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HomeMy WebLinkAboutDuck Walk Vineyard 2019-5 r � Southold Town Board - Letter Board Meeting of March 26,2019 RESOLUTION 2019-261 Item# 5.12 ADOPTED DOC ID: 15039 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-261 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 26, 2019: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Christopher Richards, East End Events Catering to hold Special Event 2019-5 at the Duck Walk Vineyard, 44535 Main Road, Southold,New York as applied for in Application DWVIa-f for six (6) wedding events: April 27, May 11, June 1, June 26, July 3, and July 4, 2019 from 6:00 PM to 11:59PM provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Events. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr,Ruland, Doherty, Ghosio, Evans, Russell Generated March 27, 2019 Page 28 r ? TOWN SPEC-PAL EVENT (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event.: Private Wedding Permit-No. : DWV #1a Types) bf Event: Wedding Location of Event : Duck Walk Vineyard Date(s) of Event : April 27, 2019 Time of Event : 6:00 PM - 12:00 PM h� 4 4� ravmmm�aY.S YC TOWN OF SOUTHOLD SPECIAL EVENT PERMIT (THIS PERMIT MUST RE KEPT ON THE PREMISES) Name of Event : Private Wedding Permit No. : DWV #1b Type(s)_qf Event : Wedding Location of Event : Duck Walk Vineyard Date(s) of"Event.: May 11, 2019 Time of Event_: 6:00 PM - 12:00 PM Y£; i. Y': SOUTHOLD TOWN OF SPECIAL EVENT PERMIT (THIS PERMIT MIDST RE KEPT ON THE PREMISES) Name of Event : Private Wedding Permit No. : DWV #1c Type(s� of-Event.: Wedding Location of Event : Duck Walk Vineyard bate(s)-of Event : June 1.. 2019 Time of Event : 6:00 PM - 12:00 PM x: iC' i d ' aOF ✓ J93ourHoLo OFFECHAL FEWFEN7 1p [Emmmu (THIS PERWT MUST BE KEPT ON THE PREMISES) Name of Event : Private Wedding Permit No. : DWV #1d Type(s) of Event : Wedding Location of Event : Duck Walk Vineyard Date(s) of Event : June 29, 2019 Time of Event : 6:00 PM a 12:00 PM itis f h' z F E 1 TOWN OF SOUTHOLD SPECNAL EVENT PERmby (TRIS PERMIT MUST RE KEPT ON THE PREMISES) Name of Event : Private Wedding Permit No. : DWV #1e Type(s) of,,Event_: Wedding Location of Event : Duck Walk Vineyard ,Date(s),°of Event : July 3, 2019 Time of-Event : 6:00 PM - 12:00 PM F �j #t� }t st (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Private Wedding Permit No.,: DWV #1f Ty0e(-s) 6f-,Event: Wedding Location of Event Duck Walk Vineyard Date(s) of Event : July 4, 2019 Time of Event : 6:00 PM - 12:00 PM RECEIVE® PP NliE 1 1 ';] APPLICATION FOR A PERMIT TO HOLD A a0�qt SPECIAL EVENT Southold Towle Clerk Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special'Event Permit# 2019-51'=1 Applicant(s)s)name: l �a- �1\c ( a Date of Submission 1 Name of Event SCTM# s 1000-Section( Block- 02 Lots Dates of Each Event: T l-aI l`�. 5-111111 (O 11 ) �✓—4 74&_111 71Y16 If Multiple Dates are requested,applicant must give all information for all dates. t � r , Nature of Event: (Please attacl�a detailed description of EACH event to this application) Time Period(Hours)of Event: From .frt, 4'_ k to , A Town Services requested: ( )Yes No If yes,Describe Police Dept. Highway Dept. Describe Services N0 Ij(- Maximum Number of Persons Attending At One Time: 110 Number of cars expected Is a Tent or other temporary structure being used? [ ]Yes [ ]No If yes provide size(s) Will food be served?[ Yes [ ]No If yes provide number and name(s)of food vendor(s) " s.b /1 Suffolk County pernut#(s) A I �1; t tl " Will other vendors be on the premises during the event? Yes [ ]No If yes how many? Describe Type of vendor(s) St Property Owner(name/address): Li Contact Person and Contact Tel.# k ''4 &4 0 5— e-mail address ` l U ` , ouckw,A VaPC-q"Lej' Event Location: Street-Hamlet Address: ." � r Y � , Fa e3 `' SCTM# Will any services be requested [ ]Yes No. If Yes describe Police Highway Other: Mailing Address to Send Event Pen-nit to: f �10 P ' � kJ Weddings at Duckwalk Vineyards April 27, 2019 Pamela 130 people May 11, 2019 Meghan & Bryan 150 people June 1, 2019 Hanna & Brandon 150 people June 29, 2019 Alex & Petro 150 People July 3, 2019 Kelley & Eric 150 People July 4, 2019 Leigh &James 150 People Have any of the development rights been sold to the Town of Southold [ ]Yes '/1 J]No and/or Suffolk County Agricultural Program? [ ]Yes [,,-TNo If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey, site plan and/or aerial view(for example Google Earth) of the subiect property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location ofany existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event, (3) The location of the stage or tents,if any. (4) The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any,and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. (14) Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualifiedtraffic controller must be provided.Please ,attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations, conditions,and requirements of the Code oftke Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all ' ections necessary in convection with this Special Even iftaw Print name of Owner Si ture of Own6r Print name of Au horized Person/Representative Signature of Authorized Person/Representative PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly prohibited on ANY Town, County or State Roads or Rights of Way. 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review,etc.at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking ingress/egress/access, tent(s)or temporary structure(s),or temporary sanitary facilities,shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking ingress/egress/access tents or temporary structures) or temporary sanitary facilities shall be conducted on Suffolk County_ Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: 2019-261 Date Issued: 3/27/19 FJ i 't f I 1 � 5 i 1 Rau L t e PSI t A AU e 0 V A u I..) rociof3 I 5 I LAO p CERTIFICATE OF INSURANCE ISSUE DATE 3/12/2019 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 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 RIGHTS70 THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). PRODUCER INSURER(S)AFFORDING COVERAGE Northeast Agencies, Inc 6467 Main Street-Suite,104 INSURER A: Colony Insurance Buffalo,NY 14221 INSURER B: N/A INSURED INSURER C: East End Event Caterers Inc c/o Christopher Richards INSURER D: 71 Washington Ave INSURER E: N/A Patchogue,NY 11772 COVERAGES 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. INSF TYPE OF POLICY POLICY POLICY LIMITS LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE A GENERAL LIABILITY GL4233880 3/13/2019 3/13/2020 . GENERAL AGGREGATE 2,000,000 PRODUCTS-COM/OP AGG. 1,000,000 PERSONAL&ADV.INJURY 1,000,000 EACH OCCURRENCE 1,000,000 DAMAGE PREM RENTED TO YOU 100,000 MED EXPENSE(Any one person) 5,000 B PERSONAL LIABILITY COMBINED SINGLE LIMIT MEDICAL PAYMENTS TO OTHERS C EXCESS LIABILITY EACH OCCURRENCE AGGREGATE D E PROPERTY BUILDING CONTENTS BUSINESS INCOME THE INSURER(S) NAMED HEREIN IS (ARE) NOT LICENSED BY THE STATE OF NEW YORK, NOT SUBJECT TO ITS SUPERVISION,AND IN THE EVENT OF THE INSOLVENCY OF THE INSURER(S), NOT PROTECTED BY THE NEW YORK STATE SECURITY FUNDS. THE POLICY MAY NOT BE SUBJECT TO ALL OF THE REGULATIONS OF THE DEPARTMENT OF FINANCIAL SERVICES PERTAINING TO POLICY FORMS. DESCRIPTION OF OPERATIONS/SPECIALTY ITEMS Caterers-Duck Walk Vineyards and the Town of Southold are named as additional insureds with respect to general liability. Event Dates- 05/01/19-11/01/19 CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Duck Walk Vineyards BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 44535 Main Rd. ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED SIGNATURE � a PERMITS TO OPERATE A FOOD ESTABLISHMENT AND PERMIT FEE PAYMENTS ARE NOT TRANSFERABLE Notify the Bureau of Public Health Protection of any change of ownership,type of business activity,business name,or billing address by calling 631-852-5999.Permits become void upon change of ownership.New owners must apply and pay for a new permit prior to beginning operation Operating without a valid permit may subject you to legal action,including a hearing,fines and possible suspension of the operating permit CJ'S AMERICAN GRILL CSS AMERICAN GRILUEAST END E 71 WASHINGTON AVENUE PATCHOGUE,NY 11772 DETACH PERMIT HERE AND DISPLAY PROMINENTLY TO THE PUBLIC Suffolk County Department of Health Services 360 Yaphank Avenue Suite 2A Sr JJJ B:Y ONEOCC JAMAS LTONCOMMISMO,MPP MBy MSW Yaphank,NY 11980 SUFFOLK COUNTY EX'cCUiM CON.Y'SSION.R 631-852-5999 SUFFOLK COUNTY TH S ERVICES www.suffoi kcountyny.gov/health O:PARTMc Facility ID FA0003152 PERMIT Account ID. AR0007491 TO OPERATE A FOOD ESTABLISHMENT Issued. 2/15/2019 CSS AMERICAN GRIL /EAST END E 10095 MAIN RD UNIT 1W MATTITUCK, NY 11952 OWNER NAME: CSS AMERICAN GRILL, LLC Restaurant Seats=0 Permit ID Number: PT0002999 Codevanance Extenor Seats=0 Mechanical Dishwasher Required Catering Seats=0 Valid From 2/15/2019 To 3/31/2020 Off-Premises Catering Approved Bar Seats=0 Total Seats=80 This permit will expire upon the date specified or upon a change of ownership This permit is NOT transferrable and is granted subject to compliance with the provisions of Article 13 of the Suffolk County Sanitary Code and all applicable state,local, and municipal laws,ordinances,codes,rules,and regulations. 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ROM �,rvK.t --LXi9TiH6-M/:TER•>ttJN 9n/Ob MAIN ROAD Stlate Road 25 OVERALL SITE PLAN 4nl oe SITE PLAN Street Repair,Gurb,Sidewalk A2106 xale 1•.200' ' xnb I••20LD' 12/09/06 1 al 2 I 51te Curb 4 Paving(Item IIIA) y MAILING ADDRESS: PLANNING BOARD MEMBE .`_.' ` - P.O.Box 1179 JERILYN B.WOODHOUSEO_``�Q� SO&ryol Southold,NY 11971 Chair Q OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR N 54375 State Route 25 GEORGE D.SOLOMONGc� �p (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND � COU'M'� Southold, NY lr 1 Telephone: 631765-1938 Fax: 631765-3136 May 9, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Charles W. Southard, Jr. Architect 4400 Veterans Hwy, Suite 207 Holbrook NY 11741 Re: Proposed Site Plan for Duck Walk Vineyard Located on the n/s/o County Road 48 approximately 546' west of Maple Avenue, known as 44535 Main Road in Southold SCTM # 1000-75-2-2.6 & 2.7 Zone: AC District Dear Mr. Southard: - The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, May 8, 2006: -he final public hearing was closed. NHEREAS, the site plan is for construction of a 7,600 sq. ft. vineyard building with 38 parking spaces ,provided 'as required and 31 additional overflow parking spaces in geoblock type on 30.5 acres parcel n the A-C Zone; and WHEREAS, Merlot, LLC is the owner of the property located on the n/s/o NYS Road 25 approximately 546'w/o of Maple Avenue in Southold. SCTM# 1000-75-2-2.6 & 2.7; and NHEREAS, on December 5, 2005, the Southold Town Building Department issued a Notice of disapproval on Form No. 3 indicating " the proposed winery will require approval from the Southold Town Planning Board" and also indicated "you may now apply to the Southold Town Planning Board"; -and NHEREAS, on December 7, 2005, the agent, Charles W. Southard, submitted a formal site plan for approval; and NHEREAS, on January 10, 2006, the Suffolk County Department of Planning responded after -eview and determined this matter is for"local determination as there appears to be no Significant county-wide or inter-community impact(s)" and the Planning Board accepts this )ursuant to 239L & M General Municipal Law; and NHEREAS, on January 11, 2006, the Southold Town Fire District found that there is adequate fire )rotection for this parcel and the fire access is sufficient, the recommendation is valid for one year 'rom the date of the letter; and Duck Walk Vineyards - Page Two May 9, 2006 WHEREAS, on January 12, 2006, the agent, Charles W. Southard, submitted a letter which identified he materials for the proposed building'as follows: 1) Roofing- Green — Standing Metal'Seam 1) Riding - Cream - wood or Hardie Siding 2) Accent Walls-- Beige Stone; and WHEREAS, on January 12, 2006, the Architectural Review Committee reviewed the architectural drawings and associated site.plan materials and approved the application subject to light cuts and elevation, as well as an update on planting, and the Planning Board incorporates this recommendation in the site plan; and , WHEREAS, on April 11, 2006, the Southold Town Planning Board, acting under the State Environmental Quality Review Act, pursuant to 6 NYCRR Part 617, performed a coordinated review of this unlisted action-and, as lead agency, made a-determination of non-significance and granted a Negative Declaration; and WHEREAS,,on April 17, 2006, the Southold Town Building Inspector-reviewed and certified the site plan for "Winery" use; and WHEREAS, on April 21, 2006, the Southold Town Engineer reviewed the site plan materials and approved the proposed drainage with comments and the Planning Board incorporates his recommendations in this site plan; and WHEREAS, on May 1, 2006, the New York State Department of Transportation reviewed and approval the proposed work under permit number 10-05-0642 and the Planning Board accepts this approval; and WHEREAS, on May 1, 2006, the Suffolk County Department of Health Services reviewed and approved this project under reference.number C10-05-0020; and WHEREAS, on May 4, 2006, the Architectural Review Committee reviewed the revised architectural drawings and associated site plan materials and approved the application subject to conditions, and the Planning Board incorporates this recommendation in the site plan; and WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has complied with the notification provisions; and WHEREAS, the following four items shall be required: 1. All outdoor lighting shall be shielded so that the light source is not visible from adjacent properties and roadways. Lighting fixtures shall focus and direct the light in such a manner as to contain the light and glare within property boundaries. The lighting must meet town code requirements. 2. The applicant must obtain a SPDES General Permit (NYR-10Ho57)for Storm Water Discharges (General Permit Number GP-02-01) from the New York State Department of Environmental Conservation for the construction activities. 3. All signs shall meet Southold Town Zoning Codes and shall be subject to the approval of i M Duck Walk Vineyards ` - Page Three May 9 2006 the Southold Town Building Inspector. 4. Landscape survivability guarantee: the applicant agrees to replace any of the landscape which dies within three years of planting; be it therefore RESOLVED, that pursuant to Southold Town Code 100-254 Part 1, the applicant agrees to incorporate all the requirements, comments, and recommendations of each reviewing agency as referenced above and as indicated on the site plan and corresponding attachments; and be it further RESOLVED, that the Southold Town Planning Board has reviewed the proposed action under the policies of the Town of Southold Local Waterfront Revitalization Program and has determined that the action is consistent provided that the best management practices outlined in the May 8, 2006 memo prepared by the LWRP Coordinator are implemented; and be it further RESOLVED, that the Southold Town Planning Board grant approval on the site,plan prepared by Charles W. Southard, Architect, dated October 25, 2005 and last revised April 12, 2006, and a set of architectural plans prepared and certified by Charles W. Southard, Architect, dated February 16, 2006 and authorize the Chairperson to endorse the final site plan with the following conditions: 1. The site plan approval requires that all work proposed on the site plan shall be completed within three (3) years from the date of this resolution. 2. Prior to the request for the Certificate of Occupancy, the owner or authorized agent must request the said Building Inspector and the Planning Board to perform an on-site inspection to find the,site improvements are in conformity with the approved site plan. 3. If the as-built site improvements vary from the approved site plan, the Planning Board reserves the right to request a certified as-built site plan detailing all the changes. 4. Any changes from the approved site plan shall require Planning Board approval, and any such changes without Planning Board approval will be subject to referral to the Town Attorney's Office for possible legal action. The Planning Board will issue a final site plan approval in the form of a letter following a site inspection and at the time the site improvements are found to be in conformance with the approved site plan. A copy of the approved site plan is enclosed for your records. As per the Town Code, one copy each will be distributed to the Building Department and Town Engineer/Highway Department. If you have any questions regarding the above, please contact this office. Very truly yours, erilyn B. Woodhouse Chairperson Enc. cc: Building Dept. Town Engineer/Highway Dept. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/14/19 Receipt#: 252164 Quantity Transactions Reference Subtotal 1 Event Fee DWV2a-f $150.00 Total Paid: $15000 Notes: DWV2 a. 8/17/19 b 9/1/19 c. 9/6/19 d. 9/7/19 e. 9/14/19 f 9/21/19 Payment Type Amount Paid By CK#22812 $150.00 Duck, Walk Vineyard Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Duck, Walk Vineyard 591A Bicycle Path Port Jefferson Sta., NY 11776 Clerk ID: LYNDAR Internal ID DWV2a-f z 1. r ' ` 3 � TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application. Up to six (6)multiple events of the same type, occurring over a period of three months,may be permitted on one(1)application for a fee of$150.00. However,specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event. Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential propggy for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: PIease indicate submission of the following by checking off the boxes and signing below. ❑ A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ® FEE: Is the application being submitted at least 60 days before the event[L4,Y/es [ ]No ❑ If Yes,Fee of$ has been submitted ❑ If No,Fee of$ has been submitted The applicant/owner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured ®'A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) Events for three hundred (300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit.