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83.80 -1 -57
BOX 32
04202
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BRUCE ^R RFOLEY `�' LORETTA MOLINARI RN., M.S.N.
Public Health Director w Y �� Associate 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
December 19, 2002
Giovanni Zegarelli
111 Becker St.
Lake Peekskill, NY 10537
Re: Addition - Zegarelli, Becker St.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #83.80 -1 -57
Dear Mr. Zegarelli:
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 December 172002 The addition is approved with the following conditions.
1. The total number of bedrooms must remain at three 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 Vallev.
If you have any questions, please contact me at your convenience.
Very truly yours,
Michael Luke
ML:Im Public Health Technician
-Is
BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
I Geneva Road
LORETTA MOLINARI RN., M.S.N.
Associate Public Health Director
Director of Patient Services
Brewster, New York 10509
Env! ron in ental Health (845)279-6130 Fox(945)278.7921
Nursing Services (945) 278 - 6558 . wic (845) 278 - 6673 Fax (845) 278 - 6085
Early Intervention (845)278-;6014. Preschool (845) 278-6082 Fix(845)278.,6649,
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET -S OQ4 -Tx . MAPS T U(-) LILt
318
NAME I QVANAdJ h PHONE OW PCHD4 A
MAILING ADDRESS
Ll / &de r 51 -ej-QeekS4--tL Pi j bs s
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS PROPOSED #OFBEDROOMS�
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
*Any addition which is considered a bedroom requires formal approval of .plans (Construction Permit)
thc
Please submit this form and the following to Putnam County 14e4th Dept., 4 Geneva Road, Brewster, NY
10509,.Phone 278-6130.
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 floorplan (drawn to scale, with name, street, and tax map 9)
*Non - professional sketches are acceptable.
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date o CO
fla
-
installation if known. Label all wells and septic systems within 200 feet of the property line. Fj
C-)
Contact this office with any questions.
5.. Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedrMn
count of dwelling.
OFFICE USE
Comments
Feb98
BFhouseguidelines
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BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N.
Public Health Director �� Ql� b6c...tl
Associate Pu Health Director
DfrecO `of Patient Services
DEPARTMENT 0. 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
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: k-4 -Q -t
Resi ce
Tax Ma 3 I
Town O ll 4 w 6,
Gentlemen:
According to records maintained by the Town, the above noted dwelling
Is
IS NOT
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: �J
OTHER
Building Inspector
BFhouseguidelines
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SUBJECT to any easements, rights- of -weys, and /or
agreements that the uf'Wty companies may have.
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O 183# Acres
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REfFRENCES:
TAX MAP 04T4,
Section: 83580
Block: 1
Lot., 57
Deed Uber, 694, Page. 46
Being Lots 47, 44 49, and M on
o moP ontAled "Lake Peeksl771i Section
D", fried 28 May 1929 to the Putnam
County Cleric's office as mop number
185 C.
'r ?o. " �� /% � % e`.:�c •Lee :9,cla,a�... -_ ., : r,
y P, � � ..t, d---A- ra•arr.�.
� b {,a aCyr •Nh t.ytq 1'Yi.^AYa
• [cs :.s :n :- r::. t..'ien� w J •ears
f'.��h�d' �J f! Survey of Property for
Z GA R E L L l
I hereby certify to
- Giovanni 2egorelli; Christine aegoneA p1 y��
-Ord Ala uhlk Natianal hi'le insurance Comporiyi
b:
that this is on to survey p armed In
the refd, and of there cm no dace
enanachmen r, except those hereon.
ar W Wooden, P.L.
iJ
1'
b•
located in tie
�1 ! • Town of Pu to c m Valley
Pu•tnom County —1-New York
FA4
FT= ' eon°' 31 dc t. 1996
HOWARD W. _ WEEDEN
.� 14eerda�t�tws�en
ftjoen, New York 12386
e.t (s r4) rre -sse7 ra..: (yry ne -nor
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'r ?o. " �� /% � % e`.:�c •Lee :9,cla,a�... -_ ., : r,
y P, � � ..t, d---A- ra•arr.�.
� b {,a aCyr •Nh t.ytq 1'Yi.^AYa
• [cs :.s :n :- r::. t..'ien� w J •ears
f'.��h�d' �J f! Survey of Property for
Z GA R E L L l
I hereby certify to
- Giovanni 2egorelli; Christine aegoneA p1 y��
-Ord Ala uhlk Natianal hi'le insurance Comporiyi
b:
that this is on to survey p armed In
the refd, and of there cm no dace
enanachmen r, except those hereon.
ar W Wooden, P.L.
iJ
1'
b•
located in tie
�1 ! • Town of Pu to c m Valley
Pu•tnom County —1-New York
FA4
FT= ' eon°' 31 dc t. 1996
HOWARD W. _ WEEDEN
.� 14eerda�t�tws�en
ftjoen, New York 12386
e.t (s r4) rre -sse7 ra..: (yry ne -nor
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PUTNAM COUNTY DEPARTM I NT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
�' 3 BEDR00
Ms
Signature $Title
Date
PW NANI COUNTY
HOUSE PLANS APPROVED
BEDROOM COUNT ONLY;
KBEDROOMS
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