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04144
BRUCE R. FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
PROPOSED ADDITION APPLICATION = (RESIDENTIAL ONLY
STREET : ` ' j TOWN Un it': t'"' k ' JTX MAP # { -< % 4
e
NAMEC��Ui° 7Z��''C''°-�'ti C` PHON��I`� cS IG PCHD PERMIT #
MAILING ADDRESS
Description of Addition
ir_ Yit rn
Number of existing bedrooms Proposed number of bedrooms
from Certificate of Occupancy orCzEh;
Certification from Building Inspector
6r_11400 41
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 DEPARTMENT,
4 GENEVA ROAD, eREWSTER, NY 10509, Phone 278 -6130 with the following information.
1. Certified Check for $100.00.
1%2s. Sketc,z. clf_.ex.i st.i.n -9 -f l c -or � pl an ( al 1 living area __i ric l ud i ng basement , i f any)
Non - professional drawing is acceptable.
t�. Sketch of proposed floor plan.
Non professional drawing is acceptable.
. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
,/5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
F
1
BRUCE R. FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
PROPOSED ADDITION APPLICATION = (RESIDENTIAL ONLY
STREET : ` ' j TOWN Un it': t'"' k ' JTX MAP # { -< % 4
e
NAMEC��Ui° 7Z��''C''°-�'ti C` PHON��I`� cS IG PCHD PERMIT #
MAILING ADDRESS
Description of Addition
ir_ Yit rn
Number of existing bedrooms Proposed number of bedrooms
from Certificate of Occupancy orCzEh;
Certification from Building Inspector
6r_11400 41
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 DEPARTMENT,
4 GENEVA ROAD, eREWSTER, NY 10509, Phone 278 -6130 with the following information.
1. Certified Check for $100.00.
1%2s. Sketc,z. clf_.ex.i st.i.n -9 -f l c -or � pl an ( al 1 living area __i ric l ud i ng basement , i f any)
Non - professional drawing is acceptable.
t�. Sketch of proposed floor plan.
Non professional drawing is acceptable.
. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
,/5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva, Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Map
Town
Gentlemen:
BRUCE R. FOLEY, R.S.
Acting Public Health Director
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:
OTHER -
C,
t a�
C)
Building Inspector
s
p.
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva, Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
Tax Map
Town
Gentlemen:
BRUCE R. FOLEY, R.S.
Acting Public Health Director
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:
OTHER -
C,
t a�
C)
Building Inspector
&
ak&ii D-E *rt PUTNAM VALLEY, N.Y.
-Lk:
Bldg. Inspector (914) 526 2377
BETTE STOCKINGER
JOHN MAHONEY Bldg. Dept. Clerk
Deputy Zoning Inspector TOWN OF P U T N A M VALLEY
BUILDING, ZONING, AND SANITARY DEPARTMENT
P-471 _7
F/A
OAF
C6
2-1
vr.0 -I
CHAIRPERSON
Barbara Turnbull
Fred ringer
SECRETARY
Peter Belefant
.I'BUII,DINi & "ZONING INSwEci R
Marvin O'Dell
DEPUTY ZONING INSPECTOR
John Mahoney
MEMBERS TOWN OF PUTNAM VALLEY ZONING CLERK
Jim Jackson Geri Padovano
Bill Maskiell ZONING BOARD OF APPEALS (914) 526 -2439
Herb Orlando 265 OSCAWANA LAKE ROAD
Hari Jadoonauth PUTNAM VALLEY. NEW YORK 10579
iTuly 12, 1996
Mr. & Mrs. Manuel Seco
98 Lake Dr.
Lake Peekskill,N.Y. 10537
Dear Mr. & Mrs. Seco:
This will acknowledge receipt of your application form and inform you
that your case.has been placed on the agenda for the meeting of the Zoning
Board of Appeals to be held on THURSDAY, JULY 25, 1996, beginning at 7:00
P.M. at Town'Hall.
nee Zordiig 'board• -diten 'makes on =`site `inspections prior to the Public
.Hearing. Therefore, we would greatly appreciate your house number being
clearly displayed, if applicable. Thank you.
Please be present at this meeting.
Sincerely,
/gp 4eriladovano
Zoning Clerk
Ir
JO'. INVOICE.
lioNi"i, B
PPERS SEPTIC SERVICE
P;0. Box 129
; '. 2229
... :,.. . PEEKSKILL NY 10566
(914) -.739!8725.,-. - IP800-439f 8745 7.
"PAX (Of 4Y -!3§-b1#5--
0 STOMES ORDER NO.
FI
DATE ORDERED
ORDER TAKEN BY
DATE PROMISED A' M.
P.M.
BILL TO 0.
PO
ADORESSr,f
MECHANIC
CITY
HELPER
JOB NAME AND LOCATION
0 DAY WORK
❑ CONTRACT
r] EXTRA
DESCRIPTION OF WORK
QUANT.
DESCRIPTION OF MATERIAL USED
PRICE
AMOUNT
Septic talk cleaning h32 ,
�
?6
Di in Char
Honeyflush Additive
Drain Cleaning
I Rnk, e3
6& lkko Cc 0
6115),01—
mkeA
7.
i R 620 Am),
Cap
HOURS
LABCA AMOUNT
TOTAL
MATERIALS
MECHANICS a
HELPERS @
TOTAL
LABOR
I hereby acknowledge the satisfactory
completion of the above described work.
TOTAL LABOR
TAX
'SIGNATURE
DATE COMPLE' SO
TOTAL
I
P
r.. s. � _ r, -.. i .., .•rte. -r +. .. ;vr. ,. - ,••'pCw a O � -_r:.. .Or...
Dear Mr. R. Morris,
Enclosed is all forms and a certified check for our application. I am
also enclosing our latest property data which is being used for the district's
tax information.
The Putnam. Valley town will be holding a hearing by the Zoning Board of
Appeals in regards to a variance on Thursday, July 25, 1996 at 7 p.m.
Is it possible to obtain approval either written or verbal for that town's
meeting.
I thank you for any help you can give us in this matter.
Respectfully,
Manuel & Zinia Seco
98 Lake Drive
Lake Peekskill, N.Y. 10537
(914) 528 -6076
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T /MEL Y T /TLE SER ✓ICES 470
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