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Shamrock Christmas Tree Farm 2022-43
Southold Town Board - Letter Board Meeting of August 9, 2022 RESOLUTION 2022-672 Item# 5.28 ADOPTED DOC ID: 18329 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-672 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 9,2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Jonathan Shipman,to hold Special Event 2022-43 at The Pumpkin Patch at Shamrock Christmas Tree Farm, 20685 Main RD, Mattituck,New York as applied for in Application SCTF2a-f a for U- Pick Pumpkins and Farmers Market on October 8, October 9, October 15 October 16, October 22 and October 23, 2022 from 9AM- 5PM. All parking must be contained on site. Provided they adhere to all conditions on the application, permit and to the Town of Southold Policy for Special Events. 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 Generated August 10, 2022 Page 47 O�1 S%X0011"t 0 � z t 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: August 10, 2022 Subject: Special Events —Shamrock Christmas Tree Farm -SCTF2a-f With respect to the above-referenced matter, I am enclosing the original application with committee comments and resolution of Town Board approval of event. If you have any questions regarding the enclosed, please do not hesitate to call me. Thank you. Cc: /mm Enclosures Special Events Committee Application Summary and Recommendation Application name: JOC `l' hjO'Man-- chrTS4Md 71&f"&" Address: QU 95 It Q to Rd 1 P.( x N Ill diftck, NY Application number: SC.Taa Date of Event: I Time: CIA - 5P Date Received by Town Clerk: a0aON Date Received by Committee: ��a►�S� U10�a' Nature of Event (S): U'QIC�C pUrY1� �1S 4FQ�l1Y1QXS M(X(�,� Committee Comments Received by: Melissa Spiro Leslie Weisman Mii Sy Mirabelli Chief Flatley4040���_ County/JOAL k Heather Lanza James Easton Mike Verity Claire Glew Bill DO 3-iA1n Kevin Webster Committee Recommendation's: Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: Resolution No: Date:_ $� Q APPLICATION FOR A PER-IIT TO HOLD A SPECLAL EITEZT Please Provide 4LL of the 1nformatfonre0dested.beloNr,Ineomlilete-apnlications-WILL fNOT bi re��iez�ect. - Special Event Permit Applicant(s)name: Date of Submission Name of Event- A.,���,�A]a �'dG�' SCTM A's I 000-sec-cin'4/73(f-eq mock 0��.."3' Lot(s} • ` �=4 z15 ,►p_ j ,aoZ /0-/6-cwd !O c�. �O-d3-d!al Dates of Each Event:�D'8 °�°� /C>" If Multiple Dates are requested,applicant must give all information,forall dates. Nature of Event+ �G�f �ri 'sY °. �a ee-g , Ali 4e (PIease-atta a detailed description of EACH event to this application) Time Period(I-Iours)of Event: From ! to Town Serx ices requested: ( )Yes No If yes,Describe Police Dept. Highway,Dept. Describe Sen-ices Maximum Number of Persons Attending At One Time: Humber of cars expected,5Q Is a Tent or other temporary structure being used? [X]Yes( ]NO If;yes provide size(s) /0X/40 Will food be served?[ ]Yes 'lfyes provide number and name(s)of food vendor(s). Suffolk County permit-'(s) Will other vendors be on the premises during the event?{ ]yes [ ]No If yes hong mane? Describe Type of vendor(s) ! � ^�//i / �,.9�7'3 catds?���5- f91°�itdf✓c* , ..P�� j cc®0►3c 13+7 Property O-%imer(name/address): _j �5'!> Contact Person and Contact Teln� �a� e-mail address • Event Location:Street-Hamlet Address: S£Ti%lg Will any services be requested [ ]Yes No. If Yes describe Police Higha+ay Other: � f � UG 8V Mailing lin Address to Send Event Permit ta: � -Se,� �.� �� '` v Have any of the development rights been sold to the Town of Southold{ ] Yes No and/or Suffolk County Agricultural Program? [ ]Yes ( No if yes to either ter both,also indicate bh-thie attached-ylan the boundaries of-the reserved area upon which the event NAIII take1p ace. YOU IMUST ATTACH PARICING/EVENT PLAN TO THIS APPLICATION IF THE: EXPECTED ATTENDANCE IS 300 OR MORE`PE_OPLE.YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A ParlanylEvent flan may be a•siirvey,site plan-aiidlor ae-fial-view(for e)auaple G60f 416'1;arUi3 of. the•subiect.property 1mIDICATE ON THE PLAN ALL.of the follotvins inforntAian: 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. (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 traf:ffd:eoiifroller niiist 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. OI ENEP"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 iririk„u.}}tct alNgrs.eetians necessary in connection with this Special Event Print name of'Qwrie: c�n o -Amer- . Print name of Authorized Person/Representative Signature of Authorized Person/Representative PE,RA9HSSJON IS11EREgY GRANTED,SLIBJI✓CT TO THE.FOLLOWWI.NG 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 eventAlarking is strictly'pi`oliibited•on.ANY Tovun-'County or Sfate Roads dr Ri lits:rif. 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.6-0 business-.days prior fdthe 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. 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'"tiii`s'`ewent,includini but riot limited W.parkihZ iriezess/earess/aecess;. tenf(s)`or terftor sfi-uctiirefsl' or tedipordry sanitary%facilities "shall bc-coridiieted oil Towq;of Southold Purchase-off De�Telcipineiit'Ri lits Bind 10.NO activities associated with this-event including but not limifed fb parkin�;:iri ressleQress/access; tent(s) or fem orary structuref-1 ,or temporary sanitary,facilifies shk be conducted.on:Sufiolk Coiitity Piirchaso of Deyelotrinent Rig Ianci �vitl out a pent�it issued` `bj the Suffolk :Cour-jy Fitimland 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. r 0 The applicant/owner of the property where the special event is proposed to take place must provide a ceitifieate,ofinsurarice not less than 2 million dollars naming the Td-M-1 d-Sbighold as an additional insured ❑ A.PaAdn-Avent Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking,sanitary facilities,and tents or other temporary structure(s). (See application form for details) ❑ Events for three hundred (300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) ❑ 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. �/-�--� 9 Dated artatur: 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 TOWN OF SOUTHOLD ToWn Cbile,Cliapter.205 "Public liinte2-tahfW4i ntand�Speciall✓vents" 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. Apolic'a"ticin,fee: $150.00 per application. Up to six (6) multiple events of the same type, occurring over a period of three months,may be permitted on one(1)application for a fee of$150.00. However,specific details of each event must be included with this application. All applications must,be stibniitted at.least 60 .business days before the,event. Applicanfs' are en.caiutaW td§ul mit apnlicatibns as eatly, as possible,,. Any:conruletec!application that is not stibmittcd' 60 bir iiiore bu-smt e'ss,days:0rioir t6 the,scheduled. eventmay�be.reiected or.subiect-to a late processiiiLy fee of S2M.'00'.bv the Office'=of�'the'lCtiivn Cleric, unIess.a waiver-is.obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all.applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety, and welfare of the community. When is-a PermitR&m1red? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any,use 6fresiderifial tiitiuerty-foi`yibfit such as aydnue:foryvedaiiizs or buidt-events s.,.'prohibited. This application is deemed complete once ail the follo rink requit teems are sub'mi#.tM-fi61he ToWm Clerk: Please indicate submission of the following by checkine,off the boxes arid.sianing below. ❑ A completed application form.signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ❑ FEE: Is the application being submitted at least 60 days before the event X Yes No ❑ If Yes,Fee of$ has been submitted If No,Fee of$-0 �s� �S� has been submitted Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/28/22 Receipt#: 304249 Quantity Transactions Reference Subtotal 1 Event Fee 12 $300.00 • Total Paid: $300.00 Notes:. Payment Type Amount Paid By Credit Card-Ref# $300.00 Shamrock, Christmas Tree Farm Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Shamrock, Christmas Tree Farm 985 Elijahs Lane Mattituck, NY 11952 Clerk ID: DENISN internal ID: 12 i ? t 12. Access shall be provided for emergency vehicles,to all public assembly areas,all buildings,all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. 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Y 7�1 4 ""Y�'' .'ra.�,�.w'�k:",„��,¢' `>,�:..; r`.�r S,a',•`•'fir Nd,'0.r�v: ;,�>$.)y d "" ���?',R,�, �.�.,vP.i"tt,.� �n �t3,t :�;. "qr h;XF ?�e,,.� "��P`+�X �, Imagery 02020 New York GIS,Map data 02020 20 ft Google Maps Al 'f wl, IN AgiFt i t fA 2,X ON 'WE 514 -gr N 0o R"'P 544 �g 71 N x r "j - �,g OPP'W, Map data®2020,Map data®2020 20 ft Pt MWDD/YYM ACCDPREP CERTIFICATE OF LIABILITY INSURANCE /25/2022 THIS S 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. 3M1'ORTANT: if the certifcate holder is.an ADDITIONAL INSURED,the policy(fes)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). SJNStiRFkA! rah Arebalo PRODUCER FAX 631 298-3850 631)298 4700 (A/C,N01: ( )Roy H Reeve Agency,Inc. rebalo@royreeve.com PO Box 54 13400 Main Road (NSURER(S)AFFORDING COVERAGE. MAICMattituck NY 11952 tlantic Casualty' INSURED INSURER B.: Shamrock Tree Company inc.DBAThe Pumpkin Patch At Shamrock INSURER C: Jonathan M.Shipman INSURER D: PO Box 1472 INSURER r: Mattituck NY. 11952 1 INSURER-F: COVERAGES GEkTIFICATE NUMBER:-. GI-2272517462 REVISION NUMBER: THIS IS TO CERTIFY THATTFIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERTHIS IOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH D HEREIN IS SUBJECT 70 ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED oBLYI,P AID CLAIMS. EXP LIMITS rA TYPE OF INSURANCE INSt? tN1lD POUCY`NUMBER M14VDOlYYYY MMIDDIYYYY2'000,000 X COMMERCIALGENERALLIABILITY 'OCCUR PREMISES'tEa-,.- SCLAIMS-MADE -MEDE;IP.(AriVonePeredn)09/17/2022 10/30/2022 ' c" 2,000,000 Y L131002850-1 PERs0NAL&ADV INJURY 5 GENERALibGREGA-,E- $ ;OOQ,OtI(3 GrNiAGGRFGATE LIMITAPPLIES PER: 5 2,000,000 PRO- PRODtJfiTS=G(}MP/OPAGG; PQLJCY JECT- 0 LOG $ OTHER. , - - COMBINEDS)NGLELIMIT' $ Ewaccideat AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS PROP,ERTYD. AC $ HIRED NON-OWNED P°facddcmt) AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB EACH.00CURRENCE s OCCUR AGGREGATE, S EXCESS LIAB CI AIMS4h1ADE 5 OED' RcTENTION$' . OTH- WORKERS COMPENSATItlN STATUTE ER AND;EMPLOYERS'LIABILITY YIN F'L'EACHACCIDENi �.5. ANY:oROPftlETORIPARTNER(EXECUTNc- Q /A OFFICERIMEMBER;EXCLUDED? -e.L.DISEASE=ggEtvlP NLtSYEE- S Odlandatory In NH) If vk:de"san'tra.dndor,.... a,.DISEASE--POt1CY,LIMrr 5 DESCRIPTION OF OPERATIONS.tielvty DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addhlonal Remarks Schedule,maybe attached If more space Is required) 4745 8,2286 Elijahs Lane,Mattituck,NY 11952 Pumpkin Patch CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,W&ICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 53095 Maln Road AUTHORIZED REPRESENTATIVE PO Box 1179 Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Mirabelli, Melissa From: Glew, Claire Sent: Thursday,July 28, 2022 3:56 PM To: Mirabelli, Melissa Subject: Special Events Attachments: Shamrock Pumpkin patch Special Event Application 2 ; Special Event- Shamrock- Pumpkin Patch 1 The Assessors have no issues with the attached events. Best, Cla ire,(5 Lew Assistant to Assessor Town of Southold Board of Assessors (631)765-1937 Phone (631)765-1356 Fax www.southoldtownny.gov clai_reg@southoldtownny.gov i Mirabelli, Melissa From: Flatley, Martin Sent: Thursday,July 28, 2022 4:29 PM To: Mirabelli, Melissa Subject: RE: shamrock Special Event#2 Pumpkin Patch Hi Missy, I have reviewed both of Shamrock Tree's applications for their farmer's market dates. Last year these events did not have any impact on traffic outside of their property and I would have no objections to them being approved again. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 rr�� 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,July 28, 2022 3:30 PM To: Lanza, Heather<heather.lanza@town.southoId.ny.us>;Weisman, Leslie<lesliew@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov> Subject:shamrock Special Event#2 Pumpkin Patch Application#2 please send comments to me Thank you Melissa 111. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax (631)765-6639 i ******************************************************************************************* 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: Lanza, Heather Sent: Friday,July 29, 2022 2:08 PM To: Mirabelli, Melissa;Weisman, Leslie Subject: RE: shamrock Special Event#2 Pumpkin Patch Thanks Missy From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent: Friday,July 29,2022 2:05 PM To: Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us> Subject: FW:shamrock Special Event#2 Pumpkin Patch See Chief Flatley response below.And there have been no complaints on these events as I looked up in town records +f. Afelissa H.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. From: Flatley, Martin<mflatlev@town.southold.ny.us> Sent:Thursday,July 28, 2022 4:29 PM To: Mirabelli, Melissa<melissa.mirabelli@town.southold.nv.us> Subject: RE:shamrock Special Event#2 Pumpkin Patch Hi Missy, I have reviewed both of Shamrock Tree's applications for their farmer's market dates. Last year these events did not have any impact on traffic outside of their property and I would have noobjections to them being approved again. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 1 } 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,July 28, 2022 3:30 PM To: Lanza, Heather<heather.lanza@town.southold.ny.us>;Weisman, Leslie<lesliew@town.southold.nv.us>; Flatley, Martin <mflatley@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.nv.us>; Burke,John <iohnbu@southoldtownny.gov> Subject:shamrock Special Event#2 Pumpkin Patch Application#2 please send comments to me Thank you r' Afelissa M. Nfirabelli 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: Lanza, Heather Sent: Friday,July 29, 2022 2:08 PM To: Mirabelli, Melissa;Weisman, Leslie Subject: RE: shamrock Special Event#2 Pumpkin Patch Thanks Missy From: Mirabelli,'Melissa<melissa.mirabeIli @town.southold.ny.us> Sent: Friday,July 29, 2022 2:05 PM To: Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us> Subject: FW:shamrock Special Event#2 Pumpkin Patch See Chief Flatley response below.And there have been no complaints on these events as I looked up in town records Alelissa U 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. From: Flatley, Martin<mfIatley@town.southold.ny.us> Sent:Thursday,July 28, 2022 4:29 PM To: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Subject: RE:shamrock Special Event#2 Pumpkin Patch Hi Missy, I have reviewed both of Shamrock Tree's applications for their farmer's market dates. Last year these events did not have any impact on traffic outside of their property and I would have no objections to them being approved again. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11.958 Tel: 631-765-3115 i 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.mirabelii@town.southold.ny.us> Sent:Thursday,July 28, 2022 3:30 PM To: Lanza, Heather<heather.lanza@town.southold.nv.us>;Weisman, Leslie<lesliew@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.nv.us>; Burke,John <ioh n bu @southoldtown ny.gov> Subject: shamrock Special Event#2 Pumpkin Patch Application#2 please send comments to me Thank you Alelissa rV. 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: Killean,Jade <Jade.Killean@suffolkcountyny.gov> Sent: Monday,August 1, 2022 3:34 PM To: Mirabelli, Melissa Cc: Amakawa,Andrew, Kerr, Mikael Subject: RE: Shamrock Pumpkin patch Special Event Application 2 Hi Missy, Regarding the event at Shamrock,we do not have any comments as the property is neither SC PDR nor is it adjacent to County holdings. Thank you, Jade Jade Xillean Planner SL►ffOlk County Dept.of Economic.Development&Planning Division of Planning&Environment 100 Veterans Memorial Highway,211 Floor Hauppauge,NY 11788 631-853-6044 Tel .C'0 D€�`�j o p r a c t i c e G R E E N Save a tree.Read,don't print,emails. CONFIDENTIALI TY NOTI CE: This electronic mail transmission is intended solely for the use of the individuayentity 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. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,July 28, 2022 3:31 PM To: Glew, Claire<Claire.Giew@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Killean,Jade<Jade.Killea n@suffolkcountyny.gov>; Easton,James<jamese@southoldtownny.gov>;Spiro, Melissa<Melissa.Spiro@town.southold.ny.us> Cc:Amakawa, Andrew<And rew.Amakawa @suffolkcountyny.gov>; Kerr, Mikael <M i kael.Kerr@suffol kcou ntyny.gov> Subject:Shamrock Pumpkin patch Special Event Application 2 1 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Application 2 please send any and all comments to me Thank you 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 transmission and delete the message without copying or disclosing it. 2 Mirabelli, Melissa From: Killean,Jade <Jade.Killea n@suffolkcountyny.gov> Sent: Monday,August 1, 2022 3:34 PM To: Mirabelli, Melissa Cc: Amakawa, Andrew; Kerr, Mikael Subject: RE:Shamrock Pumpkin patch Special Event Application 2 Hi Missy, Regarding the event at Shamrock,we do not have any comments as the property is neither SC PDR nor is it adjacent to County holdings. Thank you, Jade Jade XiClean Planner Suffolk County Dept.of Economic Development&Planning Division of Planning&Environment 100 Veterans Memorial Highway,2nd Floor Hauppauge,NY 11788 631-853-6044 Tel c 0 U Rsr�rt t+T`. practiceGREEN Save a tree.Read,don't print,mails. CONFIDENTIALITY NOTICE. 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. from: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,July 28, 2022 3:31 PM To: Glew, Claire<Claire.Glew@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Killean,Jade<Jade.KiIlea n@suffolkcountyny.gov>; Easton,James<jamese@southoldtownny.gov>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Cc:Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov>; Kerr, Mikael <Mikael.Kerr@suffolkcountyny.gov> Subject: Shamrock Pumpkin patch Special Event Application 2 1 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Application 2 please send any and all comments to me Thank you r hlelissra 11.1 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: Easton,James Sent: Monday,August 8, 2022 10:38 AM To: Mirabelli, Melissa Subject: RE: Shamrock Pumpkin patch Special Event Application 2 I have no objection to this event taking place. Thank you, James .Easton Fire Marshal jamese@southoldtownny.gov (W) 631-765-1802 PRIVELEGED AND CONFIDENTIAL COMMUNICATION CONFIDENTIALiTY NOTICE: This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential 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 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. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Thursday,July 28, 2022 3:31 PM To: Glew, Claire<Claire.Glees@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us>; Killean, Jade<Jade.Killean@suffolkcountyny.gov>; Easton,James<jamese@southoldtownny.gov>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Cc:Amakawa, Andrew<And rew.Amakawa@suffol kcountyny.gov>; Kerr, Mikael<Mikael.Kerr@suffolkcountyny.gov> Subject:Shamrock Pumpkin patch Special Event Application 2 Application 2 please send any and all comments to me Thank you C Ylelissa M. Virabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax (631)765-6639 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you 1 believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* 2 RESOLUTION 2022-672 o � f ADOPTED DOC ID. 18')29 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-672 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 9,2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Jonathan Shipman, to hold Special Event 2022-43 at The Pumpkin Patch at Shamrock Christmas Tree Farm, 20685 Main RD, Mattituck,New York as applied for in Application SCTF2a-f a for U- Pick Pumpkins and Farmers Market on October 8, October 9, October 15 October 16, October 22 and October 23, 2022 from 9AM- 5PM. All parking must be contained on site. Provided they adhere to all conditions on the application,permit and to the Town of Southold Policy for Special Events. 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 APPLICATION FOR APERI•IIT TO HOLD A SPECLAL EVENT Please pro-.ide ALL of the information requested below.Incomplete applications MULL NOT.be reviewed. '' Special Event Permit 1 Applicant(s)name^��___r_lAa a A. 944-074M Date of Submission Naive of Event `Ile Py�•,,p/((,;, �w�t� a- 54~401( SUM is 1000-Secriony73 So' Block Ldp.'3-s Lot(s) • y3 �• r. y-5 Dates of Each.Event:/0-8''4 10-7-44 10-/j 1JA 10-19-OWL. /O If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: e%rick & `fi +-I'M "' /" (PIease attack a detailed description of EACH event to this application) Time Period(Hours)of Event: From to Tonin Serres requested: ( )Yes X No If)=es,Describe Police Dept. Higbway Dept. Describe Ses.iees Maximum Number of Persons Attending At One Time: /00 Nuiuber of cars expected.,5Q__ Is a Tent or other temporary structure being used?[X]Yes[ ]No If.yes provide size(s)_/OXJO Wil)food be served?[ ]Yes D6 Nb 'Ifyes provide number and names)of food vendor(s) Suffolk County permit*--."(s) Will other vendors bre on the premises during the event?[ ]Yes [ ]No If yes how man;? Describe Type of vendor(s)//Or7 lo►� /o�»fo Lky #R,,Zaw A �J� a t�s7�<.•S ie 1 hi121 1404 00Cc..q3c 13Rr Property Owner(name/address): °Sol p S eL 985 "4�4 �n e Y�n'y y�� Contact Person and Contact Tel.#.�n.��•» �• ✓��y/h'/►tt - e-mail address -9/3 4 Z I 74 12 1/,t oo•L or•'► /, Event Location:Street-Hamlet Address: o�0685 scrlm Will any services be requested [ ]Yes K No. if Yes describe Police Highway Other: fro /3 e�' , vc lV f� Mailing Address to Send Event Permit to: OX �d `f '1 t Y Have any of the development rights been sold to the Town of Southold [ ]Yes No and/or Suffolk County Agricultural Program? [ ]Yes [Ti 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 pate) A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the subiect 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. (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 affzrfn 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.. o t � 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 mak y a all ins ections necessary in connection with this Special Event Print name of Ownef r' o caner Print name of Authorized Person/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. 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, in rgress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities,shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. ❑ 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 ❑ 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). (See application form for details) ❑ Events for three hundred (3 00) 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. Dated IgInIr-atur 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. r • 1 co TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application. Up to six (6)multiple events of the same type, occurring over a period of three months,may be permitted on one(1)application for a fee of$150.00. However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event. Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be refected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. ❑ A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ❑ FEE: Is the application being submitted at least 60 days before the event A Yes No ❑ If Yes,Fee of$ has been submitted ' If No,Fee of$1150 has been submitted Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/28/22 Receipt#: 304249 Quantity Transactions Reference Subtotal 1 Event Fee 12 $300.00 �A Total Paid: $300.00 Notes: Payment Type Amount Paid By Credit Card-Ref# $300.00 Shamrock, Christmas Tree Farm Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Shamrock, Christmas Tree Farm 985 Elijahs Lane Mattituck, NY 11952 Clerk ID: DENISN Internal ID: 12 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: Google Maps !rnagery @2020 M r Technologies,New York GIS,Map data @2020 100 ft at • \� F�, �� � :� ' k" ids ». +���=`'.s ,.. t � �e`D Qhs c`eBN�[ ` � � .. t� }:,� ap�� h �°6h !`•. �... � I " a ray} Ole so irnu 40 ,loo RK, jet: - - r� ✓+�,�. , �Y ���4 � - ,. _� ; ,. - Google Xf o �r 4 P � R 4 '1P�6t r 21 1A.0 s z4 t�iNil, Google . �. O 1 1 •. O 1 1 1 AC40 07/255/CERTIFICATE OF LIABILITY INSURANCE DATE(M /22022022 )7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE.OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:.If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Sarah Arebalo NAME: Roy H Reeve Agency,Inc. a/c°N Ext: (631)298-4700 (FAA/C,No: (631)298-3850 PO Box 54 E-MAIL sarebalo@royreeve.com ADDRESS: 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURER A: Atlantic Casualty INSURED INSURER B: Shamrock Tree Company inc:DBA The Pumpkin Patch At Shamrock INSURER C: Jonathan M.Shipman INSURER 0: PO BOX 1472 INSURER E: Mattituck NY 11952 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2272517462 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDLISUBR POLICY EFF TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MWDD ffry EXP LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTEU CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A Y L131002850-1 09/17/2022 10/30/2022 PERSONAL&ADV INJURY $ 2.000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident H - $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ [Ives.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 4745&2286 Elijahs Lane,Mattituck,NY 11952 Pumpkin Patch CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Main Road AUTHORIZED REPRESENTATIVE PO Box 1179 ) Southold NY 11971 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD