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Home My WebLink About51928-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#: 51928 Date: 05/16/2025 Permission is hereby granted to: John Schiefele 6 Glenby Ln Glen Head, NY 11545 To: install accessory spa as applied for. Must maintain minimum 5'setbacks to side yard lot line„ Premises Located at: 25 Miami Ave, Peconic, NY 11958 SCTM# 67.-7-3 Pursuant to application dated 04/07/2025 and approved by the Building Inspector. To expire on 05/16/2027. Contractors: Required Inspections: FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO Accessory $100.00 Total S400.00 Building Inspector �a BUILDING DEPARTMENT� ,, TOWN OF SOUTHOLD— Town Hall Annex 54375 Main Road P. Q. Box 1179 Southold,NY 11971-0959 " ' Tele hone (631) 765-1802 Fax (631) 765-9502 hlps / • oh dxx"A Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E C E � V E PERMIT N0. __. Building Inspector; APR 7 2025 Applications and farms must be filled out in their entirety.Incomplete applications will not be accepted. where the Applicant is not the owner,an BuffidIng Department Owner's Authorization form(Page )shall be completed. Town of Southold Date: .. (�� ". w.. ......._...—....._.�.....�...,�._...,—...m...w�_.... ._w.�_.—..� OWNER(S) F PR PERTY: Name: Antl1r, tr)lq SCTM#1000-0 Project Address: �� Phone#: � ��7 �� Email: Mailing Address: CONTACT PERSON: Name: Vil Mailing Address: -�' Phone#: �� `?Z—�, Z Email " DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Emaik CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION t: „ ONew Structure ❑ Estimated cast of Pr c Addition E Alteration ❑Repair ❑Demolition $_� '�� then Will the lot be re-gra d? a Will excess fill be removed from premises? Dyes _. o 1 PROPERTY INFORMATION Existing use of property: ge Intended use of property: � �v v,g na and restrictions with respect to Zone or use district in which premises Is situated: Are there an cov Want o IF YES, PROVIDE A COPY. this property.? 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 15 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 authorite nspcctors on premises and In building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Sri n 2i 45 of the New York State Penal Law. Application Submitted By(pr int �:4uthorized Agent ❑Owner Signature of Applicant: Date: 631Vi1Z-5 STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signingcontract) above named, (S)he is the C .{/r'T (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. Sworn before me this day of 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) y� ;pryZ _ residing at �S V do hereby authorize '` alb' to apply on my behalf to the Town of Southold Building Department for approval as described herein, Owner's Signature Date Print Owner's Name 2 Existing use of property: fLtS, Intended use of property rTfi.0l/ Zone or use district In which premises Is situated, Are there any cov anti and restrictions with respect to this property? r1Yes o IF YES, PROVIDE A COPY. ❑ Check box After Reading: TM pm4sttenat N ntpns bk Ow.N dt•1w+w4 sewm wM«Iwwt w pmV4W4 by ~@f In of tM Town toM. OlsaroM n T MADE to Mt d"Doortw+Mt fa tM Mtwn"tf t Polio Wow*Q*t*t zone oidwmm of th.To"of sovMNK softsk UowMV,how Vv%.M 90W 600W.A4 Uwt.OtrManat w AsrAoJ ft br the c*nwn etW o1 g sdaxt rw awtt fdr � wit 6rrrcxlt"r "I" 0� to�vrtthr �44�.4W �cod., R �coo*� ��tt� twob ,Lh.rtatMnw�p hKab,.. ty rw w►x wr o CbM A WW&#S trW PWVAWA to f of 04 ttlwrwVIM*"WA fit Ww. Application Subm Illy(pi ~zed 00omer of A��: t , � STATE OF NEW YORIQ SS: COUNTY OF being duly sworn,deposes and says that(s)he is the applicant (Name of individual%*nir*contract)above named, (S)he Is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and Is duly authorized to perform or have performed the said Mork and to make and file this application;that all statements contained In this applcatlon are true to the best of his/her knowled +e and belief; and that the work will be performed In the manner set forth in the application file therewith. u Sworn before me this day of 20 Notary Public PBQEEM WAVER L4 Rl 1 (Where the applicant is not the owner) `. residing at C'c A.A4 ~� S� o hereby authodte o apply my behalf to the Town of Southold Building Department for approval as described herein. t7;we r Signature Date 0 5 rKte c>'-n to 8 to � C O O rnz�Om-n� N/F SIENK o w ;'a o N 28'QO'00'W 68.10 g �-0a �nI OR H 'i m �s mc No � r z lax s I P9 v o r" mn ov 1< 0 ~ O_ D a3 CD C gm Z 0 ZZ OC �g m m � Rz Cn tl m m $ C r `/�/�+�J , m Z o , o y) Z r1 W m A W 0 U—J C � c X s.ss � Z 35.14' n.a,q T OG O m S 28'00W E 68.10' OF: PAVEUWT MILL ROAD N AC: CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/14/2025 �0� _ r 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). PRODUCER w mmmmmm _Commercial Slxjmol�t w_.... Edgewood Partners Insurance Center PHONE -"" _ FAX 40 Marcus Drive 3rd Floor (Ate �__,_(631) 390-4700 L n;(631)yyyyyyy390-9790 _ ._ EMAIL MSMC. __ ERAGE w _...�w.,. .INSURER S)AFFORDING COV INSURERA:TECHNOLOGY INSURANCE COMPANY I _ w 42376 ............www-_._.n......, w�w.ww_........._ __- ..�.-..w......................_.M...,.-..._..�_..w.........wwww... ......_m_..w-w................'. ... ORD_CASUALTY INSURANCE ._..--- .-. ....... Islandia Pools Ltd. 'NSURERB:HARTF -L INSURANCE COMPANY _... 29929y ww INSURED I MµµpMYMYµY CO NSURERC TRUMBUL C 27120 108 Fishel Avenue INSURER D: __ ............. _____. ....... Riverhead NY 11901 ...�.,_M._... _:.. _...w. __._......... INSURER E (631) 727-6312 INSURER F;. COVERAGES CS CERTIFICATE NUMBER:Cert ID 41225 (15) 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, ITS POLICY NUMBER MMrD REDUCED BY PAID CLAIMS. .. .. m.„.-,....._._-.....�,.. ...-w_..__.........._...w-w......_. LIMITS.___.�.._...w-w-www.w______,-... �ERXCLUSIONS AND FONDITTIINCE OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEENI*oLCCY YY POLICY CLAIMS. B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEOCCUR 12UUNQD9D3N �04/25/2025 04/25/2026 PREPL #P�El4+I $ 300t000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000-,000 GENERAL................ ..-w-..-_....., - -n.�__.._. GEN'L AGORE.GAT'E'.LIMIT APPLIES PER: AGGREGATE $ 2,000�,000 POLICY[X'PE LOC PRODUCTS_COMPIOP AGG $ 2 0000,00 AUTOMOBILE LIABILITY ", I IN L`IMI $ 1 000 000mw 1.9t9st9 .._._.._.............-.ww... ... ..., s C _ ANY AUTO 12UENOZ9729 04/25/2025 04/25/2026 BODILY INJURY(Per mperson) $ mm OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X, AUTOS ^N2t„"!{'„p""'y'�' AIuEdA P:.._.._......... .$-_._.�... .w._.w__........ HIRED NON-OWNE ..X AUTOS ONLY .,.X...., AUTOS ONLY -.( 4 .f;.rd£(; I�,.,.........,.w_.�...._..... ......w-w-..._...._........w_....... $ w ... 1,000,000 E X UMBRELLA LIAB �_X____ OCCUR 12HHUQD9DAP 04/25/2025 04/25/2026 EACH OCCURRENCE $ m,mwm _ w.. CLAIMS-MADE E,GATE $ 1�,000 r 000 77 EXCESS LIAB AGGR _ m_,m,m,m,m,m,m, mmm C9EEA.....� ..'R E"P�YT"IOP@ 5 10 0 $ PER H- A WV(01 ItER CO IMPENSAnoN Yd N TWC4587393 04/25/2025 04/25/2026,.X_ STATUTE,M w.,... ER_ _,_ ND E MOL OYERV LIABILITY ANYPROPRkE"TOP PARTNEFWA CUTIVE E.L.EACH ACCIDENT $mmmmmmml 000 m000 OFFICEMMEMSEREXCLUDED? Y lA (Mandatory in NH) E.L._DISEASE-EA EMPLOYEE $ _....1,.000,000 GL y�+ "dI(e under E,L.DISEASE-POLICY LIMIT $ 1,000,000 E sCMPTION OF OPERATION',bela u $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 54375 Rt 25 AUTHORIZED REPRESENTATIVE Southold NY 11971 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 . YOR workers'STATECom Compensation CERTIFICATE OF INSURANCE COVERAGE .,.....� � Y-- 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 carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured ISLANDIA POOLS LTD. 108 FISHEL AVENUE 6317276312 RIVERHEAD, NY 11901 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required ifcoverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-up Policy) 11-2915558 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Se Town of Southold curity Life Insurance Company of New York 543755 Rt 25 3b.Policy Number of Entity Listed in Box 1a Southold , NY 11971 69146-00 3c.Policy Effective Period 1/1/2014 to 4/1/2026 4. Policy provides the following benefits: 0 A.Both disability and Paid Family Leave benefits. ❑ B.Disability benefits only. ❑ C.Paid Family Leave benefits only. 5. Policy covers: 0 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 employer's employees: 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 NYS disability and/or Paid Family Leave benefits insurance coverage as describe aho Date Signed 4/2/2025 By (Signature of insurance carrier's;udi 'n'ze- r presentafiv,,or NYS licensed insurance agent of that insurance carrier) Telephone Number 212 355-4141 Name and Title TALIN CONTI/MGR. POLICY SERVICES ....... w_... .._..._..w_ _ IMPORTANT:lf 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 413,4C or 5B 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 sox 4B,4C or SB of Part 1 has 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(Art'icle 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed �..� ..�w .. By (Signature of Authorized NYS Workers'Compensation Board Employee)_. Telephone Number Name and Title �� ww 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) 111111111 ��1111ill Additional Instructions for Form D13-120.1 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 I a 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. (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 riot 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 commission or office authorized or required by law to issue any (a) The head of a state or municipal department, board, con permit for or in connection i employment of employees in employment as defined in this article, wth any work involving the emplo, ing the issue of such permits, shall not issue such and not withstanding any general or special statute requiring or authorising 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 farnily 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 employedw ent, board, commission or office authorized or required by law to enter into (b)The head of a state or municipal department, 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 riot 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 Islandia Pools, Ltd. Sales Order 108 Fishel Avenue Salesperson 1: Nicole Evans Riverhead, NY 11901 Phone: 631-727-6312 Fax: 631-727-8419 • Email: dave@islandiapools.com Sales Type: Bullfrog Spa . '� Web: www.islandiapools.com Revenue Center: Sales Spa Bullfrog Created: 3/20/2025 12:01:25 PM Invoice 104455 Completed: 4/3/2025 12:49:02 PM Customer Id: 12339 1 liltI11%IN 1111-1.1� 11.-1i Register° John 1 ANNE/WILLIAM MATTHEWS/HARNEY Email: AMATTHEWS1939@GMAIL.COM 25 MIAMI AVENUE PECONIC, NY 11958 _ ...._.... .� SPA Delivery To Be ScheduledDescr Price Amount �Qtj—�Part Number i tion 12 833 00 12 833.00 µ 1 X7SS X7SS BULLFROG SPA CORRECT AS SHOWN Sub Total $12,833.00 State Tax $577.49 Customer Signature City/County Tax $545.40 Total $13,955.89 Amount Paid $13,955.89 Balance $0.00 f Pa m._.. .... ..APpro_........ �ants yp val Code Id Numbers Amount Date of Trans Type Reference# Date Received Employee Name 513 955 89 3I20/2025 P 342 3120/2025 Nicole Evans Special Comments: X7 SELECT (SNOW/STORM) STAINLESS STORM JET TRIM PREMIUM TOUCH SCREEN CONTROL PAD 2 PUMPS (2.5HP 240V 60Hz 2 SPEED) X SERIES SELECT TRIM PACKAGE EXTERIOR GREY SCONCE LED LIGHTING PREMIUM LED LIGHTING CLASSIC @EASE SYSTEM KIT & SMARTCHLOR CARTRIDGE COVERMATE COVER LIFTER ELEMENT STEP (GREY) PEWTER PATIO PERFORMANCE SPA COVER $300 REBATE TAKEN OFF AT TIME OF PURCHASE FREE DELIVERY FREE YEAR OF WEEKLY SERVICE Initials Invoice: 104455 ANNE/WILLIAM MATTHEWS/HARNEY Thursday,April 3,2025 Page 1 of 2 AGREEMENT OF SALE: AGREEMENT EMEN; akrc56ctan needs Vo be called,50 aansts GFCI 2 pole needs to Fe linstaalled in breaker box or remote mount a separate 50 amp GFCI breaker. This breaker could be remotely mounted outside by spa which waautzt Provide a ctoso disconnect. Otnenvlae,we do require a also¢r xrock be mouavtled close to spa and easily a¢x aaslbge. 220v be 1-6 e ground wint,1-6 e 11eufral Wire spa ck as to60ows:Frors ta'aakar k ox to dascarw erb g wG eaRtaer it be a eozoale4y atour ri d GFCI 5Ct amp breaker or oSanaw other e nnudisconnect) traat 24 ge Gowires need tllo 1*left. No to fts is 0 gauge not 6ap9OU9 ,gauge &wol wires From"dPa orvuact to spas there r aads dap be saaBtdcion!%w tier-14pa conduit with 1-B gar0 Ottru da g k1 CendtaV%tw^ire stmaratd be pcxrg asrt�Cauglh as to reach control daaac aF sgaa ptus'S Pmst. BVgcaOse rat`vaaratlohir at conduit your edectridan nosy use,thse�y should aB,as Be&ave�w end connector for their woather-lEpi&tI condaak eazat is suitable fox at"knack oil hists. Also make Vare house ars property grounded VMS its own ground rod. Upon delivery 01 staa we w4tt do final cortmection, 16d, You will elivaaa We win t to a ccornniodu rt the best posstlbue gi¢roe Cor you,kpwt daao h weather mrri unforeseen Fc reswaeer 0001001s,�aor�a gmoved,rury etc nood W htlo be p ups pep tat ore spar i asd a akin rs reII y easy, Noftru G be notified prior to d0v8f)f Of About spa d ry try your hot tub. Hor wa awnaaw wVlt be resyaonsib4e t'ar making eery'kaooada n ape ptacxaaraeat, Dock rasps removed,traou e sa es e y( thavelmearw �etG e roz sodas ae fs Bo back tract and trailer a"rghM1 up to pr road and snide spa unwt otl 9t tlPt'ts tls nit Pam s t a vte 6 C avaaGable doaass t radaovoyurLtn dothere rare to ay r aarpx�arapa that kes re ycuu have a4on,aceat tk P dour size,hai&waxy„etc.„ao that spas vdll Put, Also on Inside'intstaallatoon please have t gaersorw toc urovraayl p fl P arse ktoorm us before dekveay, Stm weight dcrtr6br,ataon ranges tram W.85tr pier square toot when hits may l]dKka gsOnMf stones or s oraacrete to slabs, e��p4a c+g sgpa ettir 2 5'dao %caPkaaw always supgagated with a auirtvinauarra 4x�k post(scrC in ctar"Gcca�ade)daaE sacs spaced at tlt�ewrery�B`as sadM cae k y has better supat than taw the Center, ein set ar to Buyer:It is understood that the to nns are cash and the payments are du a Prior to aSolivwy anndes r spociaVhw r terms sawfish agreement,ts ee and sett be,bra ht�or mmet if �the�tdars ed and this purchaser seller Not.e y may keep air or praat of'any cash dawns Fyn e at it av dkec taa urr's any expnv vwe�m cotlHect any at rate of 4 eor to be reties to pray all Such Cost and expenses mckadw*rea �n de�attorney flees„interest a#aka cafe at 2 t S au'hsggwost allowable key taw,sefa rcrat his any agreement, k expenses fncdaadGng recovery axant.A tter is acknorwsl dged by acceptance of ttaese terrzcs and gives the salter nglvts to raacawem ploduaot at watt with Or without court autnordy upo default aaP tNroas tagreaarrwerat, Is DO ON THE DAY F DELIVERY IFTHE CUSTOMER NNOT READY THE DELIVERY DUE T01HE COMIP kL IS .tE1 ON OF THE JOB SITE ETC WE WILL NEED THE BALANCE OF THE SPA DUE WHEN SPA IS DELIVEREOD TO ISLANDIA POOLS LTD. WE CANNOT STORE A CUSTOMERS SPA AT"dSLANDNA POOLS UTID FOR EXTENDED LENGTH OF TIME. THERE WILL BE A 4 FEE ADDED TO THE INVOICE IF PAY NG BY A CREDIT CARD i have read the agreement of sale and agree to the above terms and conditions Customer Signature Print Name Date Customer Signature Print Name Date Initials Invoice: 104455 ANNE/WILLIAM MATTHEWSMARNEY Thursday,April 3,2025 Page 2 of 2 4/3/25, 1"k:50 PM High Capacity Hot Tub I Bullfrog Spas X7 Via, ''/ o , %�r/�� r- „// 9 �,,, ✓o/F,/%r�r i / r ly � G� r r ® �r; � APB' 01PEOAS NOTED FEE -"' BY NOTIFY BUILDING DEPARTMENT AT SFOLLL L.F R G G SPAS 631-765-'1802 8AM TO 4PM FOR THE OWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING �,,�, 3. INSULATION � FINAL-CONSTRUCTION MUST Iwo E LBE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK W I OF DF P CODES High Capacity Mid-Size Hot Tub, ASREQUIREDANDCO DITIONS of Premium Quality at a Great Value SOnOLDTWN ZRA ' L AWN PLANNING BOAR Ilf TOWN TRUSTEES S, WITHOUT E TIFF OCCUPANCYHPC OF Total Seats: 8 ELECTRICAL INSPECTION REQUIRED https://www.buIIfrogspas.com/spas/x-series-hot-tubs/x7/ 1/2 4/3/25, 12:50 PM' High Capacity Hot Tub I Bullfrog Spas X7 Lounge Seats: 0 Jets: 43 Dimensions: 7' 4" (2.24m) x 7' 4" (2.24m) x 36" (.91 m) hftps://www.bullfrogspas.com/spas/x-series-hot-tubs/x7/ 2/2 83.5 biuillfr< . FROM BOTTOM �!g 33.1 -= OF BASE 88.0 [84 4 [224] I l 8 .5 [212] FROM BOTTOM OF BASE l l 88.0 [224] l ® 3 5.0 [Bill 33.1 � [84] .. .� [13] s 0 3.0* 5.0 [8] ' [13] a, rcA"'IRI c� lu AVAA : 230 VAC,50 Hz, 16A x 1 230 VAC,50 Hz, 16A x 2 230 VAC,50 Hz,32 A 400 VAC,50 Hz,16 A x 3(3 phase) A SIVM NGCQ 1 # AVALA B 240 VAC,60Hz,30 A 240 VAC,60Hz,50 A C NOTE:RATINGS AMP SETUPS,IN BOLD TYPE ARE PREFERRED RI L FUNCTIONALITY NC ONALI OPERATION LIMITATIONS. N r SET- PS 1A Height: NOTES: CONTACT YOUR DEALER FOR DETAILS. A- Overall 36, 91.4 DOOR ENTRY IS CENTERED ON THE A7 / R7 /X7 B - Ground to Bottom of Lip FRONT OF THE SPA WITH THE FOLLOWING 30" 76.2m C Ground o Bottom 1 CabinetSPAN: 69.25" [176] CAL STUB-UP TYPICAL 4 3 4 12 m *INTERNAL ELECTRI rr�r� i / V1 / X SERIES WNERS MANUAL bilil spas