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HomeMy WebLinkAboutPindar 2021-23 1 i Southold Town Board - Letter Board Meeting of May 18, 2021 �urro� ;� `°� RESOLUTION 2021-394 Item # 5.18 ADOPTED DOC ID: 17039 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-394 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 18, 2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Pindar Vineyard, to hold Special Event 2021-23 at the Pindar Vineyard, 37645 Main Road, Peconic, New York as applied for in Application Pin for a Horsepower for Humanity (Car Show) event on May 22, 2021 from 9AM to 3PM,provided they adhere to all conditions on the application, 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 e"C?, Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Sarah E. Nappa, Jill Doherty, Robert Ghosio, Louisa P. Evans ABSENT: James Dinizio Jr, Scott A. Russell Generated May 19; 2021 Page 34 11 N f F0J1r�, its �' RECEIVED c� MAY - 3 2021 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: $150.00 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$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Defmitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. u A completed application form signed by the owner and the event manager. Applications without �FE—E- propowner's signature/approval will be rejected. Is the application being submitted at least 60 days before the event[ ]Yes [ Ir I Yes,Fee of$ has been submitted If No,Fee of$a�O' has been submitted Updated 8/7/2018 KThe 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 properly that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) KI I 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) ESignature 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. /" e r ated S nature 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: , Date of Submission bd dName of Event f�y r1 nan J 1 y SCTM#'s 1000-Section Block- Lot(s) Dates of Each Event: pill p If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: an ,�1rNo (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From ( to 3 nn J� ^ � ► Q ran Town Services requested: ( )Yes O No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time:dO b Number of cars expected_ Is a Tent or other temporary structure being used? [ ]Yes [' ]No If yes provide size(s) 6 Will food be served? ]Yes [ ]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 vendors) AMO h 0 -ba ket 60c-/2 �[)B � � ( YProperty Owner(name/address): ' Contact Person and Contact Tel.#-a'i(lr,( �' ( I n�� I faaC� t[IQ 1 � e-mail address `�i Y1 ] 0 � � n Event Location: Street-Hamlet Address: E? 1(a46— l� k)V Or-)!KSc_ TQM Mailing Address to Send Event Permit to: T1 oam I n Ir '6 TG , � a on I 1 0150 Have any of the development rights been sold to the Town of Southold[ ]Yes [ ]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 PARKINGIEVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event. (3) The location of the stage or tents,if any. (4) The designated areas of use for spectators, exhibitors,vendors, employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq. ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music, loudspeakers and other sounds which will be used, if any, and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 i (14) Location of sanitary facilities on site. � 5ee `nom wy)d Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations, conditions, and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all i ions necessary in vection with this Special Event Vt cD4,V-1 L-,UC, Print name of Owner Si tore of Owner CP -A&V& 'K IPrint name of Authorized Person/Representative ignature of Authorize erson/Representative PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way- 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review,etc. at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. f Updated 8/7/2018 I 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 narking, 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 Client#: 1650901 PINDAVIN DATE(MMIDDNYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 4/27/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NA COOryNTACT Christine Chipumoi USI Insurance Services,LLC QVC,Noat:212 842-3700 A/C,No): 261 Madison Ave EMAIL ADDRESS: New York, NY 10016 INSURER(S)AFFORDING COVERAGE NAIC# 212 842-3700 INSURER A:Great Northern Insurance Company 20303 INSURED INSURER B.Federal Insurance Company 20281 Pindar Vineyards LLC INSURER C- 591 Bicycle Path,Suite A INSURERD: Port Jefferson Station,NY 11776 INSURERE: 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. LTRR TYPE OF INSURANCE NSRLSWVD POLICY NUMBER UBR MMIDDY EFF MMIDD EXP LIMITS A x COMMERCIAL GENERAL LIABILITY 35931460 5/31/2020 05131/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR PREMISES EaocNTcurence $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 POLICY ET M LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER $ B AUTOMOBILE LIABILITY 73560257 ccid 5/31/2020 05/31/2021 Ea aeD SINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident B X UMBRELLA LIAB X OCCUR 79874674 5/31/2020 05/31/2021 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER EDI, AND EMPLOYERS'LIABILITY S TUT E OFFICERIMEMBER EXCLUDED?ECUTIVE� NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ A Liquor Liability 35931460 LIO 5/31/2020 05/31/2021 1,000,000 Occ. 1,000,000 Agg. _ �Ti -- I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is included as Additional Insured as required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25,PO Box 1179 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 #S29413713/M29009964 MXQC1 Food vendors 1. Emily's Apple Puffs. Permit # PT0011595 2. So Sveglio Espresso Bar Permit #PT0011875 3. Vincent's NY Wood Fire Pizza Permit #PT0011861 4. Snowie-Licious Permit #0011369 5. Meats Meat LLC Permit #PT0011567 6. Mataco Permit #PT0002199 dMr ���4r� I �all i` • • 1 :. i � �'� 7i .Ate, _�.,,4, ,�'. :ti.., �'' -,33 t� ur �., - `�` ��`"�� �;.w ;_4`�''•- � r s s M � 'ikeid' �y� /r�f� � a ur a\ a jZe* XIIIR t• �i,'�',� -rO�" •tt I •t } ZA w ice.._.. � I • i • • O 50-666/214 PINDAR-VINEYARDS LLC PAY TO THE �D a_ORDER OF =�' C�' P "�. _ DOLLARS BM Bank f I` MEMO -1:0 2 IOC3r3-671: 300000121131" 040 f Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/03/21 Receipt#: 280241 Quantity Transactions Reference Subtotal 1 Late Fee Pinta $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1740 $250.00 Plndar, Vineyard Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Pindar, Vineyard 591-A Bicycle Path Port Jefferson Sta., NY 11776 Clerk ID: LYNDAR Internal ID Pinta o�oS�fFot���G o �4,' Office of the Town Attorney Town of Southold Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone : 631-765-1939 Facsimile: 631-765-6639 MEMORANDUM To: Lynda Rudder From: Missy Mirabelli Secretary to the Town Attorney Date: May 19, 2021 Subject: Special Event 2021-23 Attached is a copy of special event PIN that has been approved by the Town Board at last nights meeting. Thank you. /mm Enclosures CC: Denis N Special Events Committee Application Summary and Recommendation Application name: V I no fjorrj� Address: , �lU �un Application number: Pf, Date of Event: MO&I aa , ac) I Time: Date Received by Town Clerk: 513 1 ®off Date Received by Committee: Nature of Event (S): OAr s b.oLj Committee Comments Received by: Is/ Denis Noncarow Melissa Spiro Leslie Weisman Missy Mirabelli Chief Flatley August Ruckdeschel- County-sexit- Heather Lanza James Easton Mike Verity Claire Glew Bill Duffy Kevin Webster Committee Recommendation's: I_Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: ab b_a Resolution No: 0121494 Date: 10( o RESOLUTION 2021-394 SCHEDULED DOC ID: 17039 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-394 WAS SCHEDULED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 18,2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Pindar Vineyard,to hold Special Event 2021-23 at the Pindar Vineyard, 37645 Main Road,Peconic, New York as applied for in Application Pin for a Horsepower for Humanity (Car Show) event on May 22, 2021 from 9AM to 3PM,provided they adhere to all conditions on the application, 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 0%�S4(4?, Elizabeth A. Neville Southold Town Clerk 4 RECEIVED MAY - 3 2021 r Southold Town Clerk TOWN OF SOUTROLD 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$150.00. However,specific details of each event must be included with this application- All applications roust be submitted at least 60 business day before the event Applicants are encoraggd to submit applications as early as possible. .Any cai-7tpLetdd application tha is not subiniffed 60 or more bullness days prior to the =ebe ule event Tnabe reim—ted or subject to a late premssingfee of 2 the Mee of the Town erk. unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article L Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any u%-of residential p-mperty for Profit.Such as a venue for weddings or other events,is prohibited. This application is deemed complete once all the following requirements are submitted to the Tom � Clerk: Pea indicate i he followingc off the boxes and i e VA A completed application form signed by the owner and the event manager. Applications without (�/p'rroperty owner's signature/approval will be rejected. 13 /F—EE- Is the application being submitted at least 60 days before the event[ ]Yes I Yes,Fee of$ has been submitted - If No,Fee of$(� V 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 U A Parkin„gtEvent 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) t7SEvents 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) FL-11-- L-2 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. -5 � 8 AdYz. ated S nature ` 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 ithts 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 Pleaw provideALL of the informaggon reQuested Wow.Incomplete a lNOT be reviewed. Special Event Permit# Applicant(s)name: t Date of Submission 0 &(Name of Event SCTM#'s 1000-Section Block- }} Lots) Dates of Each Event: 9&nc t� t If Multiple Dates are requested,appl-{ic�ant must give all information for albdates. Nature of Event: as (Please attach a detailed description of EACH event to this application) ' Time Period(Hours)of Event: From ` I f-�r �n to rw 1 � ��(► It a rn )pot Town Services requested: ( )Yes 0 No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: _Number of cars expected &O- Is a Tent or other temportaryy structure being used?[ ]Yes[` ]No If yes provide size(s) G Will food be served? ]Yes ( ]No Ifyes provide number and name(s)of food vendor(s) fa �Q C( Updated 8/7/2018 Suffolk County permit#(s) Will other vendors be on the premises during the event? �[\�Yes ]No If yes how many? j Describe Type of vendors) ma n n ked (;' o ,..1��7 Property Owner(name/address): n�, Int( � ` , � � (� ( ' Contact Person and Contact Tel.# 1(1fl ` bI j71:) e-mail address `> !i ( 1 e n a Event Location:Street-Hamlet Address: / G(� �J f C -OA W prenw� oy I ICA SCIM Mailing Address to Send Event Permit to: J ` Have any of the development rights been sold to the Town of Southold[ ]Yes [ ]No and/or Suffolk County Agricultural Program? [ ]Yes [ ]No If yes to either pr boft also indicate on the attached elan the boundaries of the reserved area upoa whit 3 the event will take place YOU MAST ATTACH A PARIIINCIEVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PE(3PLE,YOU MUST ALSO ATTACH A 'TRAFFIC CONTROL PLAN flee nett nag Par ' t Plan may he a surygy, 1 and/or er' 1 view(Lor example Ed-M) of the subi p o�gr!yINDICATE ON THE PLAN ALL of the folloning 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(.)or stnicture(s)that will he 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 f 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. 0TfWER SSIGNATUREL I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions,and requirements of the Code of the Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event: Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all i p "ars necessary in rnecdon with this Special Event. Print name of Owner t Si ature of Owner Print name of Authorized Person/Repmsentative ignaturc of Authorize erson/Representative PERMISSION IS HEREBY GRANTED.SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit,applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,County or State Roads pr Ria is of YLay. 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review,etc.at least 60 business days prier 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. I 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/e er Wacce5s, tent(a)or t —nporary structure(s).or temporary sani faeiiitics shall be conducted on Town of Southold Purchase of Development R.ig is land 10. NO activities associated with this event, itiolLiding but not limited to narking, i ess/e�,er sslaccess. ten (s) or temporary shucture(s). or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Develop z �nt Rigls 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 Client#:1650901 PINDAVIN ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT2MM,DD/YYYY) 4127/2021 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 pol(cy((es)'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 NSA Christine Chij}Urrtoi FAX USI Insurance Services,LLC e�c°NNE. ,;212 8423700 Arc No 261 Madison Ave Ap RESS New York,NY 10016 INSURER(S)AFFORDING COVERAGE NAIC# 212 842-3700 INSURER A.-Great Northern Insurance Company 20303 INSURED INSURER B:Federal Insurance Company 20281 Pindar Vineyards LLC INSURERC: 591 Bicycle Path,Suite A INSURER D- Port Jefferson Station,NY 11776 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 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. LTRADDL POLICY EFF POLI EXP LIMITS TYPE OF INSURANCE NSR U POLICY NUMBER AMID MMID A x COMMERCIAL GENERAL LIABILITY 35931460 5/3112020 05/31/2021 EACH OCCURRENCE s1 000 000 CLAIMS MADE OCCURSES I� D`�-�� O�fl00 MED EXP(Arty one person) 510 000 PERSONAL BADV INJURY $1000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2000,000 POLICY❑JJECT n LOC PRODUCTS-COMPIOPAGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 73560257 D513112020 05/3112021 OMBBINED SINGLE LIMIT 51,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNEDt EDULED BODILYINJURY(Peraccident) S AUTOS ONLYOS Apq� HIRED -OWNED $ AUTOS ONLYOS ONLY $ B X UMBRELLA LIOCCUR 79874674 5/31/2020 05/3112021 EACH OCCURRENCE $10000,000 EXCESS LIABLAIMSfiAADE AGGREGATE $10,000,000 OED RETENTION$ --------- WORKERS COMPENSATION ST AND EMPLOYERS'UABILITY ANYPRQRRIEIOWPARTNERrEXECUTIVEYJN EL EACH ACCIDENT S OFF 811 EXCLUDED? N f A 11 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEES If yes,describe under E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below A Liquor Liability 35931460 LIO 5131/2020 05/31/2021 1,000,000 Occ. 1,000,000 Agg. DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is included as Additional Insured as required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25,PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1968-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD MXQC1 #S29413713/M29009964 Food vendors 1. Emily's Apple Puffs. Permit # PT0011595 2. So Sveglio Espresso Bar Permit #PT0011875 3. Vincent's NY Wood Fire Pizza Permit #PT0011861 4. Snowie-Licious Permit #0011369 5. Meats Meat LLC Permit #PT0011567 6. Mataco Permit #PT0002199 Go, gle apS 37645 Main Rd X2 N 0411101 a-wggly-`.,Y ":`�,: ;r ```" .st5 a �'w,` ,^.,^, �• _-;", �.-"i'; ''" ,^%"s. ;,<PE., ;°`ac'."' R�?' '''#< # a '' '�1 i <o,���" :ri "K. - Imagery©2021 Maxar Technologies,New York GIS,Map data®2021 50ft PO- IC 37645 Main Rd Building 0 nQ C@' ) (� Directions Save Nearby Sand to your Share phone 37645 Mair Rd,Peconic, NY 11958 Photos 50-666/214 1740 ( PINDAR VINEYARDS LLC PAY TO THE i DOLLARS Ct-BNB Bmk MEMO z �:O214b6667�: 3000001211311, 1740 _ __ _ Mirabelli, Melissa From: Glew, Claire Sent: Monday, May 3,2021 3:03 PM To: Mirabelli, Melissa; Spiro, Melissa;Webster, Kevin;Allegue, Lauren;Amakawa,Andrew Cc: Ruckdeschel,August Subject: RE: Pindar Special Event It appears from the map attached to the application that the tax map number is 85.-2-14 for this event.The address is 37325 Main Rd, Peconic—There are no exemptions on the portion of the property where the event is to be held. From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent: Monday, May 3, 20212:32 PM To:Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>;Allegue, Lauren<Lauren.Allegue@suffolkcountyny.gov>;Amakawa,Andrew <Andrew.Amakawa @suffolkcountyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Pindar Special Event Please see attached Special Event Application from Pindar Vineyard for Car Show May 22, 2021 Melissa M Mirahelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 i Mirabelli, Melissa From: Flatley, Martin Sent: Tuesday, May 4, 2021 7:52 AM To: Mirabelli, Melissa; Noncarrow, Denis; Duffy, Bill;Verity, Mike; Lanza, Heather;Weisman, Leslie Subject: RE: Pindar Special Event I have no objections to this event being approved with social distancing protocols in place. I believe as of May 19 the limit to outdoor gatherings such as this is being extended to 500 attendees. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 9 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s)and may contain information that is privileged,confidential and exempt from disclosure under applicable law If the reader of this message is not the intended recipient,you are hereby notified that any review,retransmission,conversion to hard copy,copying.reproduction,circulation,publication, dissemination or other use of,or taking of any action,or omission to take action,in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error,please(i)notify us immediately by telephone at 631.765.2600, (ii)return the original message and all copies to us at the address above via the U.S.Postal Service,and(in)delete the message and any material attached thereto from any computer,disk drive,diskette,or other storage device or media. From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent: Monday, May 3,20212:27 PM To: Noncarrow, Denis<denisn@southoldtownny.gov>; Duffy, Bill<billd@southoldtownny.gov>;Verity, Mike <Mike.Verity@town.southold.ny.us>; Lanza, Heather<heather.la nza @town.southold.ny.us>;Weisman, Leslie <lesliew@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us> Subject: Pindar Special Event As always any comments or questions send to me please Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax (631)765-6639 i Mirabelli, Melissa From: Spiro, Melissa Sent: Tuesday, May 4, 2021 8:12 AM To: Mirabelli, Melissa Subject: RE: Pindar Special Event This is not preserved land. Melissa S. From: Mirabelli, Melissa Sent: Monday, May 03,20212:32 PM To:Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>;Allegue, Lauren<Lauren.Allegue@suffolkcountyny.gov>;Amakawa,Andrew <And rew.Am a kawa @suffo I kco u ntyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Pindar Special Event Please see attached Special Event Application from Pindar Vineyard for Car Show May 22, 2021 Melissa M Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 i Mirabelli, Melissa From: Lanza, Heather Sent: Tuesday, May 4, 2021 10:16 AM To: Mirabelli, Melissa; Noncarrow, Denis; Duffy, Bill;Verity, Mike;Weisman, Leslie; Flatley, Martin Subject: RE: Pindar Special Event I see on the map they show where the port-a-potties will be and the food vendors. I'm not sure if Car Show Parking means the cars in the show,but I'm guessing that is the case. I'm going to need something clearer to show where they plan to park cars. They have about 120 spaces in the paved parking lots.Will they also be parking cars from the pubhc on the grass? If so,where and what are the dimensions of that area. I see some notations with x's but I can't tell what those signify. The extra parking they identify doesn't show where the cars would park and the dimensions (length and width) of the area where the cars will park. Please ask them for clarifications on the parking as described above.Thanks. All that being said,if they have to do this on today's Town Board, they could put the condition that all parking be contained on site. They have the room for it, the application just doesn't show it well. From: Mirabelli, Melissa Sent: Monday, May 03, 20212:27 PM To: Noncarrow, Denis<denisn@southoldtownny.gov>; Duffy, Bill<billd@southoldtownny.gov>;Verity, Mike <Mike.Verity@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>;Weisman, Leslie <lesliew@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us> Subject: Pindar Special Event As always any comments or questions send to me please Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 i Mirabelli, Melissa From: Leslie Weisman Forward Sent: Monday, May 3, 20214:14 PM To: Mirabelli, Melissa; Noncarrow, Denis; Duffy, Bill;Verity, Mike; Lanza, Heather,Weisman, Leslie; Flatley, Martin Subject: RE: Pindar Special Event This event has been successfully handled at Pindar for many years. However,the applicant shows time slots but maintains that a maximum of Zoo people at any one time is expected.That makes no sense since I think I'm right when I say that gatherings that large are not yet safe or permitted.There are also a number of food vendors on premises.The applicant should submit more information on how that will all be dealt with. Leslie From: Mirabelli, Melissa [mailto:melissam@southoldtownny.gov] Sent: Monday, May 3, 20212:27 PM To: Noncarrow, Denis; Duffy, Bill; Verity, Mike; Lanza, Heather; Weisman, Leslie; Flatley, Martin Subject: Pindar Special Event As always any comments or questions send to me please Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax (631)765-6639 i Mirabelli, Melissa From: Leslie Weisman Forward Sent: Monday, May 10, 2021 3:41 PM To: Noncarrow, Denis; Mirabelli, Melissa; Lanza, Heather;Verity, Mike; Flatley, Martin; Duffy, Bill Subject: RE: Pindar- More details Agreed Leslie -----Original Message----- From: Noncarrow, Denis[mailto:denisn@southoldtownny.gov] Sent: Monday, May 10, 20219:28 AM To: Mirabelli, Melissa; Lanza, Heather;Verity, Mike; Flatley, Martin; Duffy, Bill; Leslie Weisman Forward Subject: RE: Pindar-More details Seems to be the same set up as the last car shows they have had. I don't see a problem with it. Denis Noncarrow Government Liaison Officer Town of Southold, New York www.southoldtownny.gov<http://www.southoldtownny.gov/> den isn@southoldtownny.gov<mailto:denisn@southoldtownny.gov> 631-765-5806 CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. From: Mirabelli, Melissa Sent: Monday, May 10,20219:20 AM To: Lanza, Heather<heather.lanza@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us>; Duffy, Bill<billd@southoldtownny.gov>; Leslie Weisman Forward <lesliekweisman@gmail.com>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject: Pindar-More details Good Morning all, Attached hereto is a clearer picture of Pindar Special Event for the Car Show. Please let me know if we need anything more from them Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold, NY 11971 Office (631)765-1939 Fax(631)765-6639 1 Mirabelli, Melissa From: Lanza, Heather Sent: Monday, May 10, 2021 11:27 AM To: Mirabelli, Melissa;Verity, Mike; Flatley, Martin; Duffy, Bill; Leslie Weisman forward; Noncarrow, Denis Subject: RE: Pindar- More details Looks like plenty of space for parking (can accommodate 500+ cats) so fine with me.Thanks to them for clarifying the parking. From: Mirabelli, Melissa Sent: Monday, May 10, 20219:20 AM To: Lanza, Heather<heather.lanza@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us>; Duffy, Bill<billd@southoldtownny.gov>; Leslie Weisman Forward <lesliekweisman@gmail.com>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject: Pindar-More details Good Morning all, Attached hereto is a clearer picture of Pindar Special Event for the Car Show. Please let me know if we need anything more from them Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 RECEIVED MAY 10 TOWN ATTORNEY'S OFFICE 1