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LORETTA - MOLINARI, R.N., .M.S,N.
Acting Public Fleaa'Diiector
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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
March 3, 2003
Zebrowski
171 Tanglewylde Rd.
Lake Peekskill, NY 10537
Re: Addition - Zebrowski, Tanglewylde Rd.
(T)Putnam Valley, TM #83.50 -1 -25
Dear Mr. & Mrs. Zebrowski:
WT
County Executive
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The plans indicate that the proposed addition will consist of the following:
Adding a bedroom.
Based on the information submitted, the above mentioned addition cannot be approved for the
following reasons:. _
1. A survey of the property showing house, well, and septic tank was not submitted with the
application.
2. The legal bedroom count for the dwelling is two . The potential bedroom count of
the dwelling with your proposed addition is three
3. The addition of a potential bedroom requires this Department's approval of a revised septic
system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than two potential bedrooms, or have
a professional engineer or registered architect design a sub - surface sewage treatment system meeting
present code requirements.
If you have any questions, please contact me at your convenience.
Very truly yours,
Michael Luke
NM:lm Public Health Technician
6-
BRUCE R. FOLEY ,
_ . z . Public`-'Health `Dli` cror - "
LCRF A,.rI QIaI3ARi:RhF.; 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 %� )7 r✓rc°�i�/ /TOWi�, i' tS MAP;r
NAME
rii coy gk c PHONE K SA 91 &1 PCHD# ` 03
MAILING ADDRESS
DESCRIPTION OF ADDITION
o�.
NUMBER OF EXISTING BEDROOMS_A_PROPOSED # OF BEDROOMSR_
(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 #)
*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 Sdrooin.
count of dwelling. rr�-, _
OFFICE USE
Comments ^
Feb98
BFhouseguidelines
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BRUCE R. FOLEY LORETTA MOLINARI .R-Nzj, M.
Public Health Director Associate' PUMC—Hialth'-Di� t,;�
Director of Patient Services
DEPARTMENT. OF HEALTH
I Geneva Road
Brewster, New York 10509
Environmental Health' (845) 278 - 6130 Fax (945) 278 - 7921
Nursing Services (845) 278 - 6558 Wic (845) 279 - 6678 Fax (945) 278 - 6095
Early Intervention (945) 278 - 6014 Preschool (945) 278-6082 Fax (845) 278 - 6649
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: Z- 6 15(Z b vV S r-- I
Residence
Tax Map
Town
Gentlemen:
According to records maintained by .the Town, the above noted dwelling
tP
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: Y,
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