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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LaRETTA- rah °L6UNA%Ri',1R16 -11VW— : =�
Associate Commissioner of Health
July 28, 2006
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Gregory Kraisky
11 Poplar Street
Lake Peekskill, NY 10537
Dear Mr. Kraisky:
ROBERT J. BOND[
County Executive
Director of Environmental Health
Re: Addition Approval Kraisky
No Increase in Number of Bedrooms
11 Poplar Street
(T) Putnam Valley, TM # 91.25 -2 -21
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 July 28, 2006. 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...:A11 plumbing - :textures must-be updated_ -with water°savir g devices.(i.e. -aiew
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 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,
Michael Luke
Public Health Sanitarian
ML:mcb
cc: Building Inspectors, (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
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
Coynty. ;Executive...
ADDITION APPLICATION RESIDENTIAL ONLI
STREET Fdplr4r TOWNLK• PeCalidl
TAX MAN 9�• �3'• 4 -10 4
NAME Q /4 B61� PHONE(4 (3) N d °70X PCHD#A -06
MAILING
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ADDRESS 1 � `yi S4". Lg Ke- peflmstil ll Pr W-32
DESCRIPTION OF
ADDITION e)q 014t i 1, Q CVC i 01-f. VC)`'' $C-
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 Us foam. and the following to.Putnam County Health Dept.,�L Geneva
. ..
Brewster, N�Y ''10509, Phone: (845) 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)
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
SHERLITA AMLER, MD, MS, FAAP
Commission
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
County Executive
Re: KRAI SKY (Owner's Name)
Tax Map #: 91,25-2-21
Address:. 11 Poplar Street, Lake Peekskill
Town: Putnam Valley
Year Built: 1935
According to records maintained by the Town, the above noted dwelling,
is XX in compliance with Town Code.
is not in compliance with Town Code.
The Legal Bedroom Count is: 2
This information has been obtained from:
Certificate of Occupancy:
Other: a a In Q s Record;
kssist. Building Inspector , John W. Allen
7/7/06
Date
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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