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91.32 -1 -38
BOX 36
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Emrije Murigi
63 Maple Drive
Lake Peekskill, NY 10537
Dear Mr. Muriqi
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
February 13, 2007
Re: Addition — Approval — Murigi, A- 015 -07
No Increases in Number of Bedrooms
63 Maple Road
(T) Putnam Valley, TM # 91.32 -1 -38
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 the Department dated February 12, 2007. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at two without prior approval by this
department.
2. The area. of the existing sewage disposal system, and its expansion area, must be
maintained...._ : _.:..
-_ .3:_ -`All pltimbing fixtures must lie updated with water °saving devices; i.e., -new'low flush
toilets, restrictors for shower heads and faucets, etc.
4. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
Any permits or variances required are the responsibility of the applicant and the jurisdiction of
the Town of Putnam Valla.
If you have any questions, please contact me at your convenience.
Sincerely,
Lawrence C. Werper
Public Health Engineer
LCW:kly
cc: BI (T) Putnam Valley
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool(845) 278 -6014 Fax (845) 278 -6648
PUTNAM COUT DEPARTM%NT�F HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY.
BEDROOMS
►
ALL SUBSEQUENT TO THESE HOUSE
NS MUST BE SUBMITTED TO THE PCDOH FGRI APPROVAL
21,l z
SIGNATURE & TITLE DATE
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PUTNAM COUNTY DEPARTMENT OF H$1LTH
WUSE PLANS APPROVED FOR BEDROOM,COUNT ONLY,
Bf,:OROOMS
ALL SUBSEQUENT RE" ISIC'N,.."Al ��
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PLANS MUST BE SUBMITTED "l*HE P0011 i FOR APPROVA.
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SHERLIITA AMLER, MD, MS, EAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Emrije Muriqi
63 Maple Road
Lake Peekskill, NY .10537
Dear Mr. Muriqi:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J.. BOND[
County Executive
ROBERT MORRM PE
Director of Environmental Health
February 8, 2007
Re: Addition _ Application Incomplete - Muriqi, A= 015 -07
63 Maple Road
(T) Putnam Valley, T.M. # 91.32 -1 -38
Review of plans and other supporting documents submitted at this time relative to the above -
regarded project has been completed. The following was not submitted with your application:
1. Sketch of existing floor plan of basement.
2. Two sets of proposed floor plans of the basement.
3. Copy of survey showing septic fields /pits location to the best of your knowledge.
Upon receipt of a submission, revised to reflect the above comments, this application will be
considered further.
LCW:kly
Sincerely,
4
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wrence C. Werper
Public Health Engineer
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT 'OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
County Executive
ADDITION APPLICATION RESIDENTIAL ONLY
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STREET i'`�J j- is L E M 13. TOWN L P (1-S 1e- 1 L L TAX MAP# F 1. 3)
NAME i - WI U 0-1 GQ ( PHONEC 4 0 5 2 9 4 9 2_y PCHD# A_(0157_0`1
MAILING
ADDRESS G3 M A-ej_c-- ahe i_ • pk &K_ -j -ILA y ')0537
DESCRIPTION OF
ADDITION
NUMBER OF EXISTING BEDROOMS 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 , 1 Geneva Rd,
Brewster, NY 10509' Phone (845) 275,6130:
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
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 locations 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 Certificate of Occupancy from Town or Certification from Building
Dept. with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
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
Commissioner of Health
LORE'T'TA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town ]Legal Bedroom Count
Re: �It,Q -� 1 Q (
Tax Map #: ql . 3a— r -39
Address: &3 M R -& RcAj?
Town: PLjT1j hM
Year Built:
�.�BLIt '.1. ;,BONH1..
County Executive
(Owner's Name)
According to records maintained by the Town, the above noted dwelling,
is I in compliance with Town Code.
is not in compliance with Town Code. -
..
The Legal Bedroom Count is: �-
This information has been obtained from:
Certificate of Occupancy:
Other: ASs C ss o IZ- ' S T i l.sf
Building Inspector Dat
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool(845) 278 -6014 Fax(845)278 -6648
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Mls mop was prepared for the exclus/ve
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EMRIX MURICI '.
Notes
i cop mcw 1007" by BADEY d wA7scw m# wying & Eng/neering P.G
A// R/ghts Reserved. Unauthorized dup //cation Is o vloldtion of aopllcoble
lows.
2 Unouthor/zed alteration or addition to o document prepared by o
/leansed /and surveyor Is a violation of Section 7209 , Sub— Division 2
of the New York State Educatlon Low. -
3 A// certifications ore valid for this map and copies thereof only If sold
moo or conies bear the embossed sea/ of the surveyor whose s/oncture
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SURVEY OF PROPERTY
PREPARED FOR
EMRME MUR /G/
S77UA lE IN 7hF
TOWN OF PUMAM VALLEY
PUTNAM COUNTY
NEW YORK
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