HomeMy WebLinkAboutBreeze Hill Farm 2019-49 QRESOLUTION 2019-893
ADOPTED DOC ID: 15661
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-893 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
OCTOBER 22,2019:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to the
Breeze Hill Farm to hold a Special Event 2019-49 at Breeze Hill Farm, 31215 County Road 48,
Peconic,NY as applied for in Application BH2a for an event October 23, 2019 from 6:00 PM to
9:00 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
Neville, Elizabeth
From: Neville, Elizabeth
Sent: Wednesday, October 23, 2019 10:22 AM
To: gogginslaw@gmail.com
Cc: Doherty,Jill
Subject: Spec Event Permit 10/23/19 Breeze Hill Farm Printout-15661-1034-M53418
Attachments: Printout-15661-1034-M53418.pdf
Good Morning Bill,
Attached, please find Town Board Resolution 2019-893 approving the Special Event for October 23; 2019 at Breeze Hill
Farm.
r
Elizabeth A. Neville, MMC
Southold Town Clerk,Registrar of Vital Statistics
Records Management Officer;FOIL Office_r
Marriage Officer
PO Box 1179
Southold,NY 11971
Tel.631765-1800,Ext.228
Fax 631765-6-145
Cell 631466-6064
1
1
s
GOGGINS & ASSOCIATES 40
ATTORNEYS AT LAW
13235 Main Road, P.O. Box 65
Mattituck, New York 11952 William C.Goggins,Esq.
Phone (631) 298-4818
October 11 2019 Fax(631) 298-4214
' gogginslaw@gmail.com Donald Mates,Esq.
Of Counsel
Office of the Town Attorney Philip J.Branigan,Esq.
53095 Main Road, P.O. Box 1179 Of Counsel
Southold, New York 11971 RCCEIV0
Re: 2019 Special Event Permit for October 23, 2019
31215 County Road 48, Peconic, New.York OCT 1 1 2019
SCTM No. 1000-074.00-01.00-036.000
Southold Town Clerk
Dear Sir/Madam:
In connection with the above referenced matter enclosed please find the
application and supporting documents for special event scheduled for
October 23, 2019 together with a check in the amount of$250.00.
If you have any questions, please do not hesitate to contact the undersigned.
Thank you.
V truly yours,
4
William . Gog
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6'R
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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 rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk
unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town
Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing.
The Committee will obtain comments on all applications from relevant Town, County and/or State
agencies and will forward completed applications to the Town Board with a recommendation as to
whether to grant or deny the application.
The Town reserves the right to request additional information from an applicant to address issues related
to the health,safety,and welfare of the community.
When is a Permit Required?
All Special Events,per Southold Town Code Article 1, Section 205-2(Definitions)must obtain a permit.
Occasional events on private residential properties hosted by the owner thereof that are by invitation such
as family gatherings, weddings, graduations, parties or not-for-profit fundraiser's do not require permits.
Any use of residential property for profit,such as a venue for weddings or other events is prohibited.
This application is deemed complete once all the following requirements are submitted to the Town
Clerk: Please indicate submission of the following by checking off the boxes and signing below.
A completed application form signed by the owner and the event manager. Applications without
property owner's signature/approval will be rejected.
FEE: Is the application being submitted at least 60 days before the event Yes N No
If Yes,Fee of$ has been submitted
ElIf No,Fee of$ 2g 0—has been submitted
Updated 8/7/2018
e r
u 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).
or (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 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
Please provide ALL of the information requested below.Incomplete applications WILL NOT be
reviewed. &aze
It,Special Event Permit# Applicant(s)name: `t/
Date of Submission Name of Event (/�jb la-fk f ueh t—
SCTM#'s 1000-Section o 7qi 0 6 Block- 01 , 00 Lot(s) 0 3 6, L00
Dates of Each Event: 10 `P2�1-1
If Multiple Dates are requested,applicant mustgive all
information for all dates.
Nature of Event: C�'� �W"V/+' VVe''7
(Please attach a detailed description of EACH event to this application)
Time Period(Hours)of Event: From 6 . 6() � to p (I P
Town Services requested:
)Yes (X No If yes,Describe Police Dept._Highway Dept.
Describe Services ►" V�
Maximum Number of Persons Attending At One Time: Number of cars expected /0-0
Is a Tent or other temporary structure being used?[ ]Yes [�No If yes provide size(s)
Will food be served?K]Yes [ ]No If yes provide number and name(s)of food vendor(s)
Updated 8n12018
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): ��ei��fi �'�jt G( b 'lIN fJQ�I Cho-S I,
Contact Person and Contact Tel.# 674-eye
e-mail address
Event Location. Street-Hamlet Address: /� (IVAY✓a'�l &P1 G C'I
sCTM#lRd- 7L1 -1
Mailing Address to SerW Event Permit to: P U ` � C
MS121-
Have
any of the development rights been sol4 to the Town of Southold.[ ] Yes ['ANo and/or Suffolk
County Agricultural Program? [ ]Yes M No If yes to either or both,also indicate on the
attached 121an the boundaries of the reserved drea.u on 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 Parking/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.
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 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 t make any and all inspection necessary in
co �n�e/c�ti{o�with, this Special Ev�,nt^ � f�j �f
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.
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 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 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:. l -6 - a Cl 3 Date Issued:
Updated 8/7/2018
1
October 23, 2019
REPUBLICAN PARTY EVENT
31215 County Road 48, Peconic, New York
SCTM No. 1000-074.0001.00-036.000
1. Event Date: October 23, 2019
2. Guests: 150 guests
3. Hours: 6:OOpm-8:OOpm
4. Cars expected .75-100
5. Caterer: East End Caterers: Chris Richards
License No. PT0002999
6. Music Vendor: Sahara FX
631.765.5201
7. Music Duration: 6:OOpm—8:OOpm
8. Tent Vendor: No Tent
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UNDERTAKING
31215 County Road 48, Peconic, New York
SCTM No. 1000-074.00-01.00-036.000
The Applicant, Christopher L. Pia undertakes to present and post on site the
NYS Liquor Authority Permit during times when alcohol is being served.
CHRISTOPHER L. PIA
STATEMENT OF USE
31215 County Road 48, Peconic, New York
SCTM No. 1000-074.00-01.00-036.000
In connection with the special event applied for herein, please be advised of
the following:
The single family structure at the premises shall not be used as part of the
catering of the special event.
Our farm products are an intricate part of the event. Apple cider made from
apples grown on the farm is purchased and made a part of the refreshments
options for the guests.
All guests are given apple donuts, which are made from apples grown on the
farm. The guests further have access to our farm stand, which provides for
opportunities of the guests to purchase our produce grown on the Breeze Hill
Farm at our farm stand, which includes honey, apples, peaches, pairs,
onions, blueberries, tomatoes, eggplant, peppers, basil, oregano, tyme,
parsley, sage, rosemary, peas and eggs from forty (40) egg laying chickens.
This a truly unique farm experience.
I CERTIFICATE OF INSURANCE ISSUE DATE 3/20/2019
1THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
I 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($),AUTHORIZED
jREPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT.IF THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED,THE POLICY(IES)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 INSURER(S)AFFORDING COVERAGE
Northeast Agencies. Inc
6467 Main Street-Suite 104 i INSURER A, Colony Insurance
Buffalo NY 14221
INSURER B NIA
INSURED INSURER C
East End Event Caterers Inc
j cio Christopher Richards INSURER D
If 71 Washington Ave INSURER E- N/A
i Patchogue. NY 11772
!.COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE s
POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH I
j RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
i. HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CLAIMS,
FINS TYPE OF I POLICY POLICY POLICY LIMITS
ILTR; INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE
A GENERAL LIAB!L ITY I GL4233880 3/13/2019 3/1312020 GENERALAGGREGATE 2.000,000
j
PRODUCT S-COMJOP AGG 1,000,000
PERSONAL&ADV INJURY 1,000.000
i
EACH OCCURRENCE 1,000,000
f
DAMAGE PREM RENTED TO YOU � 100,000
MED EXPENSE(Any one person) 5,000
i B PERSONAL UABIL!TY I COMBINED SINGLE LIMIT €
MEDICAL PAYMENTS TO OTHERS
C EXCESS LIABILITY EACH OCCURRENCE
AGGREGATE
i
1 D '
I i
I
I
E I PROPERTY BUILDING
l
CONTENTS I
i
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BUSINESS INCOME
I i '
THE INSURER(S) NAMED HEREIN IS(ARE.) NOT LICENSED BY THE STATE OF NEW YORK,NOT SUBJECT TO ITS �
SUPERVISION,AND 1N THE EVENT OF THE INSOLVENCY OF THE INSURER(S), NOT PROTECTED BY THE NEW YORK
STATE SECURITY FUNDS. THE POLICY MAY NOT BE SUBJECT TO ALL OF THE REGULATIONS OF THE
DEPARTMENT OF FINANCIAL SERVICES PERTAINING TO POLICY FORMS. I
DESCRIPT'ON OF OPERA T IONS/SPECIALTY ITEMS
Caterers-Breeze Hill Farm&Preserve are named as additional insureds vmn respect to Oeneal I€ao,lsty j
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Breeze Hill Farm&Preserve BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
31215 County Rd 48 ACCORDANCE WITH THE POLICY PROVISIONS.
Peconlc.NYI1958 AUTHORIZED SIGNATURE K „
' PERMITS TO OPERATE A FOOD ESTABLISHMENT AND
PERMIT FEE:PAYMENTS ARE NOT TRANSFERABLE
Notrfy the Bureau of Public Health Protection of any change of
ownership,type of business activity,business name,or billing
address by calling 631.652.5999.Permits become void upon
change of ownership New owners must apply and pay for a new
permit prior to beginning operation Operating without a valid
permit may subject you to legal action,including a heanng,fines
and possible suspension of the operating permit
CTS AMERICAN GRILL
CJ'S AMERICAN GRILUEAST END E
71 WASHINGTON AVENUE
PATCHOGUE,NY 11772
DETACH PERMIT HERE AND DISPLAY PROMINENTLY TO THE PUBLIC
Suffolk County Department of Health Services
cu„+9Lrc•� + ,w3ai Tcvt+c•.Ec rer ws+usn 360 Yaphank Avenue Suite 2A
ars...;xu+xc.rra= YJ cCwss.^w=a Yaphank,NY 11980
631-852-5999
www.suffolkcountyny.gov/health
OF➢ARTIEMT Oi ICI.�TN aET.RC�S
Facility ID. FA0003152
Account ID. AR0007491
TO OPERATE A FOOD ESTABLISHMENT Issued. 2/1512019
CYS AMERICAN GRILL/EAST END E
10095 MAIN RD UNIT 1W
MATTITUCK,NY 11952
OWNER NAME:CJ'S AMERICAN GRILL,LLC
Restaurant Seats=0 Permit ID Number:PT0002999 Code Variance
Exterior Seats=o Valid From 2/15/2019 To 3/31/2020 Mechanical Dishwasher Required
Catering Seats=0 Off-Premises Catering Approved
Bar Seats=0
Total Seats=80
This permit will expire upon the data speared or upon a change of ownership,
This permit is NOT transferrable and is granted subject to compliance with the provisions of Article 13 of the Suffolk County Sanitary Code and all applicable state,local,
and municipal laws,ordinances,codes,rules,and regulations
THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC
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Town of Southold
P0Box 1179
Southold, NY 11971
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* * * RECEIPT * * *
Date: 10/11/19 Receipt#: 260668
Quantity Transactions Reference Subtotal
1 Event Fee bh2a1 $15000
Total Paid: $150.00
Notes:
Payment Type Amount Paid By
CASH $150.00 Goggins, William
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Goggins, William
Main Road
P O Box 65
Mattituck, NY 11952
Clerk ID: LYNDAR Internal ID bh2al
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 10/11/19 Receipt#: 260667
Quantity Transactions Reference Subtotal
1 Late Fee bh2a $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK#4047 $250.00 Goggins, William
i
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Goggins, William
Main Road
P O Box 65
Mattituck, NY 11952
Clerk ID: LYNDAR Internal ID bh2a