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HomeMy WebLinkAboutSouthold Indian Museum 2019-43 1 TOWN OF SOUTHOLD SPECIAL EVENT PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES), Name of Event : Southold Indian Museum Sewanhacky 2019 Festival Permit No. : SIMa Type(s) of Event : Festival Location of Event : Main Bayview Road Date(s) of Event : October 11-13 Time of Event : 8:00 AM to 4:00 PM / Southold Town Board - Letter Board Meeting of October 8, 2019 RESOLUTION 2019-846 Item# 5.12 ADOPTED DOC ID: 15606 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-846 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 8, 2019: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Southold Indian Museum to hold a Special Event 2019-43 at the Southold Indian Museum, 1080 Main Bayview Road, Southold as applied for in Application SIMa for a three (3) day event: October 11-13 from 8:00 AM to 4:00 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: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated October 8, 2019 Page 28 RECEIVED SEP 3 0 2019 Southold Town Clerk TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment•atnd S weial Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORINT Applications tier 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 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 applleattions must be submitted at least 60 business diiYs before the event. Applicants are encouraged to submit applications ns eat•h,_aas possible. Any cnmpte-ed applica(ion that is not submitted 60 or more business dates prior.to the schedulcd evens:may be rejected or subject is a late roeessin=fee of$250.00 by-the office of tite Town Clerk unless h waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk,The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Pea•mft Required? All Special Events,per Southold Town Code Article 1, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use ofresidential prol)6rty'for root such as a venue for weddings or otller,events is prohibited. This application is deemed complete once all the following reguirentenis are submitted to the Town Clerk: Please indicate submission of the followingby cheemug off the boxes and signini<below. A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event[ ] Yes �(J No If Yes, Fee of$ has been submitted '` If No, Fee of$ �) -U 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 certiAcate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured A P,kitig/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 Ring 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. i rtzattr� Dated l+ Actirldes associated with outdoor,publics events are striedjy,prohibited from taking place on land prestrafotl(!trough the snle-u,J'tle►,clopxttent rights to the Town (�/"Soutlrolrl, trod 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 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT l'leatse lwovide ALL of ltc-information requested below.Ineatnnlcte alyplicatitfns�VILL•NO'f be. reviewed. Special Event Permit# Applicant(s)name: Southold Indian Museum Date of Submission_9/25/2019 Name of Event—Sewanhacky 2019 SCTM#'s 1000-Section 70 _ _Block--7--Lot(s)_L8 Dates of Each Event: O P ( CSC 0 L1, If Multiple Dates are requested, applicant must give all information for all dates. Nature of Event: Native American and History Celebration (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From 8 to 4_ (5 t�Gt 4,4 1 It'd A,(r��� Town Services requested: ( ) Yes (X )No If yes, Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: 100 Number of cars Expected- 30-Is a Tent or other temporary structure being used? [X]Yes [ ]No If yes provide size(s) Will food be served?[ ]Yes [ X]No If yes provide number and name(s)of food vendor(s) Suffolk County permit#(s) Will other vendors be on the premises during the event'? [ ] Yes X1 No if yes how many? Describe Type of vendor(s) Property Owner(name/address): ff / t; 7 Contact Person and Contact Tel.# U C I v�,AGr P{t1�1'11 t'if '5!'G zl �' 7 �J,' +� a e-mail address vy) II.t�I'Y1011 C 611 il-111,6/1,1'-/ • (Orh Event Location: Street-Hamlet Address: l ]':1 n X4"I 1/1 7,"'i t.• / SCTM# Will any services be requested [ ]Yes [ No. If Yes describe_Police Highway Other: r - tt ff t Mailing Address to Send Event Permit to: �'-t1�'�hL idr _�:,�' %�ii'°°� / `�i1 elt't � Updated 8/7/2018f .•0' IIave any of the development rights been sol to the Town of Southold [ ] Yes o, ]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 takeIp ace.- YOU MUS`I''ATTACH A PARKING/EVENT PLAN TO THS APPLICATION IF`I HE EXPEC 'ED ATTENDANCE IS 300 OR MORE PEOI'_r,, �''OU MUST'ALSCD Al II A TRAFFIC CONTROL-PLAN (sec next naso) A P,trkiu /#�vertt Pian rttay he a survey, site tr1:1n srrttt/or aerial vie�� (far CYiiri1t11C G00t;1C E;tr'tlt) of the subiect tlroperty.INIDICA'I'I+J ON`I"I11(<y PI,AI`'ALL of tate folloFvin�inforrnati'on: 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 othera•efuse, (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 1SVe11t5 for three hundred (300)or more people also,requiry submission) and approval of a traffic control plan, accep'taW to the Town of Southold,AND a-qualified traffic controller must be rn'oVidcd, 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. 0l!3'IYFIi''S S1GNA=TURE3. I ane 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 contriined herein and attachments hereto are true and correct to the best of my kno►vledlke, and agree to provide notice to the Town lnunediately should there be tiny material changes regarding to this application. . Updated 8/7/2018 Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the/tours 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 L �c�•r���t {-�f VYl dY�I`�kr �s.f �Z",_..w�___.,. t natute of Authorize Person/Representative Print name of Authorized Persotr/Representahve S I'E12MISSION IS HEREBY GRANTED SUBJECT TO THE FOLLOWINGCONDITIONS: 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. Parkins; is strictly prohibited on ANY Town County or State Ronds 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 indcmniftes.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 pennit 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 i 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 innresslat=ress/access. tents or tem Morar structures or temporary sanitary'racilltieS 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 itttsressles?resslacces tent(c) or ttmpotaty titntcture(s) or temporalw sanitary faciltiieti shall be condttcfed an Suttolk Cottnty 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 maturer 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 lbr 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 Updated 8/7/2018 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. Ow ndr ivill rcllotf,access to`Cnrlci Enforcement Personnel iff the Tmon of Solt thold tlttring the hours of the special el,( to rrrrike ai v and all inspections necessal,y ill 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 Application for Permit to Hold a Special Event Detailed Description of Each Event at Southold Indian Museum Sewanhacky 2019 Festival Friday, October 11 Screening of movie "Looking Glass" downstairs at Southold Indian Museum. Time: 7:30 pm to 9:00 pm Saturday,October 12 Festival hours: 11:00 am to 7:00 pm Activities: From 11:00 am to 5:00 pm: Exhibits, demonstrations of Native American cooking techniques (no food will be served), book signings, Chinese auction, art show/sale, museum tours,arts and crafts activities for children,Tip!Ted demonstration, musket demonstration. From 5:30 pm to 7:00 pm: Screening of movie "Looking Glass" downstairs at museum. Sunday, October 13 Festival hours: 11:00 am to 5:00 pm Activities: From 11:00 am to 5:00 pm: Exhibits, demonstrations of Native American cooking techniques (no food will be served), book signings, Chinese auction, art show/sale, museum tours, arts and crafts activities for children,Tip!Ted demonstration, musket demonstration, i r SOUTHOd®INDIAN MUSEUM EVENT Sewanhacky 2019 October 11,22,and 13 as" rv�-"'*m ry ��� �i��"" s i � 5 •fix waNx,.. �u" �. +���? .y,�� ��, N+.1°, F- ! v`x, w ,s °� C^�'• " a 2p ! 0..''a �W.MI5 i ' »:a" . t •,gam'%° �� W s � .7 Ec'.a, bb.'" 'q� - .a,„a '� D: �' �° '.`-ux[+,� ,d p�'` L •7i-:.•q• .�" °R.. T�t•`"*r.M. "'^ :_ >ryyl'.§ n. '9.�w Szv a •wa - � taxa �����, ,..�.,.° W��. �..�^,' �� '� baa' '� ^" ^;�•' �'F '� +:�` ..y^�E' �'� •' 7.;if P ;� x { ?g s'� � ^p'`''a� ",�?�• ep"a ;g,4°C' "a a;S, i='.�¢ '^�Ap,p 'a +"�'a� +" .'' °'ma'w°. :;„�+°a 'r." .a4'��i��� :.�;.ti,,t :a.- „a• '' .�w#..)P alp., �*- t� .ie'°`: t'. „„; ^y � 7.,„.x,.i. "?t,. �.�� ",, � x..`' � '�'°`�p, ��,, � ?^ ,:`�,ea;, •...a,,,,..�x, ° �. ',;� '� ,ted P.� INCOLON-01 G NCO A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/27/2019 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(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 an this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). C CT PRODUCER Neefus Stype Agency (AIC Ne,Exe�631)722-3500 FAX Ne): 631 722-3591 711 Union Ave. Aquebogue,NY 11931 ^Epi.id 0 nsainsure.com INSURERIS)AFFORDING COVERAGE _ _ NAC a _ IINS.g ERA:Markel Insurance Co INSURED _ INSl1RERa: Incorporated Long Island&Chapter Southold Indian Museum INSURER C: PO Box 268 INSURER 0: Southold,NY 11971 I URL ER_E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBS 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. NSR ADDL SUER POLICY EFF 'POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER ([� Op 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE rX OCCUR X HUP3369-02 1/13/2019 1/13/2020 DRMAI o a0=08 ca 100,000 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GENLAOGREGAT LI MIT APPLIES PER; GENERAL AGGREGATE _ 2,000,000 RRop__ 1,000,000 POLICY U%T ❑LOC PRODUCTS-COMP/OP AG{3 S �+ OTHER: $ AUTOMOBILE LIABILITY 'COMBINED DtSiNGLE LIMIT $ ANY AUTO BODILY INJURY Per arson S _ OWNED SCHEDULED .BODILY INJURY Peraccident) S - AURRTEEOS ONLY AUTOS gp ATOS ONLY _ AUTOS OrIJLY �teOE�Rfi1 AMAGE 3 A X UMBRELLA LIABX OCCUR EACH OCCURRENCE S 1,000,000 EXCESS LIAR CLAIMS-MADE HUU3368-02 1/13/2019 111312020 AGGREGATE s DED X I RETENTIONS 10,000 Aggregate $ 1,000,000 PER WORKERS COMPENSATION S.F&TE OTH- AND EMPLOYERS'LIABILITY ANY PROW�q1PRIETORIPARTNERIEXECUTIVE YIN E,L EACH ACCIDENT $ jMFatldatoryJin NER EXCLUDED? N/A EL DISFASE-EA EMPLOYE $ If yyes descn'a under DESGIRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Event:Sewanhacky,Festival October. 11,12,13,2019 Southold Town is Included as additional Insured with respect to general Ilability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold Town ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall 53095 Route 25 PO BOX 1179 AUTHORIZED REPRESENTATIVE Southold,NY 11971 �8 I �3 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD v5` RESOLUTION 2019-846 ' ; DOC ID: 15606 ADOPTED THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-846 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 8,2019: RESOLVED that the Town Board of the Town of Southold hereby grants pennission to the Southold Indian Museum to hold a Special Event 2019-43 at the Southold Indian Museum, 1080 Main Bayview Road, Southold as applied for in Application SIMa for a three(3) day event: October 11-13 from 8:00 AM to 4:00 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: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland,Doherty, Ghosio, Evans,Russell OF SOU ..TOWN SPECRAL EVENT PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Southold Indian Museum Sewanhacky 2019 Festival Permit No. : SIMa TVpe(s),Of Event : � Festival Location of Event : Main Bayview Road Date s). of Event : October 11-13 Time of Event : 8:00 AM to 4:00 PM Town of Southold P0Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/16/19 Receipt#: 260742 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit SIM1a $25000 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#871 $250.00 Incorporated, Li Chapter Of The Nys Arch Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Incorporated, Li Chapter Of The Nys Archealogical Po Box 268 Southold, NY 11971 Clerk ID: LYNDAR Internal ID.SIM1a