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631- 589 -8100
83.74 -1 -36
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Public Health Director
�LORETTA MOLINARI 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
October 25, 2002
Mr. & Mrs. Zhinin
P.O. Box 56
Lake Peekskill, NY
Re:Addition - Zhinin -103 Lake Dr.
No Increases in Number of Bedrooms
(T)Putnam Valley Tax # 83.74 -1 -36
Dear Mr. & Mrs. Zhinin:
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 24, 2002 The addition is approved with the following
conditions.
1, The total number of bedrooms must remain at wo without prior approval by
this department.
2. The area of the existing sewage disposal system, and its expansion area, must be
3. All plumbing fixtures must be updated with water saving devices, i.e.; new low
Rush 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,
Michael Luke
Public Health Technician
ML:
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BRUC
Public Health Director
DEPARTMENT OF HEALTH
I Geneva Road
Brewster, New York 10509
Associate Public Health Director
Director of Patient Services
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 MESIDENTIAL ONLY)
0 TOWN ae-0 _MAP#
STREET M Iq
7 PCHD#
f
'KAILRKG ADDRESS R 0 - 4" -7.
DESCRIPTION OF ADDITION
NUTYMER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(ROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
'Any addition which is considered a bedroom requires formal approval.of plans, (Construction Permit)
f, in
Irepared by a Pro essional Engineer or Registered Architect accordance with applicable sections of the
?utnam County Sanitary Code.
?lease submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY
0509, Phone 278-6130.
1. Certified check or money order for $100.00.
i. Sketches of existing- floor plan (drawn to scale, all living area including basement)
*Non-professional sketches are acceptable.
Two sets of proposed floor plan (drawn to scale, with name, street, and tax map 9)
*Non-professional sketches are acceptable.
-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.
Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom
count of dwelling.
OFFICE USE
C-omments
;698
3R%tsegguidelines
/.BRIUCE R. FOLEY
Public Health Director
DEPARTMENT OF
I Geneva Road
Brewster, New York
LORETTA MOLINARI R.N., M.S.N.
= g 00r, Pale; — RVtr1k;�, :-He r11h- 'Direclor
Director of Patient Services
HEALTH
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
50' /3j 20o"z—
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Map T3. 7 13
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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Building
BFhouseguidelines
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FROM : GNievesMonicasAgency9147342607 FAX NO. : 9147865719
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PUTNAM COUNT Y` DEPP0.170ENT OF HEALTH
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