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85.05 -1 -48
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i � BRUCE 'R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
I.ORETTA MOLINARI R.N.,UM.S.N.
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 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
February 21, 2002
Flannery
5 Roberts Dr.
Putnam Valley, NY 10579
Re: Addition - Flannery, Roberts Dr.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #85.5 -1 -48
Dear Flannery:
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 February 20, 2002. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at three without prior approval
by this department.
Thee area.;Qf tbe.existing sewage disposal system. j1and'its- expansion area, must be -
mamtained.
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, /f
Michael Luke
ML:lm Public Health Technician
cc: BI(T)Putnam Valley
BRUCE R. FOLEY
_... Public
; ba.'- i`ORETFi4` :IvfOL;NARI %N. M.S.N.
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 (84S)'278.- 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION (RESIDENTIAL ONLY) .
STREETS iZO 6 �1:V5 hi -I o-6 TOWN Po hl nt \j X
NAB PHONE 6M7 7 - 5'z- 9 L PCHD# A 3
MAILING ADDRESS
DESCRIPTION OF ADDITION
ioo
Os-? r
NL:-IBER 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.
'Please "stiViriit 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 bedroom
count of dwelling.
OFFICE USE
Comments
Feb98
BFhouseguidelines
BRUCE R. FOLEY LORETTA MOLINARI P—Nz
Public Health Director Associate lsu6tic Heahh'- Director
Director of Patient Services
DEPARTMENT. OF HEALTH
I Geneva Road
Brewster, New York 1.0509
Environmental Health (845)278-6130 Fax(845)278-7921
Nursing Services (845)278-6558 WIC (845)278-6678 Fax(943)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
Re:
Residence
Tax Ma
Town
Gentlemen:
a
According to records maintained by the Town, the above noted dwelling
TQ
JS 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
Building Inspector
BFhouseguidelines
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CERTIF
,!CATE OF OCCUPANCY
Certificate of Occupancy No..._.&A, (9,31'
- ------ ,L...__Application No— e-0 _`V_3 0.� ---
Location of PrWises ......... e4-licle-.1 Ak. - - , I
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en RIZ14 ------ ----------
------- ------- ------ - ------------------- having
heretofore filed an application for a building permit pursuant to the ionii�ghrdinance, Sanitary
Code and the Laws in effect in-the Town of Putnam Valley, Putnam County, New York, having
paid the required fee therefor and the undersigne4- having by personal inspection ascertained that
the applicant has subseq p ",7,Nh t do," pr*ement of the proposed struc-
ture in compliance with Vqer' qu?ire '�I' I "hE�i1a,ievvLs4 As aforemeWftoned and that the said work
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and materials met every requir ment of the laws as aforementioned anJ that the premises have
now been fully 'Completed and are ready for occupancy pursuant to the provisions of law, Now,
therefore, this certificate of occupancy ;is hereby issued under the seal of the Town of Putnam
Valley this ------ If -------- day of.- , ... �::: -------------- 19
Not valid unless signed in ink by a dy authoriz6"d agent TOWN OF PUTNAMAALLEY, NEW YORK
of and under the seal of the Town of Putnam Valley-
By ........ ---------------------------
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HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
`mot RO0`~ S
Signature & Tale Date
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