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Pellegrini Vineyards 2022-530
I I a Gym i I � z i 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 i, MEMORANDUM f I I I To: Mr. Denis Noncarrow, Town Clerk From: Melissa Mirabelli Secretary to the Town Attorney I Date: June 21, 2022 Subject: Special Events —Pellegrini Vineyards PV1a-f ' I 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 i Special Events Committee Application Summary and Recommendation Application name: fnj VfIlYfijAWTA- Address: .2&ns [I°I35 Application number: Plsa- C, Date of Event: 1o� Time: pin " I i• ��m Date Received by Town Clerk: Date Received by Committee: aoaa- Nature of Event (S): [(] ` Committee Comments Received by: s No Melissa Spiro Y Leslie Weisman Missy Mirabelli Y_ Chief Flatley August Ruckdeschel' County ' X Heather Lanza James Easton Mike Verity Claire Glew gw-Btrffy 3'Ohn BBL Kevin Webster Committee Recommendation's: Approve as applied Approve with Additional conditions: Hold Public Hearing Deny i Special Event No: Resolution No: Date:Date: Ty 3ar � x. 5eg 4 RECEIVED RECEIVEDQ. ` fl g ` w JUN 3 2W JUN :9 .202Z f Southold Town Clerk Town Attorney's Office 3 TOWN OF SOUTHOLD ` 6wfi.C- de Chantek ZOS;"Piubl'ae Erifertainment grfid : ecial 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 sof Appeals and Police Departments,and the Suffolk County Planning Commission. ApirIication 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$150.00. However,specific details',of each event must be included with this application. _All a0p1!ications must be.:subm fted_at least 60business,dayg,before the -eyeut Applicants; are of cguraged to snbtiayt•ap heattoris as earip as p®ssjble Any ebnrpteted: 60•otr'tiore'bysiness`flays prior to the schedule' _event°.tray bere�ected;ar subjeet:�to a Iate�liroeessing fee'af'S'5t100[�ytlie Cl�ffce of't)ie Tritvi�:Cier'k ' unix s'a waiver as alitained, Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the Health,safety,and welfare of the community. Wber►is a'Permt Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any rise of-iesidential�rb&a, fQrnrofit such°as avenueforweddings ortother-events is proln -ited. This a6plicAon is deemeii=comcilefe,once:a1l.the Poflaw ng recluiretrtents.are submitted-:to•the Town= .:�Ierk� �learndi afe�u. .s i.. .4'tbe'f`Ili► .• I v..che`.:Win...,,, ,th _�, ,- .a.n,.•.,. .n..:. , ...j., A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. F . Is the:applicatibri being submitted at least ff-hys>before'the event[ Yes [ ]No` El If Yes, Fee of$. has been submitted j El If No,Fee of$ has been submitted Updated 8n12018 VThe applicant/owner of the property where the special event is proposed to take place must provide a cdrtihcate of insurance not less than 2 million dollars naming the Town of Southold:as:an additinnal. insured u e Park nglCyent-Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations;of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) 1 Events for three hundred (300) or more people require submission and approval of a traffic control t 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 PWperty'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. 2- Dated 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 th`e sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farml`and 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. e Updated 8/7/2018 i t RECEIVED JUN 3 202 3 Southold Town Clerk 4 'APPLICATION FOR A PERMIT TO HOLD A r , SPECIAL EVENT Please pi-Wide ALL-oftheinfarrnaiaottrei nested below:ittcomplete a lilicntions�tTIT'L N 'T ii:; , Special Event Permit# Applicant(s)name; dl.:� �r �'+t Date of Submission Name of Event t SCTM#'s 1000-Section, Block- Dates of Each Event: 60 fl as -7 10/t /O° ' i 10// If Multiple Dates are requested,applicant must give all information for all dates. t ,( Nature'of Event: (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From ; '�j U to f 1 `D o Town Services requested: OYes,. 3o If yes,Describe Police Dept._Highway Dept. Describe Services . I t _ . Maximum Number of Persons Attending At One Time: `5d Number of cars expected 4 C Is a Tent or other temporary structure being used?[TYes[ ]No If yes provide sizes) Will food be served?Oy Yes [ ]No If yes provide number and name(s)of food vendor(s) Updated 8n12018 Suffolk County permit#.(s)_ jVoln" Will other vendors be on the premises during the event?[ ]Yes (/I .No If yes how many? Describe Type of vendors) ' f > Property Owner(name/address): Contact Person and Contact Tel.#_ ;:[�!,f_ 4{ 7 3* X 2-0'7 e-mail address, ,• — ei L.IP-441"It �-p 4✓tYf ti L�t� • __7 Event Location:Street-Hamlet Address: `� Oi�} �'2 e/j Aly / SCTM Mailing Address to Send Event Permit took ( _.'e"1 C Have any of the development rights been sold to the Town of Southold[ ]Yes ]No and/or Suffolk County Agricultural Program? [ ]Yes K�No 11yes to either or bath;al--indicate-on the attached plait.the<hoUbdarieS'bf the reseNed area upon which the event will take Mate f YQ__U XR_JS'i ATTACK A hAARKTN(4/F17F1'1T 1PI:AN TO TATS AI=PLICA`1'IONlF'T)fT1✓ EX�'E�C�`FTD A'PTEI`�DA;NGIG IS 3©ti TSR'IV�ORI1'T+�TD`1a��1C,.Y�Q�J ML3S`IC 1#b�SCD.A.'1*TACI#'�- , TRAT'Vl 6JNTR' PLXN(see nextpr,ge) i A garking/Event Plan may be.a.sunrm site Ann and/or aerial view(for -example-GoggleeEarth) of, .the,suliiecf_- perty;INWiT ,kTC ON�'1'HE'PLAN AL-1,of the foiiowrngjnform-ation: 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.! (S) 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.Conti'cii.Man. 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 qualifiedtraffic controllerrrust bdMnro�:,Please attached a written description and/or notate on the parking event plan the following: l)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 O /NE P'S'SI T AT��i�� 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 activitiesunder this event. Furthermore,I hereby swear or affirm that tire information contained herein and attachments hereto are true and correct to the best of my knowledge, Y 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 q f 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. EA Print name of Owner Srgnatu`r ' 'Owner Print name of Authorized Person/Representative Signature of`. ariz &Person/Representative D , - ....-k. .-... .,.. ... .._ .. . . .. . -. E , 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on thepremises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.�rkirig.r5 strictly prohibited on ANY Town`Csunfv or Mate RoadG rRia_ s of Way. 2. Traffic control at events for three hundred(3 00)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. F - _ 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (3U) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. S ' 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 propertyand 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 jean fi0 b trine `daririor tt�`tlse�cT�eduled everiti. 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 i TO iictivitie associated with thigL'event including but riot libiited�ta, `arking, ingress/egress/access$ tents}or teal rarv'strttcture s1 €s ttct inol ary sanifar fac�l'tties shall he c�nducte l tin fiov n of§buthol'd Prsrchase"ofi7et%elcrnment�_ghts land 10 1r1including b4t.rict limited to jinrktnin "ess/emss"slcces5. tentfs}'or term orary st cture(s). br�temp�rary sanitary facitines, shall be conducted on"Suffolk-Countv. Purchase of Develcitiirient Rights land without a permit lscned by the 4uffolk County l arrn'land` Committees 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. Miisic,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 hoursof the special event to make any and all inspections necessary inconnection with this Special Event: i 16. ADDITIONAL CONDITIONS: t z } i ANY VIOLATIONS INCONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. f APPROVED Town of Southold s Resolution Number: Date Issued:. i Updated 8/712018 ACOR&�- DATE YY)RTIFICATE.®F LIABILITY INSURANCE 05/02/2022 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 cerfificfe holder is an ADDITIONAL INSURED,the policy(ics)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 endorsoment(s).. . PRODUCER CONTACT NAA+r: ('� Farm Family Casualty Insurance Company, f@tNdly: 631-727 7767 -L(n;LgNPI.631-727-7941 18 First StreetI aoDacss _ enc.kiri@farriz=famit :com _ _ -- Riverhead,NY 1190,1 114SURELUAFFORDING COVERAGE NAIC 9 tNsuRCRA:Farm Family Casualty Insurance 13803 ; INSURED INSURER B• Pellegrini Vineyards;LLC irsugCac: 23005 Main Road INSURERO: ' ItisliREx E I _ Cutchogue NY11395 _. WSURERFB ___ COVERAGES -CERTIFICATE NUMBER: REVISION.NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE"POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WI IICH THIS CERTIFICATE MAY.-tE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN-IS SUBJECT TO ALL T111: TERMS, EXCLUSIONS AND,C6NbrnONS,_OF SUCH POL1G ,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -. .. .,. _. ....__.....__.._....�..,.. —...�..-.... -. D SUi?Ii ((.P.OUCY EF,F,p tr�AO'L-CCY,E7(P�:. :...-.. , LTR' TYPE OF INSURANCE P POUCYNUMBER I MAVo0TYYYY•1 MMriIOfYYYY I' _. LIMITS ` N X 3152G3148 05/0342020,105/0312021 EACHoecuRReNrI', _ A X COMMF.RCIALGC- ERALLIABILITY __'g 1.000 000 31521_6607 0510312021!05/032022 i'b-AA MCYiY ttr,4lt`b -- '— CLAIMS-MADE X OCCUR PREh1ISES u',Ntdrrpncol,_ 1 X Lidour 31521_6608 a ��'– - q y q I,MEDEXP(Ant one pw on) . 5_ 5,000 PERSONAL 8ADV INJURY .5... 1 000 000 ' GEN"1 AGG0EGATELIMITAPPLIESPER: GENERALAGGRE-GATE 2,000,000 XI POL16VU jLcT LOC ; PRODUCTS CO11P108AGG' S 1.000 000 OTHER: I- i s B AUTOMOBILE LIABILITY X 3152C4531 06/15/2021;66/15/2022i COMBIN-'DarNGLtLiMiT'f S 1,000 000 j(Ea accirom) _ , ANYAUTO •'BODILY INJURY(Par parson) S w OWNED SCHEDULEDt ' AUTOS ONLY I AUTOS I BODILY INJURY(Per aecidoni) — HIRED NON-OWNED I I PROPERTY DAMAGE---- S AUTOS ONLY I.: AUTOS ONLY I S C 'x I UMBRELLALIAO I occuR X 3152138064 105/03/2020105/03120211 EACH OCCURRENCE S _3,0.00,000_ EXCESS LIAR, '. CLAIMS-MADE, 05/03/2021`05/03/2022(AGGREGATE 5 _ _ DEC, X I REI ENTIONS- 10,0001: . ... ! � - - 5 ` WORKERS COMPENSATION AND EMPLOYERS'LIABILITY LSTATUi! , ER ANYPROPRICTORIPARI'NERIEXECUTIVE YI E I EACH ACCIOI NT' r 5. - OFFICERlMEMBEREXCLUOED? N/A (Mandatory in NH) (. E.L.DISEASE_-CA EMPLOYr 5 "qos,dcsttlbo under + t DESCRIPTION OF OPERATIONS balowE.L.DISEASE-POLICY LIMIT S_ D .Liquor Liability X 3152F6081 18122/202008/2212021,1 500,000/1,000,000 F I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEI IICLES(ACORD 101,Additional Remarks Schedule,may be attached If more&Paco Is required) 06/24/22 06/25/22 07/16/22 08/27/22 09/03/22 09/10/22 09/17/22 09/23/22 09/24/22 10/01/22 10/07/22 10/08/22 10/09/2210/15/22 I 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 PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTIIORIZEDREPRESENTATIVE Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo arc registered marks of ACORD Google Maps A Pellegrini Vineyards Google Imagery©2022 Max r Technologies,New York GIS,Map data©2022 50 ft 1 ct v, 7 l PROP.OM 'OWNERS. : 1 I+ef+TR'!Ml+x;3Lfti•._ tH9 r®�'., " � a ' � -' a .ttxa*�•rh..xxear.x.'wsvo° "rva\+rrxaa-or,ix �, + •✓{�/� r .- .�,.. a. tom,, ri -max: ..r4r¢tr» 1� •-�.t t`� 1 r + rFz xt.tz usvzric- ,l J r 13,f 41 ( v t /J, a, ;itrsr Cp _ aataxci i . d __ zacc;4•r+x+faCfm: aratvt:=a. Q• q ( f- Z,;:•..� � . �< •C,� =:27 / ,J i ^' C �f r t�,l { - � ,r�.'`,/11 (,J•,I,Q. r: r w�.: •'rj. +�.r .xx .+ctza,c tach .•-..,.," 'amaasez-;\+r.wr,P l �V f' r< F 7''�V��rjy�,•r. i + �'ii tf osvr+aa a.°°esu Hama , t Y: rs i t ff< r r 'r 'r♦�r j 1,j l. , pJ ^y -'T , .r ,F.\' j. t r /{.ji` ,J y.• Pf z .. tx s.rlem,a°cress ;x+ax fltsa rsarx' _.,. _.. .•:i ,r`x It .. 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ATE: 7/31/2022 at l .D .rp COUNTY: kms' CERTIFICATE #: 919366 SUFFOLK t t E t f� N, s,a�s'ts a : ` l�C I ca FY�1t a F�"«w•TM w`>t +, t "ti5'a k t�,?','t.D-�o�},ti r2t>et'S�A5.s k»7 J i 4#tt,,t,.•,;7'f"',,w.�l,a.`ir.,�typ#tFt,,�„gF�w�-r,r s,?' t„..x,tMa.r�'» ,`-, . ,.�§�-�"7:t..gr�,,.;•;,.=c»�wxa.a'.'�:�,,kq”.9.t k,,d j�.5ti'.`�=,:"r;r.�lSr.a:.,„= ,.,ae,"�.,"k'=.`,=.t.(;�I��P-r'7•.x=,sr*��:»�*«,�I � »I.Yyyjdc§,.,d�,Y'..,C'�€d�r'.:":S.#t'�+ :1..:'�Y.z"�`r.:,5,�t:a:�e&��k�.,,.i„^ 'a� '�,a""'�� 5`�g.�,f�•''�+`,°#;�:'Ia'r�at��4"f� t�,'�Et,,,".* �if ".i'..=r!'�tk�°i-��.;;��"r5..•#a-�v=_�af ,d�^ �,"��•.$-fir -XI, ..tsF'suz fi>c•.r�a,'.,4.c,..<'.,is,,ir<SSjt,:P),>t�tt•ttF S rfr'.s s ^• :,lF,a. .. .. `` v(fi, „r'�c�?c ' . :�.W .:.,A ...._ - i 4 ftt to y t 4 r THE LICENSEE DESIGNATED BELOW IS HEREBY GRANTED PERMISSION, UNDER THE ALCOHOLIC BEVERAGE CONTROL LAW TO TRAFFIC 1 i ✓ F IN ALCOHOLIC BEVERAGE PURSUANT TO THE.TYPE OF LICENSE INDICATED IN THE UPPER LEFT HAND CORNER OF THIS CERTIFICATE AND " ` ACCORDING TO THE STATUTES AND REGULATIONSPERTAINING THERETO. 2 $ $ ° THIS LICENSE SHALL NOT BE TRANSFERABLE TO ANY OTHER PERSON OR TO ANY OTHER PREMISES OR TO ANY OTHER t PART OF THE BUILDING CONTAINING SUCH LICENSED PREMISES: IT SHALL NOT BE DEEMED A PROPERTY OR VESTED RIGHT AND tt rr +13 i F MAY BE REVOKED AT ANY PURSUANT TO LAW t ttYt 34 F� METHOD OF OPERATION fl n F s-.. Xy'sa.Fr-t t tp ?; �`;` FARM. WINERY 2 ;3 r J A i 3 FILING FEE $0.0 0 ~ r LICENSE FEE $375.00 E 1t Y r r i PELLEGRINI VINEYARDS LLC i <'•,'" b3x �t °f X71 :`S• \x .s,ri. zzO'•; PELLEGRINI VINEYARDS 23005 MAIN ROAD f� t�a�tt CUTCHOGUE NY 11935 �, -'Vincent G. 'Bxa.dley v X y s q}f Chairman .�3 BEFORE'COMMENCING OR DOINGANYBUSINESS FOR THE TIME FOR WHICH THIS LICENSE HAS BEEN ISSUED,THE:SAID LICENSE SHALL • >'':a zzl .'ts BE ENCLOSED IN A SUITABLE WOOD 08-METAL FRAME,HAVING A CLEAR GLASS SPACE AND A SUBSTANTIAL WOOD OF METAL BACK SO THAT I I'" "-5- i � y4 r�+, THE WHOLE OF SAID LICENSE MAY BE SEEN THEREIN,AND SHALL BE POSTEDUP AND.AT ALL TIMES DISPLAYED IN A CONSPICUOUS PLACE IN THE ROOM WHERE SUCH BUSINESS IS.CARRIED ON',-SO THAT ALL PERSONS-VISITING SUCH PLACE MAY READILY•SEE THE,SAME 's's em yith z s 4 t vF� t stR Datil taa•oaa aasl Certificate No r, r �r �� '�ya..•r'�' ;, �,,„'�..�.,_.:,...�..1• ,..,�'', ,. -.,. ,. ... :•� ,'-'F°�"? �,.••..,.-�< <j?'�•.:, r h^ „,F^"''„.. r ,x.. y"z'"'�'"°h.l,C <�.. •a f��V.. «.r 1 mr ,rr r, ,;,.,, •,.;•r f x t .r ;C1 ..:c,+-".A/ .,.,^;a ,9 -.^+ ,��,}'�'^`' _ '•v. '-k?ean`•:,w` .sir; Y r5.•• 1 h �,�' .e.,S. br x`yr. 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" .T.: >...��,.- ...,,,: g�.- x.> 7, ..<.: �.. .w. ..,.. ... „3!: nao,:, � �. .-mt4't,.,fi '\'i, S"✓.:: � x '# Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06106/22 Receipt#: 300347 Quantity Transactions Reference Subtotal 1 Event Fee PV 1a-f $150.00 1 Event Fee PV 2a-f $150.00 1 Event Fee PV 3a-e $150.00 1 Late Fee PV 1 a-f Late $250.00 Total Paid: $700.00 z Notes: Payment Type Amount Paid By CK#35713 $700.00 Pellegrini,Vineyards Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 3 Name: Pellegrini,Vineyards 23005 Main Rd. Cutchogue, NY 11935 Clerk ID: SABRINA internal ID:PV 1a-f late Mirabelli, Melissa From: Flatley, Martin Sent: Thursday,June 9, 2022 10:21 AM To: Mirabelli, Melissa Subject: RE: Special Event PV 3a-e 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 r , 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 63 1.765.2600, (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 9:59 AM To:Verity, Mike<Mike.Verity@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Lanza, Heather <heather.lanza@town.southoId.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 ,A)y- l.��C /7. Melissa Al. 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 1 Mirabelli, Melissa From: Spiro, Melissa Sent: Thursday,June 9, 2022 10:59 AM To: Mirabelli, Melissa Subject: RE: Pelligrini Vineyards Special Event 3a-e This is not preserved land. Melissa S. From: Mirabelli, Melissa Sent:Thursday,June 09, 2022 10:05 AM To:Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>; Killean,Jade <Jade.Killean@suffolkcountyny.gov>; Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov> Cc: Ruckdeschel,August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Pelligrini Vineyards Special Event 3a-e Please send me any questions and or comments C , Afelissa 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. ******************************************************************************************* Mirabelli, Melissa From: Lanza, Heather Sent: Thursday,June 9, 2022 10:35 AM To: Mirabelli, Melissa;Verity, Mike; Burke,John;Weisman, Leslie;Flatley, Martin Subject: RE: Special Event PV 3a-e 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 —X4 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. ******************************************************************************************* Mirabelli, Melissa From: Lanza, Heather Sent: Thursday,June 9, 2022 10:27 AM To: Mirabelli, Melissa Subject: RE: Special Event PV 3a-e I see a site plan that shows 24 parking spaces(not enough to cover these events). I see an aerial that has the word "Parking" on it, but no numbers showing the dimensions (how wide and long each parking area is). From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 10:23 AM To: Lanza, Heather<heather.lanza@town.southold.ny.us> Subject: RE:Special Event PV 3a-e He has them on his site plan that is hard to read but is attached to all the applications Afelissa U. Afirabelle 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. ******************************************************************************************* From: Lanza, Heather<heather.lanza@town.southold.ny.us> Sent:Thursday,June 9, 2022 10:21 AM To: Mirabelli, Melissa<melissa.mirabeIli @town.southoId.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Burke,John<iohnbu@southoldtownny.gov>;Weisman, Leslie<lesliew@town.southold.nY.us>; Flatley, Martin <mflatleY@town.southold.ny.us> Subject: RE:Special Event PV 3a-e Needs parking area dimensions From: Mirabelli, Melissa<melissa.mirabelli@town.southold.nv.us> Sent:Thursday,June 9, 2022 9:59 AM To:Verity, Mike<Mike.Verity@town.southold.nv.us>; Burke,John<iohnbu@southoldtownny.gov>; Lanza, Heather <heather.lanza@town.southold.nY.us>; Weisman, Leslie<lesliew@town.southold.nY.us>; Flatley, Martin <mflafley@town.southold.nV.us> Subject:Special Event PV 3a-e Please send any and all comments to me /Xt)'�Y Afelissa 4I 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. 2 Mirabelli, Melissa From: Easton,James Sent: Friday,June 10, 2022 10:05 AM To: Mirabelli, Melissa Subject: RE: Pelligrini Vineyards Special Event 3a-e I have no objection to this event taking place. Thank you, James Easton Fire Marshal jainese@southoldtownny.gov (W) 631-765-1802 PRiVEL.E:GED AND CONFIDENTIAL COMMUNICATION CONFiDENTIALiTY NOTICE: 'chis electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information 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 inforniation is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by a-nail and delete the original message. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,June 9, 2022 10:05 AM To:Spiro, Melissa<Melissa:Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Glew,Claire<Claire.Glew@town.southold.ny.us>; Killean,Jade <Jade.Ki[lean @suffolkcountyny.gov>;Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov> Cc: Ruckdeschel, August<August.Ruckdeschel@suffolkcountyny.gov> Subject: Pelligrini Vineyards Special Event 3a-e Please send me any questions and or comments Alelissa ill. 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 14felissa 1« 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. Mirabelli, Melissa From: Mirabelli, Melissa Sent: Wednesday,June 15, 2022 12:53 PM To: Noncarrow, Denis; Rudder, Lynda Subject: Pellegrini Special Event (PV3a-e) reso to be added RESOLVED that the Town Board of the Town of Southold hereby grants permission to Pellegrini Vineyards to hold Special Event 2022- at Pellegrini Vineyards,23005 Main RD Cutchogue,New York as applied for in Application PV3a-e for Weddings: October 1, October 7, October 8, October 9 and October 15, 2022 from 5:3OPM- 11 PM. 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. tIllelissa Il. 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 RESOLUTION 2022-530 ADOPTED DOC ID: 18198 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-530 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 Pellegrini Vineyards to hold Special Event 2022- 32 at Pellegrini Vineyards, 23005 Main RD Cutchogue,New York as applied for in Application PV3a-e for Weddings: October 1, October 7, October 8, October 9 and October 15, 2022 from 530PM- 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: Greg Doroski, Councilman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Doroski,Mealy, Doherty, Evans, Russell TY 3 aP � f VFoLt RECEIVED N$, JUN 3 2022 A �i Southold Town Clerk 3 TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORINT 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' f Appeals and Police Departments,and the Suffolk County Planning Commission. i 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 pennitted on one(1)application for a fee of$150.00. However, specific detailsl of each event must be included with this application. All annlications must be submitted at least 60 business days before the event Applicants are encouraged to subriiit applications as early as possible i AAnny completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or'subject to a late processing fee of$250.00 by the Office of the Town Clerk unless!a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. i When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a pen-nit.Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Anv use of residential property for profit such as a venue for weddings or other events is prohibited. This aiplication is deemed complete once all the following requirements are submitted to the'gown Clerk•+Please indicate submission of the following by checking off the boxes and signing below, A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. KFEE- Is the application being submitted at least 60 days before the event[ Yes [ ]No 1 If Yes,Fee of$ has been submitted El If No,Fee of$ has been submitted Updated 01 D2018 i E I i 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 j u A Parking/Event Plan. consisting of a survey, site plan and/or aerial view of the subject property that includes the locations lof 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 I_an acceptable to the!Town of Southold AND ND 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 oflSouthold 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. bated Signature i 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. i i i i i Updated 8/7/2018 i i RECEIVE® i JUN 3 2022 i Southold Town Clerk f APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT I I 1 Please nrovide ALL of the information requested below,Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name: / y (► S i Date of Submission z 2_Name of Event -(f i SCTM#'s 1000-Section I D Block- Lot(s) S, 7 Dates of Each Event: 0 OM'— If '—If Multiple Dates are requested,applicant must give fall information for all dates. Nature�of Event: �✓PL!CI ` g f (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From 5", j 0 to Town Services requested: !( )Yes �*No If yes,Describe Police Dept._Highway Dept. i Describe Services Maximum Number of Persons Attending At One Time: 50 Number of cars expected ee�C i' Is a Tent or other temporary structure being used? [ Yes [ ]No If yes provide size(s) i Will food be served? [ ]Yesj [ ]No If yes provide number and name(s)of food vendor(s) Updated 8/7/2018 i t i 1 1 Suffolk County permit#(s) P 00 0,Z er, will other vendors be on the premises during the event?[ ]Yes [ANo If yes how many? Describe Type of vendor(s) Ac Property Owner(name/address): _'�� f ��l(�;� °� $f5 5' � a� ✓ /c- /��'3 Contact Person and Contact Tel.# ; 1+L L 7 3*1 �� x 2-0�7 e-mail address �- X66: � 64 V1-__e7tt4' �e j I 2 � Event Location:Street-Hamlet Address: `2-l®a S ( r �' i r G� > SCTM# i i i i 1 i Mailing Address to Send Event Permit to: 04fr 5 p I Have any of the development rights been sold to the Town of Southold [ ]Yes JCC]No and/or Suffolk County Agricultural Program ? [ ] Yes KNo if yes to either or both,also indicate on the attached 121an the boundaries of the reserved area upon which the event will take place I i i r YOU MUST ATTACH Ai PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE.YOU.MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the suliject 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. 1 (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. 1(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. 1(7) The location of all temporary utilities to be installed for the event,if any. (8) The layoutof 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. 1(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. J(11) A description of emergency access and facilities related to the event. 1(12) Provisions to dispose of any garbage,trash,rubbish or other refuse. 1(13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 i i i i (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 i OWNER'S SIGNATURE_-I I an: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 hoursof the permitted special event to make any and all inspections necessary in connection`with �this Special Event. �— Print name of Owner Signatur of Owner kl-PA_ Print name of Authorized Person/Representative Signature oforized Person/Representative I 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 1 2. Traffic control at eventsfor three hundred(300) or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. i 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. I 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. a 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 i I I 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk Coup Department of Health regulations. I 9. NO activiti s associated with this event including but not limited to parking, ingress/egress/access tent(s�or temporary structare(s) or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Develo m .nt Rights land 10. NO activities associated with this event. including but not limited to parking, in ess/egress/access tent(s)l 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 _ rmland Committee. I 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the Ifire code or other codes which would prohibit such increased occupancy. i I 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. I 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. i 15. Of will allow access to Code Enforcement Personnel of the Town of Southold during the hours l of the special event to make any and all inspections necessary in connection with this Special Event. l 16. ADDITIONAL CONDITIONS: I i I I I ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: i i i Updated 8/7/2018 i I _ I '�e� CERTIFICATE OF LIABILITY INSURANCE DATE 0 /02/20 2 �..� 05/0 /2022 THIS CERTIFICATE IIS 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 15 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 i NAME:CT —� Farm Family Casualty Insurance Company, PHONE 631-727-7767 F�X631.727-7941 ` 18 First Street .IA&r(q,Exs);___. L(,.Ic No E- A Rless: eric.kirk@farm-famil .Com Riverhead,NY 119011 INSURER 5 AFFORDING COVERAGE NAIC$I LI_ _ _— —.._..—_— _... _—. __..... INSURER A: Farm Family Casualty_InsurancE 13803 INSURED I INSURER B: Pellegrini Vineyards'LLC _INSURER C! 23005 Main Road i INSURER D ! _INSURER E: _. ------Cutchogue NY 11395 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI IICH 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 , —� ADbLtSUER ��POLICY EFF POLICY EXP !'�•�- -" LTR I TYPE OF INSURANCE INSD I WVQ I POLICYNUMBER I MMIDDIYYYY I MMIDD/YYYY I LIMITS A X COMMF.RCIALGIIERAL LIABILITY X 3152G3148 05/03/2020•;05/03/20211_EACH OCCURRENCE S 1,000,000 CLAIMS-MA X OCCUR ! 31521-6607 105/03/2021?05/0320224 b"Ai�riGeYtSiiIN�En PREMISES(Ea I X Li our Liability _ _ _ -- q y I 31521-6608 ;MED EXP(Any one person) S 5,000 PERSONAL B ADV INJURY S' 1,000,000 GEN'L A13GIIEGATE LIMITAPPLIES PER: I_X J ..GENERAL AGC..R.E.._GATE_—. s —2.0_00.000 POLICY 0 JECT ILOC PRODUCTS 1,000,000 S— PIOPAGG OTHER: S.� B AUTOMOBILELIABILITYX 3152C4531 106/15/2021406/15/20221(O aid D1L.SINGLE LIMIT s --1,000,000 ANY AUTO BODILY INJURY(Por person) S OWNED SCHEDULED I �— i - — AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED , _...... .._. .__....__.,. S — AUTOS ONLY AUTOS ONLY (! I I(Peraccidenl). S 1 I f C X I UMBRELLALIA6 OCCUR I X 3152138064 105/03/2020;05/03/2021;EACHOCCURIiCNCE —1.-L----3,000,000 EXCESS , CLAIMS•NIADE 105/03/2021105/03/2022]AGGREGATE 15 - Dr:O 1 X I RETENTIONS 10,000 �I S WORKERS COMPENSATION " 1 PER i OT H• AND EMPLOYERS'LIABILITY Y t N I I „,_.�_SI:gTUTti i ..•:EI?...., ____.. —_..._.... ANYPROPRIETORIPARI-NER/EXECUTIVE ('—i I I +E.L.EACH ACCIII-NIy 5 OFFICEIi/MEMBEREXCI:UDEO? N/A (Mandatory In NH) I I I t E.L.DISEASE-EA EMPLOYEE_ S If Yos,describe under DESCRIPTION OF OPERATIONS belowI i E.L.DISEASE-POLICY LIMIT S D Liquor Liability X 315216081 08/22/202008/22/2021!500,000/1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEIIICLES(ACORD 101,Additional Remarks Schodule,may be allachod If more space Is required) 06/24/22 06/25/22 07/16/22 08/27/22 09/03/22 09/10/22 09/17/22 09/23/22 09/24/22 10/01/22 10/07/22 10/08/22 10/09/2210/15/22 i I CERTIFICATE HOLDER i CANCELLATION Town of Southold j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 530951 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS, Southold, NY 11971 AUTHORIZED REPRESENTATIVE i 1 , Kirk Associates LTD O 1988-2015 ACORD CORPORATION. All rights reserved. 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M Pa 1 �+ �rt Z ;i V ' ' 53' ��'' $ ' ' 36'+ x f� • . . � g:lk Pellegrini Winery 8�e-tslineyards 23005 Main!! ad I:3 Cutchogue,I11935 631-734-4X1 r: Main Road trt;. . 111-zo-s( � c=1as6 0428-99 SEE SEC.NO.102 01-31.00 0420-00 05-17-00 N310482w MATCH LIN MATCH 05-26-00 ----2z--- --------z------ -------__Zz------ 05-05.00 yl FOR PCL.NO. 10-03-00 7 4• SEE SEC.NO. 12-27-00 Qr 24.4 24.3 102-04-005.1 03.14-01I � 3.9A L 04-12-01 08-08-01 I �' w (IDNWOFSOMMLD 10-25-01 I DEVELOPMENTR/GHTS) 11.08.01 % °l 01-14-02 I 24.2 fi 03.12-03 04.3x03 1040x03 a" 25 124)34)4 I I Mp 04-26-05 I , a •3p 26 !� 0403-06 12A(c) 08.10-06ryq �5pL 12-15-08 ti0 12-27-06 I �+ I 1 3)107065-042iA e 01-21.08 I PECONIC LAND TRUST,INC 9� y,� �' 03-22-10 & •� 9� 05-22 (70WN OF SOUiNOID -13 DEVELOPMENTR(GHTS) 05-22-13 I/n � o I 23 a b S.BA(c) 2 W W U1 I 11 �.r a) y'Q• a a N I• 77.3A(c) 13.1 241 y 9 1.3A(c) 23 •� p 2.1 ml � 12 8 24 % °°t 10.1 1.34) 1 c 29 .m i 53.0A(c) Pa •d A 4 ,'i ' j - P } m •a,;y ay 210 A 229 Pq 211 m I I s 1.44) � 212 jq ,I •� � 1.)4) >e � &7 'p 231 36AA(c) 38 & is 2.13 G,j,� 1.4A 1.BA 1.0A 'o s clG +6 PEcoN1c3 � IANDTRUST I 214 PW-N'-"S0UT'q0 - •y DEVELOPMENTRIG)gj 238 2.15 =I 8.8 _ - y 5.7A(c) 239 g �l f l 24.7A(D) ;d wenn , •jj° 7.2 _ ...E 2.16 1.3A m 1.1A ' 7.1 �, im nn � _ 2Z5A a. I Q PARKANO 5 \� `1 ! 40 �DsoNAs�` 1: 2OA � i s 4p 39 8 �• 3 8 8.9 3.8A , a y VA(c) p PEOONIO IANDTRUST � p�_ PTI d � n vl 2 y V 204) q i FOR PCL NO. A 371 I FOR PCL NO. SEE SEC.NO. m it 1.14) SEE SEC.NO. m FOR PCL NO. y 1.1A(e) l 1-07-511"1-003.3 7c SEE SEC.NO. 06 sez3m is<• - _-___�-____ ___---_S MATCH m L Pmwrt/>RRw. s„mMxu•w Nu emwa ------ 9 Swmom�n we --Sm-- nlmuowuta. --"-- uwesswwwonmlvnsea�PrmrOm Era o.,ermaao... - S�°9.:Im6m16bp.Nn (2x1) O fle omu+e Urc ��p-� RJm 6miGUro ��q�� NE xtne"nff roueWwoslNlcrs:s SOg0. SWd.:minliw ---- OuCW�uoo Wa�rp4Gil LLv --W-- fiCmiol Lf4t]On--�5'f-- FM '19 N N SaYE04rwm m �rylY. -- Uta oa4n Um --�-- wreimm 6sru Uv--l1-- USN1 ds N rNtt D vnr». 23 w. 121A(4)v121A t'^� --- tau. --"-- xWtl11�--""'-- •wmlw+a al„wa� 72f A(=) Vi°a•w• ----- s.•.rxm+ew -s-- _:::.1-+^.•�'G.j'as,:, >'-.. :.;ca.'..:_.r � ( _ __ s- ~.�.s�v ,..fi.�. _.1:.� _ ,'•�._. _s w'=.h_� �µ •�. w ac - 7,, -4a FARM WINERY LICENSE EFFECTIVE DATE: 06/27/2019 SERIAL #: 1045802 EXPIRATION DATE: 7/31/2022 COUNTY: SUFFOLK 919366#: 'd n n '���E$4,r�a�b.. � P � � 1� W E'5112aq ���a a � 0 � °i ;� ���I ° � 1 ���� $•-.t.. 0" THE LICENSEE DESIGNATED BELOW IS HEREBY GRANTED PERMISSION, UNDER THE ALCOHOLIC BEVERAGE CONTROL LAW TO TRAFFIC IN ALCOHOLIC BEVERAGE PURSUANT TO THE TYPE OF LICENSE INDICATED IN THE UPPER LEFT HAND CORNER OF THIS CERTIFICATE AND ACCORDING TO THE STATUTES AND REGULATIONS PERTAINING THERETO. THIS LICENSE SHALL NOT BE TRANSFERABLE TO ANY OTHER PERSON OR TO ANY OTHER PREMISES OR TO ANY OTHER PART OF THE BUILDING CONTAINING SUCH LICENSED PREMISES: IT SHALL NOT BE DEEMED A PROPERTY OR VESTED RIGHT AND w, MAY BE REVOKED AT ANY TIME PURSUANT TO LAW METHOD OF OPERATION FARM WINERY FILING FEE $0. 00 PELLEGRINI VINEYARDS LLC LICENSE FEE $375. 00 E °�` :. PELLEGRINI VINEYARDS 23005 MAIN ROAD H. CUTCHOGUE NY 11935 ........... Vincent G. Bradley Chairman BEFORE COMMENCING OR DOING ANY BUSINESS FOR THE TIME FOR WHICH THIS LICENSE HAS BEEN ISSUED,THE SAID LICENSE SHALL BE ENCLOSED IN A SUITABLE WOOD OR METAL FRAME, HAVING A CLEAR GLASS SPACE AND A SUBSTANTIAL WOOD OR METAL BACK SO THAT THE WHOLE OF SAID LICENSE MAY BE SEEN THEREIN,AND SHALL BE POSTED UP AND AT ALL TIMES DISPLAYED IN A CONSPICUOUS PLACE IN 'R W., THE ROOM'WHERE SUCH BUSINESS IS CARRIED ON,SO THAT ALL PERSONS VISITING SUCH'PLACE MAY READILY SEE THE SAME. III, 'SLA FORM 180-033(1 0"Qq) No. G0919366 A Certificate �-.2111-"15-1 AW. www.eastendeventscatering.com w east tscatermg.com , r I P_^v,zY=�;d�Ar14'tlKf 4'.J,{Y.,tl tl"r I' 1 •� '. � � 1T LMf/=SIJ Wnn ��77��SaaW[[{�;�qI � �IM17LIVJItIIPI.:l�SLU.tl,IylU�tlrynrva��l .600�ll?1t'+�L1 �.-•� ¢'tl`-t✓C9u1(AW,. - 11 "k j f.. 9 y F � if lillool of I locij!ll t?F 1�Il,fl i It f�ull��A , ,.� I ` t rel` t'Itl r r a^-rad ahn tl r4=f tH'll i7 y }..i Ltllli�IF 1- y.,.(E.J n ,;u � I i (li::_„ae � t 1=1lcfllll flVYliilllF Y '� I� ,qtr , „�tll IIF,,.,:,1 tht�W,�alwilftJ�hsrin(Iik4rflV,[I�vflll�iil�ll 4 1 E /�� I tic'illy Ili + j I /1(ltll)llti'' �l��t;.,iinl ill 111111fhliili)�l !I I � '- >I 'I � ' 'I 11i, I,t 1�►� � l I Al)I N`i1;1M1 'N`I 1,Xt ANIF710OW J l'iPII I it W:111 1;1111-j I ![al1' 1 vv [VIA l I l i 1111 J. lt1'lr l �, i�5111FJ1 l 11A,Njl�t, ll�fl 11 .l [Il Ih!tl111,litl lYl�iii n pl t t r � =,f 1 I',Fn•lltl}v.4 �l! I�trlfUlllli�Iil6lil�til I'11'f(iii;'i3r�li lit�rltlVhllflfglu ( F I Itti i F ViIll=ll lilll! it�- fl�,Yl�'lll l 1 hlu+ifllifla lllllllhtl,h�lltltl�I Lir,ll I i OP I! o 1.lits - 1 Il�I ltdlrlB6u1 f 11[+lilftl a i u!>.i:i 1 fill.; 1'1111111,(1t1 i Illll I(161l111.hj+111.1In f l tltll i,lll 1 f v?I iq Ill{1111 tI,_did Itl lIi (!+F'itl.H it t t1;i{tll,itil(.;Itlt!i[I11 1 I.- if l 1*,1 dill h U4; Afi Wall .it'll llq w l,�tl1 lrl l 1 Jl lfrl, iilf�dll! ,rltlily'ttlJill(,it-,i . •fit I+I,il it tli+lllil;Ihjl}IFlld,l - ft.ktlfill itIf if'if 1 i+l�li!!+#1 11tolI lull ifllt!'1 {alp i ' l r.kFfl lI� +ri l JIM 01,14 it RAI it i f 1) I41)i)MINI ill I I +`I i1;� y1 I , 1 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/06/22 Receipt#: 300347 Quantity Transactions Reference Subtotal 1 Event Fee PV 1 a-f $150.00 1 Event.Fee PV 2a-f $150.00 1 Event Fee PV 3a-e $150.00. 1 Late Fee - PV 1 a-f Late $250.00 Total Paid:" $700.00 Notes: Payment Type Amount Paid By CK#35713 $700.00 Pellegrini,-Vineyards Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Pellegrini, Vineyards 23005 Main Rd. Cutchogue, NY 11935 Clerk ID: SABRINA. Internal ID:PV 1aj Late