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3.19 -1 -14
BOX 2
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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 Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
November 12, 2004
Thomas & Theresa Piekarski
28 North Street
Patterson, NY 12563
Re: Addition- Piekarski, 28 North St.
No Increases in Number of Bedrooms
(T) Patterson; TM #3.19 -1 -14
Dear Mr. & Mrs. Piekarski:
ROBERT J. BONDI
County Executive
I have received and reviewed the plans for the proposed replacement of the above- mentioned
residence, which was destroyed by fire in 2003. The proposal for the replacement has been approved
as per plans bearing the approval stamp from this Department d ated N ovember 8 , 2 004. T he
replacement 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
Rush 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 Patterson.
If you have any questions, please contact me at your convenience.
Very truly yours
William Hedges
WH: hn Senior Public Health Sanitarian
cc:BI (T) Patterson
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 Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
November 12, 2004
Thomas & Theresa Piekarski
28 North Street
Patterson, NY 12563
Re: Addition- Piekarski, 28 North St.
No Increases in Number of Bedrooms
(T) Patterson; TM #3.19 -1 -14
Dear Mr. & Mrs. Piekarski:
ROBERT J. BONDI
County Executive
I h ave r eceived a nd r eviewed t he p lans for the proposed replacement of the above- mentioned
residence, which was destroyed by fire in 2003. The proposal for the replacement has been approved
as per plans bearing the approval stamp from this Department d ated November 8, 2 004. The
replacement 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 Patterson.
If you have any questions, please contact me at your convenience.
Very truly yours,--
William Hedges
WH: lm Senior Public Health Sanitarian
cc:BI (T) Patterson
DEPARTMENT OF HEALTH
Division. Of Environmental Health Services
Geneva' Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. ofHeai.t�
4 Geneva Road
3:ewster, NY IQ5C9
C:eiltl,t.men:
BRUCE R._FOLEY. A c
Acting Puhile Health 0j.e :t. .3r
Re: 'Afel< A.-Oyrp- 5 ;k
Rcsidenc� � _.
Tax Map
Town
According '�o reze*ds maintained by the To%�;t, the abcye noted dwelling
.S NOT
in co!npiiar c.Q v-ith T cod-. and the total number of'aedrooms on record
is -3
This ;nformation has been obtai.-led from:
CERTIFICATE, OF OCCUPANCY:
A SESSORS RECORD: �C
O': HF,R
Building in ;,ector
DE PAR i NM 1 OF JEALTH
DivWon of Environmental Health Sern+rces
4 Genava Road
HTBWS.er, New York 10509
Tet..(91. 4) 278.6130 Fax (914) 278 - 7921
BRUCE R rCI.cY
Publta Heclri Direc!c:
STREET , + _ TOWy' TX MAP #
NAME/ PHO`v'E. PC HM a
MIAMPqQ ADDRFSS ,
DESCRIPTION OF ADDITION
: L iBER OF EMST? -IiG BEDROONLS 3 PROPOSED 4 OF BEDROONIS-0
(FROM CERT. OF OCC' PWNC e OF.
CER71FICaTION FROM BUILOLNC INSPECTOR)
*:any addition v-hicis is Considered a bedroom requires formal approval of plans (Coasmlction
Permit) prepe::Pd b.v a -rcfessionzl Engineer or Regist�•red Architect in acconlanee with
applicable sections •-of the Pum3n Co=Ity Sanitary Code.
Plc :se submit this fern and th:. fo'•lowing to Putnam Couary HA.alth Dcpt., 4 Gcreva Rd.,
Brertisicr, 'NY lOSG9, P?^ene 2', -F130.
t ./Cenified check or money order for 5100.00
S�Setches of existing floor plan (drawn to scale,• all living area Including basement)
" Non - professional sketc''=s arc acceptable
3. Two sets o: proposed floor plan (drawn to scare, with name, street, =d tx- rap z)
* lion- profcssionas sket,hes are acceptable
4. Copy of sancy Showing well and septic location, to the best of your knowledge. lncitlde date
of insiallatioa if kro.wn; Label all tiveLs 9-nd septic systems within 200 feet of the pnpe*ty lire.
Contact •his office wit any questions.
5. Copy of Gist. of Occupancy frcm Town or Certification from Buildin=g Dept. Aith legal,
bedroom cour=t of dwe?li'r,clr.
OFFtC'E li F
Co,mmeT.s
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