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Pellegrini Vineyard 2020-14
f - Southold Town Board - Letter Board Meeting of August 25, 2020 RESOLUTION 2020-537 Item# 5.34 s2 yap%*oras ADOPTED DOC ID: 16388 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-537 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 25, 2020: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Pellegrini Vineyard to hold a Special Event 2020-14 at Pellegrini Vineyards, 23005 Main Road, Cutchogue,NY as applied for in Applications PV 1 a-d for events to be held 8/29, 10/9, 10/10, and 10/17 from 5:30 pm to 11:00 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. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Robert Ghosio, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Generated August 28, 2020 Page 58 t e)Pe K�CEIVE® .. ,y AUG 2 1 2020 Southold Town Clerk r i4 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: Pe 11,of I 'L 1/10 `fed s Date of Submission Name of Event [,.,,-e d �•�H 5 SCTM#'s 1000-Section l O Block- Lot(s) Dates of Each Event: 2- ?_D rJ �l� 0 If Multiple Dates are requested, applicant must give all information for all dates. gW Nature of Event: ej i►I-*%- � (Please attach a 6etailed description of EACH event to this application) Time Period(Hours) of Event: From pw- to O(/ w-- Town Services requested: ( )Yes N No If yes,Describe Police Dept._Highway Dept. Describe Services 4/0 Maximum Number of Persons Attending At One Time: SO _Number of cars expected Is a Tent or-other temporary structure being used? [)6]Yes [ ]No If yes provide size(s) - Will food be served? D4]Yes [ ]No If yes provide number and name(s)of food vendor(s) Updated 8/7/2018 Suffolk County permit#(s) P Ta(,)a A 1�Z C W z Will other vendors be on the premises during the event? [X]/Yes [ ]No If yes how many? Describe Type ofvendor(s) �/ iS a-a/ �l d P'�5 �[� Nl Property Owner(name/address): �� /A o ��l��5 r I��z t r/� �i J'"ll lolly-/�vz /V-t 1/�3 3 Contact Person and Contact Tel.# � e-mail address /-,'#I l/;.te441dS . coi"*- Event Location: Street-Hamlet Address:'gl� 7Z/H, ?'00 S A74 -n �• SCTM Mailing Address to Send Event Permit to: e l P /','r? Have any of the development rights been sold to the Town of Southold[ ] Yes [X No and/or Suffolk County Agricultural Program? [ ] Yes X 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. i C-5- YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A_ TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) f 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. a (2) The size and location of any existing building(s) or structure(s)that will be in operation - during the course of the event and any proposed building, structure, or signs to be erected temporarily for the event. (3) The location of the stage or tents, if any. (4) The designated areas of use for spectators, exhibitors,vendors, employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq. ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. _ (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any, and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 (14) Location of sanitary facilities on site. 'Traffic Control Plan ,Events for three hundred(300) or more people also require submission and approval of a traffic control plan, acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site, 3)How they will direct the entrance, circulation,parking,and exiting of cars on site, and 4) Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules, regulations, conditions, and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the 'information contained herein and attachments hereto are true and correct to the best of my knowledge, Vial agree to provide notice to the Town immediately should there be any material changes regarding to this application. . Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event Print name of Owner Si f O A.,-, Print name of Authorized Person/Representative Signature othorized Person/Representative J= - Jj,:;,�, PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly prohibited on ANY Town, County or State Roads or Rights of Way. 2. Traffic control at events for three hundred(300) or more people shall be provided by a qualified traffic controller in accordance with the attached, approved traffic control plan. 3,;r 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 rpyiew, etc. at least 60 business days prior to the scheduled event. ' 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. Updated 8/7/2018 ",., ' (fin-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, tents or temporary structure(s); or temporarysanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. Jtf,Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the J 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: '0,;Y-VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: y r Updated 8/7/2018 2/23/2018 Cutchogue-Google Maps Goole Maps Cutchogue rt SFr _ h .,6 � a Y=t„b 25 Imagery©2018 DigitalGlobe,New York GIS,Map data©203 Google 50 ft a e O G7 r Q O https://www.google.com/maps/place/Cutchogue,+NY/@41.0019047,72.5012504,143m/data=!3mlile3!4m5!3m4llsOx89e8974877089537:0k958e2lbc724d3565!8m2!3d41.0106563!4d-72.4850859 1/2 D.Y. iy 000 4r. F�• • , � ' 2QNING BOARD OP APPEALS , u + 4 Gazebo:' vineyard Fields OL ,, w�• rl , • Patio %Wine Storage • s'; bathrooms , ffi • 3j ,oce L •._.. Entrance, M ■ Pa, � .._Tas�8 ...._......._._�...._....-.� — --------............ .. .. ...... ....... .: - 36 Pellegrini wbery ` incyards ?3003 ad • • ' Cutchope, I935 631.73''- Main Road r •rS I PROPFhTY O►�(N,ER � = s'*"� '!�r4. - c,2' .:p•. 11 if'' -- 6<', � .. ,rye .• _ i i a '.aala�i.ir.il!!t•• +,_, 'e`wr...77• --i w . - a aYl -�,°i�ee,; • a..t+waa•wwataplw. , •_ ��.. • a a.1a�.wseu R..r.m.aw ��� S ".a1 '• ;/� , ,�.�I�! '• 1 t. •FT Ra.•e .xmoa �(�{••�T-�'���+ SJ c O Q c •l�= -•i,.�_ /t. J �j •�.�..;.�,��i. Y ,Ja1w aac•a i 1 I� ' f• ::4••J • �•'r�'!.••• `a•�� f.%�i..` :'�•f� �-O: c 9L .` -'-:%- :` •'%' . 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Jaw 1 f `.+.rio.'rr w�rG a +a...1.:tRECEIVED JAAAP :,..K• °r: fn11CRRT' P}M - ,p.lt' !terra. ! aW11!Plti .w Ir tJwrk tf _ %RwR,a..r ■ r Ww�fMiM or i v Z=-Ll nr aIle APR 7 201 J - ... _. .• 2� • 119551° .�w�,•., .1 SITE t_. e• ZONING BOARD OF4E, ,, - INf ORMATIO / �R3a11'61FA.nv.1c .....'.ii::" Q :...uwa• �Gorlc2ET f:��%T sco2>=Z>=,c��S�oJJL O SP-2 2PPG v i 0 zONING BOARD OF APP.A S <, '�'�°� '•Sri �-;c, ZONING BOARD OFAPPFALS f vineyard Fields w E Y �. Pati ti rf \:Wise storage r ` �• `r bathrooms Entrance + y yVv� 6 � •, !'• . Peli,grint!4 awy ineyards �300S#r 9& ad Cutc-hopop 1935 Main Road ` ZONING BOARD OF A'P'PEALS a� T n• of Southold Tax M,apjrMjW* 444 , i"elf �'K'^Q'\' �Y• 'fit y`c 7ti ' ,y , - s 'i�'��- .,• Tr-..} ?. •.a ;o�u. G^'�, ,�'r'i'r,;° N > ,{y,,�,x r' `�•'e �'� r�1 _ .[r"'r�. � ,d",*y�, ��. ` � � r ;� ^ - ,}�.. ,.U. tom, • °"s':�.`.x'`�,.%^,�'`!. t s-� ��:yx�� - °i5` � , �•.1'J-Ti•.P M.:�{ 44 :a . ':�• � ++'��•!t � ... 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'.?` n:.i Y .; e�3'.`'�r•��� � ,,�Ay.P-{ f`"�g y„+`�'iT.'; '�n `r"' i f'.� � �' i". 4���, '� - �ate ��"-� �`'7 f •- ._ yt",- ��`� •`may_ _ _ 5' � _ ah K., -.^'j''Yw� � �� o � ��- ��f'IG-Y�6tl0 \ ,. 11-20.97 0410-99, SEE SEC.NO 102 042859 01-31-00 S 05.17-00 N31 w2w MATCH---2Z_04-20-00 �----- LIN MATCH _------•�-_---- 0528-00 b FOR PCL NO. 06-05-0 w T °y SEE SEC.NO. 10.0300 7 24.3� 102.04-008.1 12-27-00 24.4 3 9!L 03.14-01 I 342A 0412-01@ 05.0&01 PlQLD oDEEVSL0PMU ff HM 4. � 10-25.01 I 0) 1-08.01 242 01-144)2 --I a N a IM 0004 ''N {_{/��/_�` 25 12-03-04 2. 25 28 4 o 1aa(c) �4 a ry 1 3.w m 04-0 N ,)C l*12-45-06ey may#1,27-08 I 132 'p D1-22-07 I , 421A O 0605.07 PECONIC LAND TRUST,INC 01.21-W I 8 9 0322-10 (MWNorS0UW0 D 05.1413 / '� pEVEtopn+ENiRrcx)sJ OS22.1323 � m I 0 EBA(c) Zts W it f o ap .0 I 77.3A(c) 13.1 6 1 , q 1.3A(c) ' 23 Zi pq 12� E 24 10.1 1.3A 1 29 53.0A(c) r pM 210 22e s2.°O 4A w it•' �/]I\rte,-,J�\- - a'° 7-12 .4 '0A 2.30� •'~., 38AA(e) 38 Q td 7103A 14A 87 � 1 .8A Th fa PECNIC IjmTRUSi 214 WNOFSO, �, 29B cm r DEv¢oaxwrw0x7sJ 215 ELS a239r y0 24.7A(c) 1, counm 211 72 n DRAMMM 1.0 71 t Pn 2.5A 2oa a 1 m 40 ` 2• 39 ma 3. 3.8A •D 1.7A(c) a „ o�: a on PEeowctallolRusr r lbb � '� 2 Q 20A i FOR PCL NO. A 1 pe FOR PCL NO. SEE SEC.NO. 0m� FOR PCL NO. F`)i 37 1.1A SEE SEC.NO. 115.01-003 3 7C SEE SEC.NO. 1.1A(c) t 118-01.0095 s N 6829 W „;�• MATCH m L wp.ydawu. snmwmNaxa -sor-- Nra.ao.cau.. --N-- u�souwwonmamsz�uvmr m emu.e -� sem�araatb. - Nsvmu+n OTKEM roMMP E (21) 'mow O w.aemu. -=P-- RA-MMw --R - -MT soon a x�amu. - FWE G sati.v�u. --- D.M.- uwrt A° - E "_" ..i.. ovum •now ..--A--- N wuac - a 9 P..ia. 121A(d)>127A 0 P-dit ----- - rauarw� WA(e) vAwu. ameem+alir -6-- ACC>® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDNYYY) 08/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME, Farm Family Casualty Insurance Company AICNN E.t):HOE631-727-7767 ac NO).631-727-7941 18 First Street E-MAADDRESS eric.kirk@farm-family.com Riverhead, NY 11901 INSURER(S)AFFORDING COVERAGE NAIC#_ INSURERA• Farm Family Casualty Insurance 13803 INSURED INSURER B: Pellegrini Vineyards LLC INSURER C: 23005 Main Road INSURER D INSURER E: Cutchogue NY 11395 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MM/DDIYYYY MMIDDIYYYY 05/03/2020 05/03/2021 EACH CCURRENCE $ A X _ CLAIMS-MADE �OCCUR 31521660 7 05/ 03/2020 05/03/2021 PREMISES(E Eccur�ence) $ 1'00o'O_oo COMMERCIAL GENERAL LIABILITY X Liqour Liability 31521_6608 05/03/2020 05/03/2021 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X PRO-O LOC PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY E] OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B 3152C4531 06/15/2020 06/15/2021 Ea accident)_____ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY r___ AUTOS ONLY (per accident) —----- _ $ C X UMBRELLA LIAB OCCUR 315268064 05/03/201905/03/2020 EACH OCCURRENCE $ 3,000,000 EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE____ ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED7 (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ D !Liquor Liability 3152F6081 08/22/2020 08/22/2021 500,000/1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Wedding date August 29th 2020 CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ®Of Fahr ® a TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation, Building, Planning,Zoning Board of Appeals and Police Departments, and the Suffolk County Planning Commission. -'Application fee: $150.00 per application. Up to six (6) multiple events of the same type, occurring over 'a period of three months,may be permitted on one(1) application for a fee of$150.00. However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event. Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. N-40 Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. This"application is deemed complete once all the following requirements are submitted to the Towri Berk: Please indicate submission of the following by checking off the boxes and signing below. VA completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ElFEE: Is the application being submitted at least 60 days before the event[ ] Yes 5kKo ❑ If Yes,Fee of$ has been submitted C.? If No,Fee of$ ��•v has been submitted p(t ted 8/7/2018 The applicant/owner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured u 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) i Y vents for three hundred (300) or more people require submission and approval of a traffic control flan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the ev nt. (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 pen-nit conditions. My signature below affirms that I have submitted all the informa ' above in connection with my application. r Dated I 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 rp�s Updated 81 INH Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/21/20 Receipt#: 273938 Quantity Transactions Reference Subtotal 1 Event Fee PV 1 A-D $150.00 Total Paid: $150.00 Notes: I Payment Type Amount Paid By CK#7500 $150.00 Pellegrini, Vineyards Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 i Name: Pellegrini, Vineyards 23005 Main Rd. Cutchogue, NY 11935 Clerk ID: BONNIED Internal ID:PV 1 A-D