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BRUCE R. FOLEY
Public Health Director
_: g .....::z� �: -ti r,x , = ;` »•`- -DEPARTMENT OF
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
HEALTH
I 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 Y"G-�/1 v� ,cJ�G TOWN �,I�
TX MAP#
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MAILING ADDRESS ��ylv�' /�y /i,,�,m %���v %y� /OS7 9
DESCRIPTION OF ADDITION - 9 •ENO - "? ; 4/„'/ coo �,;.,;.� "0.- � l/�%'� A0 047
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'Li,IBER OF EXISTING BEDROOMS_;t 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 submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY
. _.. .: - 103�,�, Phgne ?.7R- 613.: � ..:, .:.�..• .. . - .: .:.. .: , . - ..... ... _ ......_ .. _ -.- . . , . .._ .. _
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 R-N., M.S.N.
Public Health Director Associate Public Health Director
Director oj_ Patient.eics xs; ;c:: m
PEP
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:�R t
Residence
Tax Ma 3� . 13 °° (� 2.-'
Town Map.
l .
According to records maintained by the Town, the above noted dwelling
IS
IS NOT
In co;npliancc'with Town code'and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANC
ASSESSORS RECORD:
OTHER
Building Inspector
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LORETTA MOLINARI
Public Health Director
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
Tritto
9 Perdue Ave.
Putnam Valley, NY 10579
Dear Mr. Tritto:
February 19, 2004
ROBERT J. BONDI
County Executive '
Re: Addition - Tritto, Perdue Ave.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #85.13 -1 -21
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 19, 2004. The addition is approved
with the following conditions: _
I . T he- totat number'of bedrodin � 'ratigt remain at `two - 'witfiolzt prior a`ppro`val 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.
Sincerely,
Michael Luke
Public Health Sanitarian
ML:Im
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