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Home My WebLink AboutBedell North Fork 7a-f & 8 a-f Southold Town Board - Letter Board Meeting of July 14, 2020 RESOLUTION 2020-442 Item# 5.29 ADOPTED DOC ID: 16295 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-442 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 14, 2020: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Bedell North Fork to hold a Special Event 2020-11 at Bedell Cellars, 36225 Main Road, Cutchogue, NY as applied for in Application BNF7c-f, BNF 8a-f for events to be held 7/14, 7/16, 7/21, 7/23, 7/28, 7/30, 8/4 and 8/6 from 6:00 PM to 10:00 PM, provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Events and subject to the applicant?s compliance with all executive orders of the State of New York Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Sarah E.Nappa, Councilwoman AYES: Nappa, Doherty, Ghosio, Evans, Russell ABSENT: James Dinizio Jr Generated July 17, 2020 Page 50 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# Applicant(s)name: ;;�k NJ kk Date of Submission a jQk Name of Event luu�I f�j,1� L�C'\ C' S SCTM#'s 1000-SectionBlock- Lots) �• `�J Dates of Each Event: a lac) '� I ukkb -11,93L If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: Fbolc\ d �( C , (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From to Town Services requested: ( )Yes �ff)No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: OoD Number of cars expected �j�. Is a Tent or other temporary structure being used? [ ] Yes 4-No If yes provide size(s) Will food be served? Yes [ ]No If yes provide number and name(s)of food vendor(s) SQ Updated 8/7/2018 � � Suffolk County permit#(s) Will other vendors be on the premises during the event?�4 Yes [ ]No If yes how many? Describe Type of vendor(s) Property Owner(name/address): Contact Person and Contact Tel.# e-mail address ,��L1Y�aC>4-�1 i �� 1C),t� C 6&A /R.k6a �l Ub'6,C 14t-A Event Location: Street-Hamlet Address: `( �-1 1 (�l,(\ �60rh \ 11971 SCTM# Mailing Address to Send Event Permit to: C6011S (.0 20 C51 )r, 1 r Have any of the development right been sold to the Town of Southold[ ] Yes E]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 nage) A Parking/Event Plan may be a survey, site plan and/or aerial view(for example Google Earth) 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 man 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 a4ualified traffic controller moot be .,,a attached a written description and/or notate on the parking event plan the following; )W will best conducting traffic,2)Whore 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 HV—NA T-URE., I ani tl:e Owner of the Property where this event is to be held and I agree to consply with the laws, les ru ,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..Furtherluore,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 o f Southold to enter the property during the hours of the permitted special event to make any and all in. ections necessary in connection►vith this Special Event 1 T iAr- 'R--e Print name of Owner Signature of Owner Print name of Authorized Person/Representative Signa u of Authorized Person/Represontative FE EMISSION rc HEREBY GRANTED,SUBJECT TO TI + FQr r pWT1V(' CnNDITION4. I. 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 T-ownJCQunIY 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 Iosses 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 pennit application, fee, and related documents for review,etc.at Legat 60 busineB dM pjior to the cheduled 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 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: Date Issued: Updated 8/7/2018 B BEDELL S Additional Information for Corey Creek Application: Thursday, 7/2/20, 7/9/20, 7/16/20, 7/23/20, 7/30/20 & 8/27/20 Nature of Event: Food & Music Event Hours: 6pm-10pm Food Truck: Brockenzo, PT0008772 N Parking: Bedell Security on-site to manage capacity& parking Ln Max#of people attending— The max of 200 is in a rotating capacity. Most guests do not stay on-site for entire length of a event. Please note, most cars contain between 2-4 guests as there is a lot of carpooling and cab drop 1. offs. 0 U3 C m Z N r �o w w C N D Cn ai w N V W A V Ln LU V 7 fD O' fD CL m m m n O 3 6 M O- fD n m d n O 3 North Fork of Long Island 1. Property size is 2.2 acres. Approx. 200ft. from Rt. 25/ Main Road. ' 2. Existing structure =61' x 38' CoreyIF 3. N/A • 4. See diagram —truck placement 5. Open space, multiple exits. See diagram for ingress/egress. 6. Three(3) located inside existing structure. 7. No temporary utilities will be installed 8. See diagram, parking area and ingress/egress outlined in red. Parking area is 75' x 210' and can accommodate 52 vehicles (300 sq.ft. per vehicle). 9. Bedell security stationed at Rt. 25 entrance, driveway/parking entrance, additional in parking area 10. Live music will consist of three musicians (max)with light audio (one-two small speakers), located on back deck of tasting room. 11. Emergency access will be available from Rt. 25 entrance, ingress/egress defined, and use of driveway that wraps around the building. 12. Garbage, glass and cardboard receptacles are located on the west side of the existing structure. 13. No additional lighting will be utilized in conjunction with the event. 14. Sanitary facilities are located inside the existing structure. 11 to 00, OF #2, +�II r OF .k` \ •, ' 10 er *W� to k it a 41t 00 S � a i t i Client#: 6005 BEDENOR ACORD,. CERTIFICATE OF LIABILITY INSURANCE8/02/2019 DATE(MM/DDlYYYY) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cook Maran 8r Associates NAME: Cook Maran PHONE 631 324-1440 FAX 461 Pantigo Rd A/c No Et): AIC No): East Hampton,NY 71937-2647 ADDRESS: certificates@cookmaran.com 631324-1440 INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURER A:Great Northern Insurance Company 20303 Bedell North Fork LLC INSURER B 36225 Main Rd INSURER C: Cutchogue,NY 11935 INSURER D: INSURER E: 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 CONTRACTOR 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. _FN_SR ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBERPOLICY EFF POLICY EXP MM/DDIYYYY MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y 36005900 07/12/2019 07/12/202 pEAACH OCCURRENCE $1,000,000 CLAIMS-MADE ®OCCUR PREMISES Eaoccu ence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER GENERAL AGGREGATE $2,000,000 POLICY❑JECT LOC PRODUCTS-COMP/OPAGG $1,000,000 X 0 OTHER A AUTOMOBILE LIABILITY 73580664 7/12/2019 07/12/202 Ea aBINEDtSINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- STATUE _I ER AND EMPLOYERS'LIABILITY T OFFICEWMEMBER EXCLUDED?ECUTIVEEl NIA E L EACH ACCIDENT $ Mandatory in If yes,describe under E L DISEASE-EA EMPLOYEE $ nd DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) The Town of Southold is included as Additional Insured with respects to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2111774/M2111771 EBISO Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/21/20 Receipt#: 267426 Quantity Transactions Reference Subtotal 1 Event Fee BNF8a-f $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By Credit Card-Ref# $150.00 Bedell, North Fork LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Bedell, North Fork LLC 36225 Main Road Cutchogue, NY 11935 Clerk ID: BONNIED Internal ID. BNF8a-f Four RECEIVE® FEB 2 1 2020 Southold Town Clerk 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: $150.0(" er application. Up to six(6)multiple events of the saine type, occurring over a period of three monthF . ,tay be permitted on one(1)application for a fee of$150.00. However, specific details of each event in ,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$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential propea for profit such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. u FEE: Is the application being submitted at least 60 days before the event[ Yes [ ]No If Yes,Fee of$ has been submitted ❑ If No,Fee of$ has been submitted Updated 8/7/2018 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 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). ANEvents See application form for details) for three hundred (300) or more people require submission and approval of a traffic control l— 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. \ Special Event Permit# Applicant(s)name: c �� Date of Submission0IM kM Name of Event \11 Su S SCTM#'s 1000-Section Block- Lot(s) W Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: Tbr)A. CX "use C lease attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From to Town Services requested: ( )Yes No If yes,Describe Police Dept._Highway Dept. Describe Services rr�� Maximum Number of Persons Attending At One Time: (_13 Number of cars expected Is a Tent or other temporary structure being used? [ ]Yes[�No If yes provide size(s) Will food be served?[}Q Yes [ ]No If yes provide number and name(s)of food vendor(s) � �\, ,� Updated 8/7/2018 � i� 6 , 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) ' ys\C�CA n 5 Property Owner(name/address): �� (-�SZ` �t kc{3 . Contact Person and Contact Tel.# Y-\ (Q;V e-mail address r,�\��2 +r� 1 Q1� ��1�� , CG�M / 1�\\Gl U Event Location: Street-Hamlet Address: `[Cs�-I Q SCTM# Mailing Address to Send Event Permit to: 2eAo Q" 91( -11,-005 �Aa6, Js Have any of the development rights been sold to the Town of Southold[ ]Yes •[ No and/or Suffolk County Agricultural Program? MYes [ ]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 panel 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 8n/2ol8 (14) Location of sanitary facilities on site. Jflc Control plap 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 ualified traffic co troller must be provided.please attached a written description and/or notate on the parking event plan the following: I)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'.�tr'ArAT IJ?A• Ian►the Owner of the Property where this event is to be held and I agree to complywith 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 i►tforn:ation 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 tl:e property during the hours of the permitted special event to make any and all in, eetions necessary in connection with this Special Event -7y-.p i. Ar- (�1re Print name of/Owner :: Signahirc of Owner Print name of Authorized Person/Representative Signa of Authorized Person/Representative FERMIS ION IS HEREBY GRANTED,SUBJECT TO Tit+ W FO T �.�,__ivnlTr�vc: L 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 strict(y prohibited on ANY T wn runty or State Road or R;ghts of Val 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.ateat 60 bus_ inm,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$/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 of Development Rights land 10. NO activities associated with this event including but not limited to parking,,mess/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk CountX 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 TERNHNATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 B BEDELL Additional Information for Corey Creek Application: Tuesday, 6/30/20, 7/7/20, 7/14/20, 7/21/20, 7/28/20 Nature of Event: Food & Music Event Hours: 6pm-10pm W Food Truck. Nice Buns, PT0008857 N Parking Bedell Security on-site to manage capacity & parking Ln v Tuesday, August, 4th 2020 o Nature of Event- Food & Music W . Event Hours- 6pm-10pm r Food Truck: Noah's on the Road, PT0002199 11 Parking Bedell Security on-site to manage capacity & parking S O La � Max#of people attending— z The max of 200 is in a rotating capacity Most guests do not stay on-site for entire length of event. o Please note, most cars contain between 2-4 guests as there is a lot of carpooling and cab drop offs. C: Ln D W w Ww 41 L! to w J 7 O rDO Q (D n O n O 3 m 0- M n m w N f1 O 3 North Fork of Long Island 1. Property size is 2.2 acres. Approx. 200ft. from Rt. 25/ Main Road. 2. Existing structure = 61' x 38' ,�orey Creek 3. N/A 4. See diagram —truck placement 5. Open space, multiple exits. See diagram for ingress/egress. 6. Three (3) located inside existing structure. 7. No temporary utilities will be installed 8. See diagram, parking area and ingress/egress outlined in red. Parking area is 75' x 210' and can accommodate 52 vehicles(300 sq.ft. per vehicle). 9. Bedell security stationed at Rt. 25 entrance, driveway/parking entrance, additional in parking area 10. Live music will consist of three musicians (max)with light audio (one-two small speakers), located on back deck of tasting room. 11. Emergency access will be available from Rt. 25 entrance, ingress/egress defined, and use of driveway that wraps around the building. 12. Garbage, glass and cardboard receptacles are located on the west side of the existing structure. 13. No additional lighting will be utilized in conjunction with the event. iS 14. Sanitary facilities are located inside the existing structure. f y� • SJ4 t -. . tr L: r 0� iii it;�"; Client#:6005 BEDENOR ACORD,. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDNYYY) 8/02/2019 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(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cook Maran Cook Maran&Associates PHONE 631 324-1440 FAX 461 Pantigo Rd E-MAIL IC o Ext: A/C No ADDRESS: certificates@cookmaran.com East Hampton, NY 11937-2647 631324-1440 INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Great Northern Insurance Company 20303 INSURED Bedell North Fork LLC INSURER B 36225 Main Rd INSURER C Cutchogue,NY 11935 INSURER D: INSURER E. 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 CONTRACTOR 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 ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDY EFF MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y 36005900 07/12/2019 07/12/2020 pEAAqCC��H OCCURRENCE $1,000,000 CLAIMS-MADE �X OCCUR PREMISES°ERENTED cnte $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X PRO- GENERAL AGGREGATE $2,000,000 POLICY 0 JECT F�LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER A AUTOMOBILE LIABILITY 73580664 07/12/2019 07/12/202 Ee BINaccED SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED NON-OWNED $ AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIZ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE IFIR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? � N/A Mandatory in N I EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The Town of Southold is included as Additional Insured with respects to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2111774/M2111771 EBISO Town of Southold P.0 Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/21/20 Receipt#: 267425 Quantity Transactions Reference Subtotal 1 Event Fee BNF7a-f $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By Credit Card-Ref# $150.00 Bedell, North Fork LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Bedell, North Fork LLC 36225 Main Road Cutchogue, NY 11935 Clerk ID: BONNIED Internal ID:BNF7a-f nit F01 au ®� RECEIVED F E B 2 1 2020 Southold-Town Clerk TOWN OF SOUTHOLD _►`W E 1 Ck" 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$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Defmitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town CClrkl,,{erk• Please indicate submission of the following by checking off the boxes and signing below. A completed application form signed by the owner and the event manager. Applications without � /property owner's signature/approval will be rejected. � � FEE: Is the application being submitted at least 60 days before the event[v]Yes [ ]No u If Yes,Fee of$ has been submitted ❑ If No,Fee of$ has been submitted Updated 8/7/2018 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 VA 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) vents 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) VSignature 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. ate Signatu�e 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 v J� RECEIVED "t :r` F E 8 2 1 2020 Southold Town Clprk TOWN OF SOUTHOLD F I C . Town Code Cbapter 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 appbeations must be submitted at least 601usiness-days before the event. Applicants are encouraged to submit applications as early as oss' le Any comlen ted,ag lliication that is not submitted 60 or more busizaess days pr-ior-to the scheduled event maybe rejected or subject to a late�processingfee.of$250.00 by the Office of the3own.Clerk. unless a waiver.is,obtained, Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is•a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residentialV=erty for p_ro_fit,such aa a venue-for weddings or other events is prohibited: This application is,deemed complete once all the following requirements are submitted to the Town Clerk—, bease indieate submission of the following by cheeking off the boxes and signing below. A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event[v]Yes [ ]No RIf Yes,Fee of$ TDD.M has been submitted ❑ If No,Fee of$ has been submitted Updated 8/7/2018 Vhe applicant/owner of the property where the special event is proposed to take place must provide a mtifieat�_.•of jnsurammnot less than 2 million dollars naming the Town of Southold as an additional insured ®r 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) �'[Wvents for three hundred (300) or more people require submission and approval of a traffic control pa 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. a al ate Signatu'e 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 PERNIIT TO HOLD A SPECIAL EVENT Please pr vide_ ALL of the information requested Below.Incomplete,applications WILL NOTlbe reviewed. Special Event Permit# Applicant(s)name:_?,(- >Q>Q � ALJ � 1�- U-C Date of Submission Name of Event SCTM#'s 1000-Section _Block- U Lot(s)' 'Va Dates of Each Event: Wqo lhk Aq ` .1 a Lao, D ' I If Multiple Dates are requested,applicantmust give all information for all dates. Nature of Event: �b Qc� c:x "us�C (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From to 0Liz\. Town Services requested: ( )Yes Ko If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: Number of cars expected' 5�.- Is a Tent or other temporary structure being used?[ ]Yes xl o If yes provide size(s), Will food be served?�gYes [ ]No If yes provide number and name(s)of food vendor(s) Updated 8/7/2018 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): (�raZ,e)� �a �St? VCi. '� Ll - i Contact Person and Contact Tel.# e-mail address `�Zab2 �- = % t� 1� 1rJ'.: C G�(`<"`� P Va @ hPGbe f c�¢1 on Event Location:Street-Hamlet Address: Mailing Address to Send Event Permit to; 'l!" \\(fS Have any of the development rights been,sold to the Town of Southold[ ]Yes [ f"No and/or.Suffolk County Agricultural Program? MYes [ ]No I f�ys,to,eitheror.bothx also indicate on the attach ed':ulin the"boundaries,6fthe reserved area m.po6 vvb ch the eventmill talo place. YOU MIT A'>iTACH A PARIiT,itiT /EVE1T Pl(2AN TQ'TiIT1P.PLICAION IF TM S ATTACH 9TRAFFICr,CONTItOLVLAN(see,nextpanel &-fixiiin�Xitent Plan way be'a-m -gto�p�and/or aerial,view ffhr s' "'le the subject pray»l6lVi�ICATE ON THE I'LAi�T"AG.I,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(i)or structures)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, �:f��craat'rart 7'lan l✓yents for,thzeerhunclred(300)or more people also require sttlimission and approval of a traffic control plan,_acceptable to•the.Tawn of Southold,AND a ctualifred traffi'coniroll 'r must be provided'Please attached a written descriptio—and brinotate on tlze.parkirzg event pliin'the.fallowing; I)Who will,be conducting traffic;2).Whcire they will be,stationed'an.site,3)I�ow they will'direct the entrance; circulation,paz�cirig,'and exiting ofcars oil site,and 4)Contact'infofmation•fvr use by.Southold Town Police. I arm the Own&of ase property where this-event is to be held and l agree to comply rvitla the latus, wades,regatltations,coladldona,and requirements o,f'the,Carle of the Torun q f Soliiliolf4'inclutlilrg brit not lllnited tri the conditions listed below,as well as all other Wficaable agency rutes•and reg l ations Pertaining to the activities undel•this event., F'aartleernlvae,I hereby swear or affirin that#1e in fOrltaadon,Contained herein and•attachments hereto are true and correct to the best of nay knowledge, and agree to provide notice to ilia.Powe imtnediatelyshould there be any maternal changes regarding to this application.. .l<'arrther/laote,Xhereby authorize c9de EnforCentent Per sonnotof the Town O,f'Soullw1d to eater the Prop i.y daariilg tltd,horin:s'oftlac,,perilaitted-special cvent,ta tnalre atayand.all•iaa. ectiolts'necessary in cvaatoection with tltis'Special l?vaant. Pyrint uaine.crfpwaicr Signature of Purer. Print narne of Authorized Peisoii/Representative Signa u of Authorized Person/Representative kMI M ssM uer M0 r4 cam: BY 1. By acceptance,of,this permit,al plicanf agrees to adequately.supervis.e and direct all parking to be,on, tlze.,pxemises or at another site, and to•provide parking assistants and any adilitivnal trafrc;controls nocessaryfor.this event f'arkrng fs stri't p bled an �1;I�1Y Town,, .nttizfy orate Roads or`ninjjtg a'= , 2. Traffic control at events for three hundred(3b0)or more people shall be provided by a qualified traffic controller in accordance with tile-attached,approved trafficcontrol plan. 3. One"on-pr-emises'. sign not larger than six (6) square feet in size nay 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 Iosses including but not limited to attorney's fees art 'ng,from aotivities•under tlzis;pemrif . 5. Tent proposals must receive permit •approval from the Southold Town Building Inspector before placement-on fihet property and must-meet all fire and safety codes. G: this permit is valid only for,the time; dote,place'-and use specified"Above,,and for the designated event., Each-.additional 'day, will require a separate pemzib application, fee; 'and related documents for review;etc.athast`60 burin aa_&Maa•.ta�`e Gchedt�t 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. a i' limi to iri or. 1' shall= kurcha5e 4f Devel(�meni-Rights land. 10. NO•N-ivies associated wit `this event, incluiding,but notinti d�n:'�r t iri�tg �esslacc��c tent( o"r'temIg=-gtructuie,�, or temper sanit r�ftcilities,'hats be coridcicted=an �Suffelk CounfI Putphase f 'D el R` 1' d lat t' a itLis t i 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,tor 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 iocati6ithat 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 inspecdons'isecessary in'connection with'this Special Even 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTEID HEREIN WILL TERN UNATE THIS PERMT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 BEDELL Additional Information for Corey Creek Application: Tuesday, 6/30/20, 7/7/20, 7/14/20, 7/21/20, 7/28/20 Nature of Event: Food &Music Event*Hours:,6pm-10pm W Food Truck: Nice Buns, PT0008857 N Parkin : Bedell Security on-site to manage capacity& parking v _ Tuesday, August, 4th 2020 o Nature of Event, Food & Music o Event Hours:6pm-10pm Food Truck: Noah's on the Road, PT0002199 s Parkin": Bedell Security on-site to manage capacity & parking 0 Max#of people attending,— z The max of 200 is in a rotating capacity. Most guests do not stay on-site for entire length of < event � Please note, most cars contain between 2-4 guests as there is a lot of carpooling and cab drop LU offs. c N D : v v w m o- a m , n m m N f1 0 3 0 a n ai 0 O North Fork of Long Island `` ''3µ :4_• Property size is 2.2 acres.Approx. 200ft.from 1. Pro - < 25/Rt. a Min Road. b� yY`. _,g. ,r."�-7 fi:p.:i'-dx'S^ a"'�`•� ,.^bwl°°.-S�ti°s'�'��S,F'x,.`{."R" .�. .4. � ..'x" ,b. `'' �w ?..• 2. Existing structure=61'x 38' 3. N/A 4. See diagram—truck placement R'F" 5. Open space, multiple exits.See diagram for ingress/egress. 6.Three(3)located inside existing structure. ; 7. No temporary utilities will be installed �.;• , = ��.'t,.� ' �' ,;j$�- :�: ,,ter r € 8.See diagram, parking area and ingress/egress outlined in red. Parking area is 75'x 210'and can accommodate 52 vehicles(300 sq.ft. per vehicle). 9. Bedell security stationed at Rt. 25 entrance, driveway/parking entrance additional in parking k=. ,�•IN � � .'.� ;�;�; � drivewa , area .N{"r �'.a§-�`e^?;• �'"vA;:g.£4a',�''S'k..-�� ,` Tf''a y`t�N 6ia� .i °° "' 10. Live music will consist of three musicians „�`'=r (max)� wi h light audio(one-two smallspeakers), tfl Ny”, located on back deck of tasting room. Zz 11. Emergency access will be available from Rt. 25 entrance ingresslegress defined and use of • _-_ .' driveway that wraps around the building. ;`, b -• ; 12. Garbage, glass and cardboard receptacles are located on the west side of the existing ~: structure. 1V 13. No additional lighting will be utilized in conjunction with the event. w g _ " •q 14. Sanitary facilities are located inside the .:��`�>>4 • "a'p'p ,`'„.�",�*`";•�;"'�,,_" existing structure. e,. A'' TZ fir',, •'k'( — ;«;� -. `'?Kr., � `,f",'�`"�b'G.i, �5".�¢,rc ;; �.v a+'.Yf •.'3� .'t �': <u' Ih •.3..L. ."a"F- ..4 ✓N �, yip �§rt x.t M,�.fig, e � N �• T aFc c _ x � y .. a ¢ M T4i # Rl tk.. ,. , 'S VV b ° el . 1 pv � .. .�;' r • 1 a ori: c. � '� .t S`r � ;.�� .. � � s4's' f � m +x► a,� w�'r,'a��sd`��r-� 'iF�.r� �+�� r S� �� 3 �r�* �,;;, �,= 'r k�n�v ',1 :� a�s -rs � 'a`T „m�`�, � ��.��+ S 4 1 ��, �4�� •tV�� a 5 tea. s t F� , w • i , .: b `.. � � , , "�' 'a� � t.•,s�'x a'-e ' �'�'' 7R'�1.r `� --ay �'.�,+t� � �`at� �'=�� `�+��'-. r 4 Ca � 5 . .s OR TOTAL PARKING AREA = 151750 SQ FT 52 CAR CAPACITY Client#:6005 BEDENOR ACOI,'D.M CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS ' 8!02!2019 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:'If1he 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER co T T Cook Marais Cook Maran 8r Associates Na E: 461 Panti o Rd -No E :I:631 324-1440 A/C N9% East Hampton,NY 11937-2647 t_.-MAIL Certificates@cookmaran.com 631324-1440 INSURER(S)AFFORDING COVEkAGE _ NAICA INSURER A:Great Northern Insurance'COiripiny INSURED 20303 - -- - Bedell North Fork LLC INSURERS: 36225 Main Rd INSURER C: Cutchogue,NY 11935 INSURER D: INSURER E: 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 CONTRACTOR 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 —"" '" ADI) SUER POoLICY EFF POLICY XP LTR TYPE OF INSURANCE _INg MW POLICY NUMBER "'IMOD MMM9NYYY�_ LIMITS A X COMMERCIAL GENERAL LIABILITY Y 36005900 7/1212019 07/12/202 EACH OCCURRENCE $1 000 000 CLAIMS-MADE a OCCUR - ORE neu nco $1,000,000 ---- -- MED EXP(Any one persori) $10,000 PERSONAL 8 ADV INJURY $110001000 GEN'L AGGREGATE LIMIT APPLIES PER* GENERAL AGGREGATE $2,000,000 y� POLICY SECT' RO• L! II LOC PRODUCTS-COMP/OPAGG $1,000,000 _ OTHER _ _ l $ _ A AUTOMOBILE LIABILITY 73580664 07/12/2019 07/12/2020 t OhaB�iNdEenl SINGLE U�p IT nll $110001,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X A�O ONLY PROPERTYOAMAGE $ -([�araccid�rnl) _UMBRELLA LIA]_1CLAII4S-MADE I - - OCCUR EACH OCCURRENCE S EXCESS LIAR AGGREGATE $ DED =RETENTION,$ S WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY OFFICERPMEMBER EXCLUDED?EC�I�� NIA E.L.EACH ACCIDENT $ (Mandatory,lis'NN) E.L.DISEASE-EA EMPLOYEE S Ryas:descnbcs undei _-- DESCRIPTION OF OPERATIONS' ToW E L.DISEASE.POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES,(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Town of Southold is included as Additional Insured with respects to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S2111774IM2111771 EBISO RECEIVED t � FEB 2 1 2020 Southold Town Clerk TOWN OF SOUTHOLD 'Toon Code Chapter 205"Public Entertainment and Special'Events" SPECIAL EVENT PERMIT I114STRUCTIONS 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')epartments,and the Suffolk County Planning Commission. Application fee: $150.Or er application. Up to six(6)multiple events of the same type, occurring over a period of three monthF iay be permitted on one(1)application for a fee of$150.00. However,specific details of each event in ,be included with this application. AlLa lica''ons must be sub-miffed at16l t:60 business days be#ore theevent. Applicants are,encouragedAo submit applications as early as posWW, Any c t r l hat is not s h mi ted 6 r more,busings-dhys prior to the scbcduled event may be-re-imed or subject to a'late rp oeming_fee of$250,004 the Office oftCl he�TQwn erk. unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is n Permit Required?' All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any-use of residential`nropedy for profit such'as a"venue for weddings or other"events is-prohibited. This application is deemed complete once all the following r—quirements,are submitted to the Town Clerk: Please indicate submission of the following by cliecking off the boxes And signiinglam,e_low A completed application-forin signed by the owner and the event manager. Applications without (property owner's signature/approval will be rejected. u FEE: Is the application being submitted at least 60 days before the event[v Yes [ ]No If Yes,Fee of$ has been submitted If No,Fee of$ has been submitted Updated 8/7/2018 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 insure yd 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) 'ANEvents for three hundred•(300).or more people require submission and approval of a traffic controt flan 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 acs -Dated Sigiiature - , 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 fond 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 rovi A .y.of th formati n revested- elow,Incoin-lett ariplications WILL NOT be, revietived. Special Event Permit# Applicant(s)name: L Date of Submission 69 Name of Event SCTM#'s 1000-Section I Block- Dates of Each Event: _.. If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From CQ VJk to_.t D Town Services requested: ( )Yes�ff)No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: Number of cars expectede . Is a Tent or other temporary structure being used?[ ]Yes No If yes provide sizes) Will food be served? Yes [ ]No If yes provide number and name(s)of food vendors) �rr�--�� Updated 8/7/2018 Vl �{ Suffolk County permit# Will other vendors be on the premises during the event?v-�Yes [ ]No If yes how many? Describe Type of vendor(s) l JS 1 {'� Property Owner(name/address): 'IMY4 Prtsi o c- b, V'A,t? Contact Person and Contact Tel.# t ' e-mail address tk-?a � ri1�l�.Cl�I�ca�s 3 � '1� 'CStt�C1rS C�t�-1. Event Location:Street-Hamlet Address: Som lt%� & 7 SCT M# Mailing Address to Send Event Permit to: AA :CQ'Aals Have any of the.development right been sold to the Town of Southold[ ]Yes ]No and/or Suffolk County Agricultural Program? ;IYes [ ]No If yes-to either or both_,also indicate on the attached,plan.the boundaries ofthe reserved arca-npon arca—pwhich the,event will take plc VOU AMST ATTACH A PARIKIN 'SENT 'N'' (I TRI SAPP C 1CION.IF TILE L'xPF_ ](Z ATTENDANCC IS 360'OIt Md3'Ru Pri3OP F..Y011 r4LIS 1'ALOLA. TACH A TRAIT tIC'C'ONTRC➢1L PLAN(cee tweet nhgel /Eire to PlanImay be b survey-site nlgn andlat aerial view for example-Google Eartb7 of the snb,�ect Popefy INDICATE ON THE Pli{AN ALL of ttie fnitosving Infot oration 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. Mf�Cor:trail Z' LM Events for three_hundred(300)or more people also Tequire submission grid approval of a traffic control plait,aceeptable to the'Townrof Southold, E1ND.0auaii ed traffic coritrnij ' ;,ac,a,Please` attached a written description and/or.notate on tiie parking event plan the following . Who will be conducting traffic,2)Where they will ve.stationed on-site,3),Plow they wil.l.direc thc�critrance,. circulation,parking,and exiting of cars on site,and 4),Contact inform Police. ation for use by Southold Town �tT'IVFIt��`'.crr;IVdT I ars the-01vrrer a f the Pr operty.rr'here,/Iris cyeut'is to be held ai:d X agree-to cors:ply ruit#i;tice?arts, M10,1Xeguladons,aor:difivt:s,gnat reaptrirerrhents oftlre.Cedeof,thc•Tordra afSrr:rt/ioltl,including but, raa't`Bruited to the co:rrlftiasrs listeal.b`ralo10,.as.,well-as•all other applicable agency'rules and regulataoi , pertaining tai tlra aietivities,rrrrrler tlils evertt�: l�iartJaerrnnre,Iliereby swear;or afrs:that tim ir`rfor»iatiar:cor:taziueal,/herein ana!attael:ntents lierefo are true-rural grrr erect to the best,iafrt:y•krrarrvledge; ' and agiee'tn provide•nnricc.•to the Town ir'nnaedlately should therabe any rsaterlial ctlaiages regardirrg io t/iis application". Furthermore,X hereby authorize Code Enforcement Personnel of the Town o f Southold to enter the property during tl:e hours of the permitted special event to make any and all in. eetionv necessary in connection with this Special,Event. 77, Ir R�e Print name of Owner Signature of Owner 110,. Print nahnc of Autliodzed 1'erson/Representative Signah of Authorized Person/Representative �,TSSIC�N T�7�T�R�I3Y'Ch'drl`1TE�'��YJB��T�T4�,ZC:�-�Tz.'[}Vt�T�i��D�D1rTii�'i�TS; . 1. By acceptance of liths pennit,applicant agrees to adequately supervise'and direat•aff parking to be ow the premises: or at another site; and. to,provide parking•assistants and any additional triflic controls accessaryfor this everht Viking is atricily�j tecl or 1tI t�TowMa Coitritjt tar' tate Rtiadsfor, Lit; t�of 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'trafH&eohGl'plan. 3.. One"on-premises"sign not,larger than six (6) square feet in size may be.displayed notf longer than thirty,(30) days before this event; and removed imthediately after the event.. Directional'parking signs shall be adequately displayed. 4. Applidant indemnifies and holds harmless the Town of Southold from all'claims, dahnages, expenses, suits°and Iosses including but not liinited'to attorney's fees arising from activities under'this permit. 5. Tent prolidsals,must receive permit approval from the Southold Town Building Inspector before placement on,tha property and must inert all fire and safety codes, 6. This perinit 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-applicati6ji, fee, and -related documents for review,etc.at, fi0 ijusinesg days rp for to_tl�e,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 includinit but.nat,limited tci ar Lga irtg e�ss/e resslaccess, lent(s)or-tem12orirystrtcetfue(s) 'ar-teninoraty sailitary facilities shall be conducted on Town of Southold Purchase of Deveia mn ent Rights land, 10. NO activitipg associated with this every including but not limited to narking ingress/egresilaccess. tents) or, to nl2mry structure(s). o ,emrary sanitary facilities shall he conducted on Suffolk County L'urcha elf Development Riullt5 )and wit}g)trt a permit ]scupd b - the Suffilk 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: Date Issued: Updated 8/7/2018 B BEDELL Additional Information for Corey Creek Application: Thursday, 7/2/20, 7/9/20,7/16/20, 7/23/20, 7/30/20&8/27/20 Nature of Event': Food &Music Event Hours: 6pm-10pm r u Food Truck:Brockenzo, PT0008772 ti Parkina:,Bedell Security on-site to manage capacity&parking d Max#-of people•attending- 0 The max of 200 is in a rotating capacity. Most guests do not stay on-site for entire length of a event. Please note, most cars contain between 2-4 guests as there is a lot of carpooling and cab drop n Offs. 0 m c z N N w w C D 14 rn w r W W A , V W W 4 N @ N CL �o n m m n O 3 m ZAAa n m a h 0 3 North Fork of Long Island 1. Property size is 2.2 acres.Approx. 200ft.•from Rt. 25/Main Road. 2. Existing structure=61'x 38' 3. N/A 4. See diagram—truck placement 5. Open space, multiple exits.See diagram for s, ingress/egress. 6.Three(3)-located inside existing structure. z 7. No temporary utilities will be installed p� ; 8. See diagram, parking area and ingress/egress a outlined in red. Parking area is 75'x 210'and can accommodate 52 vehicles(300 sq.ft. per vehicle). i 9. Bedell security stationed at Rt. 25 entrance, UW'il driveway/parking entrance, additional in parking area 10. Live music will consist of three musicians (max)with light audio(one-two small speakers), located on back deck of tasting room. 's 11. Emergency access will be available from Rt. 25 entrance, ingress/egress defined, and use of js•, " 'rx"� driveway that wraps around the building. 12. Garbage, glass and cardboard receptacles &, are located on the west side of the existing structure. 13, No additional lighting will be utilized in conjunction with the event. 14. Sanitary facilities are located inside the existing structure. , F` � ^ _ 2•�.: �. �� ,� ;ss ��; I,E��,p�l� � ';". vak>�,snv� ��> �� '�5'�-;' .,� ^a"+. �. Rte+ , ' Irya >. : :�`; ��•.t� ",�'"''��{ tri. '_ .,,.,:•''srs" $ �x=,'„� � ��.,."a.�:i~�•�"�' .s, s Im VV Is'� � ,. '' O _�< "i kat"' •�+ t j �=M ,� .�, ” a h, x L „ •8,µ•'fry ti -fi'i '+,b.nx>µhr, , L.y a iR' � 9 � .P .r,y+° � '3 •:� tfi:L�a $ #.3: W ��f'3�# • AM fi .sir"# ..,,N•'^ ? .� � ...'1 p�s �.^ .�.b P.i&�.Fa"� • - :�" .'Fy� ...•.»'" ," '� � '•� �=} ; � "fig �r"`�'� +gig�e�, t 8 .s A f' $• xa� ® Client#:6005 BEDENOR •CORM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 810 212 01 9 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 isan ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL ENSURED 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 any rights to the certificate holder 16 fieu.of such endorsement(s). PRODUCER NAME*.CT Cook Maran Cook Maran 8�Associates 4c, E 631324-1440 461 Pantigo Rd 14xt�---._ _ (NC,No): East Hampton,NY 11937-2647 nuDRI Ss: cer#ificates@cblakrraar4d.com 631324-1440 _ iNSURERJiLLF10401N0 COVERAGE NAIC a -- INSURER A:Great'Northern Insurance Company 20303 INSURED i - - Bedell North Fork LLC INSURER B: 36225 Main Rd INSURERC, Cutchogue,NY 11935 INSURER D: u � INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF IN URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, IT AD01_��18�R LTR' TYPE OF INSURANCE NS D POLICY NUMBER 'POLICY,EFF POLICY EXP'-,'- ..{}." (MrNQ0 MMIDDfYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y I 36005900 7/12/2019 07/12/202 EACH OCCURRENCE $1 OOO OOO CLAIMS-MADE i Xl OCCUR 7 RENTED ��t��p-aocterence)„i $11000,000 _ MED EXP(Any one rson) $10L-000 -- ^---------- --- ----------- PERSONAL B ADV INJURY $1,000,000 GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 vPOLICY�'JECOT LOC PRODUCTS,-.COMP/OP AGG $1,000,000 _ OTHER_ _ ... - ---$ — A AUTOMOBILE LIABILITY 73580664 07/12/2019 07/121202 ;MBINEDDtSINGLE LLLEMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) S OWNEDSUTOS CHEDULED AUTOS ONLY A BODILYINJURY(Per accidenl) $ _ = AUTOS ONLY X AUUTOS ONLY PR01?ER7Y DAMAC.,E"-- — $ �T _(Pe1�3Cyld b . $ UMBRELLA LIAB =CLAIMS-MADE EACH OCCURRENCEEXCESS LIAB t AGGREGATE $ _ DED RETENTION$ $ WORKERS COMPENSATION — AND EMPLOYERS`LIABILITYTH- Y/N � I I PER T OR AhARO,3pRIETORIPARTNERIEXECUTIVE OFFICER1MEMBER.EXCLUDED7 N/A { E L.EACH ACCIDENT $ (Mandatorybe under; E-L.DISEASE-EA EMPLOYEE S ,If yes,describe und DESCRIPTION OF OPERATIONS below _ _ E L DISEASE-POLICYT_F_ LIMIT $ P DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Town of Southold is included as Additional Insured with respects to General Liability as required by written contract. CERTIFICATErHOLDER CANCELLATION - Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2111774/M2111771 EBISO REWVED ` `z FEB1 1 2"20 Southold Town Clerk N Q TOWN OF SOUTHOLD , cv- Town Code Chapter 205" uublic fttedAi-iment and,Sbicpml E+yenii'° 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$150.00. However,specific details of each event must be included with this application. I.a fi noon -m t be submitted t Applicants are encoura`jjod td saabmit -katibns as early'aspossilble, Any caMiptekd alp i ti 1 —mitted 60 or m r 'business days-,prior to the scheduled, event may be,rejected or subject to a'10-ft processsing fees of 9250.00,bthe Qace"c f"the Town 11erk, umess a ia-er"is,.obtained, Requesting an expedited review must be submitted in writing to the Town Clerk,The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety,and welfare of the community. When is a Peranit Li-A 0d?. All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. An f. a f r weddinks or other eventsr i This is'deeth6d complete n ce all t Mairements artaW=—tted:to'the'Tkwn, Clerk: tleige-iu cute sab-nasion of"tbe fallosw-`nk by checking off the boxes and MyfilnizAekw. RrA completed application form signed by the owner and the event manager. Applications without /property owner's signature/approval will be rejected, u am Is the application being submitted at least 60 days before the event dyes [ ]No If Yes,Fee of has been submitted If No,Fee of$ has been submitted Updated 8/7/2018 The applicant/owner of the properly 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 L7 e CirA Tar tn�ent'Tlan: 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-thiee,hundred.(3 b) 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 A",of of the informa,ion requested below_.Incomplete a 'icatlgns NM-L-NO1be revimcd. Special Event Permit# Applicant(s)name: '&LQ_.'` �](�- \Ex uc' Date of Submission;, ok c'o Name of Event ,lel\ 4 k(it S SCTM#'s 1000-Section Block- Dates of Each Event: \A aa ) If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: (Please attach a detailed description of EACH event fo this application) Time Period(Hours)of Event: From to_ ti _ Town Services requested: ( )Yes �No 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*o If yes provide sizes) Will food be served? Y G' ll es [ ]No If yes provide number and name(s)of food vendor(s) Updated 8/7/2018 rrrr ��,' Suffolk County permit#(s): Will other vendors be on the premises during the event? Yes [ ]No If yes how many? Describe Type ofvendor(s) Property Owner(name/address): n_sAer L u-C ' ( J 119351 . Contact Person and Contact Tel.# ��7a e-mail address Event Location:Street-Hamlet Address: /Uy ITT i Mailing Address to Send Event Permit to: Have any of the development rights en sold to,the Town of Southold[ ]Yes Na and/or Suffolk County Agricultural Program? U Yes [ ]No Tfyps'to either or-both,also in 'pate on the ,attached.plan 1he.boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A-PARING/EVENT PLAN TO THIS,APP TCAltON LF THE E7 PECTED ATTENTIAI�CC'TS 300 OR MORE PEOPLE,Y&0 MUST ALSO ATS.A TRAFFIC'CONTROL PLAN*e next navel A>Parldn,g/Event Plan may be a survey.site plan and/or-aerial view (far example Goo'gie Eartb)-Qf tlte.subjeet property.IN xATE ON TTIE 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. 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 14ualified traffic controller-must be pm id d Please attached a written description and/or notate on the parking�event plan;tire 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, ©Gf!NF.'R'.S RiCI]i!'AWYM., r Pam, of the,Aaper0 where,t/iis event&to be hef&andI agree,to comply with the laws, Tulles,regulations;conditions,and requftntents of the Code of the Town of Southold,itrchiding but noI li'ntited to'th'e eottditions'listed below,as wellas all other applicable agency rules and regulations pertaining to t/re activities amder-tltis event.Further more,I hereby swear or affirm that lite infnrtnaiiott eontainerlltcrein and attachments hereto°are,true and correct to the best of my knowledge, and agreelo pro"Ide notice to Ilia Town immediately should there bs any material clianges-'regarding to this applicirtiort.. Furthermore,)hereby authorize Code Enforcement Personnel of the Town gfSouthold to enter the property during the hours of the permitted special event to make any and all i�:. actions necessary in connection with this Special Event. Ir ?Ype 5-ZL4- Print name of Owner Siguahire of.Owner ' Print name of-Authbrized Person/Representative SignOM of Authorized Person/Representative M3,Y7'CrI'To Tr�r ®>�1�o�1ViN i"OM MONS- L 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'.'l�arlcirtg isstri t y prr �d an ANV'TownCounty or'State Reads or Rights of �s-X= 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.eantrol plan. 3. One."on-premises"sign nordarger than six (6) square feet in size.nray be displayed not longer than thirty (3%days vefvre this event, and removed immediately after the event. Directional.parking signs shall be adequately'disphryed. 4. Applicant indeni ni fes and Folds harmless the town.of Southold from all claims, damages, expenses, suits:and Iosses incIudiinabut hat limitedto attorney's fees arising from activities under this"peO it. 5. Tent proposals must receive permit approval froth the Southold Town Building Inspector before placement an 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-rclnted documents for review,.ete.at lust 6 hhusindss AWprior fo 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&Yof the event. Updated$/7/201$ 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NQ activities associated with.this event. including but-not limited toap rking,-ingressI eeress/acee� tent(s)'or temporary slmoture(s)*or temporary sa ita own facilities;shall-be conducted on Tof•Southold Purchase of-DevelopmentRi is=land. 10. NO activities associated_with this-event, including-but not limited'to. an eking, ing ergs /_e ss/access, �tent(Q or temporary structure(s). or temporary sanitary facilities, shall be conducted on uffolk,Counly, Purchase :of Development Rights land without 'a permit issued by the Suffolk County_Farml'and 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 TERAM14ATE THIS PERNHT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 f B. BEDELL I Additional Information for Corey Creek Application: Thursday, 8/6/20, 8/13/20, 8/20/20 W Nature of Everit: Food& Music N Event-Hours:6pm;-10pm Ln Food-Truck: Brockenzo, PT0008772 Patkin4: Bedell Security on-site to manage capacity& parking �• I o , a Tuesday,,8/11/20,:8/18/20, 8/25/20 Nature of Event: Food& Music C Event Hours:6pm=10pm o Food Truck: Noah's on the Road, PT0002199 co Parking:Bedell Security on-site to manage capacity&parking z ' Max4 of,people attending— W The max of 200 is in a rotating capacity. Most guests do not stay on-site for entire length of event. N Please note, most•'cars contain between 2-4 guests as there is a lot of carpooling and cab drop D offs. o� w , 4 W P. v Ln w v m ; �P M m n m m i O 3 m a m n m d N 11 O I 11 North Fork of Long Island I 1. Property size is 2.2 acres.Approx. 200ft.from PVal .'` Rt.25/Main Road. ;r. �rJ° i•��. # 2. Existing structure =61'x 38' 3. N/A 41 4.See diagram truck placement 5. Open space, multiple exits. See diagram for ingress/egress. Mef 6.Three(3)located inside existing structure. 'Py 7. No temporary utilities will be installed ^ 8.See diagram, parking area and ingress/egress 't outlined in red. Parking area is 75'x 210'and can accommodate 52 vehicles(300 sq.ft. per vehicle). i; 9. Bedell security stationed at Rt.25 entrance, driveway/parking entrance, additional in parking Y 2 area �� .e. 'F��Jt t i,.•. .I ` 10. Live music will consist of three musicians . ,. (max)with light audio(one-two small speakers), located on back deck of tasting room. 11. Emergency access will be available from Rt. 25 entrance, ingress/egress defined, and use of YJ, driveway that wraps around the building. 12. Garbage, glass and cardboard receptacles are located on the west side of the existing .`. ;. structure. 13. No additional lighting will be utilized in conjunction with the event. ". . 14. Sanitary facilities are located inside the existing structure. k•`�A ..,�._ ��;a:,y ,�.� ;.fit, p 1�. , .t: h ' . ..y}'. . iS i. : 3 `� V jo Al JV, K � 'Af, W. Y ;ten,,. "� Fl x� J� �f �,: > ,�� 3 k �� ':� ,�,xd.. „ '�" .'g ,. ...v� r ,.. 1rn"i #e 'v"q`,e? d{• a .etis. .* . *rt � w;:;p^ ��n #,�� l,ar '�"' } ,�'� #•P. ;7, ',`•.." ��u �^ ,eke�`�.��r o-�� '�F4 [ �� k�f,��u� `.�. ; - 1-t l+r,'y.rsf 04 Ar a�Qol o th 1 1 : , .`,y� y t , h , hd ' h, 4a ' , =ir aro �j ar.. R•. ,t > +i3G`-"'-`. v h. .,. t >'. t o `sem "_ x ,F L i! : :�•,•3@is t ,-x:.51 hl�xlk .N z. m = ' .. '� , e'a $ *tr ,• r3. x 5 fi h` 't 1i1� 4#N`A N-qlx 5'c 'y r 1 ° x � 2��4 -V 10% � r k w ilex ii. `. � '� x, :� s� 3.-i ' ea4 ? ' �iy v �.4� Yv� TOTAL PARKING AREA = 15,750 SQ PT 52 CAR CAPACITY Client#:6005 BEDENOR ACOR& CERTIFICATE OF LIABILITY INSURANCE DATnw-inD/YYYY) _ 8!0212019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CANE CT Cook Maran Cook Maran&Associates PHONE631 324-1440 AIC No Ext): 461 Pantigo Rd nMAIL : certificates@cookmaran.com East Hampton,NY 11937-2647 631324-1440 INSURERS)AFFORDING COVERAGE NAIC p INSURER A:Great Northern Insurance Company 20303 INSURED ---- Bedell North Fork LLC INSURER B: 36225 Main Rd INSURER C: Cutchogue,NY 11935 INSURER D: INSURER E: 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 CONTRACTOR 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. L RR TYPE OF INSURANCE ADDL,SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER iMMfDDIYYYY MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY Y 36005900 07/12/2019 07/12/2020',EACH q�OCCURRENCE $1,000,000 _ CLAIMS-MADE �OCCUR PREMISES EaEocccu en $1,000,000 _ MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, - GENERAL AGGREGATE $2,000,000 X POLICY�I JECT 0 LOC PRODUCTS-COMP/OPAG__G $1,000 O-OO OTHER, _ g A nuroMoslLE LIABILITY 73580664 07/1212019 07/12/202 coa'16'accidsI G`r�GLELIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) S - OWNED _ SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY ' Pejrc-donl)' - $ g UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE '$ _ DED i (RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY 6FFICERIME4 BERR EXC U6ff ECUTIVEa N I A E L.EACH ACCIDENT $ (Mandatory]n NH)- E,L,DISEASE-EA EMPLOY $ If yes,describe under DESCRIPTION OF OPERATIONS helow -_- E,L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Town of Southold is included as Additional Insured with respects to General Liability as required by written contract. CERTIFICATE-HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S21117741M2111771 EBISO