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91.25 -1 -30
BOX 35
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IN
61
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a LUREIM_ 1 O. UNARI R.N., M.S.N.
Acting 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
June 9, 2003
Jose Quizhpe
23 Avon Rd.
Lake'Peekskill, NY 10537
Re: Addition - Quizhpe, 23 Avon Rd.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #91.25 -1 -30
Dear Mr. Quizhpe:
ROBERT J. BONDI
County Executive
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 June 6, 2003 The addition is approved with the following conditions.
.. 1:. i'he_t�taLnum�er._of bedrooms z��zst.rPr:au 4at..or.L v�ithout-prior- apprilval -�by tlis. A .. ..__�., .....�..
-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,
Michael Luke
ML:Im Public Health Technician
cc:BI
LORETTA MOLINARI R.N., M.S.N.
Acting, 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
June 3, 2003
Jose Quizhpe
23 Avon Rd.
Lake Peekskill, NY 10537
Re: Addition - Quizhpe, 23 Avon Rd.
(T)Putnam Valley, TM #91.25 -1 -30
Dear Mr. Quizhpe:
ROBERT J. BONDI
County Executive
I have received and reviewed the plans for the proposed addition at the above mentioned residence.
The plans indicate that the proposed addition will consist of the following:
Adding three bedrooms to a one bedroom house.
_ Based on the information submitted, the above mentioned addition cannot be approved forth�
£o11vv i eaarris� �- - = — — 4---- ---` -- - • -. ..� .. _ -- — :.�4_.�:_
The "bonus room" is considered a potential bedroom.
2. The legal bedroom count for the dwelling is four . The potential bedroom count of
the dwelling with your proposed addition is five .
3. The addition of a potential bedroom requires this Department's approval of a revised septic
system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than four potential bedrooms, or have
a professional engineer or registered architect design a sub - surface sewage treatment system meeting
present code requirements.
If you have any questions, please contact me at your convenience.
ML:lm
Very truly yours,
Michael Luke
Public Health Technician
. • - X -"I
RRUCE—K FOLEY
Pu611c Ve'a&" irueic?&
DEPARTMENT OF - HEALTH
I Geneva Road
Brewster, New York 10509
A -INAR '
OL VK N
Associate Public Realih 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 ONLY)
STREET. .23 A V O P ROL TOWN
_6kRL&TXMAP#
NANE PHONE PCHD#
MAILI'1\T GADDRESS ,?3 JaV9_ Pee k6kill Jo53-7
DESCRIPTION OF ADDITION
NIJ-1\4BER. OF EXISTING BEDROOMS_J_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)
Ri6gikered Architect in accordance with applicable sections of the
06�0�dd by'-a d:fioli0'agineer or
Putnam-Count
,y Sanitary Code.
_2z
-submit s following to Putnam County Heal 'G k6ad, Brewster, NY
.-
Please submit �6rorl;ila�a& th'Ddpt.,.4. eneva
10509, Phone 278-6130.
1. Certified check or money . order for $ 1010.00.
2. Sketches-6f,6iisfifig.-floor plan (drawn to scale, all living area including basement)
'%h-professional I sketches are acceptable.
I Two sets of proposed. floor plan (drawn to scale, with name, Street, and tax map ft)
*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 officemith 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
ffhouseguidelines
1 BRUCE R. FOLEY
DEPARTMENT. OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA.. AIOLINARI R.N., S.N:
As`sM—&e --, u6hc Aealth Director
Director of Patient Services
Environmental Health (845) 278 - 6130 Fax (845) 278.7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6.679 Fax (945) 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: Z 3
Residence
Tax Map
- Town
Gentlemen:
According to reco ds maintained by the Town, the above noted dwelling
- - - - -- - - - - - -- - - --
in compliance with Town code and the total number of bedrooms on record is 1
This information has been obtained from:
CERTIFICATE OF OCCUPANCY. ; t/
ASSESSORS RECORD:
OTHER
BFhouse
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPR04'ED FOR
BEDROOt.9 COUNT ONLY;
C BEDROOMS
signature & Tw. Oaf
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PUTNAM COUNTY DEPARTMENT OF HEALTH
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HOUSE PLANS APPROVED FOR
BEDROOM r.0UN T ONLY;
BEDROOMS
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