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91.26 -1 -65
BOX 36
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04765
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
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C'IVivi'fji:
Associate Commissioner of Health
ROBERT I BONDI
County Executive
,-t m. :. � :s"e� .:..`• i2�iY �'`li%IblZpkl'S;1�L'°�....,, ` .,. - .. -....'
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
November 17, 2006
Residence of Fiorentino
50 Mathis Street
Lake Peekskill, New York 10537
Re: Addition Approval - Fiorentino
No Increase in Number of Bedrooms
50 Mathis Street
(T) Putnam Valley, TM# 91.26 -1 -65
Dear Mr. Fiorentino:
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 November 16, 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.
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3--,...'L : »41�.PiUIL?binCfLxlir?.�Y�� Ist:�`A:
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.
Sincerely,
Joseph S. Paravati, Jr.
Assistant Public Health Engineer
JSP:cj
cc: Building Inspector, (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
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> � .., t�.. .. .+.o a= ��'x� +,. "F-:. -?-'. >n�.t'J. =.e. a•,.�,'�`.64:5"i :', e. _-.q� �.,c: .
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 IIntervendon/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
ROBERT J. BONDI
County Executive
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET5D TOWN 4LU — TAX MAP #
NAME �OYC it,1 tt 0 PHONE �I.�'S2`6 �` PCHD # "��.3 D t� .
MAILING ADDRESS fb MA's S�f L)ce PUL"
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DESCRIPTION OF ADDITION 13'F X lS , Unmow
NUMBER OF EXISTING BEDROOMS of PROPOSED # OF BEDROOMS
(FROM CERTIFICATE 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.
` "F1ea sc';rni tlis4forrijrici. tli foll�o� vin tc. R�ltnari :Cotkrl _ Hay.lth; DEpartent :4 :Geneva
Road, Brewster, New York 10509, phone (845) 278 -6130.
%.L _. C, &ed gh�m 2n order for 1100.00. _
0 Sketches of existing floor plan (drawn to scale, all living area including basement).
* 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.
5/ Copy of Certificate of Occupancy from the Town of Certification from the Building .
Department with legal bedroom count of dwelling.
OFFICE USE
Comments
ition enovahon orm
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SHERLITA.AMLER,.MD,.MS, FAAP
LORETTA MOLINARI,'RN,-MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
ROBERT J. BON.DI
Re: FIORENTINO (Owner's Name)
Tax Map #: - 1c -96-1-65
Address: 50 Mathes Street, Lake Peekskill
Town: Putnam Valley
Year Built: 1 9 5
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.
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The Legal Bedroom Count is: 2
This information has been obtained from:
Certificate of Occupancy:
Date
3/06
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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