HomeMy WebLinkAboutPellegrini Vineyards 2019-20 "`» '`.:r:✓' ' i .:vim q �?, .�
(THOS PERMIT MUST BE KEPT ON THE PREMISES)
Name of Event : Private Wedding
Permit No. : PEL 2a
Type(s) of Event : Wedding
Location of Event : Pellegrini Vineyards
Date(s) of Event : September 1,." 2019
Time of Event : 5:30 p.m. to 11:00 p.m.
TD)WH
(TMS PERWT MUST BE KEPT ON THE PREMMES)
Name of Event : Private Wedding
Permit No. ; PEL 2b
Type(s) of Event : Wedding
Location.of Event Pellegrini Vineyards
Date(s) of Event : September 6, 2019
Time of Event : 5:30 p.m. to 11:00 p.m.
UOMM (N7 950UUM , DLP
(THIS PERMIT MUST BE KEPT ON THE PREMISES)
Name of Event : Private Wedding
Permit No. : PEL 2c
Type(s) of Event : Wedding
Location of-Event : Pellegrin! Vineyards
Dke(s) of Event : September 7, 2019
Time of Event : 5:30 p.m. to 11:00 p.m.
TOWN OF BOU'THOLD
SPECIAL
EVENT ,
(THIS
PERMIT MUST BE KEPT ON THE PREMOED
Name of Event : Private Wedding
Permit o. : PEL 2
tae 's ,of-Event Wedding
Location-of Event : Pellegrini Vineyards
ate(s) of'Event : September 14, 2019
Time of Event : 5:30 p.m. to 11:00 .m.
`011UR7H OF &DF UMOLD
OP A L
[PERNDT
(THIS PERMIT MUST BE KEPT ON THE PREMISES)
Name of Event : Private Wedding
Permit No. : PL 2e
Typejs),of Even Wedding
Location of Event : Pellegrini Vineyards
Date(s) of Event : September 21, 2019
Time of Event 5:30 P.M. to 11:00 P.M.
(TMS PERMOT MUST BE KEPT ON THE PRE WSES)
Name of Event : Private Wedding
Permit No. : PEL 2f
jypejs of Event : Wedding
Location of Event : Pellegrin! Vineyards
®at (s) of Event : September 27, 2019
Time of Event : 5:30 p.m. t11: porn.
Southold Town Board - Letter Board Meeting of May 7, 2019
RESOLUTION 2019-437 Item# 5.40
ADOPTED DOC ID: 15212
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-437 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
Pellegrini Vineyards to hold Special Event 2019-20 at Pellegrini Vineyards, 23005 Main Road,
Cutchogue,New York as applied for in Application Pelta-f for six (6) wedding events on Sept.
1, Sept. 6, Sept. 7, Sept. 14, Sept. 21 and Sept. 27, 2019, from 5:30 pm to 11:00 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: Jill Doherty, Councilwoman
SECONDER:William P. Ruland, Councilman
AYES: Dinizio Jr, Ruland, Doherty, Evans, Russell
ABSENT: Robert Ghosio
Generated May 8, 2019 Page 60
RECEIVED
APR 2 2 2019
Southold Town Clerk
®k Oa0
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 reiected or subject to a late processing fee of$250.00 by the Office of the Town Clerk,
unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town
Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing.
The Committee will obtain comments on all applications from relevant Town, County and/or State
agencies and will forward completed applications to the Town Board with a recommendation as to
whether to grant or deny the application.
The Town reserves the right to request additional information from an applicant to address issues related
to the health,safety,and welfare of the community.
When is a Permit Required?
All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit.
Occasional events on private residential properties hosted by the owner thereof that are by invitation such
as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits.
AU use of residential property for12rofit such as a venue for weddings or other events is prohibited.
This application is deemed complete once all the following requirements are submitted to the Town
Clerk: Please indicate submission of the following by checking off the boxes and sianine below.
❑ A completed application form signed by the owner and the event manager. Applications without
property owner's signature/approval will be rejected.
❑ FEE: Is the application being submitted at least 60 days before the event[ ] Yes [ ]No
�.If Yes,Fee of$ /S 0, 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
�Jplan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the
1 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.
i A '
Dat d �lJ Signature
Activities associated with outdoor public events are strictly prohibited front 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.
RECEIVED
APPLICATION FOR A PERMIT TO HOLD A
SPECIAL EVENT ?e1 a CL
,, APR 222019
Please provide ALL of the information requested below.Incomplete applications WALL NQT be
own Clerk
reviewed.
Special Event Permit#d0_
Applicant(s)name: Pe /le5!IIit 1' 1/1 it eYe?'"W s
9 / D
Date of Submission Name of Event 2
SCTM#'s 1000-Section 10 Block- l Lot(s) `U�, 7
Dates of Each Event: q7 - �� �!Z 7/1
If Multiple Dates are requested,applicant must give all information for all dates.t
Nature of Event: -4 A�" /�/ 'C_ 4y��
(Please attach a detailed description of EACH event to this application)
Time Period(Hours)of Event: From 11740 to
Town Services requested: ( )Yes (,X No If yes,Describe Police Dept._Highway Dept.
Describe Services A1//1
Maximum Number of Persons Attending At One Time: l ;5�O Number of cars expected
Is a Tent or other temporary structure being used?[,>q Yes [ ]No If yes provide size(s) 5 S
Will food be sere d?[ Yes [ ]No .If yes provide number and name(s)of food vendor(s)
C cr t-f ee l F_'&.e'L f'- _Suffolk County permit#(s)
Will other vendors be on the premises during the event?[A Yes [ ]No If yes how many? Z Describe
Type of vendor(s) g°� �� XQ d'e d' ,
Property Owner(name/address): r�fAit - t[/e5y'v� SVS!7 s�j/'�r�� ���' /l v`r- �'�� '�c �y�
ContactTerson and Contact Tel.# cv�µ !�/ ��/f�'`� �o �7�' 7 3Y —1 �
e-mail addressd
Event Location:Street-Hamlet Address: ., 19c'I
SCTM#
Will any services be requested [ ]Yes P�-No. If Yes describe Police Highway Other:
Mailing Address to Send Event Permit to: o'`e
Have any of the development rights been sold to the Town of Southold [ ]Yes [,,<No and/or Suffolk
County Agricultural Program? [ ]Yes [a 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 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 paged •.
A Parkine/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 parlang/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 of use for spectators,exhibitors,vendors,employees and
organizers.
(5) Location of all entries and exits.
(5) 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 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
condtieting 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. .
Furthermore,I herehy authorize Code EnforcementPersonnel of the Town of Southold to eater the
property during the hours of the permitter[special event to make any and all inspections necessary in
connection with this Special Event a
f
A ,- /le i(Kr` V
Prin 'name of Owner Signature of caner
t e4n_ (-.,. LR�S�'���
Print name of Authorized Person/Representative Signature of Aut zed 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 strictlyyrohibitedgn 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, inpyess/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,
tent(s) or temporary 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 tunes.
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 pen-nit.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 TRIS PERMIT.
APPROVED Town of Southold
Resolution Number: Date Issued:
i
17-20 97
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zONIfVG BOARD OF AP4xM S --a oo
• 1
Date:4/19/19
To:Town of Southold—Special Event Committee
Re:Special Event Permit Applications 2019
From: Pellegrini Vineyards
Mary, -
Last year,the Southold Town Zoning Board of Appeals requested a bit more detail regarding the
wedding/private events we hold here at Pellegrini. In an effort to help expedite this process, here is
some additional details of each event.
- 6/14/19—North Fork Theater—Private Event—6-10pm—125 people
o East End Events—Permit ID#- PT0002999
- 6/22/19—Vaccaro/Fonseca wedding—6-11pm—120 people
o Christopher Michael Catering - Permit ID#-PT0006206
- 7/13/19—Pugliese/Deathwick wedding—6-11pm—180 people
o East End Events—Permit ID#-PT0002999
- 7/27/19—Klatsky—Private Event —6-11pm—85 people
o East End Events—Permit ID#- PT0002999
- 8/24/19—Hegemiller wedding—6-11pm—150 people
o East End Events —Permit ID#-PT0002999
- 8/31/19—Levine/Menszak wedding—5-10pm—120 people
o East End Events—Permit ID#-PT0002999
- 9/1/19—Lazar/Inoa wedding—6-11pm—100 people
o East End Events—Permit ID#- PT0002999
- 9/6/19—Matthews/Khanin wedding—6-11pm—80 people
o East End Events -Permit ID#- PT0002999
- 9/7/19—Siskind/Perruzza wedding—6-11pm -150 people
o East End Events- Permit ID#- PT0002999
- 9/14/19—Gilman/Morici wedding—6-11pm -150 people
o East End Events-Permit ID#- PT0002999
- 9/21/19—Connolley/Dow wedding—6-11pm- 125 people
o East End Events- Permit ID#- PT0002999
- 9/27/19—Armstron/Graff wedding—6-11pm - 120 people
o East End Events -Permit ID#- PT0002999
- 9/28/19—Blagar/Coates wedding—6-11pm—170 people
o East End Events - Permit ID#- PT0002999
- 10/4/19—Anderson/Sperin wedding—160 people
o East End Events -Permit ID#- PT0002999
- 10/5/19—Reindl/Abt wedding—110People
o East End Events -Permit ID#- PT0002999
Sincerely,
John W. Larsen
General Manager
Pellegrini Vineyards
631-734-4111 x 207
JohnL@PellegriniVineyards.com
A CERTIFICATE OF LIABILITY INSURANCE ue 04/22//2020 ,,,�
04/219
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(les) 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 CONTACT
NAME:
Farm Family Casualty Insurance Company PHOC.NENo,Ex 631-727-7767 aC No). 631-727-7941
18 First Street
E-MAIL SS: eric.kirk@farm-family.com
Riverhead, NY 11901 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Farm Family Casualty Insurance 13803
INSURED INSURER B:
Pellegrini Vineyards LLC INSURER C:
23005 Main Road INSURER D
INSURER E.
Cutchogue NY 11395 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
A X COMMERCIAL GENERAL LIABILITY 3152G3148 05/03/201805/03/2019 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE �X OCCUR 31521-6607 05/25/2018 05/25/2019 DAMAGE TO RENTED
31521-6608 05/25/2018 05/25/2019 PREMISES Ea occurrence $
X Liqour Liability MED EXP(Any one person) $ 5,000
PERSONAL BADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
X POLICY 1 PES F] LOC PRODUCTS-COMP/OP AGG $ 1,000,000
OTHER $
B AUTOMOBILE LIABILITY 315204531 06/15/2017 06/15/2018 COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
C X UM13RELLALIAB OCCUR 315268064 05/03/2018 05/03/2019 EACH OCCURRENCE $ 3,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED X RETENTION$ 10,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E L DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $
D Liquor Liability 3152F6081 08/22/20108/22/201 500,000/1,000,000
8 9
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
All upcoming events.
CERTIFICATE HOLDER CANCELLATION
Town of Southold
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
53095 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS.
Southold, NY 11971 AUTHORIZED REPRESENTATIVE
Kirk Associates LTD
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 04/24/19 Receipt#: 253343
Quantity Transactions Reference Subtotal
1 Event Fee Pella-f $150.00
1 Event Fee Pelta-f $150.00
1 Event Fee Pel3a-d $150.00
Total Paid: $45000
Notes:
Payment Type Amount Paid By
CK#6388 $45000 Pellegrini, Vineyards
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Pellegrini, Vineyards
23005 Main Rd.
Cutchogue, NY 11935
Clerk ID: LYNDAR Internal ID Pel3a-d
Southold Town Board - Letter Board Meeting of May 7, 2019
urror
RESOLUTION 2019-438 Item# 5.41
ADOPTED
DOC ID: 15213
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-438 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
Pellegrini Vineyards to hold Special Event 2019-21 at Pellegrini Vineyards, 23005 Main Road,
Cutchogue,New York as applied for in Application Pe13a-f for six (6)wedding events on August
3, Sept. 28, October 4, and Oct 5, 2019, from 5:30 pm to 11:00 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, Evans, Russell
ABSENT: Robert Ghosio
Generated May 8, 2019 Page 61