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BRUCE R FOLEY
Public Health Director
LORETTA MOLINARI RN., M.S.N.
Associate Public Health Director
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ire for 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
January 9, 2003
Ricard & Kathryn Gigler
88 Peekskill Hollow Rd.
Putnam Valley, NY 10579
Re: Addition - Gigler, Peekskill Hollow Rd.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #84 -1 -4
Dear Mr. &. Mrs. Gigler:
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 January 8, 2003. 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 Valley.
If you have any questions, please contact me at your convenience.
ML:Im
Very truly yours,
Michael Luke
Public Health Technician
_BRUCE R. FOLEY
..".Public °He- al'ii -" 7IPecFor'
DEPARTMENT ENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA - MOLINARI RN:; M.S.N.
Associate Public Health 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 TOWNT��rnm tip#
NAME PHONE55 O5 i1 PCFID# -nff -
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MAILING ADDRESS
DESCRIPTION OF ADDITION
\'UMBER OF EXISTING BEDROOMS 3 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., 4 Geneva Road, Brewster, NY
10509, Phone 278 76130.
Certified check or money order for $100.00.
&-2. Sketches of existing floor plan (drawn to scale, all living area including basement)v
''Non- professional sketches are acceptable.
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.
Contact this office with any questions. , I A
Copy of Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom
count of dwelling.
OFFICE USE
Comments
Feb98
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HOUSE PI -AN AF -*P0 '-:D FOR
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
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BEDROOMS
Signature & Title Date
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4 Geneva Road,
Brewster, NY 10509
Re: 88 Peekskill Hollow Road
Residence
Tax Map A4 -1 -4
Town of Putnam Valley
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 3
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER
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