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HomeMy WebLinkAboutOspreys Dominion Vineyards 2019-17 Southold Town Board - Letter Board Meeting of April 23, 2019 c �O�gUFFO(,C� RESOLUTION 2019-381 'Item# 5.25 ADOPTED DOC ID: 15161 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-381 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 23, 2019: RESOLVED that the Town Board of the Town of Southold hereby granted permission to Osprey?s Dominion Vineyards to hold Special Event 2019-17-at Osprey?s Dominion Vineyards, 44095 Main Road,'Southold,New York as applied for in Application ODVIa for one (1) arts & Crafts Shows on July 20, 2019, from 11:00 am to 5:00 pm,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: William P. Ruland, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated Apri124, 2019 Page 42 t� EF 4F Q3(0 U 7"' , H Q L D I (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Summer Art Show at Ospreys Dominion Permit No. : ODV 1a Types) of Event : Art Show Location of Event : Osprey Dominion Vineyard Date(s) of Event : July 20, 2019 Time of Event : 11:00 AM - 5:00 PM ,��VfFO RECEIVED Cz APR 1 2 2019 ®l � Southold Town Clerk ®;Z)V 1 a. 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 mast be submitted at least 60 business days before the event. Au hn 'cants 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$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article 1,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential proper for proft such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. 14 A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. W FEE Is the application being submitted at least 60 days before the event 14 Yes [ ]No [�'If Yes,Fee of$ b7 ' has been submitted El If No,Fee of$ has been submitted Updated 8/7/2018 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 Parkine[Event Pian: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 phi acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event.(See application form for details) WSignature 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. Updated 8/7/2018 RECEIVED APR 1 2 2019 Southold Town Clerk (3D\/ 1a. APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed, Special Event Permit# Applicant(s)name: (il1l a Date of Submission Li Name of Event —)YUt'c1—r9 1� old SCTM#'s 1000-Sectiion Block- Lot(s) I Dates of Each Event:clUV� If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: W o� 1hRY vim) (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From 11 Q to 5 Qpm Town Services requested: ( )Yes (�)No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: NM _Number of cars expected `)�'�QD. Is a Tent or other temporary structure being used?[X]Yes[ ]No If yes provide size(s) 3M&A Dcsp-wD Aunt S amt G Rk—gi x-Q WA4 Q&N a R Q 101c IDLMM it C) Will food be served?[ ]Yes N No If yes provide number and name(s)of food vendor(s) Updated 8/7/2018 Suffolk County permit#(s) Will other vendors be on the premises during the event? ]Yes [ ]No If yes how many? ���� Describe Type of vendor(s) Property Owner(name/address): Contact Person and Contact Tel.# e-mail address tT A RTS-ft\N@&A A'k Event Location:Street-Hamlet Address: ( ,I:z Aft A I I bVYNVAAA0II V VJ A y�lo�5 S 'bld► r 11 q S� SC TM# :J5 416c k. L Lot- Q40,� Mailing Address to Send Event Permit to: UT, ATILT S)hN TAK. ?J aS L&kk Cup Have any of the development rights been sold to the Town of Southold[ ]Yes [N4 No and/or Suffolk County Agricultural Program? [ ]Yes [ ]No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take lace: YOU MUST ATTACH A PA.RKINGIEVENT 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(fpr example Google Eart )of the subject p=u ty.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 of any 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 ofuse 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. () 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. Updated 8/7/2018 (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 qualified traffic 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 Properly where this event is to be held and I agree to comply with the laws, rules,regulations, conditions,and requirements of the Code of the 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 cions ne ssary in connection with this Special Event. '73 tjm� Print name of Owner Signature of Owner Qf 1Y\0`.''rn townr Print name of Authorized Verso epresentative Signature of Authorized PIriontpresentative 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 Ri hg is of XaX� 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. r Updated 8/7/2018 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, tents or to o=structure(s), o. r temporary sanit=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 temp r= structure(s), 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: Date Issued: Updated 8/ INN KATRMUR-01 DINDELICAT AcoRv~ CERTIFICATE OF LIABILITY INSURANCE °A'48 """' 4/18//201201 9 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 thecertificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 RRAVCT The Clausen Agency,Inc. O 333 Route 25A,Suite 150 PHac,NE Na fty.(631)744-1393 AICFax NaY.(631)744-1732 Rocky Point,NY 11778 FAD RI INSURERS AFFORDING COVERAGE NAIC# INSURER A:United States Liability Insurance Company INSURED INSURERS: LI Art Show Inc. INSURER C: PO Box 105 INSURER D: Saint James,NY 11780 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRw 30 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OX occuR X CL 1925121 7/20/2019 7/2212019 PAGE TO RENTEDES(En n $ 100,000 MED EXP(Any oneperson) 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000'000 X POLICYFI jm LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY == SINGLE LIMIT $ ANYAUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOSBODILYBRORDILY INJURY Per accident AUTOS ONLY OUTS PPe�aandet AMAGE UMBRELLA UABOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ WORKERS COMPENSATION SPTERTUTE E AND EMPLOYERS'LIABILITY Ya ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ QEF!dMrMjV.W)EXCLUDED? N I A (� n nnl E.L.DISEASE-EA EMPLOYE $ If yes, des cnbe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more Wee Is required) The Certificate Holder is included as Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ?Own of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED JRREPR/ ' ES REPRESENTATIVE gam ACORD 25(2018/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KATRMUR-01 DINDELICAT CERTIFICATE OF LIABILITY INSURANCE DATE(M AE(M 019 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 COANEACT The Clausen Agency,Inc. PHONE FAX 333 Route 25A,Suite 150 (Arc,No,Ext):(631)744-1393 (Arc,No):(631)744-1732 Rocky Point,NY 11778 ADOREss: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A.-United States Liabifily Insurance Company INSURED INSURER B: LI Art Show Inc. INSURERC: PO Box 105 INSURER D: Saint James,NY 11780 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 INSR TYPE OF INSURANCE LTR INSO SUER WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE ❑X OCCUR X CL 1925121 7/20/2019 7/22/2019 ,EM ET Ea occ r encs $ 100,000 MED EXP oneperson) $ 1,000 PERSONAL&ADV INJURY $ 1'000'000 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2'000'000 X POLICY❑%&_ F__]LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY COMBINED �NeD SINGLE LIMIT $ nt ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS -BODILYBODILY INJURY Per accident $ AUTOS ONLY AUTOS ONL� Pe�a�dent SAGE $ $ UMBRELLA L IAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANY PROPRIIETOER/PAR7NER/EXECUTIVE ❑ E L EACH ACCIDENT $ ( andatory in MB EXCLUDED? N 1 A E L DISEASE-EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Certificate Holder Is included as Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Osprey's Dominion Vineyard THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 44075 Main Rd. Peconic,NY 11958 AUTHORIZED REPRESENTATIVE &tk Oecw k ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD _ �„ _ m:-,..,,y,.. x n�} - tk, •^-=z-:e-: .�.�t"s. __-... - _-_ <'�a��-"-a�' t,_.v7;`$°��' -- „x"�, a.+,�:t''is�'��s,�.� mak' .s i,_ I,s. ., -T•'`-x,.r,. =�.;-' rk,.an•w,>,- "_, ?`'. - f-#.ye•4�..2-•.c.e,- �ck'aA-tt«;,�yy _ L , __- ��{' 1'-.. L:yl`<, .: _�4 ",Y ' °,•„-.,a, NN >-� - FA4 ...,— Ke, >” a '�n.m�, ,{ 11�.� .�: �::- �,.�'- ' �,�-� , ~'� ��« 4.,x<-:_ ��at".#A�a ate'- �.� .`i�i•r�r 3= �,^3�°!y> �a*,, xtt 4r Olt' 41 `�'- +f`` �—sls.�� .. > - "' "�'-•n- ; ,-,. „>� is - n' C"�r, x�r - , f„„r;c� '�i'« .< •w0..+r,�N�<" , k frj t 4q -A4 tea: Town of Southold P O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/12/19 Receipt#: 252995 Quantity Transactions Reference Subtotal 1 Event Fee odv1 a Total Paid: 125vff0' Notes: Payment Type Amount Paid By CK#183 $25000 Osprey, Dominion Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Osprey, Dominion {LI Art Show} Po Box 275 Peconic, NY 11958 Clerk ID: LYNDAR Internal ID,odv1a