HomeMy WebLinkAboutPindar Vineyard 2019-38 RESOLUTION 2019-730
ADOPTED DOC ID: 15499
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-730 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
AUGUST 27, 2019:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to Pindar
Vineyard to hold a Special Event 2019-38 at 37645 Main Road, Peconic, New York as applied
for in Application Pinl a-b for two (2) events: September 7 and October 19 (rd 10/26), from
12:00 PM to 6:00 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
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SPECIAL EVEN
Name of Event : Country Day
Permit No. : PIN 1a
lype(s) of Event : Festival of wine, food and fun
Location of Event : 37645 Main Road, Peconic
Date(s) of Event : September 7, 2019
Time of Event : 2:00 p.m. to 6:00 p.m.
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(THIS Md'El it UST' BE WEPI I TiilE I)REI ISE
SPECIAL EVENT
Name of Event : Rock the Harvest
Permit No. : PIN 1b
Ti Ype(s)_of Event. : Festival of wine, food and fun
Location of Event : 37645 Main Road, Peconic
Date(s) of Event : October 19, 2019
Time of Event : 12:00 p.m. to 6:00 p.m.
Southold Town Board - Letter Board Meeting of August 27, 2019
RESOLUTION 2019-730 Item# 5.5
y�oi 7aaE
ADOPTED DOC ID: 15499
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-730 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
AUGUST 27, 2019:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to Pindar
Vineyard to hold a Special Event 2019-38 at 37645 Main Road, Peconic,New York as applied
for in Application Pinla-b for two (2) events: September 7 and October 19 (rd 10/26), from
12:00 PM to 6:00 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 August 29, 2019 Page 16
46
RECEIVE®
® r� AUG 1 6 2019
Southold Town Clerk
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#_ J U Applicant(s)name: ` `
S � Vg
r
Date of Submission ? Name of Event -AL�
SCTM#'s 1000-Section Block- Lot(s) ���
Dates of Each Event: 0\. ' ' µ C( 1-111cl
If Multiple Dates are requested, applicant midst give all information for all dates.
Nature of Event: Se' C 0-� A
(Please attach a detailed description of EACH event to this application)
Time Period (Hours) of Event: From d" to
Town Services requested: ( )Yes ( > ' o If yes, Describe Police Dept._Highway Dept.
Describe Services
Maximum Number of Persons Attending At One Time: Number of cars expected
Is a Tent or other temporary structure being used? [ ] Yes [ >10 If yes provide size(s)
Will food be served? [�i� Yes [ ]No If yes provide number and name(s)of food vendor(s) �e Gt �i1J
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) �'�LQ S�`�P �^��' 1�'7 S �"� e/-I
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ress L110Property Owner(name/addV( J
93
Contact Person and Contact Tel.# Y I \&L It- 10`I il /' 9Gtl n d AJ Y C01 n C Pv y t ySa
e-mail address JCy M
Updated 8/7/2018
Event Location: Street-Hamlet Address.
1 SCTM#
Will any services be requested [ ]Yes [ ] No. If Yes describe Police Highway Other:
f
6
-. Mailing-Al'ddr6ss 6 Send Event Permit to:
Have any of the development rights been sold to the Town of Southold [ ] Yes [ ]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 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 Parkinp,/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of
the subject 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 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.
(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 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.
Updated 8/7/2018
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Pindar Special Event Details
1. Country Day: Saturday, September 7 from 2-6 p.m. Get your
boots on and get ready for a festival of wine, food and fun.
Food by Crazy Crepe and Weenie Panini food trucks will be
available starting at 12 p.m. Featuring the band, Southbound.
Admission is free.
2. Rock the Harvest® Saturday, October 19. Rain Date October
26th. From 2-6 pm. Celebrate harvest season with us at
Pindar! Rock the Harvest returns with the band, Pon
Journey. Food will begin at 12 p.m. and will feature both
Crazy Crepe and Weenie Panini food trucks. Admission is
free.
Food Vendors For Both Events
Brockenzo Neapolitan Pizza # PT0011582
AJI Authentic Mexican Food
Vendor # PT0011288
_ PINDAVIN
TE
CERTIFICATE OF LIABILITY INSURANCE DA8/14/2O 9YY)
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 CONTANAME: Visnja Marcic
AICNE Ext: 917.260 2168 FAX No); 855-840-5144
USI Insurance Services LLC ADDRESS BSU.NYC@wellsfargo com
261 Madison Ave INSURER(S)AFFORDING COVERAGE NAIC#
New York,NY 10016 INSURERA: Great Northern Insurance Company 20303
INSURED INSURER B: Federal Insurance Company 20281
PlndarVineyards,LLC INSURER C:
37645 Main Road
INSURER D:
INSURER E
Peconlc,NY 11958 INSURER F.
COVERAGES CERTIFICATE NUMBER: 14485128 REVISION NUMBER: See below
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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE
INSD WVDINS POLICY NUMBER MMIDD/YYYY MMIDDr YYY LIMITS
X COMMERCIAL GENERAL LIABILITY
A 3593-14-60 5/31/2019 5/31/2020 EACH OCCURRENCE S 1,000,000
CLAIMS-MADE OCCUR DAMAGETORENTED 1,000,000
PREMISES Ea occurrence S
MED EXP(Any one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
POLICY PRO-
JECT 7 LOC PRODUCTS-COMP/OP AGG S 2,000,000
OTHER 5
B AUTOMOBILE LIABILITY 73560257 5/31/2019 5/31/2020OMBINED)SINGLELIMIT S 1,000,000
cen
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident
AUTOS ONLY AUTOS ) 5
X HIRED x NON-OWNED PROPERTYDAMAGE S
AUTOS ONLY AUTOS ONLY Per accldenl
x Comp$500 x Coll$500 s
B X UMBRELLALIABOCCUR 7987-46-74 05/31/2019 05/31/2020 EACH OCCURRENCE S 10,000,000
X
EXCESS LIAB CLAIMS-MADE
AGGREGATE $ 10,000,000
DED I I RETENTIONS $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE I ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT S
OFFICER/MEMBEREXCLUDED? N/A
(Mandatory in NH) EL DISEASE-EA EMPLOYEE S
If yes.describe under
nder E L DISEASE-POLICY LIMIT 5
DESCRIPTION un OPERATIONS below
A Liquor Liability 3593-14-60 LIO 05/31/2019 05/31/2020 1,000,000 Agg
1,000,000 Occ
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required)
Town Of Southold is Included as an Additional Insured with respects of General Liability
CERTIFICATE HOLDER CANCELLATION
Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
54375 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Southold,NY 11971
AUTHORIZED REPRESENTATIVE
0
The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03)
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 08/16/19 Receipt#: 259334
Quantity Transactions Reference Subtotal
1 Event Fee Pinta-b $150.00
1 Late Fee Pin-late $25000
Total Paid: $40000
Notes:
Payment Type Amount Paid By
CK#24822 $300.00 Pindar, Vineyards
Credit Card-Ref# $100.00 Pindar, Vineyards
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Pindar, Vineyards
P O Box 332
Peconlc, NY 11958
Clerk ID: BONNIED Internal ID Pin-late
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MeTOWN 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 encouraized to submit applications as early as pos"sible.
Any completed application that is not submitted 60 or more business days prior to the scheduled
event may be reiec"ted or subject to a late processinE fee of$250.00 by the Office of the-Town Clerk,
unless a waiver is obtained. Requesting an expedited'review,must be submitted in writing to,the Town
Clerk. The Town Clerk will forward all applications to the Special Events Committee for.processing.
The Committee will obtain comments on all applications;from relevant Town, County and/or State
agencies, and will forward' completed applications to the Town Board with a recommendation as to
whether to grant or deny the application. ,
The Town reserves the right to'request additional information from an applicant to address issues related
to the health, safety, and welfare of the community.
When is a Permit Required?
All Special Events, per Southold Town Code Article I, Section 205-2 (Definitions)must obtain a permit.
Occasional events on private residential properties hosted by the owner thereof that are by invitation such
as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits.
Any use of residential property for profit such as a venue for weddings or other events is prohibited.
This application is deemed complete once all the following requirements are submitted to the Town
Clerk: Please indicate submission of the following by checking off the boxes and signinE below.
❑ A completed application form signed by the 'owner and the event manager. Applications without
property owner's signature/approval will be rejected.
❑ FEE: Is the application being submitted at least 60 day$before the event [ ] Yes [ ]No
❑ If Yes, Fee of$ has been submitted
❑ 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 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 iss tied by the Suffolk County Bureau of Public Health Food Protection Unit.
Updated 8/7/2018
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
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#
Date of Submission $I rl Name of Event
SCTM#'s 1000-Section 0 / Block- (2 Lot(s)
�'C�► mA4
Dates of Each Event: h
c h
Nature of Event: Ser Q4 9Ch-e� (Please attach a detailed description to this application)
Time Period(Hours)of Event: From to 0,A
Maximum Number of Persons Attending At One Time: Number of cars expected
Is a Tent or other temporary structure being used? [ ]Yes NJ-No If yes provide size(s)
Will food be served?,[k]Yes [ ]No If yes provide number and name(s)of food vendor(s) ! e-C
Suffolk County permit#(s)
Will other vendors be on the premises during the event? Yes ',;[ ]No If yes how many? Describe
ij
type of vendor(s)
Contact Person and Contact Tel.# It i'54;na `�1 Q�ef 1
Eve Location: Street-Hamlet Address: Yi� J 1 v`Ck 1 f; , ��►�
�' e 5$
Mailing Address to Send Event Permit to: (�, d►'1"''
Have any of the development-rights been sold to the Town of Southold[ ] Yes [ ]No and/or Suffolk
County? [ ] Yes KTNo If ves 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(see next page)
IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH
A TRAFFIC CONTROL PLAN(see next page)
2
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 structures) 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 in regss/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 times.
13. Owner assures that all fire,safety,building,and other laws will be complied with.
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. ADDITIONAL CONDITIONS:
ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL
TERMINATE THIS PERMIT.
Date Issued:
APPROVED, ZBA Chairperson
ZBA Town of Southold
Office Location:
54375 Main Road(Capitol One 1St floor)
PO Box 11971-0959
Southold,NY 11971-0959
Tel: (631)765-1809(press 5012 at voice recording)
Updated August 2013 Fax(631)765-9064
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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 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
connection with this Special Event.
Print name of Owner Signature of Owner
Print name of Authorized 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.
Updated 8/7/2018
10. NO activities associated with this event including but not limited to parking, ingress/egress/access,
tenth or to poraa structures) or temporary sanitary facilities shall be conducted on Suffolk Count,y
Purchase of Development Rights land without a permit issued by the Suffolk County Farmland 4
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 8/7/2018