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25.81 -1 -30
BOX 13
01392
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01392
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
Forschner
15 Gardner Road
Brewster, NY 10509
Dear Ms. Forschner:
June 3, 2004
ROBERT J. BONDI
County Executive
Re: Addition - Forschner, 15 Gardner Rd.
No Increase in Number of Bedrooms
(T) Patterson, TM #25.81 -1 -30
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 2, 2004. 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 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 Patterson.
If you have any questions, please contact me at your convenience.
ML:lm
cc:BI (T) Patterson
Sincerely,
Michael Luke
Public Health Sanitarian
PUTNAM COUNT( DEPARTMENT OF HEALTH
HOUSE PLANS � APPROVED FOR
BEDROOM T ONLY;
?- -BEDROOMS
Date
Signature & Title
P
D 4 1MEIv 1 OF I-MALTri
-tfvfuon of Envirnrsmantal Health Services
4 Genava Road
BTQWs.er, ?dew York: losoy
Tel. (914) 278-6130 Fax (9 k 4) '279-7921
STREET C/
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DESCRLPTiON OF A'
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BRUCE R Fc)'2y
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\L £BER OF EhZSTIENG BE73iZ6pli,S PROPOSED # GF BEDROMMS 0
(FROM CERr- O' - '(CCiJLA NCY oR
CERTIF(CATION rROtvi &LILOLNG 1ti5 °ECTL .)
-Any addition «-hich is considered a bedroom requires formal approval of plan (Coa,-truction
Permit) prepared by a PrCfessionAl Engineer or Registered Architect in accordance with
aoplicab:e sections cf tha PuL —jam County Sanitary Code.
Please submit this fern zad *,he fo :lowing to Putnam Coum Health D,-pt., 4 Geneva Rd.,
Brewster, �'lY 10509, Phcne 2,118-613 0.
1. Certified check or money- order for 5100.00
2- sketches of existing floor pion (drmu to scale,. all living area inn- lading basement)
" 440111- professional sketc'':s arc accepLble
3. Two .sits o: proposed floor plan (drawn to scale, with name, streea, a :d ;a;: rap T)
* Noa- p :ofessiorlai sket,hes are acceptable
4. Copy of survey showir;g well and septic location, to the best of your knowledge. Inciude date
of installation if kno -,�,m Label all wells and septic systen+s within 200 feet of the p:operty UDe.
Contact this office wi-h any questions.
5. Copy of Cen. of 0ceupancy from Town or Certification from Building Dep,. Nith legal
bedroom court of dwelling.
OFFICE U6F_.
Co=en7s
F-b 91
Al
Gay
s
µFA
D 4 1MEIv 1 OF I-MALTri
-tfvfuon of Envirnrsmantal Health Services
4 Genava Road
BTQWs.er, ?dew York: losoy
Tel. (914) 278-6130 Fax (9 k 4) '279-7921
STREET C/
1vAN
�:.�. 0 ADDRESS
DESCRLPTiON OF A'
5
BRUCE R Fc)'2y
Aubli Ileefth Direvcr-
D °
�RFSIDEN7L I 02� V1 y
41--TX MAP
iyI
� d
\L £BER OF EhZSTIENG BE73iZ6pli,S PROPOSED # GF BEDROMMS 0
(FROM CERr- O' - '(CCiJLA NCY oR
CERTIF(CATION rROtvi &LILOLNG 1ti5 °ECTL .)
-Any addition «-hich is considered a bedroom requires formal approval of plan (Coa,-truction
Permit) prepared by a PrCfessionAl Engineer or Registered Architect in accordance with
aoplicab:e sections cf tha PuL —jam County Sanitary Code.
Please submit this fern zad *,he fo :lowing to Putnam Coum Health D,-pt., 4 Geneva Rd.,
Brewster, �'lY 10509, Phcne 2,118-613 0.
1. Certified check or money- order for 5100.00
2- sketches of existing floor pion (drmu to scale,. all living area inn- lading basement)
" 440111- professional sketc'':s arc accepLble
3. Two .sits o: proposed floor plan (drawn to scale, with name, streea, a :d ;a;: rap T)
* Noa- p :ofessiorlai sket,hes are acceptable
4. Copy of survey showir;g well and septic location, to the best of your knowledge. Inciude date
of installation if kno -,�,m Label all wells and septic systen+s within 200 feet of the p:operty UDe.
Contact this office wi-h any questions.
5. Copy of Cen. of 0ceupancy from Town or Certification from Building Dep,. Nith legal
bedroom court of dwelling.
OFFICE U6F_.
Co=en7s
F-b 91
Al
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DEPARTMENT OF HEALTH
Division . Of Environmental Health Services
Geneva' Road, Brewster, Ne�v York 10509
(914) 278 -6130
Pu *.r._;^ County Dept. of Heait�
4 relieva Road
3:ewstcr, NY 105C9
G 1-1end men:
X�il �
BRUCE R._FOLFY. A
ACtIng Puhile Mealth �,�••ta�
Re:
esid.enee
Tax Map o) -5. 621 ' / d
Town
Aceoiding tc maintaired by the To,,v<<, the above noted dvveliing
iv n NOT
i*t co! plian;� v, nth To��,,, code and tree total number of'oedrooms on record
This ir6orm. atien has been obtai•-ted from:
CERTIFICATE OF OCCUFANCY:
A SESSORS RECORD:
0-"HER AZW,
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PUTNAM COUNTY DEPARTRIIENT OF HEALTH
MUSE PLANS APPROVED FOR
UR00M COUNT ONLY;
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HOUSE PLANS APPROVED FOR
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B- EDRROOMSS
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