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Southold Town Board - Letter Board Meeting of October 20, 2020 RESOLUTION 2020-702 Item# 5.20 ADOPTED DOC ID: 16508 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-702 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 20, 2020: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Community Action Southold Town (CAST)to hold a Special Event 2020-16 at the property owned by Peter Treiber, Sr, 38320 County Road 48, Peconic,NY as applied for in Application CASTla-c for events to be held 12/4 from 5:00 pm and 8:00 pm, 12/5/20 and 12/6/20 from 10:00 AM to 5:00 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 or is unable to properly control traffic flow into and out of the event. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Generated October 21, 2020 Page 31 RECEIVED ' a�� -Co I OCT 1 5 2020 �r Southold Town Clerk CAS Q P A- G TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments, and the Suffolk County Planning Commission. Application fee: $150.00 per application. Up to six (6) multiple events of the same type, occurring over a period of three months,may be permitted on one(1)application for a fee of$150.00. However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event. Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from_ relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2 (Definitions)must obtain a pen-nit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following_requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. 11�A completed application form signed by the owner and the event manager. Applications without p ' property owner's signature/approval will be rejected. G )00 w FEE: Is the application being submitted at least 60 days before the event [ ]Yes [ ]No l� If Yes,Fee of$ has been submitted ❑ If No,Fee of$ has been submitted f Updated 8/7/2018 RECEIVE® 0 CT 1 5 2020 Southold Town Clerk APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. y�u���C C//'. X-5�' Special Event Permit# Applicant(s)name: Date of Submission � ��Name of EventC451!S 14c4 n c)(K'Ft',sT1 Va� SCTM#'s 1000-Section Block- Lot(s) ' Dates of Each Event: +Z� 4 O S If Multiple Dates are requested,applicant must give�11 information for all dates. n Nature of Event:�d'��6 _1,bl I l \ `(7__1_Q" V��W� I \ (Please attach a detailed description of EACH event to this application) F'v,l `2-/4- 5 g�YII 12 Time Period(Hours)of Event: From Ip to 5 ot1 Town Services requested: ( )Yes (yNo If yes, Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: _Number of cars expected 25 Is a Tent or other temporary structure being used? [ ]Yes [ ]No If yes provide size(s) Will food be served?[ ]Yes [ o If yes provide number and name(s)of food vendor(s) Updated 8/7/2018 i I Suffilk Collty permit#(s) Will other vendors be on the premises during the event? [ ]Yes [ No If yes how many? Describe Type of vendor(s) \,, C\/ Property Owner(name/address): c$�� �(� �` 5 V Contact Person and Contact Tel.# ��'� e-mail address Event Location: Street-Hamlet Address: SC v a Z Mailing Address to Send Event Permit to: o M � Have any of the development rights been so tot e Town of Southold [ ] Yes \ No and/or Suffolk County Agricultural Program? [ ] Yes [ o If yes to either or both, also indicate on the attached plan the boundaries of the reserved ea 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 page) 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 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 ElA 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) ❑ Events for three hundred (300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) � ) p 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 inf, ation require above in connection with my application. A/// //c)? ate 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 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 structures, 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 53 z ,o,,✓ APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT &Jai Lo rev--w-d. Special Event Permit# Applicant(s) LA r) 1 name: Sbu-�d�a-��,� Date of Submission Name of Event �Srt 's t�o��•ln �'orK���n�r�� ��e�e.S SCTM#'s 1000-SectionHlock_ Z Lots) f Dates of Each Event: [?-/14/ZO �2�5�2� t If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: On�v� dl (Please attach a detailed d scription of EACH event to this application'n Frl (Z�} ) Time Period(Hours)of Event: From 1 b to_ on avt Town Services requested; ( )yes (\WNo If yes,Describe Police Hi Dept. ��tt1l p —Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: D Q� _____Number Jof cars expected15 Is a Tent or other temporary structure being used?[ ]yes Dq No If yes provide size(s) Will food be served?�[ js Updated 8/7/2018 [ o If yes provi�numbermes)o and name(s) food vendors) 1 4' f 1 Suffolk CO Type of vendors) ty pel (S) o if yes how many? Describe Will other vendors be on the premises during the event?[ ]yes [ —� Property Owner(nameladdress): e t e,( SI, 3h? A3 tf vL9 r'�J tGContact Person and Contact Tel.# C�a, 1 t�-[ �t -1 e-mail address � �](1a- �` o ' Event Location:Street-Hamlet Address: �j�1� � "l '���C �A b-T 0 L® SO Mailing Address too Send vent Permit to: Have any of the development rights been so to County Agricultural Program? [ ]Yes Town_of Southold[ ]Yes No and/or Suffolk �o°► 1��� shed 12an tj ° Yes to eith r or bo h a�en ,, of tlu recprv� ea LMff� tt tl\P a •et N',11 9vn n nn � TB��IC CONTROL Pr • *• �, A parkingfevent plan shoving: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing buildings)or during the course of the event and an ��m(s)that Will be in operation temporarily for the event. y pr°torsed building,structure,or signs to be erected (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. (g) The layout of any parking ares for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spa per car. ces must allow for 300 sq. @. (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.lou if any,and the type and location of s dimers and other sounds which will be used, peckers and other audio equipment. 0 1) 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 af>taaijoy&CRities emdsite, live fOr 11�•hMW(300)or n ompewk%a pun SWkUWIWAUdMft.. loae uWa or vat a 1rs# cottnl conducting tragic 2)`Where they It k ati oi�ed ou. ... . • Wilt sad,3); ir,thy-+niiii�direct•;tlinen Police. TF trance, laNra a�€�Ire is��i1r +�Ades, i=d Sulo ; + a .aarrjtt; "' rs ' e�etdrd; icdniw l�rrrt= ' ,;. "ai'n�-�the a ��aata�wli�err�,�,p�l,:•�Aetb•r� . ceder��s_tr►reit.'�tr�her�•�ker,ed�►�ivesrr err a = ,pit - and utgree.topraovide notice Jo the Torula-&=e 'edit�fiarefd.7ke►re be any d cbaages red itg, . . •Air, ,. . Ca�itr t-o T�►ef S kW to errtcr toe . =:°�drtrdng dlre liaairzs oJEthe peen to sloe r?,iWWA�mwke>v� arty and'ad! �ecessoFy in �eMafttiarr ffds mal Evtat: ,lit . .� tative+ EIFEY�R®l1iT A fill T,l"r E F ' i am^ntvnrrrru�e. I. By U an"'eviis= . l t,`apl�ficeent"al;ro fti; q '",sem and diiter;Celt'parltii 9,fo-be;m, the premises or at another site,,and to provide,parking assistants and arty additional •traffic controls necessary ftir this everit:` tfits or - 2. Traffic control at events for three hundred(300)or more people small be provided by a qualified traffic controller in accordance with the attadlied,approved traffic control plan. -3. One "on-premises" sign not larger than six (6) square feet in size maybe displayed not longer than thirty(30) days before this event,and removed immediately after the event_ Directional shall be adequately displayed. pang- 4. Applicant indemnifies and holds harmless the Town of Southold from all claims,damages,expenses, sails anddosses includi lwt nBt li �� aster thi%peaait` 5. Tent,proposals must.receive permit- ,&&%the.SautMW Tonin Building l tAa 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 wi , .a h. �, fec, and related documentsfor review,etc.at least fi0 bgRinesdav nrio;{o �.. _ 1� i 7. Adequate temporary porary sanitary facilities mast be provided by applicant for this event and applicant agrees to remove the tetnPomTY Cities from the premises within 48 hours atter the day of the event. Updated 817=8 A ® DATE(MM/ Y) CERTIFICATE OF LIABILITY INSURANCE 10/14/20202020 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* Kirk Associates LTD acc"N Ext). 631-727-7767 ac No). 631-727-7941 18 First Street E-MAIL f f eric.kirk arm-amil ADDRESS: ycom Riverhead, NY 11901 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Farm Family Casualty Insurance Company 13803 INSURED INSURERB: United Farm Family Insurance Company 29963 Treiber Farms LLC INSURERC• 38320 County Rd 48 INSURERD. INSURER E• Peconic NY 11958 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 D POLICYNUMBER MM/DD/YYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X 3101 G2540 06/01/2020 06/01/202 1 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 A POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY 310102200 06/01/202006/01/2021 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB OCCUR 3101B2547 06/01/202006/01/2021 FJ�CHOCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- B AND EMPLOYERS'LIABILITY YIN 3102W6455 06/01/2020 06/01/2021 STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEE L EACH ACCIDENT $ 100,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED EVENT-CAST'S NORTH FORK FESTIVAL OF TREES EVENT TO BE HELD 12/4/20-12/06/20 DECORATED HOLIDAY TREE VIEWING 12/04/20-12/06/20 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 Southold ,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kirk Associates Ltd ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 4ej��'q .48 All 4"48 IX ............ ........... Yl� -k-1 Won t. IMP e,(- off- o -'Orx-a Fop e"CtLi C) 4 cd 1 6 LA Jan k-0 tA. 150