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83.57 -1 -16
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BRUCE R. FOLEY .
Public Health Director
DEPARTMENT
1 Geneva
Brewster, New
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
OF HEALTH" : ` ,
Road
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
July 20, 2000
Patrick Croghan .
139 Nardin Rd.
Lake Peekskill, NY
Re: Addition- Croghan- 139 Nardin Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tac # 83.57 -1 -16
Dear Mr. Croghan:
I have received and reviewed the plans for the proposed addition of the above - mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp form this Department dated July 20, 2000 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 Putnam Valley.
If you have any questions, please contact me at your convenience.
Very truly yours,
William Hedges
WH:kg Senior Public Health Sanitarian
cc: BI
BRUCE R. FOLEY
Public Health Director
DEPARTMENT. OF. HEALTH
Divlslon of .Envirots newel Health Services
- 4 Geneva Road
Brewster, New York 10309
Tel. (914) 278 - 6130 F= (914) 278 - 7921
PROPOSED ADLITIO\ APPLICATION (RESIDENTIAL ONLY)
STREET ! 3 LNRtnt IeJ Toy TXhL�iP3-7r1'
NAME �rlx fk R O g#tq 11l PHONE 2 PCHD r o "�
MAIL LNG ADDRESS / )V P (j` k l Read 4 A lL e ✓i�tt'�'�1 �(�
DESCRIPTION OF ADDITION I N I S
NUMBER 0YEXISTING BEDROOtiiS-,2- . PROPOSED OF BEDROONMS-12
(FROM CERT. OF OCCUPANCY OR
CERTiFICATIO` FROM BUILDI\G.D,SPECTOR). .
*Any addition which is considered a bedroom requires formal approval of plans (Construction
Pernut) 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 Rd.,
Brewster, NY 10509, Phorie.278 -6130.
ail. Certified check or money order for $100.00
2. Sketches of existing fl oor 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.
67-lCopy Contact this office with any questions.
of Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling. -
OFFICE USE ,. _ .
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PEEKSKILL. NEW YORK 10566
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