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631- 589 -8100
83.75 -1 -42
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BRUCE R. FOLEY
.w..- :Pt:bdic;•`Health: ?Director- ..<;.:- ... - - .., ..
DEPARTMENT OF - HEALTH
1 Geneva Road
Brewster, New York 10509
LORETfA _.MOLINARI RN., M.S.N.
Assoctate 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 (RESIDENTIAL ONLY1
STREET (.01' Oxw'WA LA10 To TOWNamA � TX MAP# 93 . 7�° 1 2
W�yW>r 'bosky wrrtf O rr 94,15' 8 -13e� C4) NAvIE E6w,t k.l.,ju r PHONE PCHD# - a
MAILING ADDRESS (' }�°� 0%PiWPrNP, - L*<C- ,;?p `� NY .o57
DESCRIPTION OF ADDITION
NI UMBER 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.
"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 S 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.
15. Copy of Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom
count of dwelling.
OFFICE USE
Comments -
c. tv
Feb98 .� ,P
BFhouseguidelines
BRUCE R. FOLEY LORETTA MOLINARI RN., M.S.N.
t Public Health Director Associate; ,Public�_7fealth director -
�• — - ` -•: ,y�,�..y 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
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
Re: l
Residence
Tax Map 2 31 2
Town
According to records maintained by the Town, the above noted dwelling
IS
JS NOT .� - ••..__�:- . .�.. �.._. _ : _
in compliance with Town code and the total number of bedrooms on record is 'L
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
BFhouseguidelines
i
BRUCE R. FOLEY
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 (845) 278 - 6014 Fax (845) 278 - 6648
February 6, 2002 Preschool (845) 228-5912 Fax (845) 228 - 6113
Wayne Perosky
61 Oscawana Lake Road
Putnam Valley, New York 10579
Re:
Dear Mr. Perosky:
Two (2) Bedroom Apartment over Existing
Commercial Builiding
Perosky, 61 & 63 Oscawana Lake Rod
(T) Putnam Valley, TM# 83.75 -1 -42
I have received and reviewed the plans for the proposed addition to the above - mentioned
commercial building. The proposal for the addition has been approved as per plans bearing the
approval stamp from this Department dated February 6, 2002. The addition is approved with the
following conditions:
-
-1. ' ° The >total'ilumbef of bedrooms of thei apartment must remain at !VA 2 without prior
approval by 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 Valley.
If you have any questions, please contact me at your convenience.
Very truly yours,
William Hedges
Sr. Public Health Engineer
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