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Bhavana Berries 2020-1a
RESOLUTION 2020-199 ADOPTED DOC ID: 16063 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-199 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 25,2020: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Bhavana Berries LLC to hold a Special Event at 4395 Hortons Lane, Southold, New York as applied for in Application BHB20-1a for one (1) event: Wedding to be held on October 10, 2020 from 4:00 PM to 10:00 PM, provided they adhere to all conditions on the application and permit, that they do not allow parking on the road and to the Town of Southold Policy for Special Events. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E. Nappa, Councilwoman SECONDER: James Dinizio Jr, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans ABSENT: Scott A. Russell RECEIVED FEB 1 0 2020 Southold Touvn Clerk P "cp A. APPLICATION FOR A PERNIIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below, Incomplete applications WILL NOT be reviewed: "- Special Event Permit # Applicant(s) name: ��11-✓w'%�` &r"-('5 Date of Submission a %10AU Name of Event WCLAIM0—l" 1 —44 SCTM #'s 1000 -Section Block- Lot(s) c47 °21 Dates of Each Event: A - c 0 0. If Multiple Dates are We8Jinq requestedapplicant must give all information for all dates. NatureofEvent: (Please attach adetaiiled description of EACH event to this application) Time Period (Hours) of Event: From �I. 06 el- to 10: 00 a Town Services requested: ( ) Yes ( Vf1VO if yes, Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: 10 0' Number of cars expected 1 Is a Tent or other temporary structure being used?[ rI] Yes [ ] No If yes provide size(s) gbyC146 Will food be served? [ \4 Yes [ ] No If yes provide number and name(s) of food vendor(s) [ i et'� "• i _ , si'. Updated 8/7/2018 Suffolk County permit# (s) Will other vendors be on the premises during the event? [ ] Yes [�o If yes how many? Describe Type of vendor(s) Property Owner (name/address): 84 0-Vart o, go -'-i e S 4315—&-+64s /,m 2 , Sa L+A J 4 X Y 11171 Contact Person and Contact TeL# t w', G rI�1 t/ P �/ 7 C) 5,6 e-mail address Event Location: Street -Hamlet Address: Ll3 q5- 06,,dqS 4,1q SGLAAo 114 BY ON N Mailing Address to Send Event Permit to: 93 q,5- OP75 Gcknp Soy—+Aa �� , ni% � � q71 Have any of the development rights been sold to the Town of Southold [✓] Yes [ ] No and/or Suffolk County Agricultt d"1`Pr6gram? [ ] 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 nage) A Parking/Event Plan may be a survev,_site-Wan _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 �e 5}r ��`t 2 ` p", , c�� (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 writ ten'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 to make any and all inspections necessary in connection with this Special Event. Print name of Owner Wa l 1y� 6 o-,— Print name of Authorized erson/Representative Al Signature of Own A Signature of Authorized Person/Representative • u _ X��7�fI.y.I�r: e����- c 1��l��ll�_L�i�����i`:'�li[llK�]►�=M�=[11��� 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. 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, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Town of Southold Purchase df 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: Updated 8/7/2018 Date Issued: tt Sk ks" . �..AWWJAU Hortons Lane ILI, rail Entry/Exit 2 fit Exit ' � 5 oc S ti \` ct `"�• M * ` ` +'� �l ,. lip 4 t14 '. f l 4�I aa ,may 4 . t yyllr !- P h"� '•e� %' � t•++Val. • �'► i Vii► � �R\ � _ ;�z K y, ,`�.. ' �• + Y.: '_a,'ir,�4:..0. .tea' ♦ tt . u - , 1 "I t b LvD ^ 3 10 ,acoRO� CERTIFICATE OF LIABILITY INSURANCE 14. � DATE(MM/DDIYYYY) 02/10/2020 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 Ileu of such endorsement(s). PRODUCER CONTACT John Micena NAME: PHONED E , 631-288-4454 ac N,): 631-288-8039 JOHN MICENA nDDRESS: John.Micena@American-National.com PO BOX 777 INSURE S AFFORDIN G COVERAGE NAIC# EACH OCCURRENCE $ 1,000,000 INSURERA: UNITED FARM FAMILY INSURANCE CO EAST QUOGUE NY 11942 INSURED INSURERS: INSURER C : BHAVANA BERRIES LLC INSURER D: 4395 HORTON LN INSURER E: AUTOMOBILE INSURER F : SOUTHOLD NY 11971 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 LTR TYpE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP M/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE NJOCCUR X 3101 G4219 6/6/19 6/6/20 EACH OCCURRENCE $ 1,000,000 AMAGE TO NT PREMISES EaEoccurrence $ 100,000 MED EXP (Any one person)_ $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ X PEC. LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ Ea .cadent BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per.aadent $ UMBRELLA LIAB EXCESS LIAB' OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYy N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFF ICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1W �%Mffat �coo RECEIVED F E B 1 0 2020 Southold Town Clerk pt�g�Lo—Ia+�,_ TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applica ifon. -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. AppHeaT tion 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 complile- t`ap_plication 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 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. This anulication is deemed complete once all the followinn requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. -ETA completed application form signed by the owner and the event manager. Applications without IP owner's signature/approval will be rejected. IP FEE: Is the application being submitted at least 60 days before the event s [ ] No If Yes, Fee of $ r If No, Fee -of $ Updated 8/7/2018 /�d • 0 0 has been submitted has been submitted t 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*pi?�` includes the locations of on-site parking, sanitary facilities and tents or other temporary structure(s).�;,,,C° % 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. (S`ee 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. �AGJ)_ab 2 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. 4 Updated 8/7/2018 Doroski, Bonnie From: Silleck, Mary Sent: Friday, February 21, 2020 2:08 PM To: Rudder, Lynda; Doroski, Bonnie Cc: Noncarrow, Denis Subject: FW: Emailing: spec evnt-bhavana berrie_20200210094950 Attachments: spec evnt-bhavana berrie_20200210094950.pdf This has been approved by the Committee with the condition that they do not park on the street- please put on for Tuesdays Town Board Thanks Mary -----Original Message ----- From: Doroski, Bonnie Sent: Monday, February 10, 2020 10:07 AM To: Noncarrow, Denis; Silleck, Mary Subject: Emailing: spec evnt-bhavana berrie_20200210094950 A special event application for your review. 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