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LORETTA MOLINARI ROBERT J. BONDI
Public Health Director. �� County Executive
• I
DEPARTMENT ` OF HEALTH
1 Geneva Road, Brewster, New York 10509
i
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
May 6, 2004
Ball
28 Chestnut Street
Lake Peekskill, NY 10537
i
Re: Addition -Ball, 28 Chestnut St.
No Increases in Number of Bedrooms i
(T)Putnam Valley, TM #91.33 -1 -28
Dear Mr. Ball:
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 May 5, 2004. 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 Valley.
If you have any questions, please contact me at your convenience.
i
Sincerely,
Michael Luke
Public Health Sanitarian
ML: hn
cc: BI (T) Putnam Valley
BRUCE' - K.' FOLE�
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
pot y/a (, /0 Y
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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�62Q- gAIA,j 'S TOWN LaL e-oVj I XMAP #Q
,NAME CL., PHONE %Lt' PCHD# A Q -0 `i
MAILM IG ADDRESS ag C k& S Cku� SAC, l- c�le 4- s\c4
DESCRIPTION OF ADDITION is It 54 3I
NUMBER OF EXISTING BEDROOMS —a_PROPOSED # OF BEDROOMS O
(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 -6130.
1. Certified check or money o—rde'r foi S 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 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 Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom
count of dwelling. .
OFFICE USE
Comments
Feb98
BFhotueguidelines
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BRUCE .R. _FOLEY 4-
r: 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
Environmental Health (945)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
4/1/04
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: 29 Clipstnut St.
Residence Lake Peekskill
Tax Map 91, - -1-98
Town of pl3 ti4a... 11 e'y
Gentlemen:
According to records maintained by the Town,-the above noted dwelling
IS XX
IS NOT
in compliance with Town code and the total number of bedrooms on record is 3
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This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: xX
OTHER
Building Inspector
BFhouseguidelines
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SURVEYED & PREPARED BY
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SUNNEY ASSOCIATES
ENGINEERS & SURVEYORS
156 KATONAH AVE.!,;. 929 MAIN STREET
KATONAH. NEW YORK 10536 PEEKSKILL, NEW YORK ID566
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FILE No, 7--733-2,1
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SURVEYED & PREPARED BY
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ENGINEERS & SURVEYORS
156 KATONAH AVE.!,;. 929 MAIN STREET
KATONAH. NEW YORK 10536 PEEKSKILL, NEW YORK ID566
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N. Y: S: LIC. No. 28694
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