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HomeMy WebLinkAboutBedell North Fork, LLC 2022-25 �a�ul Fol r77 j 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: Mr. Denis Noncarrow, Town Clerk From: Melissa Mirabelli Secretary to the Town Attorney Date: May 25, 2022 Subject: Special Events—Bedell North Fork LLC- Corey Creek CCV2a-b With respect to the above-referenced matter, I am enclosing the original application with committee comments and resolution of Town Board approval of event. If you have any questions regarding the enclosed, please do not hesitate to call me. Thank you. Cc: /mm Enclosures Special Events Committee Application Summary and Recommendation Application name: 61 'I®(jrh e .LO, Address:A 5 qIO main 901) IA W I i Application number: �Cy� Date of Event: L# tal 161 t 1 Time: 5 Date Received by Town Clerk: 51121 Date Received by Committee: 6 f Nature of Event (S): t Committee Comments Received by: X Melissa Spiro Leslie Weisman Missy Mirabelli _ Chief Flatley August Ruckdeschel- County X Heather Lanza James Easton Mike Verity k Claire Glew Kevin Webster. Committee Recommendation's: Approve as applied Approve with Additional conditions: SEE ILSA6M Hold Public Hearing Deny Special Event No: lliz Resolution No: -�{ D Date: p i :E E- ED RECEIVED MAY 1 s 2022 MAY 18 2022hold : ..; r s�` a • Tom Atomey's office TOWN OF SOUTHOLD Town Code C h'Aptei-205 GOPulilie-Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Application;s:for a Specidl:Even't:Peimit arc SLI*ct to an inter-departmental coordinated review by the Southold.Town Board,Town tAttoiney;Town Assessors,Land Preservation,Building; Planning,Zoning Board of Appeals.and Polic.c Departincnts,and die Suffolk Comity Planning Gtinirnission. In kation fee: '$150:0.0 per application.Up to six{6)•multiple events of the same type, occurring over a pet7bd of three nroilth ;riiiiy`be..permi.lted on one(1)application for a fee of$150.00. However,specific details of each evenvi-ru..st be.ine.luded`With this application.. 1A,1 aP_V1ic00As tztiist Ile.stihniit-Ied of least 66 bu.zness days befnt a i-h event. Applicants nn-cnctiuraged to submit aioo]ications as early as possible Amin»hnleterf annlicatibri that i5 not submitted Cor Wore hnsitress ii.i rs riot to-tire.scltcduled :event may be rejected or subject to n late processino Fee if�n2S(i.00 b<<ffte office of the Town Clerk -RAless.a,�vziver is obtained.. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain Comments :on all applications from relevant Town, County and/or State agencies'.andwill forward completed applications to the Town Board with a recommendation as to whethe to^rant.or deny tlie application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safdty,and welfare of the community. When is a Permit Rentired? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit, Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Adyuse of ce5idential ro.er k.for prof 5ueh Asa ven06-Tor, edelnrre or�d et r cvetssznohibited. This.:aLrplication is deerircdcompleteonce all the foIloit%i `R:s uir.dietits are:su m'tted oche Tritivn 'Clerk; Please indicate cnhmissLQQ of the folwing U3che-CIUng off the bees and-sig ing below . VA completed abil-ication fomi signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ( u FEE: Is the application being submitted at least 60 days before the event[s/f�yes [ ]No f Yes,Fee of S14V has been submitted 151,50 Awl_ �If No, Fee of$ DO. 0-0 —has been submitted VO(ro o L Updated 8/7/2018 a Th pplrcantlowner 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 i hired �iner/l vent Plan: consistingof a survey,site plan and/or aerial view of the subject property that Y, P J P P tY 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.traf'fre tonrrol plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the eeve t .(See apPlication.form fordetails) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town PP b . 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 tltrough tlie.sate of tleve,.lgpi�te�rt rights.to•the Tonin of S6iahold, and can only take:place on land..preserved through the sale of development rights to the County:ofSuffolk with a permit issued by the Suffolk 6unty Earpdand.6niinit(ee._ 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 RECEIVED MAY 18 202 Southold Town Clerk APPLICATION FOR A PERN11T TO HOLD A SPECIAL EVENT .Please.nr•oyift-ALL df the inf rrii tion requesfcil iielory incomplete anntietttio�s 4X'Tl�l 'O�Ij reviewed. Special Event Permit# Applicant(s)name:- 1 "( !LLC , Date of Submission '51rl ZI Name of Event SCTM#'s 1000-Section 7�� Block- (0 Lat(s) (0 Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: P[a- n a_ (Please°atta�h a detailed description of EACH event to this applicafion) Time Period(Hours)of Event: From Z.Qh'1 —to-JI P M AheJ\ Z -8 gni . Town Services requested: ( )Yes (✓f No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time:_LZ_-$ Number of cars expected b Is a Tent or other tdrnporary, structure being used? [ ]Yes[ ]No If yes provide size(s) --.R��- Will food be served?[VrYes ( ]No If yes provide number and names)of food vendor(s) Updated 8/7/2018 Ctu S ee Q,)ATACW. Suffolk County permit#(s) Will other vendors(bye on the premisesduringthe event?["Vf Yes [ ]No if yes liow many? t Describe Type afvendor(s) �^�aI is � 4'ilai .�1 6t`I3 ��Qtr ` .. Property Owner(name/address):TENAA. 1"�}re- S Z l e—r 8:(4�1rJ Mm h 2PQA r(qd,quz IN 3 Contact Person and Contact Tel.#. Z.`V ,k t} -13 LI 153 ' 2 e-mail address a 1t1( -SAf 0\C-e-AW q.. -OYV\ Event Location:Street-Iiamllet Address: f. _()0 ky1 5,q—b MCQ11 is 1 k`r-t Mailing Address to Send Event Permitto: cckyvcs 'Sb Jau{\',kCx!1'l Qoad Ck�K:i� �a�e �J ► tl a3 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 bath.also indicate on the t ac tl plan the boundAd6s;<ift e reserved area upon to ieh the event take place YOU MUST A' lAeH A THIS App tu KATION IF_THE EXPECTED A:'T`TENDt 110E IS 300 OR � TACIJ Ay{ 2IC34� A _ TRAFFIC FIC C'ONTR L-PLAN(see next nage A Parldrig/Event Plan irtay be a eurvey site plan.andlor aerial vue2y_lfor egample Google Earth):o he subiget_pronerty.IN:DICATI?ON IHE PIAN ALL of tare foliowing,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 stiacture(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) Pian 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. (1 l) 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. Traffc._Control flan 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 oualif icd traffic cbrtrollcr antis[lie hroy . Please attached a written description and/or notate on the parking event plan the foilowing: 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, QI :NBR'S _TUa- I I am the Owner of the Property where this event is to be held and 1 agree to comply with the lanes, 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 rifles 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 huntediately 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 hoes of the permitted special event to snake any and all inspections necessary in con�n/eDc�tiion`with this Special Event. � Print name of Owner Signature of 0,. -r Ayvr� t ihrnn -) srae! Print name&Authorized Person/Representalive Signature,of Authorized Person/Representative ..PFRMTSSJON'IS iiF[tFB-T GRANTJJ) SUBJCC7'TO THE FQLL�)�_i_' 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. P'rkiriu is strictlprohihited'tin ANY TownCount i r Stht^Roadc or Rteht ,f 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)east Q `Slci'ness d YS pL1 Ltli_ihe.s jedulM i. vett. 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 817/20,,8 S. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO aclh ities aesoeiated with thicevejt including; but not iimited to parking. inaress/egress/access. te6ti3O,-6Ijemw. ary str(Jeturefel or Leri porary saniiaty facilities shall be coridueted on Town o1`S6u1hdld Plitt ba'�e ofDc doP 'merit Rig "s land. 10.NO activities associated with this eVent including but-not limited to marking iitaresc/e ress/ac0es,, .ttnt(s)'or temporary stnicture(110or temporary sanitaiy fAcilities shall be conducted on Suffolk-'CouriiX Purchase of 'DevelopmenfR.ig>i(s lard wit pout: a permit issued bythe. Suffolk .County. Fzrinland C6mmittee. 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 retrain 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 Torvn of Southold during the hours of the special event to make any and all inspections necessary in.connection with this Special EvenL 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 1.Property size is 2.2 acres.Approx.200ft.from Rt.25/Main Road. IZ��f�' za �''r• 1, 2. t Existing structure=61'x 38' ' t Tent=40'x 60' _ Cook Tent-20'x 20' 4 3,See aerial diagram w rt 4.See aerial diagram ti 5.Open space, multiple exits.See diagram for ingress/egress. z °s 6.Two(2)located in tent,(3)located inside existing structure.Five(5)fire extinguishers,total. �s 7.No temporary utilities will be installed 8.See diagram,parking area and ingresslegress outlined in red.Parking area is 75'x 210'and can accommodate 52 vehicles(300 sq.ft.per vehicle), 9,Parking attendants stationed at Rt.25 entrance,driveway/parking entrance,additional in W parking area tt r 10.Speakers and music equipment located in tent,see diagram.Equipment requires use of 2 x 202mp breakers. 11.Emergency access will be available from Rt. 25 entrance, ingress/egress defined,and use of Xn driveway that wraps around the building. � v3 "''; _; • - a 12.Garbage,glass and cardboard receptacles are located on the west side of the existing structure. ffia. 13.No additional lighting will be utilized in "T �l conjunction with the event. 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There will be a maximum of fifty cars, all to be parked on the property. The buses themselves will not remain on-site. Saturday October 1 st Nature of Event: Wedding Event Hours: 5pm-11 pm Catering:Chdstopher Micheal PT0006206 Parking: The clients will be busing the majority of their guest from the Riverhead hotels to Corey Creek. There will be a maximum of fifty cars, all to be parked on the property. The buses themselves will not remain on-site. 1 i t DAYE IMAIIDDIYYYY) : CERTIFICATE OF LIABILITY INSURANCE 07/13/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOkMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y 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 provislons 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 endomement(s)• :cpNracr - PROgUCER N/it>.E•' Con°nerCial ?3a •or1:' _ Edgewood Partners Insurance Center PHONE 6 �`). 390-9700 tdC::oH, 40 Marcus Drive {61i , x1) , E-td'A(l° 3rd Floor r.OpaEss• 7nsiaceitscmepichzokess..aoai: y Melville NY 11747 INSURER AFFORDING COVERAGE NAIC P N:SURERA:GREAT NORTHERS II:S'LT2ANCE COMPANY 20303 INSURED INSURER 8: _ Bedell North Fork LLC WSURER C: 36225 Main Rd IksURERn: Cutchogue NY 11935 INSURE RE: INSURER F• G.()1(EFi%;GES: CERTIFICATE NUMBER:Cert ID 684 REVISION NUMBER: THIS IS TO CITIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE LEEN ISSUED TO THE INSURED NAf&EI,ABOVE FQR THE PCLICY 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. INS.4 - '-• """ DOI:9c(Eltt' '++ PGGCY EFF "PTJLTCY ERR- LIMITS L78 TYPE.OF INSURANCE 1IVD POLICYNUMBER .1. 7RUDD/YVW MM1DDlYYYY A X.,COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE S 1,000,000 _ OAMMGETb REN Iq 1 I CLAIMS-MADE OCCUR 36005900 07/12/202 .07/12/2022 PREMISES.IEa.amuronra. ,S 1,000 000 MED EXP(Any,on"emnJ .S 10,000 PERSONAL&ADV INJURY. 5 1. 000 000 GENERALAGC-RFGATE 19 2_000,000_ •;GENL AGGREGATE LIMIT APPLIES PER. -- - PRODUCTS-COMPTOP'AGG,-S POLICY❑PRO ;l=CT LOC X . .--• ,� - - OTHFR:' .- cot.iDsk DsiNGLBcmi{I- S 1 000,000 _ AUTOMOBILE LIABILITY ( ="�•°�' ._ A X "ANY AUTO 73580664 07/12/202107/12/.2001 BODILY INJURY(Per person) • S OWNED 'SCHEDULED BODILY INJURY(Per accident) S • AUTOS ONLYqx. ''AUTOS f .^ .: , - ,HIRED NON•OW.V81. _ ,_ :;~R 'c.R]Yt inGE - S X 'moi c�cg ahf AUTOS ONLY 'AUTOS ONLY _ _ - %+r: - ;UMERE;L1LAAB* OCCUREACHODCURRENCECLAIMS-MADEENTIONS t ; t'a:'^ ////fI „•r 1 .•y ` .i't12 DQ S . �WORKER§COMPENSATION ,51• AMD EMPLOYERS'LIABILITY YIN �'� `• ? .' !." -.err 'a`' ANYi'ROPRtETOR/PhRTNryR1Q(ECUTIVE ,s 4 'Ll*.. s EL FJ�CTir�COIDEfil7 �- 5 O ,C%MEM1!Oc`2r EXCLUDEOY NIA - r`' •y's - r EL..DISEASE EA'LiV'101 S (h!Fai.dtoryln NH) of_i dWTJC)e OFunder O 4 a 1 �s '`. EL OISFASE%PC1UC1 l9L!iT 5 ..DE3Ca1PYJON-OP OPERATION kalow - • t :a-�� ♦� 'tt•,rf-l•9.', °7,: 4. sni .. 4r•C .t. •i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACOS `Z`r.r ?� L;sir- '*'j"' •r_f`..;c e '�' .Ji'Ea• •.+�:., '(, r':.z:,;e=';, .�:I--✓� fir• 'J'r' .:GER7I�(GA'i'•�`HQL•!]ER _ - � _- � .CAi��EL�AT.ION __ , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 53095 Route 25 AUTHORIZED REPRESENTATIVE Southold NY 11971y J. • ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 1 ^ Mirabelli, Melissa From: G|ew, Claire Sent: Wednesday, May 18, 202Z2:19 PM To: Mirabelli, Melissa Subject- RE Corey Creek Weddings C[V3a-b Missy, There are no exemptions on this property. �� C����==� Assistant to Assessor Town of Southold Board of Assessors (631)765-1937 Phone (631)765-1356 Fax From: Mirabelli, K4e|issa<nme|issa.noirabeUi@tuxvn.southo|d.ny.us> Sent:Wednesday, May 1Q, 2O32 12:07 PM To:Spiro, Melissa<K8e|isoa.Spinn@tovvn.southo|d.ny.us>; Easton,James«]annese@southo|dtovvnny.gov>; G|ew4Claire <C|aire.G|evv@toxvn'southo|d.ny.us»;VVebster, Kevin<kevin.vvebster8Dtoxxn.southo|d.ny.us>; Ki||ean,]ade "Jade.Ki||eon@suffo|kcountyny.gov> Cc:Amnakoxvo,Andrew<Andrevv.Anoakavva@suffo|koountyny.gov>; Ruckdesche|,August <August.Ruckdesche|@suffo|kcountyny.gov> Subject: Corey Creek Weddings COJ3a-b As always please send any comments.The application is the same as the other 2 but late add ons as the brides had venue in Riverhead cancel all events atthe location. Afelissa K. JVirttbefii Secretary/uthe Town Attorney Town ofSouthold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box }]79 Southold,NYlI97l Office (631) 785-1939 1 Fax(631)765-6639 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* 2 Mirabelli, Melissa From: Easton,James Sent: Thursday, May 19, 2022 8:33 AM To: Mirabelli, Melissa Subject: RE: Corey Creek Weddings CCV3a-b I have no objection to this event taking place. Thank you. Tames Easton Fire Marshal jamese��southoldtownny.gov (W) 631-765-1802 PRiVELEGED AND CONFIDENTIAL COMMUNICATION CONFIDENTIALITY NOTICE: This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential infonnwhich belonging to the sender is protected by privilege. if you are not the intended recipient,you are hereby notified that any disclosure;copying,distribution,or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notiR,the sender immediately by e-mail and delete the original message. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Wednesday, May 18, 2022 12:07 PM To:Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@'southoldtownny.gov>;Glew,Claire <Claire.Glew@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Killean,Jade <Jade.Killean@suffolkcountyny.gov> Cc:Amakawa,Andrew<And rew.Amakawa @suffol kcou ntyny.gov>; Ruckdeschel,August <August.Ruckdeschel @suffo I kcou ntyny.gov> Subject: Corey Creek Weddings CCV3a-b As always please send any comments.The application is the same as the other 2 but late add ons as the brides had venue in Riverhead cancel all events at the'location. ,Velissa Al Afirabefli 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 This electronic mail transmission may contain confidential or privileged information. If you 1 believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. 2 Mirabelli, Melissa From: Leslie Weisman Forward Sent: Wednesday, May 18, 2022 1:07 PM To: Mirabelli, Melissa Subject: RE: Corey Creek- Weddings CCV3a-b If the dates do not conflict with prior approved dates then no objections Leslie From: Mirabelli, Melissa [mailto:melissa.mirabelli@town.southold.ny.us] Sent: Wednesday, May 18, 2022 12:11 PM To: Lanza, Heather; Weisman, Leslie; Flatley, Martin; Verity, Mike; Burke, John Subject: Corey Creek- Weddings CCV3a-b Please see attached, And send any comments..... all is the same as the other applications these two are brides who had venues cancel their weddings from Riverhead Town. Afelissa 11 ttfirabclli 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 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. 1 Mirabelli, Melissa From: Lanza, Heather Sent: Thursday, May 19, 2022 1:23 PM To: Mirabelli, Melissa;Weisman, Leslie; Flatley, Martin;Verity, Mike; Burke,John Subject: RE: Corey Creek- Weddings CCV3a-b Looks ok to me. From: Mirabelli; Melissa Sent:Wednesday, May 18, 202212:11 PM To: Lanza, Heather<heather.lanza@town.southold.ny.us>;Weisman, Leslie<lesliew@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov> Subject: Corey Creek-Weddings CCV3a-b Please see attached. And send any comments...... all is the same as the other applications these two are brides who had venues cancel their weddings from Riverhead Town. Alelissc K Afirabelli 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 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. i Mirabelli, Melissa From: Lanza, Heather Sent: Thursday, May 19, 2022 1:21 PM To: Mirabelli, Melissa;Weisman, Leslie; Flatley, Martin;Verity, Mike Subject: RE: Kontakosta update That works for me. From: Mirabelli, Melissa Sent:Thursday, May 19, 2022 1:10 PM To: Lanza, Heather<heather.lanza@town.southold.ny.us>;Weisman, Leslie<lesliew@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us> Subject: Kontakosta update Spoke with them and they are asking if they can shut the Music down at 10:30 sharp but still have wedding end at 11 *** I can talk to John Burke to see if we can have code enforcement on this night just to make sure music goes off. Let me know what you all think. ' Melissa M. firaabelli 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 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* 1 Mirabelli, Melissa , From: Killean,Jade <Jade.KiIlea n@suffolkcountyny.gov> Sent: Thursday, May 19, 2022 2:54 PM To: Mirabelli, Melissa Subject: RE: Corey Creek Weddings CCV3a-b Hi Missy, The proposed "Corey Creek Wedding"Special Event does not appear to have an impact on the adjacent County PDR property(on SCTM lot#1000-075.00-06.00-009.007). Therefore,we do not have an objection to this Special Event as long as the adjacent County PDR property is not being used for parking, improvements and activities associated with this event. Thanks, Jade Xilleart Planner. Su.ffoIk County Dept.of Economic Development& Planning Division of Planning&Environment 100 Veterans Memorial Highway,2"'Floor Hauppauge,NY 11788 631-853-6044 Tel h� r a c t i c e G R E E K1 Save 8 tree.Read.dont print,enlwis, CONFIDENTIALI TY NOTI CE: This electronic mail transmission is intended solely for the use of the individual/entity to whom it is addressed and may contain confidential information belonging to the sender. If you are not the intended recipient,you are hereby notified that any disclosure,copying, distribution,or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message. X Vaccination _ Freedom from COVID-19 Help Suffolk County get back to normal COVID vaccines are safe,effective and free From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent: Wednesday, May 18, 2022 12:07 PM 1 To:Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Glew,Claire <Claire.Glew@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Killean,Jade <Jade.Killean@suffolkcountyny.gov> Cc:Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov>; Ruckdeschel,August <August.Ruckdeschel@suffolkcountyny.gov> Subject: Corey Creek Weddings CCV3a-b ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. As always please send any comments.The application is the same as the other 2 but late add ons as the brides had venue in Riverhead cancel all events at the location. Afelissa 11. 11firabelli 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 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. 2 RESOLUTION 2022-460 ADOPTED DOC ID: 18129 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-460 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 24,2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Bedell North Fork, LLC to hold Special Event 2022-25 at Corey Creek,45470 Main Road,Southold, New York as applied for in Application CCV3a-b for Weddings: June 12, 2022 from 2PM-8PM and October 1,2022 5PM-11PM These events are approved with the following conditions: 1. All parking of vehicles for this event must be as shown on the plan submitted with the special event application. 2. No parking for this event is permitted on land where development rights have been sold to the Town. 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. Denis Nonearrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans;Justice SECONDER:Greg Doroski, Councilman AYES: Nappa, Doroski,Mealy, Doherty, Evans, Russell 0 /1 V RECEIVED M AY 1 8 2022 thold Town cm s �d y j h j>i , a ..` .; „P 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 arc 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 bel'o><a 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 10rocessing fee of$250.00 by the Office of the Town Clerk unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the.Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk. Please indicate submission of the following by checking off the boxes and signing bFelow. VA completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ( u FEE: .is the application being submitted at least 60 days before the event[✓"Yes [ ]No f Yes,Fee of$ has been submitted is 1150 1_ IfNo, Fee of$ d 0_ ©� has been submitted r/ LtNw' Updated 8/7/2018 V 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 lured ID A Parkin /Event Plan: consistingof 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 evet. (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 pennit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. 12-2- , Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If'food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk Counly Bureau of Public Health Food Protection Unit. Updated 8/7/2018 V 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 i uredcared � ' A Parkin /Event Plan: consisting of a survey,Parking/Event g y, 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 /Signature t. (See application form for details) 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 information required above in connection with my.application. 12-2- Dated Signature Activities associated with outdoor public events are strictly prohibited frons taking place onn 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 Count),Bureau of Public Health Food Protection Unit. Updated 8/7/2018 RECEIVED MAY 18 2022 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. Special Event Permit# Applicant(s)name:&( a m d a h Date of Submission '51 n IZI Name of Event C Q re U Cxeek w edd i hu SCTM#'s 1000-Section -76 Block- (0 Lot(s) Cj , (0 Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: WeAd j n a (Please attaeh a detailed description of EACH event to this application) Timc Period(Hours) of Event: From OW M to 11 PM A M\ 5 u.\nd cx,�()12I'2 2 2 -8 PM Town Services requested: ( )Yes (V�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[ ]No If yes provide size(s) See oa-kpc ha Will food be served?[1/rYes [ ]No If yes provide munber and,name(s)of food vendor(s) Updated 8/7/2018 p'( S etv Qa'\TAl1A Suffolk County pennit#(s) Will other vendors be on the premises during the event?['V"Yes [ ]]No if yes how many? 1 Describe Type of vendor(s) U'01(IC, Property Owner(name/address): eYNA Pie Z ler {ch(3q LW, V� VIQ 3 5 Contact Person and Contact Tel.# 1 631 "►3 L — -1,.5-3-1 2 e-mail address J �`(�11(�1(� ,C Event Location: Street-Hamlet Address: CA Q0 V" CQ(U,q Cr��Y-- �{��� V�l1f�1.h17.(�-a SQu ht)ir� Iti1 � 1�1`I�s TA4 Mailing Address to Send Event Permit to: &6e ll C-dk- s 3(o_-102!T �Aa i`'1 QocLd 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 Llan 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 t nage) A Parking/Event Plan may be a Survey, site plan and/or aerial view (for example Google Earth) of the subuect 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 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 PI�Gc� S ee 0,.a-\TACk4 Suffolk County permit#(s) Will other vendors be on the premises during the event?[VfYes [ ]No if yes how many? Describe Type of vendors) I_ If SS��� b �Q�(i ;ei�oe��,phs�r► sQct>rri hau WVUA Property Owner(name/address):-[rein I Pre s z I er 3(0�5 Mal h VwA C t i h ci ue U 1'[9 3 5 Contact Person and Contact Tel.#_Amu Z'SxW C(p 0 -13Y -P-Y-t- Z e-mail address J `- Event Location:Street-Hamlet Address:TMP T(A- -ooyn w Corg-4 Cry Mailing Address to Send Event Permit to: 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 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) 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 (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 a►n the Owner of the Property where this event is to be held rind 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 Corte 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. fire�n� Pres zleir 4v--- Print name of Owner Signature of Omr 1 ASMAe I u 1�titiv Print name a Authorized Person/Representative Signatur4 of Authorized Person/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 WWay. 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. 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 parkinng 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 in17ress/egress/access tent(s) or temporary structures) or temporary sanitary facilities shall be conducted on Suffolk County Purchase of Development Rights land without a pen-nit 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 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 nennit issued by the Suffolk County Fannland 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 fiill 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 liTADti' y- �'�� '� �,5}�,� J) �r',�lF.t4r�v°�K'^•'� r+'N.t,z"` �,vh t A '� � ••- - � •• • 11 • f}r.,,nrLS,s�t7t;rs+ v d��€>��w€!�'l�.S S:to s�� .s7,a'1 + r�f x� 1 ty �• � Ybl��a.Ni74 ,l wJ 3r{ttr "�t° ,dh�` fftl-.Y}St 'x.i 4{-. ra +r�..t �•.• U-5 3r sqq�+ q y tC `ra• t'+v r :f'o ar).a.5! �tl r r'rt`t j � "1'S Y-fff1 �� ,<�^y, '•I , s a..v. n P�t.11.,,, ei. 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T�` t, �,vIC .i'"« 11 tt'�it.t�t 1'1' 3`t't°�•SL ^i'.:.t •_ ...,.;..: .. �� .„-, .S i'Y:•vr•' ,•..;.L rf,,{A .•,rya..5,xar• Tt't _ �;r” fJ a < .9r S,t a:`- ,\� I: �� - ..s--._ _ .'�`Y:,:%3'_ .s,..c._ ::3�•ry�.�ir,:,+.t�.�"•".:k.•.::�^ -✓-.:..� � •r S� '•i w''1�',t\' S`-�1`i��� t��,.�`it`�\�it'1'`�~y a�•` Additional Information for Corey Creeks Application Sunday June 12th Nature of Event: Wedding Event Hours: 2pm-8pm Catering:Christopher Micheal PT0006206 Parking: The clients will be busing the majority of their guest from the Riverehad hotels to Corey Creek. There will be a maximum of fifty cars, all to be parked on the property. The buses themselves will not remain on-site. Saturday October 1st Nature of Event: Wedding Event Hours: Spm-11 pm Catering:Christopher Micheal PT0006206 Parking: The clients will be busing the majority of their guest from the Riverhead hotels to Corey Creek. There will be a maximum of fifty cars, all to be parked on the property. The buses themselves will not remain on-site. ' ! - CERTIFICATE OF LIABILITY INSURANCE DATE MM/OOIYYW) 07/13/2021 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(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 ;CQN7AC,P - - -- NAME"' Commercial Su ""ort` _ Edgewood Partners Insurance Center PHONE 6 40 Marcus Drive :(gl�r,'jLt),;�j8)�• (.63d;), 390-9700 lWCjNa)'i(. 3�1'j• 3'9.U'c.9.T90; 3rd FloorEddAIL': AOORESS: [RSTacert5cm@ep]:.clirolCQzs.:•com: Melville NY 11747 -• ` INSURER()AFFORDING COVERAGE NAI C O INSURERA:GREAT NORTHERN INSURANCE COMPANY 20303 INSURED INSURER B Bedell North Fork LLC INSURER C: 36225 Main Rd INSURER O: Cutchogue NY 11935 INSURER E: __— INSURER F: COVERAGES. CERTIFICATE NUMBER:Cert ID 684 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. i "INSR _ - AD - POUCYEFF POLICYEKP” LIMITS - LTR. TYPE.OF INSURANCE O POLICYNUMBER .MMIDD/YYYY MWDDIYYYY A X COMMERCIALGENERALL1A81LITY EACH OCCURRENCE 5 1,000,000 •OA E'i f CLAIMS-MADE OCCUR 36005900 07/12/2021.07/12/2022 pRE IBES E nccurrnncd_ S 1,000 000 MED EXP(An.oneperson) .5 10,,000, ,. PERSONAL 8 ADV INJURY.. 5 1.1000'.000" GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE_ 5 2.,0001 -,-000. :. .. .... X PRO- POLICY JET D LCO PRODUCTS-COMPIOPAGG.,,S .1.,000,000 'S OTHER' cornBlN pstt�GCELIMrr AUTOMOBILE LIABILITY ,f IES acdidenil _ 5 x_.1..000 000 A X ANY AUTO 73580664 07/12/2021 07/12/20221 BOOILYINJURY(perperson)• 5 OWNED ;SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY ;AUTOS - HIRED I NON-OWNED - - _ PROPER DAMAGE S X AUTOS ONLY X AUTOS ONLY a Pernmdd UMBRELLA LIARHCLAIMS-MADE OCCUR 'x^`' �' ;� '• .-x•x�''t ""' {EACH OCCURRENCE 5 +,z ..' `. EXCESS LIAR ` f _._. _. ;AGGREGATE S DED I RETENTIONS _ 5 P D .I :WORKERS COMPENSATION 3 -c •+� t� ' A -IE ER AND EMPLOYERS'LIABILITY k YiS., �;. a ANYPROPRIETORIPARTNERIEXECUTIVE YIN } E.L EACH ACCIDEt•Ti' S �OFFICERIMEMBEREXCLUDED7 NIA p ,+ x (Mandatory in NH) *• 1 E_L DISEASE-EA EMPLOYE, S If yes,describe 'e ..DESCR1PTlON.OPOPERATIONS.balew E•L.DISEASE=POLICY.Wh11'f• S - i •^` .,1, ,�:�" i.1•.r_g '[ % xy _ M d DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACO, ( N ) . '• I yy411...YY .r. F'Y+ M1X k xE°r r , t _ eaAtac>;i u�Tlosa CERTI l~KATE`H4 LD ER. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i Town of Southold 53095 Route 25 AUTHORIZED REPRESENTATIVE Southold NY 11971 N ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1