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HomeMy WebLinkAboutPugliese Vineyards 2019-18 rt, e' .J1'4N.A (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Private Wedding Permit No. : PV 1a T,vpets) of'Event : Wedding Location of Event : Pugliese Vineyard Date(s)-of Event : June 21, 2019 Time of Event : 5:00 PM - 10:00 PM Southold Town Board - Letter Board Meeting of May 7, 2019 �``'`°, RESOLUTION 2019-435 Item # 5.38 oy3p!`.!Ja� ADOPTED DOC ID: 15210 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-435 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 7,2019: RESOLVED that the Town Board of the Town of Southold hereby granted permission to Pugliese Vineyards to hold Special Event 2019-18 at Pugliese Vineyards, 34515 Main Road, Cutchogue,New York as applied for in Application PV 1 a for one (1)wedding event on June 21, 2019, from 5:00 pm to 10:00 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: Louisa P. Evans, Justice SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Evans, Russell ABSENT: Robert Ghosio Generated May 8, 2019 Page 58 � s l s . RECEIVED APR 2 6 2019cb� Southold Town Clerk V- TOWN OF SOUTHOLD V, Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for-a.S7p is -F-v=Lt-Pe it.ar -subject#.o.an-inter-departmenW coordinated-resew-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 refected or subiect to a late processing fee of$25000 by the Office of the Town Cler unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing.; The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All'SpecialEvents,per Southold Town Code Mticle I,Section`205 2{Definition)must-obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings, graduations,parties or not-for-profit fundraisers do not require peimits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited: This application is deemed complete once all the following requirements are submitted to the Town Clerk Please indicate submission of the following by cheekmg off the boxes and signing below. Nvi A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event 1 Yes [ ]No If Yes,Fee of$ has been submitted ❑ If No,Fee of$ has been submitted i i RECEIVED APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT ( APR 2 6 2019 Please Provide ALL of the information requested below.Incomplete applications WILfi1 Town Clerk reviewed. Aft Special Event Permit# Applicant(s)name: �Y',% (Q mt S Date of Submission a� Name of Event SCTM#'s 1000-Section H 11.' Block-� Lot(s) Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: 1 �' (Please attac a detailed description of EACH event to this application) Time Period(Hours)of Event: From IT to 110 Town Services requested: ( )Yes ()o No If yes,Describe, Police Dept Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: _Number of cars expected 3 Is a Tent or other temporary structure being used? [ ]Yes 0 No If yes provide size(s) Will food be served?[ Yes [ ]No If yes provide number and name(s)of food ve,or(s) { V C V Suffolk County permit, (s) Z Will other vendors be on the premises during the event?[ ]Yes [4 No If yes how many? Describe Type of vendor(s) Property Owner(name/address): ` Contact Person and Contact Tel.# _ e-mail address 0 l ` a Event Location:Stree amlet Address: SCTM# 'Will any services be requested [ ]Yes If Yes describe Police Highway Other: Mailing Address to Send Event Permit to: r b � J S Have any of the development rights been sold to the Town of Southold[ ]Yes [-4,"No and/or Suffolk County Agricultural Program? [ ]Yes [KNo If yes to either or both also indicate on the attached planthe 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 Parkine/Event Plan may be a survey.site Plan and/or aerial view(for example Google Earth)of the subiect Property.INDICATE ON THKPLAN ALL of the following information. A parldiig/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 stmeture(s)-that will'tie 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. (l 1) 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 re a submission and approval of a traffic cop trol (` a 'uaiified traffi p1an,acceptable•to the Town of Southold;AND q c'contcbllec must lie Diovided.'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 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.. •K The applicantlowner 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 ParkinWEvent Plan: consisting of a survey,site plan and/or aerial view of the subject property that includes the locations of on-site parldng, 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. �. C Alted Scgnature 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. 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 inspections necessary in onnection with t ' Special Eve�� —„� Print name of Owner ignature of Owne r 1 Print name of Authorized Per epresentative Signature of Authori'ed son/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 boon the premises or at another site, and to provide p&4dng assistants and any adi itionA-traffic controls necessary for this event.Parkins 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 dans 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. ©n--site food,preparation-is-NOT permitted,,although food anay,be catered abject Ao-all-Suffolk County Department of Health regulations. 9. NO activities associated with this event including but not limited to parkins ingress/earess/access, tent(s)or temporary structure(s) or temporary sanitary facilities shall be conducted on Town of Southold Purchase of Devel_pment Rights land. 10. NO activities associated with this event including but not limited to parkins. ingress/egress/access, tent(s) 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. Date Issued: Aco® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ia.. 03/28/2019 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 pollcy(les)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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER A EILEEN CUSHMAN GEORGE FORMES PHONEo. .631-722-4100 afc rro:631-722-4500 1116 MAIN ROAD E lu PO BOX 2336 INSURER(S)AFFORDING COVERAGE NAIL N _AQUEBOGUE,NY 11931 31SURERA:FARM FAMILY CASUALTY INS.CO. 120 NSURED INSURER 0: _ PUGLIESE VINEYARDS LLC INSURER C: POB 467 INSURER D: CUTCHOGUE,NY 11935 INSURER E: INSURER F: :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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. SRTYPE OF INSURANCE A L BR POLICY I Policy EXP TR POLICY NUMBER MM10LIMITS A XX COMMERCUIL GENERAL LIAEU-ITY X 3152G3020 5102/201810510212019 EACH OCCURRENCE $ 1,000,000 TO J CLAIMS-MADE ®OCCUR /02/2019105/02/2020 EAS S(Ea occEurrenae S 100,0 SPECIAL FARM PACKAGE_ t MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY ;S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE !I!$ 2.0-00,000 XX POLICY❑JEST LOC I PRODUCTS-COMPIOPAGG 1$ 2,00_0_,000_ F OTHER: )$ AUTOMOBIL@LIABILITY OMBBIINED SINGLE LIMIT $ (EaANY AUTO I BODILY INJURY(Per per—) $ :AALL UTOS N� AUTOS LED BODILY INJURY(Pereccldent)I$ H11N,OWNE1 PROPERTY AMAGE HIRED AUTOSAUTOS (per " e a UMBRELLA UAQ HOCCUR EACH OCCURRENCE '$ E7(CESSLIAB CLAIMS-WADE AGGREGATE I$ i DEQ RETENTION$ � $ WORKERSCOMPENSATION S ATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE —I N f A I E L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NN) 1 E.L.DISEASE-EA EMPLOYEE $ �� If yas.desenbe under DESCRIPTION OF OPERATIONS below ' E _DISEASE-POLICY LIMIT S IESCRIPTtON OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addidonal Remarks Schedule,maybe aUaohod it more&Paw Is mqulmd) 'ERT HOLDER AS ADDITIONAL INSURED NEDDING EVENT ON 6121/2019 :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF SOUTHOLD ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 Ain"° REPREserrrATlvE 1988- 4 ACORD CORPORATION. All rights reserved. ►CORD 25120141011 The ACORD name and Joao are realstered marks o VCORD The Special Event Committee, also referred to in this chapter as the "Committee" shall review applications forwarded to it by the Town Clerk's Office. The Committee shall make determinations as to the completeness of the application, request further documentation as it deems necessary as set forth in this chapter, and make recommendations to the Town Board as to whether the application should be granted or denied. The Committee shall consist of: the Government Liaison Officer, who shall act as the Chairperson; the Chairperson of the Zoning Board of Appeals or his or her designee; the Planning Director or his or her designee; the Chief of Police, or his or her designee, and; the Chief Building Inspector, or his or her designee. The Town Attorney shall act as counsel to the Committee. The Town Board shall appoint a secretary to assist the Committee in the processing of applications. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/29/19 Receipt#: 253507 Quantity Transactions Reference Subtotal 1 Event Fee PV1a $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CASH $150.00 Pugliese, Vineyards Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Pugliese, Vineyards 34515 Rt 25 Po Box 467 Cutchoque, NY 11935 Clerk ID: LYNDAR Internal ID PV1a