HomeMy WebLinkAbout50850-Z •.�'4'°f solo/ Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46694 Date: 11/17/2025
THIS CERTIFIES that the building HOT TUB
Location of Property: 4630 Nassau Point Rd Cutchogue, NY 11935
Sec/Block/Lot: 111.-8-10
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/25/2024
Pursuant to which Building Permit No. 50850 and dated: 06/21/2024
Was issued, and conforms to all of the requirements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
Accessory hot tub as applied for.
The certificate is issued to: Wirstrom M Living Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 25-104843 9/24/2025
PLUMBERS CERTIFICATION:
l
Auth ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�y • � �� 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#: 50850 Date: 6/21/2024
Permission is hereby granted to:
Wirstrom M Liv Trust
PO BOX 156
Mattituck, NY 11952
To: construct accessory hot tub as applied for.
At premises located at:
4630 Nassau Point Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-8-10
Pursuant to application dated 4/25/2024 and approved by the Building Inspector.
To expire on 12/21/2025.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $300.00
CO- SVaMMING POOL $100.00
Total: $400.00
Building Inspector
Certificate of Compliance E E Q E
......................................................................................................................................................................................... .
CERTIFIED ELECTRICAL INSPECTIONS, INC. SEP 2 125
188 PARK AVENUE
AMITYVILLE, NY 11701 i ;Ment
P® 631 598-5610 Building
of Sol,
f ?odd
.............................................................................................................................................................................................................
Tow
CERTIFIES THAT
Upon the application of Upon premises owned by
Modern Green Home Marc Wirstrom
PO Box 2007 4630 Nassau Point Road
Bridgehampton, NY 11932 Cutchogue, NY 11952
Located at: 4630 Nassau Point Road ,
Cutchogue, NY 11952
Application Number#: 25-104843 Certificate#: 25-104843
Electrical License#: 39331-ME
Section: Block: Lot: Building Permit#: 50850
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Hot Tub
A visual inspection of the premises electrical system, limited to electrical devices and wiring to
the extent detailed herein, was conducted in accordance with the requirements of the applicable
code/or standard promulgated by the State of New York, Department of State Code Enforcement
and Administration, or other authority having jurisdiction, and found to be in compliance therewith
on the 24th day of September 2025
Name QTY
GFI Circuit Breaker- 20 Amp, 220V 1
Blower Motor 1
Disconnect Switch - 60 Amp, 240V 1
�,It �
Electrical Inspector: Sal IFrangipane l,l flr_
6
OF SOpT�OIo
# TOWN OF SOUTHOLD BUILDING DEPT.
courm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINALorlt/0
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ;
[ ] CODE VIOLATION [ ]: PRE C/O [ ] RENTAL
REMARKS:
DATE �'� INSPECTOR
f
y..
A .-- :
vv �YE
'._ POOL ALAR l\A
PISCINE
LIES WITH A.S.T.M. F2208 STANDARD
ORME NSF
A.S.T.M. F2208
,�. _ •CERTIFIED FOR INGROUND AND ABOVEGROUND POOLS
•CERTIFIE POUR LES PISCINES CREUSEES ET HORS-SOL
•ADVANCED TECHNOLOGY-AVOIDS FALSE ALARMS
• TECHNOLOGIE PERFECTIONNEE QUI KITE LES FAUSSESALARKS
• EASY TO INSTALL
s • INSTALLATION FACILE
•4
FIE,LD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST)
--------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
t
U 41r U
FINAL
ADDITIONAL COMMENTS
-7 pr� A 0,
lco 1-9----
rez , - dL—W 0
F-le
T3, X
`PROPERTY INFORMATION
Existing,use of property:. Intended use of property:
S i e ( Ctl
Zone or use district in which premises is"situated: Are there any covenants nd restrictions with respect to
I�i�S�dr✓tC� � this property? ❑Yes L�No IF YES,'PROVIDE A COPY.
lb!Check Box After Reading The owner/contractb4aesign;professionai is responsible for all tlreinage andstorm water issues as provided by
Chapter 236 of the Town Code "APPLICATION IS HEREBYiMdUE+to the Bwlding Department for the"issuance of a Building Permit,pursuant;tottie Building Zone'"
Ordinance ofahe Townt of Southold,Suffolk County;New;York anQ other applicable Laws Ordinances or Regulations,;forttie construction of buildings,
additions,alterations or for removal or demolition as herein"descnbed"The PPP licant"agrees to:comply,with'all applica"ble.laws,;ordinance`s building code;
fiousmg code and,regulaUons and to admit authorized inspectors on premises andhn"buildng(s)for„necessary inspections;False•statements made;herem are
punishable as;a Class A misdemeanor pursuarit"to}Section;210,45 of the New:Yok 5tate;Pena1 Law
Application"Submitted By(print name): BAuthorized Agent ❑Owner
Signature of Applicant: Date:
`STATE OF NEW YORK)
SS: )
COUNTY OF
s
�T �0( �`1�bKS being duly sworn,deposes and says that(s)he is'the applicant
(Name of individual signing 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 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
2 day of . /'f Y(`I 205k;
24-
I ubfbbert DeStafano
' TARV Notary Public,State of New York
N
,+ * No.()I
Rd® oualiiled In Suffolk County
PROPERTY OWNER"AUTHORIZATI�IV�' 1� Commission Expires march 30m,zcL
(Where the applicant is not the owner)
Marc Wlrstrorn 11 `Hoyt Street, Apt 18 Brooklyn NY 11201
I,. residing at
Brad Hooks (O,za Sabbeth Architects)
do hereby authorize to apply on
my'beha o the' `f5outhold Building Department.for approval as described herein:
February 14, 2024
Owner's Signature Date
Marc Wirstrom
Print Ownee's'Name
2
S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 8 LOT(S): 10
DWELLING \
W/WELL WATER WELL
_ ! 70�
VACANT 70 ? j
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74 "LOT DIMENSIONS ARE APPROXIMATELY ONLY"
4 AND BECAUSE OF THIS LEGEND DIVISION
S. / LINES ARE INDEFINITE AND UNCERTAIN.
g4 D•W� 2�°// PROPERTY LINES SHOWN ON THIS MAP ARE REPRESENTED
gp� �N N. ^, / ON SURVEY RECORDED IN LIBER 2006 PG. 426 AND IN
V.��s: ' // 1'O COMBINATION WITH PRESENT DAY MEASUREMENTS AND FIELD OBSERVATIONS.
EL 73.5 VACANT 76 /q/O6�7 R DWELLINGS
150'
155 J MASONRY /OE5616 W/PUBLIC WATER 150'
BROWNLOT
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AND OR DATA OBTAINED FROM OTHERS
PALE MEDITATION AREA / / 76
BROWN NAVD88
SW W/BENCH AREA: 37,806 S.F. or 0.87 ACRES ELEVA7701V DATUM:
MEDIUM 2.5' /
SAND O / UNAUTHORIZED AL7ERA77ON OR AOD177ON TO 774IS SURVEY IS A VIOLATION OF SEC77ON 7209 OF 7H£NEW PORK STATE£DUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
78 ONLY TO THE PERSON FOR NHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TUTION
L/S7ED HEREON, AND TO 774E ASSIGNEES OF 7HE LENDING INS777U710N, GUARANTEES ARE NOT 7RANSFERABLE.
BROWN PALE � �- THE oFFSErs OR NOT l ED TODMONUMENT 7HE PROPERTY LINES OR TO GUIDE 7HEERTY NES EREC777ON OF FENCES ADD770N0 7HE S7RUC7URFS ARE �S7RUC7URES A SPECIFIC PURPOSE AND USE 7HEREFORE OR AND 07H£R MPRO"ENN7S.�EASEMEN7S
EY ARE
MSANDM 11.7' MON. CE AND/OR SUBSURFACE S7RUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE 77ME OF SURVEY
& GRAVEL 0.7'N 80
CERTIFIED T0:
SURVEY OF: LOT 157 ADVANTAGE TITLE GROUP AGENCY, LLC;
�
w �� MAP OF:AMENDED MAP 'A" OF NASSAU POINT MARC WIRSTROM LIVING TRUST DATED MARCH 5, 2021•
Z FILED: AUG. 16, 1922 No.156 AMTRUST TITLE INSURANCE COMPANY AN AMTRUST
FINANCIAL COMPANY);
JAN. s. 2021 — 17 REVISED 04-16-24 SITUATED AT: CUTCHOGUE
K. WOYCHUK LS REVISED 02-15-24 TOWN OF: SOUTHOLD
REVISED 01-20-24 SUFFOLK COUNTY, NEW YORK KENNETH M AOYCHUK LAND SURVEYING, PLLC
Professional Land Surveying and Design
REVISED 07-20-23 4uNo.
P.O. Box 153 Aquebogue, New York 11931
UPDATE 07-07-23 FILE �221-04 SCALE: 1"-30' DATE: JAN. 6, 2021 NY.S 050882 PHONIC (691)298-1588 Fes (631) 298-1566
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S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 8 LOT(S): 10 \ E
D UE
ti 165
WELL c,0" <�F
G A,26�I8°36 `I'c1' SEP 2 4 2025
;� tiR2C�6 Y
Building Department GAS `�15 �"�� Q Town of Southold
LOT 158
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IN FIELD
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o��•: L.P. SANITARY LOCATION
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m s.
BELG.BLOCK CURB N
L07 156 y p A ::::: pJE�. P� ��
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1- 0
"'NOTE: THE FILED
APPROXIMATELYMARKEDLOT DIMENSIONS ARE ONLY"
?
'�• AND BECAUSE OF THIS LEGEND, DIVISION
LINES ARE INDEFINITE AND UNCERTAIN.
I 2nm o N PEE / PROPERTY LINES SHOWN ON THIS MAP ARE REPRESENTED
o� ON SURVEY RECORDED IN LIBER 2006 PG. 426 AND IN
C1 p N /h COMBINATION WITH PRESENT DAY MEASUREMENTS AND FIELD OBSERVATIONS.
a G� QQp�/y�ti��� 1"
/ ✓ P
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LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS.
ap L
a GOO / AREA: 37,806 S.F. or 0.87 ACRES ELEVATION DATUM.'
NAVD88
UNAUTHORIZED ALTERATION OR ADDITION 70 THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
�qGS /� MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 7I7LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LOT 155 `I / LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
GQi THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF. LOT 157 of NE V CERTIFIED TO•ADVANTAGE TITLE GROUP AGENCY, LLC;
/ & MAP OF:AMENDED MAP A" OF NASSAU POINT P N M• KO ro MARC WIRSTROM LIVING TRUST DATED MARCH 5, 2021
/ FILED: AUG. 16, 1922 No.156 _� }�GP� AMTRUST TITLE INSURANCE COMPANY AN AMTRUST
r x FINANCIAL COMPANY);
O
SITUATED AT: CUTCHOGUE
UPDATE 09-03-25
MDN FINAL SURVEY 07-02-25 TOWN OF' SOUTHOLD .1.F �`� KENNETH M WOYCHUK LAND SURVEYING, PLLC
FND LOC. 08-29-24 SUFFOLK COUNTY, NEW YORK 2s o5o8s2 e
•f•�y F Professional Land Surveying and Design
G REVISED 04-16-24 o P.O. Boa 153 A uebo y q gue, New York 11931
REVISED 02-15-24[FILE
#221-04 SCALE: 1"--30' DATE:JAN. 6, 2021 N.ys usc. No. 05Des2 PHONE (881)288-1588 FAX(631) 298-1588
god
DiLandro
✓ Andrews
e� Engineering
158 County Rd. 39, Suite 10
Southampton, N.Y.11968
Office: (631)259-3959
Info@DiLandroAndrews.com
Certificate No.: 0019523
Professional Seal
I I #4 TRANSVERSE BARS @ 10"
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ATE: P.# �56
OTI BUILDING DEPARTMENTAT
�— 1-765-1802 8AM TO 4PM FOR THE
OLLOWING INSPEOT!O►vS:
BEND 06 BEND 07 BEND 08 BEND 09 z FOUNDATIC - i:N17,PF01„r,�n
O �' FOR POUR¢=0
n Z ROUGH-FHAN',INC P,_
INSULATION
FINAL-CONSTRUCTION MUST
Q BE COMPLETE FOR C.O.
LL CONSTRUCTION SHALL. MEET T'
C) V EQUIREMENTS OFTHE GODES O'.."
ORK STATE. NOT RESPON`SI��L_F FGF',
Q O ESIGN OR CONSTRUCTON EP w HS
z
w C ~ CM 0 COMPLY WITH ALL CODES OF
W d' C) NEW YORK STATE &TOWN CODES
a AS REQUIRED AND CON TIONS OF
SOUTHOLD TO , ZBA
SOUTHOLD 1 WN PLANNING BOARD
Revisions SOnI OL OWN TRUSTEES
No. Date Description N,Y,S, �
1 02/02/2024 FOR PERMIT SO rI0L0 HPC
2 --/--/-- ---- S riD
3 --/--/-- ----
4 --/--/-- ----
5 --/--/-- ----
-- rc, OCCUPANCY OR
Designed By : AN USE IS UNLAWFUL
Drawn By : AN WITHOUT CERTIFICA L
Checked By : AA F OCCUPANCY
Date : 02/01/2024
Scale: AS NOTED ELECTRICAL
INSPECTION PIEQUIRED
S � l 02
RETAIN STOR4j9%VATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOANN CODE.
Sheet#
ENCLOSE POOL TO CODE
UPON•COMPILED 0' �.';