� / /i'L%1I0 PHONE PCHD# C�
MAILING ADDRESS
DESCRIPTION OF ADDITION�p1w
ILTIMBER OF EXISTING BEDROOMS 3 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.
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 #)
*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
�+' Acting NUVi16 :. }. }u3llh. Uur•r. l'q,.
{�t� 116 .
DEPARTMENT Of . HEALT171
Division Of Gwironmcntal Health services
4 Geneva Road, BrewsLer, New York 10509
(9'14) .278-6130
Pulliam County Dcpl. of Health
11 Gcncva Road
Brc%vs(cr, NY 10509
I:c: ' D pt44L �6 G(
Rcsidcncc
Tax mill),
Town
Gcnticmcn:
Accord.ins to records maintained by the'fown, the abovc noted dwelling
IS NOT
in compliance with Town code and the total number of Bedrooms on record
is 3
This information has been obtained frown:
CERTIFICATE OF OCCUPANCY: V
ASSESSORS RECORD: ✓
OTHER
✓ J
I ul 11(' 1s11CCA01'
-BWCj(3E:-R�,F0L-EY'-
Public Health Director
LORETTA IvIOLINARI RX';� - M.S'14.
Associate Public Health Director
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 Fax (845) 278 - 6648
Preschool (845) 228 - 5942 Fax (845) 228 - 6113
September 21, 2001
Erik Mignano
10 Rush Dr.
Putnam Valley, NY 10579_
Dear Mr. Nfignano:
Re: Addition- Nfignano- Rush Dr.
No Increases in Number of Bedrooms
(T).Putnam Valley Tax # 83.20-1-11
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 .-,.-.September-21.,"-2001- The addition is- approved with the
following conditions:
1. The total number of bedrooms must remain at_ Three without prior approval
by this department.
Lhi�.ai:g@ JL -gin age4isp
o s_ s
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 variance's required are the ere'sp 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
cc: BI(T)
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