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HomeMy WebLinkAbout50024-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE „ SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 50024 Date: 11/15/2023 Permission is hereby granted to: Maloney, James-A Rev Trust w_...... ......_....__._ .- .......... ...__......_. ....... .... 605 Bungalow Ln w .w_......_...... ..................__..... .�........... ........ _ .... ._............ Mattituck, NY ww11952 .....ww... _...w _........_www..... ............ To: Legalize as-built accessory hot tub at existing single family dwelling as applied for, with Trustees #10476A. Additional certification may be required. At premises located at: 505 Bun ag IowwLn, Mattituck _ __ _.... _.....__ _........... SCTMgq# 473889 Sec/Block/Lot# 123.-3-7 .....__....... __w......___ w_........ www ..............._.... � Pursuant to application dated 6/29/2023, and approved by the Building Inspector.. To expire on 5/16/2025. Fees: AS BUILT- SWIMMING POOL $600.00 CO- SWIMMING POOL $100.00 Total: _..._....�wwww..$700.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT 4 Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 tit l,p/_L soutlioldtoA Ln' Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ` � J PERMIT N0. Building inspector:_.........................__.. _..._.___..w..�..__.__. ., ii JL Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:6/12/23 OWNER(S)OF PROPERTY: Name:505 Bungalow LLC SCTM # 1000-1000-123-00-03-00-007-000 Project Address:505 Bungalow Lane, Mattituck, NY 11952 Phone#:(908) 507-3248 Email:green42@comcast.net Mailing Address:42 Turtleback Road, Califon, NJ 07830 CONTACT PERSON: Name:Michael D'Angelo Mailing Address:12 Little Neck Rd, Suite 201 , Centerport, NY 11721 Phone#:631 -626-4005 Email:mike@ newhamptonhomes.com DESIGN PROFESSIONAL INFORMATION: Name:Tim Mcdermott Mailing Address:477 West Main Street, Huntington, NY 11743 Phone#:631-367-7011 Email:tmmac@hotmail.com CONTRACTOR INFORMATION: Name:Michael D'Angelo Mailing Address:12 Little Neck Rd, Suite 201 , Centerport, NY 11721 Phone#:631-626-4005 TEmail:mike 9 newhamptonhomes.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Eil0therHot.Tub $ Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R40 this property? E]Yes *No IF YES, PROVIDE A COPY. ® Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By (print name): Michael D'Angelo ❑p Authorized Agent ❑Owner Signature of Applicant: Date: 06/12/2023 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael D'Angelo being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Contractor (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. MA Sworn before me thisTE 0 `7 day of �^ 20 "*� `' Notary Puilk ° c? FIROPERTY OWNER AUT�MRIZATIQN t4/ON y? (Where the appl cants not the owner) �wMa «�� I, Mark Green residing at _42 Turtleback Road, Califon, NJ 07830 do hereby authorize Michael D'AngelO —to apply on my behalf to the Town of Southold Building Department for approval as described herein. J u n 14, 2023 Owner's Signature Date Mark Green Print Owner's Name 2 Final Audit Report 2023-06-14 Created: 2023-06-12 By: Michael D'Angelo(info@newhamptonhomes.com) Status: Signed Transaction ID: CBJCHBCAABAAiT2CJhPIN3ayPh.SZBffoOzPC_AV_hFug "HotTub-Permit--Bean-PDF" History 5 Document created by Michael D'Angelo (info@newhamptonhomes.com) 2023-06-12-6:05:44 PM GMT C7+ Document emailed to Mark Green (green42@comcast.net) for signature 2023-06-12-6:09:15 PM GMT Email viewed by Mark Green (green42@comcast.net) 2023-06-14-12:34:15 PM GMT Document e-signed by Mark Green (green42@comcast.net) Signature Date:2023-06-14-12:34:48 PM GMT-Time Source:server Agreement completed. ( 2023-06-14-12:34:48 PM GMT i r? l I, is I Adobe Acrobat Sign 11 kNU`o2AYv'ma�7i�l7,�G'�afilPl'J�'! YiIIWYN�A�Mo��tifi�' �Ilw�!�i�lP�'X�1M7ANnfa�PdNIPWawNA,W'Wv�Nv!!WWA,IPMf'u�rvWM1dS;ifr�1�'mYI�W�IWP1,97�11G �mv�'rt�aia�'NWWimalMlf�" +AUY„ VI��uIM&�'NNNdu�0.Wi�,p;I�NPoflI �"�, PI, NWJM�m�uI, �MW,Y"�II�fUW!WI%�!dM" I'N"a . WdaiWiNdINR!�19@Und WrW;�'.01WN'Xu'�7YM+�11'�M�W�'VAV�V f BUILDING DEPARTMENT-Electrical Inspector r' n; TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road - PO Box 1179 F' Southold, New York 11971-0959 Telephone ) 765-1802 - FAX (631) 765-9502 hone (631 ,, �, ro err soutiaoidtotnn . o seand southoldtonn o APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6/12/23 Company Name: Harbor Systems Group Electrician's Name: Jonathan Smith License No.: ME-44252 Elec. email:harborsystemsgroup@gmail.com Elec. Phone No: 631-754-8050 ✓❑I request an email copy of Certificate of Compliance Elec. Address.: P.O. Box 261 Northport, NY 11768 JOB SITE INFORMATION (All Information Required) Name: 505 Bungalow LLC - Mark Green Address: 505 Bungalow Ln, Mattituc , NY 11952 Cross Street: Marratooka Road Phone No.: (908) 507-3248 BIdg.Permit#: email:green42@comcast.net Tax MaE District: 1000 Section:123-00 Block: 03-00 Lot:007-000 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Installation of Hot Tub Square Footage: 1 49 s Ft Circle All That Apply: Is job ready for inspection?: F77 YES NO 0 Rough In Final Do you need a Temp Certificate?: LJ YES yf]NO Issued On Temp Information: (All information required) Service Size Ph F—]3 Ph Size: _A #Meters—w Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT CINE WITH APPLICATION 9/2815a G3AM IMGj598JPG � . . . Q \ \ ,_, ,_+mm+«I/ >aw r Ixk* w7NI,aC hwP smi arm._Part ci--u m P SO Glenn Goldsmith,President (/ ,� Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ��a ° I P,O.Box 1179 Eric Sepenoski Jiro AL Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples " Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10476A Date of Receipt of Application: October 3, 2023 Applicant: 505 Bungalow LLC SCTM#: 1000-123-3-7 Project Location: 505 Bungalow Lane, Mattituck Date of Resolution/Issuance: October 18, 2023 Date of Expiration: October 18; 2026 Reviewed by: Glenn Goldsmith, President Project Description: As-built 345sq.ft. patio with 49sq.ft. hot tub. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth,in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Michael D'Angelo, received on October 3, 2023, and stamped approved on October 18, 2023. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Weiland Permit will be required. ' This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees toP saw ws umm CIA o I LIM0 �� 4 . hit, its p� ..._ 1% - �. � ,• v"°EEK �,;� �. .qQ N - LIJ ; IS d°. `. LUyr �+ zwa - ar. p. �L put z0a t 1 4 ° µ b 2AS ; �, a �P"i Q $_„ a� Y - 17'1 .. � , m� kvR U ANN 00 s M w s m to tic n fill J sd 33 o -SOH fln —% M P -� i ...., 1; f� W t � 1 CD CD ZOO e CD WOa H 'W Workers' CERTIFICATE OF TAT Cornpensatior NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board _ 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured NEW HAMPTON HOMES INC (631)626-4005 12 LITTLE NECK ROAD,SUITE 201 1c.NYS Unemployment Insurance Employer Registration Number of CENTERPORT, NEW YORK 117,21 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e.,a Wrap-Up Policy) Number 83-1194442 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) UNITED FARM FAMILY INSURANCE COMPANY Town of Southold Building Department 3b.Policy Number of Entity Listed in Box"l a" Town Hall Annex 54375 Main Road 3103W6869 P.O. Box 1179 3c.Policy effective period Southold, NY 11971 12/20/2022 to 12 20/2023 3d.The Proprietor, Partners or Executive Officers are included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"l a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy), The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2", The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other,than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.)Otherwise,this Certificate Is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury„I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named Insured has the coverage as depicted on this form. Approved by: Geor a R. Grossmann X of t?uerri� preseantatVrae or licensed agent o�insurance�carrier)�, Approved by: (Signature) (Date) Title: Agent, LUTCF Telephone Number of authorized representative or licensed agent of insurance carrier: 4394650 �w __� Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) www.wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. I. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-17) REVERSE ' CERTIFICATE OF LIABILITY INSURANCE CR DAT 04//25/225/2DIYYYY) 023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), SODUCER C(.)NTAQ T ?.. GEORGE GROSMANN,..... _.......... ....... IHNE63 -439-46501 r GEORGE R GROSSMANN, LUTCF Ak NL Exkl,ui� Nq 631 439 4651 FARM FAMILY CASUALTY INSURANCE COMPANY [ADD ak S�, .... ....... _............... 3920 VETERANS MEMORIAL HIGHWAY SUITE 4A INSURER(S)AFFORDING COVERAGE NAIC# ., ...... .... BOHEMIA,NY 11716 INSURER A. FARM FAMILY CASUALTY INSURANCE CO. 13803 suRED INSURER B UNITED FARM FAMILY INSURANCE CO 129963 NEW HAMPTON HOMES INC. la rlf,rawr SHELTERPOINT LIFE INSURANCE CO 181434 . I 12 LITTLE NECK ROAD SUITE 201 [INSURER D _ .. CENTERPORT, NY 11721 INsuRER..E..... . ..... . .. �....... . RER F. :OVERAGES CERTIFICATE NUMBER: 124455 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- .......... _._ _. LIMITS %R 7ADDL SUER POLICYEFF POLICY EXP ITS 3102X0617 i12l2 p+ XYJ Ila?�Ip. wt I .. R TYPE OF INSURANCE e .. IND POLICY NUMBER .._ X COMMERCIAL GENERAL LIABILITY 0/2022.12/20/2023 EACH OCCURRENCE $ 1,000,000 .,.� 1 } f MED ._ CLAIMS MADE X I OCCUR PRL I PN'P(Anyne person) ..I 100,000 OOQ ,. J _.. . . _ PERSONAL&ADV INJURY GENT AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE $ 2,000,000 _.,... X POLICY R LOC PRODUCTS COMP/OP AGG $ 2,000,000 OTHER _ $ _ .,,.,.,. .. ._..._. ._. . .. �CCmvll"�lNILO�aI(NCi k4LMII , AUTOMOBILE LIABILITY � I 310105114 12/21/2022 12/21/2023 IEe c,d0cakl $,, 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNEDI SCHEDULED 1 AUTOS ONLY ,...X %AUTOS ! BODILY INJURY(Per accident) $ X< HIRED AUTOS ONLY X._a NON-OWNED QTR cB ''kg L $ .. ,,,, ,,,,,,,,,V r �$ UMBRELLA LIAS OCCUR � � EACH OCCURRENCE , 1 .. ,r.;� ,. EXCESS LIABCLAIMS-NfADEJ ;I AGGREGATE $ DED.wRETENTION W YPROPR ETOR/PARKERS COMPENSATION LIABILITY BT YIN AN NIA 12/20/20221 12/20/2023 STATUTE.,. LR TNER/EXECUC4Ve" ' X Lfi L EACH ACCIDENT 3103W6869 ENT $ _ 1,000,000 LI OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 1,000,000 ,., . .... e, ......... .. ... .., i If es describe under E L DISEASE POLICY LIMIT I$ 1,000,000 00 1664­7_521'NYS-DBL .._ 1,2120/2018 CONTINUOUS STATUTORY SCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SOUTHOLD BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN HALL ANNEX 54375 MAIN ROAD ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1179 SOUTHOLD, NY 11971 AUTHORIZED REPRESENTATIVE 199fIw2015-ACOR-D—COWORATIOW All rights reserved. CORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r,. YORK NEW Workers' CERTIFICATE OF INSURANCE COVERAGE __... "ATE Corrwpensation µ Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW .......... PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrie 1a. Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured NEW HAMPTON HOMES INC 631-626-4005 12 LITTLE NECK ROAD, SUITE 201 CENTERPORT, NY 11721 , 1c.Federal Employer Identification Number of Insured or Social Security Number Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State,i.e., Wrap-Up Policy) 831194442 .. ..... ......www .. 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShetterPoint Life Insurance Company Town of Southold Building Department 3b.Policy Number of Entity Listed in Box"1 a" Town Hall Annex 54375 Main Road P.O. Box 1179 DBL547521 Southold, NY 11971 3c.Policy effective period 12/20/2022 to 12/19/2023 4. Policy provides the following benefits: A. Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: M A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law, B.Only the following class or classes of employers employees: Under pei�atty of paeryuF „I..cert76'iFit I am an Tutrrciriaea repF sdriF t odor-licensed agentof the insurance carrier referenced above and that•the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. 4/25/2023 ( hf ..�. Date Signed By �..._..._.___ _ w___www__...._..••• _w w. .ww_.•• _......__. �ww.......... ............... .�.. w ........ ............._____..................__ (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) cer p 516-829-81 .ww..w...... .. __ .�w.w...._._ _ .� ecutive Of..... Tele hone Number Name and Title Richard White Chief Po_ ___ ,_�_,e,,,,,,,,�w_ IMPORTANT: If Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 56 is checked, this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit,PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board (Only if Box 4s�4C or 5B have been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) .........._ __ ..ww_.... Telephone Number Name and Title .__�wwww...._... _....._._�....�wwww_w..�ww __..._..... ___....._ ....w............... Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. D113-120.1 (12-21) III jI11°°°1°°�u°°1°1°1°°1°°°°°�IIIIII DB 120.1 (12-21) Additional Instructions for Form 1313-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage (Certificate)to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (`hese notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this farm is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier. This Certificate is issued as a matter of information only and confers no rights upon the certificate holder. This Certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21)Reverse OCCUPANCY OR APPROVED AS NOTED USE IS UNLAWFUl.. DATE-22- .:L_R.R# WITHOUT CERTIFICATE �� � Bir: OF OCCUPANCY NOT BUILDING DEPARTMENT AT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4. FINAL-CONSTRUCTION MUST PLS Wl-nq ALL CODES OF HE COMPLETE FOR C.O. tJEW YORK STATE&TOWNCODES ALL CONSTRUCTION SHALL MEET THE AS REQUIREDCONDITIONS REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR SOUMTOMMA DESIGN OR CONSTRUCTON ERRORS WJWD TOM PANING ECARO Sum Tom IMTES ®Y. SOUTHOwn Additional ESCHO CertIfIcat,jon May Be Required. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. "IMMEDIATELY" E'"ICLOSE POOL TO CODE UPON COI I,')LEM L-3EFO'RE"WATER"' / , , The crane has a truck-mounted boom which can fit right in your , driveway. It is run by a licensed and insured operator.For a charge„ the crane operator will ift your spa over walls„ buildings„or any other obstruction and place it as close to the installation site as possible.The µ ' Caldera'*spa delivery personnel will supervise the crane delivery and complete the spa installation. Crane delivery typically takes an average of 30 minutes to complete. ' °' - If your spa delivery requires the use of a crane, you may be required to pay for its services at the completion of the delivery. nY, M SPA DIMENSIONS Cantabide 391 t fir r Geneva® 38" 7'5" 7"511 Nape W T 61 Tahitian® 36" 7"0" 7`0" Safir '" 36" T 5" 71 5° Martinique® 34" 7" 51" 6"4" Kauar 29- 7'On 5 5" How is your width and height clearance? BACK YARD.. Check all gates `, �.�............... x ..�....�.�.�.�....__.....�......._......�.......,�...�,,,. �._..�w._.._.�_.W...... I Protruding electric meters •--- �,.., ©as maters - ... - -­­­......... „, A/C units Do you have sufficient •'"^ "Iii r overhead clearance? ,�„, eaves,Check low roof rAr 9 _ .s gHOUSE aen hanging branches, , Is the path clear? Move away branches,dog houses,firewood,etc. .. .. ---�••`° "', r If there is a 90°turn,can we 1 I ) clear it?(The spa will not bend) -- ^�---• No more than B consecutive t` �— stairs without a landing ••^•••••�---_....M-•- _._�_._ �_......... 9) ami i STREET Page 4 Oopkl Tahitian` Dimensions NOTE:All dimensions are approximate;measure your spa before making critical design or pathway decisions. EXTERNAL SCONCE LIGHT FRONT VIEW ('9 cm) * 33" (84cm) 6..5" 18 5C"M ELECTRICAd. 10.5' 50 10.5" 2.5"(8.4cm) CUTOUT (27cm) (1 27cm) (27cm) (BOTH SIDES) SPA DRAIN AIR VENTS DO NOT BLOCK OVERALL 84"(213Cm) PEDESTAL 80"(203cm) OVERALL BOTTOM VIEW 84" (21,cmra) 80" (2034m) PEDESTAL ELECTRICAL OUTLET ELECTRICAL AIR VEN` AIR VENT OUTLET DOOR SIDE NOTE: Watkins Manufacturing Corporation recommends that the Tahitian be installed on a minimum 4"thick reinforced concrete pad or structurally sound deck able to support the"dead weight"found in the spa specification chart. WARNING:The Tahitian must not be shimmed in any manner. W� �_ Page 7 ELECTRICAL REQUIREMENTS To ensure you will have an opportunity to use your spa soon after delivery, it is very important that the required electrical service has been installed, Unless otherwise stipulated by your dealer, THIS IS YOUR RESPONSIBILITY, IMPORTANT:All electrical circuits must be installed by a qualified, licensed electrician, 230 VOLT INSTALLATION Your spa contains a control box designed to operate at 230V, 50Hz, Installation of a 50 amp. dedicated circuit is recommended. The control box must be hard wired directly to a subpanel protected by a Ground Fault Circuit Interrupter(GFCI). The subpanel containing GFCI breakers is included with the spa. IMPORTANT NOTE:All electrical connections to the control box must be accomplished by a qualified electrician in accordance with the National Electrical Code and in accordance with any local electrical codes in effect at the time and place of installation, All electrical connections must be made in accordance with the wiring information contained in this manual and on the back of the field wiring access panel of the control box.A licensed electrician should install a four-wire electrical service(two line voltages„ one neutral, one ground)from the main electrical service panel to the subpanel.The equipment pack requires a MINIMUM of 112 volts per line under load. The grounding conductor must be at least#10 AWG. Your electrician should mount the subpanel in the vicinity of the spa but it should not be closer than five (5)feet from the spa water edge(NEC 580-38 to 41-A-3). INSTALLATION NOTE:After the spa has been installed„ your electrician can connect the conduit from the subpanel to the spa's control box and then complete the wiring connections in the control box. NOTE" Complete step-by-step Installation and wiring instructions for all models are included in the Owner's Manual and with each sub-panel,which can be obtained from your dealer. WARNING: Removing or bypassing the GFCI breakers in the subpanel at any time will result in an unsafe spa and will void the warranty, 230 VOLT CONVERTED CANTABI 'IA The Utopia Cantabrian requires an additional 20 amp breaker in order to operate the heater at the same time as the blower and all three jet pumps, This subpanel requires a 70 amp, single phase„230 volt„four wire service(two line, one neutral,one ground). The ground wire must never be less than#10 AWG. Use NEC 250-122(table)and local codes for more information.A minimum#S AWG solid copper bond wire is also required. NOTE' Complete step-by-step Installation and wiring instructions for the Cantabria are included in the Owner's Manual and with each sub-panel, which can be obtained from your dealer. SEE ABOVE FOR IMPORTANT ELECTRICAL INSTALLATION NOTES. POWER CONNECTION POwECONNECTION Access To connect power to the spa, refer to°"230 CONTROL BOX VOLT WIRING SCHEMATIC DIAGRAM"and "POWER CONNECTION ACCESS"illustrations. Then proceed with the following steps: When supplying power, remove the screws securing the equipment door(for Utopia spas, always remove the SpaGlo@ exterior light fixtures and lift the fiber optic cable out of the fux rre O base before removing the doors), Lower the panel one inch and remove the panel to allow access to the input power wiring. i NOTE:The 230V wiring diagram is located on the inside of the Control Box Cover, 230V WIRING ACCESS OPENINGS ON RIGHT&LEFT HAND SIDE Page 11 IMPORTANT. The following must be followed to properly install the equipment compartment door. Place top of door or panel directly below bartop against the frame of the spa. For Utopia spas, first lift the fiber optic cable out of the way. Push bottom of door or panel against the spa frame. • Slide door or panel upward(pushing in on center of door to ensure door clips catch) until screw holes line up, making sure that the exterior fiber optic light cable will fit into the fixture. • Slightly pull on door or panel. If door remains against the spa, then replace the screws. • If the door does not lock into position, repeat the previous steps, WIRING DIAGRAMS GRAMS µM_ UTOPIA ENEVA% TAHITIAN°& NIAGARA° WIRING ILLUSTRATION 230 VAC, 4 0-A, 60Hz ­_w_.._.__.w._.._......._....._..„....._.._ GENEVA, TAHITIAN �....._..._.._ _... 0 2.30VAC, 50 Amp ° 2—POLE CIRCUIT BREAKER N ° ANON GFON) N .„.. nwc NW&8 .w_NF4�RAL ... La tb Aw6L2RF.E'N11�11�NDL2' .L'L1x F60, 2 AWG A3R U'E . w ° S_. lUD 20A � HOT...�7 AWf RED AWG P.•_ ._.n,..� ...a._,„......._.�. �, .._._. ° .,SOA.,_ B AWG REDMP4 I6ddT. 'np Abd BLUE30AMAIN SERVICEELECTRICALPANEL v _..__lq AWG GREEN- ...._�._.._._..__... w._. ... ._. .._ SUB—PANEL' WITH GFCII MORE THAN 5 FEET BREAKERS THE SUB—PANEL MUST B ...._.. WITHIN SIGHT OF THE SPA CONTROL BOX Refer to NEC 250-122(fable) DO NOT EXCEED 50 FEET NOTES The wire connections to GFCI breakers are for reference only.Always ensure the white neutral wine is connected to the load neutral of the 30 amp breaker. PROVIDED WITH SPA. NOTE: ALL WIRING SHOULD BE COPPER. UTOPIA CANTABRIA^° _ .... _. WIRING ILLUSTRATION 230 VAC, 40A, 60Hz, CANTABRIA 230VAC, 50 Amp 2—POLE — CIRCUIT BREAKER N NON GF`Cd _ A ILI 6'4 F)�AL M N Oven zG AWS GREEN,�Np2 ... L2 Li Hp ,2 AVG 63L .... W AWG BLU , a 20AA !G ..U �.,._..__ L50A AA41 GD...�-: _ @.P«AtQTG AWG SQ ° . 30 W W Aim p Few- MAIN SERVICE ELECTRICAL PANEL _... � ffi, 4G AWG GREEN" � SUB—PANE fmw BREAKERS _ e WITH GFCI MORE TITAN 5 FEV FHE SUB—PANEL MUSE BE� CONTROL BOX WITHIN Sq¢,HT OF THE SPA, DO NOT EXCEED 50 FEET •• t`a6r tle NE'C 360•'tl,32(table) NOTE,r."rhe*re eAnflm Vons to GFCI breakers are for reference only,Always ensure the white neutral wino is.nnoded to the load neutral of the 30 amp b,eakor,. *PROVIDED WITH SPK__..,,_.__._ NOTE:ALL WIRING SHOULD BE COPPER. Page 12 _. _.. w. ._ ._—_�. UTOPIA AND PARADISE SPA SPECIFICATIONS I SIV a 4 r GJ 134 230 volt, 50 or 70 amp Single Utopia 7 7" 100 550 1461 7,448 tbs.per X 38" square 4,300 phase GFCI Cantabria® gallons lbs. lbs, square g^0"' feet foot protected circuit 130 0, 230 volt, 30 or 50 amp Utopia 75 100 475 1,080 6,092 tbs.per 38" square 4,300 Single phase GFCI Genevan x gallons lbs, lbs. square T5"« feet foot protected circuit 140 7°5'° 100 =30orUtopia 500 1,084 6,479 ,Par Ut Ara x 38" square 4,300 9 ® 7µ5° feet gallons lbs. lbs. foot 1'24 230 volt, 30 or 50 amp Utopia , 70 100 360 1,002 5054 lbs,per ® x _36" square -4,300 b Single phase GFCI Tahitian 7'0" feet gallons lbs. lbs. square circuit foot Paradise 7"5«« 75 125 230 volt,30 or 50 amp 420 1,006 5,734 lbs.per Single phase GFCI Safina"" x 36 square 4,300 gallons lbs. lbs, square g T5" feet foot protected circuit 115 230 volt, 30 or 50 amp Paradise T5" 50 320 928 4,472 lbs.per Martini ue® x 34" square 4,300 Single phase GFCI 4 gallons lbs. lbs square 64°" feet foot protected circuit 100 230 volt, 30 or 50 amp Paradise 7"0" 50 220 738 3,098 lbs,per Kauai® x 29" square 4,300Single phase GFCI gallons lbs. lbs. square 5"5" feet foot Protected circuit CAUTION: Watkins Manufacturing Corporation suggests a structural engineer or contractor be consulted before the spa is placed on an elevated deck. * NOTE: The"Filled weight"and"Dead weight" of the spa includes the weight of the occupants (assuming an average occupant weight of 175 lbs). NOTE: For 30 amp conversion contact your local dealer. Wa 0"TTMe M=erle Rel MIMOn$p ciallsxs WATKINS MANUFACTURING CORPORATION 1280 Park Center Drive Vista, California 92081 (800)669-1881 extension 8432 2012 Watkins Manufacturing Corporation, Caldera, Cantabria« Geneva, Niagara, Tahitian, AgUafrc Melodies, Salina, Martinique, Kauai" SpaGto« Monarch, ProLift and The Horne relaxation Specialists are trademarks of Watkins Manufacturing Corporation. SPA FROG is a registered tradernark of King Technology, Inc Part#62694 Rev. E (1/12) iveg nstructions Ga4;se�s-oes The crane has a truck-mounted boom which can fit right in your 3�� driveway. It is run by licensed and insured operator. For a charge, j Z� the crane operato ill lift your spa over walls, buildings, or any other obstruction an place it as close to the installation site as possible.The Caldera®spa delivery personnel will supervise the crane delivery and complete the spa installation. Crane delivery typically takes an average of 30 minutes to complete. If your spa delivery requires the use of a crane,you may be required to H pay for its services at the completion of the delivery. 0 a w SPA DIMENSIONS RISAM - 1 ::gin..�-,•,, .: _ Geneva® 3811 71 511 71 511 +css - ._ , ;; : '..: :.n., ,:f� ,v.;. '.'i'-°5 'iR:.,".i.;,,a'r,t"ri'si: •:�.,.,a, r `38 T " a - Nai - Tahitian® 3611 71011 71011 : ." - k - �S li Martinique® 3411 71511 61411 11•' - ua `2 How Is your width and height clearance? BACK YARD Check all gates x i Protruding electric meters Gas meters / A/C units / Do you have sufficient overhead clearance? 1 Check low roof eaves, overhanging branches, 1 rain gutters 1 t OUSE Is the path clear? L Move away branches,dog houses,firewood,etc. If there is a 90°tum,can we O clear d?(The spa will not bend) O No more than 6 consecutive stairs without a landing STREET Page 4 1 Utopia Tahitian® Dimensions NOTE.All dimensions are approximate;measure your spa before making critical design or pathway decisions. EXTERNAL SCONCE LIGHT FRONT VIEW 36" 33"(9 cm) (84cm) 6.5" 16.5cm All ELECTRICAL10.5' So" 10.5^ 2.5'(6.4cm) CUTOUT (27cm) (127cm) (27cm) (BOTH SIDES) SPA DRAIN AIR VENTS DO NOT BLOCK OVERALL 84"(213cm) PEDESTAL 80"(203cm) i OVERALL BOTTOM VIEW 84" (213c m) 180" (203cm) PEDESTAL ELECTRICAL OUTLET ELECTRICAL AIR VENIM AIR VE® OUTLET ;,j DOOR SIDE NOTE:Watkins Manufacturing Corporation recommends'that the Tahitian be installed on a minimum 4"thick reinforced concrete pad or structurally sound deck able to support the"dead weight'found in the spa specification chart. WARNING:The Tahitian must not be shimmed in any manner. Page 7 ELECTRICAL REQUIREMENTS To ensure you will have an opportunity to use your spa soon after delivery, it is very important that the required electrical service has been installed. Unless otherwise stipulated by your dealer, THIS IS YOUR RESPONSIBILITY. IMPORTANT:All electrical circuits must be installed by a qualified, licensed electrician. 230 VOLT INSTALLATION Your spa contains a control box designed to operate at 230V,60Hz. Installation of a 50 amp. dedicated circuit is recommended. The control box must be hard wired directly to a subpanel protected by a Ground Fault Circuit Interrupter(GFCI).The subpanel containing GFCI breakers is included with the spa. IMPORTANT NOTE:All electrical connections to the control box must be accomplished by a qualified electrician in accordance with the National Electrical Code and in accordance with any local electrical codes in effect at the time and place of installation. All electrical connections must be made in accordance with the wiring information contained in this manual and on the back of the field wiring access panel of the control box.A licensed electrician should install a four-wire electrical service(two line voltages, one neutral, one ground)from the main electrical service panel to the subpanel.The equipment pack requires a MINIMUM of 112 volts per line under load. The grounding conductor must be at least#10 AWG.Your electrician should mount the subpanel in the vicinity of the spa but it should not be closer than five (5)feet from the spa water edge(NEC 680-38 to 41-A-3). INSTALLATION NOTE:After the spa has been installed, your electrician can connect the conduit from the subpanel to the spa's control box and then complete the wiring connections in the control box. NOTE: Complete step-by-step Installation and wiring instructions for all models are included in the Owner's Manual and with each sub-panel,which can be obtained from your dealer. WARNING: Removing or bypassing the GFCI breakers in the subpanel at any time will result in an unsafe spa and will void the warranty. 230 VOLT CONVERTED CANTABRIA The Utopia Cantabria°requires an additional 20 amp breaker in order to operate the heater at the same time as the blower and all three jet pumps. This subpanel requires a 70 amp, single phase, 230 volt,four wire service(two line, one-neutral,one ground).The ground wire must never be less than#10 AWG. Use NEC 250-122 (table)and local codes for more information.A minimum#6 AWG solid copper bond wire is also required. NOTE: Complete step-by-step Installation and wiring instructions for the Cantabria are included in the Owner's Manual and with each sub-panel,which can be obtained from your dealer. SEE ABOVE FOR IMPORTANT ELECTRICAL INSTALLATION NOTES. POWER r ER V ONNECTION POWER CONNECTION ACCESS To connect power to the spa, refer to"230 CONTROL BOX VOLT WIRING SCHEMATIC DIAGRAM"and .1 "POWER CONNECTION ACCESS" illustrations.Then proceed ` with the following steps: I. la When supplying power, remove the screws securing the ;4 equipment door(for Utopia spas, always remove the SpaGlo® Do°oR exterior light fixtures and lift the fiber optic cable out of the fixture base before removing the doors). Lower the panel one inch and remove the panel to allow access to the input power wiring. NOTE:The 230V wiring diagram is located on the inside of the Control BOX Cover. 230V WIRING ACCESS OPENINGS ON RIGHT&LEFT HAND SIDE Page 11 4*1-i�e_ -_I"',efivery -instructions IMPORTANT:The following must be followed to properly install the equipment compartment door. Place top of door or panel directly below bartop against the frame of the spa. For Utopia spas,first lift the fiber optic cable out of the way. • Push bottom of door or panel against the spa frame. Slide door or panel upward (pushing in on center of door to ensure door clips catch) until screw holes line up, making sure that the exterior fiber optic light cable will fit into the fixture. • Slightly pull on door or panel. If door remains against the spa,then replace the screws. ' If the door does not lock into position, repeat the previous steps. - WIRING DIAGRAMS UTOPIA GENEVA". TAHITIAN°& NIAGARA" WIRING ILLUSTRATION 230 VAC, 40A, 60Hz GENEVA, TAHITIAN � 0 O 1 0 230VAC; 50 Amp 2-POLE ro 0 CIRCUIT BREAKER N _ (NON GFCI) L1 ro 0 AWG WHITE,NEUTRAL 10 AWG GREEN, GROUND L2 Lt HOT, 2 AWG BLUE w 0 GRD 20A L2 HOT 12 AWG RED 8 AWG BLUE, L1 � D 50A8 AWG RED, L2 L1, HOT, t1O AWG BLUE C11D 30A L2 HOT 10 AWG RED rn 77— 0 MAIN SERVICE N,NEUTRAL,#10 AWG WHILE 0 ELECTRICAL PANEL III LESS THAN 100 FT. ` GROUND, X10 AWG GREEN- ® O z SUB-PANEL' MORE THAN 5 FEET o WITH GFCI THE SUB-PANEL MUST BE CONTROL BOX BREAKERS pWTHIN SIGHT OF THE SPA -Refer to NEC 250-122(table) DO NOT EXCEED 50 FEET NOTE:The wire connections to GFCI breakers are for reference only.Always ensure the white neutral wire is conneded to the load neutral of the 30 amp breaker. *PROVIDED WITH SPA. NOTE: ALL WIRING SHOULD BE COPPER. UTOPIA CANTABRIA° O WIRING ILLUSTRATION 0 230 VAC, ;40A, 60Hz, CANTABRIA ��^� 230VAC, 50 Amp A 2—POLE ro CIRCUIT BREAKER N = 0 power (NON GFCI) FL1 ro tun AWG WHITE,NEUTRAL Lt HOT 2 AWG BLUE w 10 AWG GREEN,GROUND RD 2 20A � HOT 12 AWG RED � A jop I AWG BLUE, L1 50A 8 AWG RED, L2 Lt,HOT, 0 AWG BLUE ) N D 30A L HOT 10 AWG RED rn 0 MAIN SERVICE N, E 110 AWGITE ELECTRICAL 0 PANEL LESS THAN 100 FT. GROUND,X10 AWG GREEN" ® O g SUB-PANEL WITH GFCI MORE THAN 5 FEET BREAKERS THE SUB-PANEL MUST BE CONTROL BOX WITHIN SIGHT OF THE SPA DO NOT EXCEED 50 FEET ••Refer to NEC 250-122(table) NOTE:The wire connections to GFCI breakers are for reference only.Always ensure the white neutral wire Is connected to the load neutral of the 30 amp breaker. *PROVIDED WITH SPA. NOTE:ALL WIRING SHOULD BE COPPER. Page 12 Y're-D-efivery In s- tructions UTOPIA AND PARADISE SPA SPECIFICATIONS ;:> % •c c �3ds.;"r.r; moo, ;;; If 7-1 Ne Al .r, .r._:x'�,'-; ?r i;,::,:v` '=i ', <130;;� 230 volt,50 or 70 amp 7'7" `;:;., ,-.a 100 is 550 ^1461"`: 7,448 %II7s`ef'. Utopia:::;: p,.:,, 38 square >s4'30Q ' Single phase GFCI :: .._ x Fti r.,,4fi• _ gallons Itis' . lbs. sijitate?< .,Gantatiria _ 9'0" feet protected circuit ..`j :`foot.rr. s w =: r`a f.'r' j"k "; =:`;730 5 230 volt,30 or 50 amp rfr.w 7:5.: <i,�.-:,•.�r 100 v 'r'i;< r 475 n1;080` 6,092 16 ,P.. ri x 38 :€==;' square «4'`300; :_' ' Single phase GFCI 'Gerteua®F=' geet 4 gallons ItSs lbs. Square 75 u := ' r:i y `. s. protected circuit ;u'�`�•��•-:i,+* r:yf.: T �.t�. �+,�",r7;q ...., =.,2 - ' ,,.>: ra ;ti• r},4Q 230 volt,30 or 50 amp ,<.. :.; 7'5" 100 ,,C- F:lftcpia ' p 500 11Q84 6,479 ttssper x ,fi4-3$- square :k Single phase GFCI Ni. 9aa :.. ;_< allons :MylEis:=u;. lbs. 5 uar , e 7'S' ;4 = feet { g -,.;, q" :n protected circuit x 'r `: =r;^x;"' r� ' 230 volt,30 or 50 amp x:15:'. ,t.t'. .1.A:.'�.i ~ ,tJtopiar= 7'0° ti ' 100 ' `i,'y"};z. "• =` 360 �`.1'b02:�`, 5,054 IEis:Sp'r;. TBhltiar®; x V36" 1, square ;'t43Q0 . gallons ;this : lbs. "square: Single phase GFCI 7'0" protected circuit ,'!" ._`C'.'.�;trN f t�1<._ �f= Y4Y•, .-5..:._4, -fi:.'[t._:..'iti 30 or 50 amp rPe#'aCyS2 7'5° ;i'>r,' 75 :c{:= Saltna7d1' 420 ,0t36;;, 5,734 'hlbs.,perN Single phase GFCI 45" ` square s'400':':i 9 N__. �.. gallons - ibs' ', lbs. <"' = r protected circuit ..,., 7.5: ;, feet ,'. foot',,f5° " f`'•-5'` `,� 230 volt,30 or 50 amp 7'5° rry.,> 50 r y3,. '" °< °:: ' 320 9,28 .. 4,472 itEisrper" x ;34",= square ~<•,4;300•' ="`° := Single phase GFCI 6X.. '- i?: feet 4_"{::=: gallons Sibs ,; lbs. 'rsguarwl _: = r '. protected circuit '�'i.. ---a'•' - ':.-`'`.;.;�`t =CT' s== 230 volt,30 or 50 amp Pac dise::;` : T0" 50 ''.Kauai® x 29"! square 220 .;` 3,098 ;14 40rSingle phase GFCI 5'5" feet <;`: gallons "';,.,,7 Ibs_:<:'' lbs. 'Squame;: 'r `, Protected circuit CAUTION:Watkins Manufacturing Corporation suggests a structural engineer or contractor be consulted before the spa is placed on an elevated deck. * NOTE:The"Filled weight"and "Dead weight"of the spa includes the weight of the occupants (assuming an average occupant weight of 175 lbs). NOTE: For 30 amp conversion contact your local dealer. fat ns. The Home Relaxation Specialists WATKINS MANUFACTURING CORPORATION 1280 Park Center Drive Vista, California 92081 (800)669-1881 extension 8432 02012 Watkins Manufacturing Corporation. Caldera, Cantabria, Geneva, Niagara, Tahitian, Aquatic Melodies, Salina, Martinique, Kauai, SpaGle, Monarch, Prol-ift and The Home Relaxation Specialists are trademarks of Watkins Manufacturing Corporation. SPA FROG is a registered trademark of King Technology, Inc. Part#62694 Rev. E (1/12)