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Breeze Hill Farm 2022-526
o�oSUFFQ1KcQli 0 v� z 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: June 21, 2022 Subject: Special Events —Breeze Hill Farm- BHF1a-e 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 f R Special Events Committee Application Summary and Recommendation Application name: r�.e Address: 3IM5 L4 Recon Application number: UT:J.a,— Date of Event: q 10 "I 11 4 q W O�IDOlO� Time: I 2. Pm I I Date Received by Town Clerk: to 13 IaOBa Date Received by Committee: Nature of Event (S): AIr Committee Comments Received by: o V Melissa Spiro J Leslie Weisman X Missy Mirabelli Chief Flatley August Ruckdeschel- County X Heather Lanza Y James Easton Mike Verityr ., Claire Glew B�Wmffy 70 1 x1 Kevin Webster Committee Recommendation's: Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: a Resolution No:A00-ka— 5a(Q Date:�QT� O f L WILLIAM Ca GOGGINS Attorney at Law 13235 Main Road, P.O. Box 65 RECEIVE® Mattituck, New York 11952 Phone: (631) 298-4818 Fax: (631) 298-4214 JUN Cell: (631) 905-4493 Email: 4ogOnslaw 5 gmaibooin Southold Town Clerk May 31, 2022 Office of the Town Attorney 53095 Main Road, P.O. Box 1179 Southold, New York 11971 Re: Breeze Hill Farm Special Events Permit 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 Dear Sir/Madam: In connection with the above referenced matter enclosed please find the application for five (5) special event permits and supporting documents together with a check in'the amount of$ ; If you have any questions, please do not hesitate to contact the undersigned. Thank you. Very truly,y.ours, "llam C; Gpg- i w s i i i RECEIVED 3 r= JUN 3 20 Southold Town Clerk TOWN OF SOUTHOLD 16im-Code-Cl ayger245�Public:khtertainment.and Spec al.Evenia'! 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. A-ililkiffldn 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$150.00. However,specific details of each event must be included with this application. AIf app lications•must be submitted at least bnsiitess clays be'bre the event Applieants fire encouraged.to subrriit a�gJki fior►s as early as possible. AnI� cairt111efed a plientir n fhat J. not s0ibitx ifted d or more l�nslries5 dayrs Y tiir to lhe:sefterluIed: . _., c _ . eveI t a ,be r, eessi f 250.00 i t e ffce of'tl a atom 'ler- unless a waiver Ls obtained: Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a P trii�t Required7. All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residentiat,prop eriv_for 11-fit,.4udh as a venue for weddings o-dtlier events=is-prohibited.. This.Qplica:tion. s deemed'comms lete once all the follosc+ice retlu rements=are submitted to the Town Clerk Ele 'se.ia�dicate suiliitiissiori of-the followio by the in-offthe boxes and signmg::lielow. A completed ap limfion,form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event.A Yes N No nIf Yes,Fee of$ has been submitted FIf No,Fee of$ has been submitted Updated 8/7/2018 I t c The applicant/owner of the property where the special event is proposed to take place must provide a ce tficate.nf ihsifmnce.not less than 2 million dollars naming the Town of.Soutfrold'::as an_additional insured -A`Parking/l✓venfP'Ian; consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) ' Events for three hundred (300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event.(See application form for details) 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. 7 My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold,and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. r 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. i i Updated 8/7/2018 I i 4 RECEIVED JUN 3 20 Southold Town Clerk APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please Proyyr e.AL of the informat on.re4ue5ted.below :Incoen slot a �hc at ons'PdIIJL Nt1T b . _ pIII � 'r Special Event Permit# Applicant(s)name: �l(��(,?,t°i I 16 Date of Submission.�'� -ZZ Name of Event Lot(s) SCTM#'s 1000-Section__. _� Block .__ ,:f_ -. ._ .__ . Lot( ) Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: See- T (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From to _Iym 1 k fkGhtd Town Services requested: ( )Yes (x)No If yes,Describe Police Dept. Highway Dept. Describe Services 5 ; Mta(4,td Maximum Number of Persons Attending At One Time: Number of cars expected Is a Tent or other temporary structure being used? [X]Yes [ ]No If yes provide size(s) Will food be served?[ ]Yes [ ]No If yes provide number and name(s)of food vendor(s) 2�( � Updated 8/7/2018 t i _Suffolk County permit#(s) * Will other vendors be on the premises during the event?[ ]Yes [ ]No If yes how many? Describe Type ofvendor(s) � ` Property Owner(name/address): =7 i t L°4 i �^� Chio's I`i,-.- Contact Person and Contact Tel.# 1 j ()� f (� � -7 7 7 e-mail address -�r�e�G��:t-b l��i',� �J�f� -�W1.Q.l Event Location:Street-Hamlet Address:_ ✓) 2 �S ti ` tCi 'L� plc I L : lova-n q od —0 1,00 - ®3J, 0 0� Mailing Address to Send Event Permit to: I�F Have ariy of the.development.ghts been sold.to the Town i f South hold[ j Yes ]No and/or Suffolk County,Aricultural Programs [ J Yes ;[' ]No; S vec,to eAther or both,also indicate 0-n Al attached Plan'tite boundaries oftlie reserved-are atipon wtiiehthe event will take Place 'YOU MCTST'A TACIE A PARIINGlEVE1VTLAI 'I'(}'i`I1I -A�'FIICA`I'TClN t Tlil1 EXPECTED ATTENDANCE IS'3Q0 OR 1\iIORE PEOPLE;YOU NIYJST ALSO ATTAC)TA "TRAT'FIC'CtyNTROI,.FLAN s;eeno Paged "r _ .., #v n t -6 a: tirve' site tar►.a d:o a ` s �v amn Ii _d'anP-1itartio bf: _. the.sabaeet pro Olt. Nn GATE ON TH`E PLAN ALL�'of the fol]oiviiaa infbr"matron: A parking/event plan showing: I (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. f (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 c � (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,ANDA qualified traffic cdhtroller mi st'-be pr6yided.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. OMMMIR?s STC NA77M 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 inspections necessary in connection with this Special Event. gfuv_ Print name of Owner Signature of Owner Owbev Print name ofAuthoriiedPersoiz/Represeptaft Signature of Authorized Person/Representative P E1RT811, l�1 IS:I HE MV GRANTED,SUBUCT�T(J M41f FOT.L CCINUITI0 Ss 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 f necessary for this event. Parkbig ass d tiv urbhibited-ori ANY Town,_County or.S#ate ltoadc orRi hof Wav 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. i 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. t 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before i placement on the property and must meet all fire and safety codes. 3 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 th-67 scheduled event. i 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 8/7/20I8 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_'As§bcigited Nvitkthisie�%6fft ihokidinZ--but not litbitdd,to--gatking.1 14grce&q/6gr6ss'./access. fetif( or po"fa' Ey'_zsfr i i 6tu f e(-,)- or fei n 0 Ldi:y sdbif ii ry facilities §hJW 146 conducted bn Town of Southhd I Purchase of itRi"�t -land. l0.-NO.a*ctJ%Jties associated`with,this event.; including.bat.not liffi tont(sor tempora[y's itfiir6(0� or jen �&.y996 itAryfacilities, shall conducted of Suffolk County �lk County A pertnit 1 - .5qued' �by� the v §`uff y_'V r "an Purchase 0� it i _�j rnl 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 pen-nit.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 STATEMENT OF USE 31215 County Road 48, Peconic,New York SCTM No. 1000-074.00-01.00-036.000 The Events are Weddings. In connection with the special events applied for herein, please be advised of the following: The single family structure at the premises shall not be used as part of the catering of the special event. Our farm products are an intricate part of the wedding events. Apple cider made from apples grown on the farm is purchased and made a part of the refreshments options for the guests. All guests are given apple donuts, which are made from apples grown on the ' farm. The guests further have access to our farm stand, which provides for opportunities of the guests to purchase our produce grown on the Breeze Hill Farm at our farm stand, which includes honey, apples, peaches, pairs, onions, blueberries, tomatoes, eggplant, peppers, basil, oregano,tyme, parsley, sage, rosemary, peas and eggs from forty (40) egg laying chickens. This a truly unique farm wedding experience. i 1 June 12, 2022 Michele Borbee and Nicholas Stoski Event 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: June 12, 2022 2. Guests: 150 guests 3. Hours: 12pm-I 1pm 4. Cars expected 75 cars 5. Caterer: Platinum Party Planners: Tracy 179 Jerusalem Avenue Massapequa,New York. 11758 Nassau County License No.: F 15 847 83 (516) 987-1266 6. Music Vendor: JV Entertainment Contact Person: Jon Rizzo 2787 Long Beach Road, Suite 201 Oceanside, New York. 11572 (0) (516) 632.9655;(C)(516) 242-8265 7. Music Duration: 3pm—1 1pm 8. Tent Vendor: McBurnie Tent Rental 22355 Middle Road Cutchogue, New York. 11935 (631) 734-6024 t ti August 14, 2022 Melissa Levi and Brandon Greenberg 31215 County Road 48, Peconic,New York SCTM No. 1000-074.00-01.00-036.000 f 1. Event Date: August 14, 2022 2. Guests: 250 guests 3. Hours: 3pm-11pm 4. Cars expected 100-125 5. Caterer: TBA { License No. 6. Music Vendor: Hank Lane Productions 200 Frank Road Hicksville, New York. 11801 (888) 508.0555 r 7. Music Duration: 5pm—1 1pm 8. Tent Vendor: Nassau Tent 86 Cleveland Avenue Bayshore,New York. 11706 (631) 964-4121 i September 10, 2022 Erin Brady and Daniel Barroquiero Event 31215 County Road 48, Peconic,New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: September 10, 2022 2. Guests; 150 guests 3. Hours- 12pm-I 1pm 4. Cars expected: 75-100 5. Caterer-;-, East End Caterers: Chris Richards License No. PT0002999 10095 Main Road Mattituck, New York. 11952 (631) 379-2070 6. Music Vendor: Top Tier Entertainment 175 Commerce Drive Hauppauge, New York 1178 8 -2244/(631) 833-4149 (631) 364 7. Music Duration: 5pm—1 1pm 8. Tent Vendor: McBurnie Tent Rental 22355 Middle Road Cutchogue,New York. 11935 (631) 734-6024 September 17, 2022 Sarah Drews and Ross Harrison Event 31215 County Road 48, Peconic,New York SCTM No. 1000-074.00-01-.00-036.000 1. Event Date: September 17, 2022 2. Guests*-, 200 guests 3. Hours: 12pm-11 pm 4. Cars expected: 100-125 5. Caterer: Grace & Grit: License No..PT0007738 55750 Main Road Southold, New York. 11971 (631) 876-5221 6. Music Vendor: Jarrell Entertainment 251 West 3011h r 3 Street 'Floor New York,New York 10001 (917) 512-7674 7. Music Duration: 5pm—1 1pm 8 Tent Vendor: Greenwich Tent Company 459 Iranistan Avenue Bridgeport, Connecticut 06605 (203) 930-4021 September 22, 2022 Josh Milan and Megan Devin Event 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: September 22, 2022 2. Guests: 150 guests 3. Hours.,: 12pm-I 1pm 4. Cars expected 75-100 5. Caterer Christopher Michael Catering: License No. PT0006206 370 Manor Lane Jamesport, New York 11901 (631) 722-0500 6. Music Vender: Cafd Wha Entertainment: 115 MacDougal Street New York,New York 10012 (212) 254-3706 7. Music Duration: Spm—1 Ipm 8. Tent Vendor: McBurnie Tent Rental 22355 Middle Road Cutchogue,New York. 11935 631.734.6024 UNDERTAKING 31215 County Road 48, Peconic,New York SCTM No. 1000-074.00-01.00-036.000 The Applicant, Christopher L. Pia undertakes to present and post on site the NYS Liquor Authority Permit during times when alcohol is being served. CHRISTOPHER L. PIA R 1 1__71) (d' .. Ac CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDbIYYY1� 05/31/2022 " 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 ,NSE cl ANTHONY RICCIFAX KENNETH MACNISH PHONE FIAIC,NOV, 631-693-3039 859 CONNETQUOT AVE anORess' ANTHONY:RICCjOAMtkIC�AN-Nt TIONAL:CQM SUITE 12 INSURERS AFFORDING COVERAGE NAIC# .ISLIP TERRACE NY 11752 INSURERA: FARM FAMILY CASUALTY INSURANCE CO 13803 INSURED INSURER B? BREEZE HILL FARM&PRESERVE INC INSURER C: PO BOX 246 INSURER D: INSURER E-. PECONIC NY 11958 INSURERF: 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. AUL B — POUCYEFfi .POLICYEXP:" - TYPEOFINSURANCE " -� .POUCYNUMBER MMIDD MMO • LIMITS -- -' COMMERCUILGENERALLIABILITY Y 315205107 5/6/2022 5/6/2023 A EACH OCCURRENCE is 1,000,000..,... � A AGETO:RENTED AIM ' CLS-MADE a"1"OCCUR PR'e ISES-Ea dca,rrenes " $ - 160,060--- MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY _ $ 1,000,000 GEN'L,AGGREGATEUMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000,.: FRO X ,RaWeY ;jECT- LOC PRODUCTS-COMP/OPAGG. 5 " _ 2,000,000 $ OTHER: v : _ GO, 91NEOSI GL LIMIT $ AU7UMOBILEUABIUTY _ Ea'abctdent ' t i _. ANY AUTO BODILY INJURY(Per person) $ r OWNED SCHETODULED BODILY INJURY(Per accident) $ AUTOS ONLY AUS — - - HIRED NON-OWNED PROPERTYDAMAGe $ AUTOS ONLY AUTOS ONLY ernccld?nt " A uM9RELLA-L1Ad -" 310IB1336 6/11/2022 6111/2023 X .,OCCUR EACIiOCCURRENCE _ is 1,000,000 " ,EXCESS LU1B CLAIMS-MADE AGGREGATE $ _ 1,000,000 .i DED XIRETENTIONS 10,000, WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY STATUTE.. ER ANYPROPRIETOR/PARTNER/EXECUTIVE YNIA E.LEACH ACCIDENT $ ' O FF I C ERIM EM B E R EXC LU D ED? (Mandatory In:NH) EL DISEASE-EA EMPLOYEE $ 11,ye5:describe under OE$CRIPTION OE OPERATIONS below. _._. E.L.DISEASE-POLICY LIMIT $ ' DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 'CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED. EVENT DATES:6/12,8/14,9/10,9/17,9/22. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 ROUTE 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN l SOUTHOLD, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Aw ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i x y13r2617 Grell WoMmTertWesoW g.p V " a&aM 40x100 New Century High Peak Pole Tent rrmn Hasse Myr: h''" tt�� �� CiGS P0� Rt�y 1� rl•. !'.tSSl�1eGC R t, r .. eff an IWO � � h '>te Flit BandArea V Main Eittranrtl z t In ,- GrardPaitc=gLct N .. aimtttritcorner 3e•3P. • .. "t s ��ppertk ti}tY lfr�t gravel,in flee ; with lamp past p 2Q`0 QMvcI Parkmg Lest 7 FrameTeat •� ,�.x,o. for Service iamal[ei das to bast creme. 14.12 in from grate] '9slo Rc9s16 optional ram plan not taureutlg iadwlei r w LOCATION SITE PLAN + .��, ..,,.. `N:; 3,„��-Y .;^ r' Y r�- ,`,,,. a. ': w�"$ r�`,✓ '� �. ��§ r r ,.Y, ,''`3,. �:.� s �`a..r �'f� Y`� � :,�.,, ..;a'. >. ,.,.^ x x .. �;, ,. r 2.,... '�`; ps..� '., ,vA,r .� s.Rr .w,.. .r. ,�,tr � „•#+ey,, ,'; ,&e'�.. m' ,,,.� � ,.. ,. x,a .�:£,,, .('ly "'� ,.:' - � �..�,.„�:� �:,a �.•x `�".�'' ea � � ;�#,- �:::� �E�'Y n,. 9 sf?ve. ����� "> a. % 'r.,.moi �s'.:P... r x a, g { ^ate' rM x �,- '� ; zx' ` 5 •t "' ��.._ � �` ,mak.,` �` "k.: .., ....P .� : � �` d�� � z :.d�'�x” � `r s^.'4%, ¢?,,cF: ...k• sz �tT, ' �,,, �: .�.�'',°<" � ;q.3. n. �,r �.,'. `�»., w.,�� '� 17 " � � +x'•-�� „k J� o s �� �,g ,e�r��z� ,�; ',?z;; <r,�, �” � ria� ��a.:�, �� �•�.w� d�, �*�� ,.a ,�,,��' �.��� � c*z ? r � a * >.. s 3 ,g 'r ": < w a. r e "'', ., yr '§�,' M €r;",q y�5**,:.., t✓9 �.max,. 3e,. -, rx '4 k�'� _�'owl ts� _al,....� .e Fn f , 5, � �a�� fi Vis. s M�`- �� `tom� i�-;,.�N ex+ �,• x`,`^: '':d.r.=^a " s a�,y#.:;8,. �'.a ,. c, �` �:r„.'r�.� 'r .�, g-�:':< sY.a d k o x x 4' � - r Town of Southold P.O Box 1179 Southold, NY 11971 RECEIPT Date: 06/03/22 Receipt#: 300219 Quantity Transactions Reference Subtotal BHF la-e $150.00 Event Fee Late Fee BHF la-e Late $250.00 Total Paid: $400.00 Notes: Payment'Type Amount Paid By CK#4698. $400.00 William C Goggins, E.sq Southold Town Clerk's Office .53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Breeze, Hill Farm Po Box 246 Peconic, NY 11958 Clerk ID: SABRINA Internal ID:BHF la-e Late Mirabelli, Melissa - From: Flatley, Martin Sent: Thursday,June 9, 2022 9:11 AM To: Mirabelli, Melissa Subject: RE: Breeze Hill Farms Special Event I have no objections to these events being approved. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 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(iii)delete the message and any material attached thereto from any computer, disk drive,diskette, or other storage device or media. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 8:43 AM To: Burke,John<johnbu@southoldtownny.gov>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Weisman, Leslie <lesliew@town.southold.ny.us> Subject: Breeze Hill Farms Special Event Please send any and all comments to me thank you ,Velissa M. Alfirabelli 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 1 � 1 transmission and delete the message without copying or disclosing it. ******************************************************************************************* 2 1 � Mirabelli, Melissa From: Spiro, Melissa Sent: Thursday,June 9, 2022 8:51 AM To: Mirabelli, Melissa Subject: RE: Breeze Hill Farm Special Event This is not preserved land. Melissa S. From: Mirabelli, Melissa Sent:Thursday,June 09, 2022 8:47 AM To: Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Killean,Jade<Jade.Killean@suffolkcountyny.gov>; Easton, James<jamese@southoIdtown ny.gov>; Glew, Claire<Claire.Glees@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>;Amakawa,Andrew<And rew.Amakawa @suffolkcountyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Breeze Hill Farm Special Event Please send any questions and comments to me thank you Melissa,31. Af rabelli 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 L 1 Mirabelli, Melissa From: Webster, Kevin Sent: Thursday,June 9, 2022 9:09 AM To: Mirabelli, Melissa; Spiro, Melissa; Killean,Jade; Easton,James; Glew, Claire;Amakawa, Andrew Cc: Ruckdeschel,August Subject: RE: Breeze Hill Farm Special Event No Exemptions on this property. Kevin Webster Chairman, Southold Town Board of Assessors 53095 Route 25 PO Box 1179 Southold NY 11971-0959 631-765-1937-Phone 631-765-1356-Fax From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 8:47 AM To:Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Killean,Jade<Jade.Killean @suffolkcountyny.gov>; Easton, James<jamese@southoldtownny.gov>; Glew, Claire<Claire.Glees@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>;Amakawa,Andrew<And rew.Ama kawa @suffolkcou ntyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel @suffolkcountyny.gov> Subject: Breeze Hill Farm Special Event Please send any questions and comments to me thank you T� 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 ******************************************************************************************* 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. a � Mirabelli, Melissa From: Lanza, Heather Sent: Thursday,June 9, 2022 9:40 AM To: Mirabelli, Melissa; Burke, John;Verity, Mike; Flatley, Martin;Weisman, Leslie Subject: RE: Breeze Hill Farms Special Event Plenty of parking here. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 8:43 AM To: Burke,John <johnbu@southoldtownny.gov>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>;Weisman, Leslie <lesliew@town.southold.ny.us> Subject: Breeze Hill Farms Special Event Please send any and all comments to me thank you Melissa M. 1V irabelfi 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 \ 1 Mirabelli, Melissa From: Killean,Jade <Jade.Killean@suffolkcountyny.gov> Sent: Thursday,June 9, 2022 11:35 AM To: Mirabelli, Melissa Cc: Amakawa,Andrew; Ruckdeschel, August Subject: RE: Breeze Hill Farm Special Event Hi Missy, The proposed Breeze Hill Farm Special Event does;not appear to have an impact on the adjacent County PDR property (on SCTM lot#1000 07400 0100 037003). 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 XiCCeaii Planner Suffolk County Dept.of Economic Development&Planning Division of Planning&:Environment 100 Veterans Memorial Highway,2"1 Floor Hauppauge,NY 11788 631-853-6044 Tel u" t ,w i .r pr a ctieeGREEN Sade a tree.Read,don't print,ernails. CONFI DENTIALI 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. Vaccination = Freedom from COVID-19 Help Suffolk County pet back to normal COVID vaccines are safe, effective and free From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 8:47 AM 1 To:Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Killean,Jade<Jade.Killea n@suffoIkcountyny.gov>; Easton,James<jamese @southoldtownny.gov>; Glew, Claire<Claire.Glew@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>;Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Breeze Hill Farm Special Event ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Please send any questions and comments to me thank you i 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 ******************************************************************************************* 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: Webster, Kevin Sent: Thursday,June 9, 2022 9:09 AM To: Mirabelli, Melissa; Spiro, Melissa; Killean, Jade; Easton,James; Glew,Claire;Amakawa, Andrew Cc: Ruckdeschel,August Subject: RE: Breeze Hill farm Special Event No Exemptions on this property. Kevin Webster Chairman, Southold Town Board of Assessors 53095 Route 25 PO Box 1179 Southold NY 11971-0959 631-765-1937-Phone 631-765-1356-Fax From: Mirabelli, Melissa<melissa.mirabeIli @town.southold.ny.us> Sent:Thursday,June 9, 2022 8:47 AM To:Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Killean,Jade<Jade.Killean@suffolkcountyny.gov>; Easton, James<jamese@southoldtownny.gov>;Glew, Claire<Claire.Glew@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>;Amakawa, Andrew<And rew.Amakawa @suffolkcountyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel @suffo lkcountyny.gov> Subject: Breeze Hill Farm Special Event Please send any questions and comments to me thank you Mellssa 1V1 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 ******************************************************************************************* 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: Easton,James Sent: Friday,June 10, 2022 9:01 AM To: Mirabelli, Melissa Subject: RE: Breeze Hill Farm Special Event I have no objection to these events taking place. Thank you, James Easton Fire Marshal jamese@southoldtownny.gov (W) 631-765-1802 FRiVF,LEGED AND CONFIDENTI,AL 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 infonnation belonging to the sender which 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 infonnation is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 8:47 AM To:Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Killean,Jade<Jade.Killea n@suffolkco untyny.gov>; Easton, James<jamese@southoldtownny.gov>; Glew, Claire<Claire.Glew@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>;Amakawa,Andrew<And rew.Amakawa @suffolkcountyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Breeze Hill Farm Special Event Please send any questions and comments to me thank you L YAQ 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 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: Leslie Weisman <lesliekweisman@gmail.com> Sent: Thursday,June 9, 2022 11:12 AM To: Lanza, Heather Cc: Mirabelli, Melissa;Verity, Mike; Burke,John;Weisman, Leslie; Flatley, Martin Subject: Re: Special Event PV 3a-e The proposed weddings and birthday party events at Macari, Breeze Hill and Pelligrini have taken place in the past without adverse impacts so no objections from me Leslie Sent from my iPad On Jun 9, 2022, at 10:35 AM, Lanza, Heather<heather.lanza@town.southold.ny.us>wrote: Looks like these are very similar to ones they had in the past. I do worry about the parking here, but if not complaints in the past,then these should be fine. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 9:59 AM To:Verity, Mike<Mike.Verity@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Lanza, Heather<heather.lanza@town.southold.ny.us>;Weisman, Leslie <lesliew@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us> Subject:Special Event PV 3a-e Please send any and all comments to me 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 ***************************************************************************************** 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 =�o`�SOFF01q�`s RESOLUTION 2022-526 F: ADOPTED - DOC ID: 18195 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-526 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 21, 2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Breeze Hill Farm to hold Special Event 2022-28 at Breeze Hill Farm, 31215 County RD 48 Peconic, New York as applied for in Application BHFla-e for Weddings: June 12, June 14, September 10, September 17 and September 22, 2022 from 12PM- 11PM. 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 Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilman SECONDER:Sarah E. Nappa, Councilwoman AYES: Nappa, Doroski,Mealy, Doherty, Evans, Russell H WILLIAM C. GOGGINS Attorney at Law 13235 Main Road, P.O. Box 65 RECEIVED Mattituck, New York 11952 Phone: (631) 298-4818 Fax: (631) 298-4214 AN. 3 Cell: (631) 905-4493 Email: gogc,,61nslaw@gmail.com Southold Town Clerk: May 31, 2022 :Office of the Town Attorney 53095 Main Road, P.O. Box 1179 Southold, New York 11971 Re: Breeze Hill Farm Special Events Permit 31215 County Road 48, Peconic; New York SCTM No. 1000-074.00-0:1.00-036.000 Dear Sir/Madam: In connection with the above referenced matter enclosed please find the application for five (5) special event permits and supporting documents together with a check in.the amount of$ a al. 'o If-you have any questions, please do not hesitate to contact the undersigned. Thank.you. Ver truly yours, William C. Goggins - Hf RACE IVED JUN 3 2022 . Southold Tdwn 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: $150.00 per application. Up to six(6) multiple events of the same type, occurring over a period of three months, may be permitted on one.(1)application for a feeof$: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 m possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be'rejected or subject tait late processing fee of$250.00 by the Office of the Town Clerk. unless a waiver is obtained. Requesting an:expedited review must be submitted in writing to the Town. C-lerk. The Town Clerk will forward all applications to the Special Events Committee-for:processing. The Committee will obtain comments on all applications from relevant Town, .County and/or' State agencies and will forward completed applications to the Town: Board with a recommendation as to. whether to grant or deny the application: The Town-reserves the right to request additional.information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? .. All Special Events,:per Southold Town Code Article I, Section 205-1(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties.or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. _ This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below: A completed application form signed. by the owner and the event manager. Applications without - ... property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event Yes No If Yes,Fee of$ has been submitted If:No,Fee of$ 406.00 has beeir submitted Updated 8/7/2018 The applicant/owner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured LPJ A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). I (See application form for details) IEl Events for three hundred (300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) 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. ,fw& v I ?62Z A_"" 12'__ Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold,and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 RECEIVED JUN 3 20 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: �eL� 1� E'l Date of Submission 5� Name of Event / SCTM#'s 1000-Section _7Block- Lot(s) 3 6 Dates of Each Event: Z�Z� g �d�"�i� q-0 -12' ��- If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: se-e., +C,( k e A r (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From to Yom", &f¢—ach&d Town Services requested: ( )Yes (�No If yes,Describe Police Dept._Highway Dept. Describe Services .So-, Alff� Maximum Number of Persons Attending At One Time: Number of cars expected Is a Tent or other temporary structure being used? [�Q Yes [ ]No If yes provide size(s) Will food be served? [ ]Yes [ ]No If yes provide number and name(s)of food vendor(s) '�0 ��VL Updated 8/7/2018 Suffolk County permit#(s) Will other vendors be on the premises /during the event? [ ]Yes [ ]No If yes how many? Describe Type of vendor(s) Property Owner(name/address): Jca-u_ R,'4 WM( �ytIa lS(jp Pl Contact Person and Contact Tel.# u t cVlLf y, `7 yy e-mail address J` ��ue t V l �d�i✓�ePQ> y.ai l Event Location: Street-Hamlet Address: , Z ` l, /�'l'I Ut ��,�/✓ y�r l� j 0 CTM# 1000 '0-79,0d -G 1.00 Mailing Address to Send Event Permit to: P.0. !?,c)x Z 10, P�, f V �✓r ��� Have any of the development rights been sold to the Town of Southold [ ]Yes [�]No and/or Suffolk County Agricultural Program? [ ]Yes 04 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 page) f'oq� A Parking/Event Plan may be a survey,site plan and/or aerial view (for example Google Earth) the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s) or structure(s)that will be in operation during the course of the event and any proposed building, structure, or signs to be erected temporarily for the event. (3) The location of the stage or tents, if any. (4) The designated areas of use for spectators, exhibitors,vendors, employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event, if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq. ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music, loudspeakers and other sounds which will be used, if any, and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 (14) Location of sanitary facilities on site. Traffic Control 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 inspections necessary in connection with this Special Event. 9f tete.- ae l i h E i t-(- . Print name of Owner Signature of Owner Nvi s� P� PLS , be,/ A�== Print name of Authorized P1 Representative Signature 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 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. 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 tents 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 STATEMENT OF USE 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 The Events are Weddings. In connection with the special events applied for herein, please be advised of the following: The single family structure at the premises shall not be used as part of the catering of the special event. Our farm products are an intricate part of the wedding events. Apple cider made from apples grown on the farm is purchased and made a part of the refreshments options for the guests. All guests are given apple donuts., which are made from apples grown on the farm. The guests further have access to our farm stand, which provides for opportunities of the guests to purchase our produce grown on the Breeze Hill Farm at our farm stand, which includes honey, apples, peaches, pairs, onions, blueberries, tomatoes, eggplant, peppers, basil, oregano, tyme, parsley, sage, rosemary, peas and eggs from forty (40) egg laying chickens. This a truly unique farm wedding experience. June 12, 2022 Michele Borbee and Nicholas Stoski Event 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: June 12, 2022 2. Guests: 150 guests 3. Hours: 12pm-11 pm 4. Cars expected 75 cars 5. Caterer: Platinum Parry Planners: Tracy 179 Jerusalem Avenue Massapequa, New York. 11758 Nassau County License No.: F1584783 (516) 987-1266 6. Music Vendor: JV Entertainment Contact Person: Jon Rizzo 2787 Long Beach Road, Suite 201 Oceanside, New York. 11572 (0) (516) 632.9655;(C)(516) 242-8265 7. Music Duration: 3pm—1 1pm 8. Tent Vendor: McBurnie Tent Rental 22355 Middle Road Cutchogue, New York. 11935 (631) 734-6024 August 14, 2022 Melissa Levi and Brandon Greenberg 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: August 14, 2022 2. Guests: 250 guests 3. Hours: 3pm-llpm 4. Cars expected 100-125 5. Caterer: TBA License No. 6. Music Vendor: Hank Lane Productions 200 Frank Road Hicksville, New York. 11801 (888) 508.0555 7. Music Duration: 5pm —1 1pm 8. Tent Vendor: Nassau Tent 86 Cleveland Avenue Bayshore, New York. 11706 (631) 964-4121 September 10, 2022 Erin Brady and Daniel Barroquiero Event 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: September 10, 2022 2. Guests: 150 guests 3. Hours: 12pm-llpm 4. Cars expected: 75-100 5. Caterer: East End Caterers: Chris Richards License No. PT0002999 10095 Main Road Mattituck, New York. 11952 (631) 379-2070 6. Music Vendor: Top Tier Entertainment 175 Commerce Drive Hauppauge, New York 11788 (631) 364-2244/(631) 833-4149 7. Music Duration: 5pm—1 1pm 8. Tent Vendor: McBurnie Tent Rental 22355 Middle Road Cutchogue, New York. 11935 (631) 734-6024 September 17, 2022 Sarah Drews and Ross Harrison Event 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: September 17, 2022 2. Guests: 200 guests 3. Hours: 12pm-11pm 4. Cars expected: 100-125 5. Caterer: Grace & Grit: License No. PT0007738 55750 Main Road Southold, New York. 11971 (631) 876-5221 6. Music Vendor: Jarrell Entertainment 251 West 30th Street, 3rd Floor New York, New York 10001 (917) 512-7674 7. Music Duration: 5pm—1 1pm 8. Tent Vendor: Greenwich Tent Company 459 Iranistan Avenue Bridgeport, Connecticut 06605 (203) 930-4021 I a September 22, 2022 Josh Milan and Megan Devin Event 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 1. Event Date: September 22, 2022 2. Guests: 150 guests 3. Hours: 12pm-11 pm 4. Cars expected 75-100 5. Caterer: Christopher Michael Catering: License No. PT0006206 370 Manor Lane Jamesport, New York 11901 (631) 722-0500 6. Music Vender: Cafe Wha Entertainment: 115 MacDougal Street New York, New York 10012 (212) 254-3706 7. Music Duration: 5pm—1 1pm 8. Tent Vendor: McBurnie Tent Rental 22355 Middle Road Cutchogue, New York. 11935 631.734.6024 UNDERTAKING 31215 County Road 48, Peconic, New York SCTM No. 1000-074.00-01.00-036.000 The Applicant, Christopher L. Pia undertakes to present and post on site the NYS Liquor Authority Permit during times when alcohol is being served. 41- 1'� & CHRISTOPHER L. PIA R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1� 05/31/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ANTHONY RICCI NAME:KENNETH MACNISH ,V No Ext: 631-939-6060 ac No: 631-693-3039 859 CONNETQUOT AVE ADDRESS. ANTHONY.RICCI@AMERICAN-NATIONAL.COM SUITE 12 INSURERS AFFORDING COVERAGE NAIC# ISLIP TERRACE NY 11752 INSURER A: FARM FAMILY CASUALTY INSURANCE CO 13803 INSURED INSURER B BREEZE HILL FARM&PRESERVE INC INSURER C: PO BOX 246 INSURER D: INSURER E: PECONIC NY 1.1958 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMILDIDPOCY EFF MMIDDY EXP LIMITS A COMMERCIAL GENERAL LIABILITY Y 3152G5107 5/6/2022 5/6/2023 EACH OCCURRENCE $ 1,000,000 XI OCCUR DAMAGE S(RENTED CLAIMS-MADE PREMISES Ea occurrence) ccurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY[�]jECT EILOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident F $ A X UMBRELLALIAB OCCUR 3101B1336 6/11/2022 6/11/2023 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB El CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED. EVENT DATES:6/12,8/14,9/10,9/17,9/22. CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 ROUTE 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTHOLD, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD k32677 :.. ' :: GrdI WsWIVTerdtaMeswfirig.png . _... 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Event-BHF 1a-e- 20220603094754.pdf Attachments: Spec. Event-BHF 1a-e_20220603094754.pdf Good.Morning, Please find attached, an application for a special event received today from William Goggins for Breeze .Hill Farms. Thank you, . .Sa�'ni�a ani Deputy Town Clerk . Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: Spec. Event-BHF 1a-e_20220603094754.pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1