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HomeMy WebLinkAboutCAST 2022-46 RESOLUTION 2022-757 os o� n= � ADOPTED DOC ID: 18409 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-757 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 20, 2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to CAST, to hold Special Event 2022-46 at CAST, 53930 Main RD, Southold,New York as applied for in Application CAST 4a for Brass/Blues event-on October 9, 2022 from 2PM-7PM. 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: Jill Doherty, Councilwoman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell RECEIVED �oy�SUFFot,t�a�� SEP 2 3 2022 Southold Town Clerk 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: September 21, 2022 Subject: Special Events —CAST 1- 1a 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. /mm Enclosures Special Events Committee Application Summary and Recommendation Application name: C R S71 Address: 53 T?O fid, S aha t_� OR 1 Application number:_Cas+ "1 OL Date of Event: 101 a a01�— Time: o� 1 Date Received by Town Clerk: _ g130jooa0aa- Date Received by Committee: 5��0� ot0aa Nature of Event (S): %ass�LS-1w, f Committee Comments Received bv: Melissa Spiro Leslie Weisman Missy Mirabelli X K4&0-_ &0.671r&S Cou my J#&t Heather Lanza James Easton ghditW Mike Verity Claire Glew #q'?ohn'B4.AA Kevin Webster Committee Recommendation's: -X-Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: abaa _14(0 Resolution No: 0aa - -45 4 Date:_ � � orb Iola 04' y` RECEIVED AUG 3 0 2022 Town Attorney's Office TOWN OF SOUTHOLD T16wn Code Chapter 205 "Public Entertainment and So ck] 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. Application fee: $150.00 per application.Up to six(6)multiple events of the same type,occurring over a period of three months, may be permitted on one (1) application for a fee of$150.00. However,specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event.Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article 1, 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 CIerk:Please indicate submission of the following by checking off the boxes and signing below. ° A completed application form signed by the owner and the event manager.Applications without property owner's signature/approval will be rejected. • FEE: Is the application being submitted at least 60 days before the event[]Yes [X]No APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name:..Conumnity Action Southold To vhdCAST1 Date of Submission 8/30/2022 Name of Event Brass&Blues Fesih,61. 061.00 04.00 019.001 SCTM#'s 1000-Section 061.00 Block-04.00 Lot(s)Q19.001 . Dates of Each Event: .October 9.2022 If Multiple Dates are requested, applicant must give all information for all dates. Nature of Event:Brass&=Blues Festival (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event:From 2PM to 7PM Town Services requested: ()Yes (X)No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: _ 150 Number of cars expected 50 Is a Tent or other temporary structure being used? [X]Yes []No If yes provide size(s)Porta-potty.riser. Will food be served?[]Yes[X]No If yes provide number and name(s)of food vendor(s) X Suffolk County permit#(s)' Will other vendors be on the premises during the event?[X]Yes[]No If yes how many? 1 Describe Type of vendor(s) Audio rental company Property Owner(name/address):Comiriuiiity•Action Southold T6wn.53930 Main Rd.:Southold. Contact Person and Contact Tel.# Catby Demeroto 631-477-1717ext-101 e-mail address:cdeirieroto(u:?castnorthfork.org Event Location:Street-Hamlet Address: 53930 Main Road.:SoiitlioId:NY .11971• SCTNT#06ti0o Block:04.00 Lot(s):019.001 Mailing Address to Send Event Permit to:20 Box 15G6;Soutiicild.=NY 1147.1 Have any of the development rights been sold to the Town of Southold [] Yes[X]No and/or Suffolk County Agricultural Program? [] Yes[X]No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey,site plan and/or aerial view(for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information:A parking/event plan showing: (1)The size of the property and its location in relation to abutting streets or highways. (2)The size and location of any existing building(s) or structure(s)that will be in operation during the course of the event and any proposed building,structure, or signs to be erected temporarily for the event. (3)The location of the stage or tents,if any. (4)The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5)Location of all entries and exits. (6)The location of all fire extinguishers and other fire safety equipment. (7)The location of all temporary utilities to be installed for the event,if any. (8)The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas.The parking spaces must allow for 300 sq.ft. per car. (9)A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used,if any, and the type and location of speakers and other audio equipment. (11)A description of emergency access and facilities related to the event. (12)Provisions to dispose of any garbage,trash,rubbish or other refuse. (13)Location and description of any additional lighting to be utilized in conjunction with the event. (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.PIease attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking, and exiting of cars on site,and 4) Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations, conditions,and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event.Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application. . Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event. Print name of Owner/Signature of Owner: Print name of Authorized Person/Representative Signature of Authorized Person/Representative: Cathav Demeroto.-Executive Director/ m If Yes,Fee of$ has been submitted. We request a waiver as a non-profit hosting a free event for the community. ® If No,Fee of$` has been submitted ® 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(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) N/A Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 As. CENTER FOR ADVOCACY ( SUPPORT TRANSFORMATION CAST CONCERT: Brass Blues Festival. Date: October 9, 2022 Timeline: 1:OOPM Load-in 2:OOPMShow Starts 7:OOPM Show Ends 8:OOPM Load Out and Clean-up Finished Location: CAST Yard (53930 Main Road, Southold) Details: Afternoon Concert with 3 Acts Performing a Number of anticipated guests: 150 o Number of cars expected: 50 (can use CAST lot plus street parking) • Free event. No charge. t� DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/2512022 THIS CERTIFICATE IS ISSUED ASA 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 ceitificate.holder is an-ADDITIONAL INSURED,thQ 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 endorsetnent(s). ,CONTACT Lauren Murphy PRODUCER NAME: Roy H Reeve Agency,Inc. p(TH o FitI! (631)29BA700 FA CC:No; (631)298-3850 PO Box 54 ADDRESS:' Imurphy@royreeve.com 13400 Main Road INSURERS AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURERA: Philadelphia Indemnity Ins Co 18058 INSURED INSURER B: Community Action Southold Town Inc(CAST) INSURER C PO Box 1566 INSURER D INSURER E: Southold NY 11971 INSURER F: COVERAGES, CERTIFICATE NUMBER: CL228117499 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR TYPEpF INSURANCE POLICY"EFF POLICY EXP LTR. D WVD POLICYNUMBER MWDD MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 TEO, 100,000 CLAIMS-MADE �OCCUR PRE141SE5'fEnticairrar:co S MED EXP fAny one person) S 5,000 A PHPK2436408 08/16/2022 08/16/2023 PERSONAL B ADV INJURY $ 1,000,000 bEN'LA0bRtGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 i POIJCY"❑JECT LOC 1,000,000 PRODUCTS AGG S S AUTCMCdILELIABILITY CEa.eOMi3edd111 S1N0LE.UMIT $ enU ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS - HIRED NON-OWNED PP,OFEKfYDfIMAGE b AUTOS ONLY AUTOS ONLY PcrsiccFdenl 5 4HDEDRETENTION OCCUR EACH OCCURRENCE S H.CLAIMS-MADE AGGREGATE $ SS WORKERS COMPENSATION PER OTIi- $T AND EMPLOYERS'LIABILITY YIN, ATUTE ER. , ANY PROPRIETORIPARTNERIEXECUTIVE .� NIA EL'.EACH ACCIDENT - S OFFICERIMEMBER EXCLUDED? - (Mandatory lnNH) - El:.DISEASE-EA EMPLOYEE S , If yes,describe under DESCRIPTION OF OPERATIONS below Fes.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: 10/9/2022 Event Town of Southold is included as Additional Insured with respect to General Liability. 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. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD jam'\� O Zak i0. ". .' F.."`: •- q VV vy�•5, ;=r..r.i4 _ :'rrifltd ah.�.,i%,YeS 4:;r.^� � 1 :i`j•, ':'� 'b0;�,"�',,.��.:•ea;:•vw,tt,'t ;e�,.n'Y�'.--i'�' fw_y�� �F �' T-,- ite a r t t ' z 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 the 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, ingress/egress/access, tent{s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking,ingress/egress/access,tent(s)or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11.Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles, to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s)on the property,to a public way or remote safe area, shall remain open and unobstructed at all times. 13.Owner assures full compliance with all fire,safety,building, and other Town laws. 14.Music, when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. Mirabelli, Melissa From: Glew, Claire Sent: Wednesday, August 31, 2022 7:45 AM To: Mirabelli, Melissa Cc: Webster, Kevin Subject: RE:-CAST special Event 4a Good morning Missy, The Assessors have no objection to this event. Cla%4-el Clew Assistant to Assessor Town of Southold Board of Assessors (631)765-1937 Phone (631)765-1356 Fax www.southoldtoVvnny.gov claireg@southoldtownny.gov From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Tuesday,August 30,2022 3:50 PM 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<And rew.Ama kawa @suffolkcountyny.gov> Cc: Kerr, Mikael <Mikael.Kerr@suffolkcountyny.gov> Subject: CAST special Event 4a Please send any and all comment to me thank you %2.. Melissa 4/1 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 1 ******************************************************************************************* 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: Spiro, Melissa Sent:. Tuesday, August 30, 2022 6:10 PM To: Mirabelli, Melissa Subject: RE: CAST special Event 4a This is not preserved land. Melissa S. From: Mirabelli, Melissa Sent:Tuesday,August 30;2022 3:50 PM 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.KiIlea n@suffolkcountyny.gov>;Amakawa, Andrew<And rew.Ama kawa @suffol kco u ntyny.gov> Cc: Kerr, Mikael<Mikael.Kerr@suffolkcountyny.gov> Subject: CAST special Event 4a Please send any and all comment to me thank you �1/tet Kelissa i*IVI.1llirabclli 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: Amakawa,Andrew <Andrew.Amakawa@suffolkcountyny.gov> Sent: Tuesday, August 30, 2022 3:50 PM To: Mirabelli, Melissa Subject: Automatic reply: CAST special Event 4a I am out of the office, returning on Wednesday,August 31st. If you need immediate assistance, please contact the main line at(631)853-5191. Thank you. ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 Mirabelli, Melissa From: Kerr, Mikael <Mikael.Kerr@suffolkcountyny.gov> Sent: Tuesday,August 30, 2022 3:50 PM To: Mirabelli, Melissa Subject: Automatic reply: CAST special Event 4a Thank you for your email. I am currently out of the office until Tuesday,September 6th 2022. For any urgent Farmland inquiries, please contact Andrew Amakawa at Andrew.Amakawa@suffolkcountyny.gov For any urgent Open Space inquiries please contact Melissa Kangas at Melissa.Kangas@suffolkcountyny.gov ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 53955 w r 53965 53995 About Food North Fork al Estate Inc '; Yjr tj Tempora -. sibro r a- e "d i, '` .•e `i .r-rte'. +�}�; k t l`+ ' r Qw44 ok UL IK ./ t tie "". G'#. •+`. ' ,�,,� as .-.:.„�„"�"s��..�.,p�'y,�-e• ,�f s .i + .. t ., \ �� � , ,.�`. y. tee• ,✓"�.,,� � � CAST Center for � __ �' � �'�` � « �'� Advocacy, Support. ,• kms ., � , White Flower 'Ag � Southold Opera '�'°" Tempflrarily cCosed 4 _• ` �, Peconic Building 3„ Y SOIut'OnS IIGOODS,' , s ure ore � � f- �' MS Hair Salon •t ;; 17Q- 53740 = +` t ,,,. ., " .; � '• Google �� Q� �~ a PSC' ��� o� ��� �� ,�o Mirabelli, Melissa From: Killean,Jade <Jade.Killean@suffolkcountyny.gov> Sent: Wednesday, August 31, 2022 11:42 AM To: Mirabelli, Melissa Cc: Kerr, Mikael;Amakawa,Andrew Subject: RE: CAST special Event 4a Good afternoon Missy, Regarding the event at CAST,we do not have any comments as the property is neither SC PDR nor is it adjacent to County holdings. Thank you, Jade XiCCean Planner Suffolk County Dept.of Economic Development&Planning Division of Planning&Environment 100 Veterans Memorial Highway,211 Floor Hauppauge,NY 11788 Tel.: 631-853-6044 Email: Jade.killeaii@,suffolkcountyn�-!ov fi F 0 h} Pltie,• p r a C t i C e G R E E N Save a tree.Read,don't print,emails. CONFI DENTIALI TY NOTI CE: This electronic mail transmission is intended solely for the use of the individuallentity 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:Tuesday,August 30, 2022 3:50 PM 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@suffoIkcountyny.gov> Cc: Kerr, Mikael<Mikael.Kerr@suffolkcountyny.gov> Subject: CAST special Event 4a 1 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Please send any and all comment to me thank you Afelissa M. 111irabelli 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: Leslie Weisman Forward Sent: Wednesday, August 31, 2022 12:08 PM To: Mirabelli, Melissa Cc: Weisman, Leslie; Lanza, Heather; Ginas,James;Verity, Mike; Burke,John Subject: Re: CAST Special Event 4a Okay now I get it.The lawn is behind the old parsonage on the same property as the CAST building. Looks okay. Leslie On Wed,Aug 31, 2022 at 11:00 AM Mirabelli, Melissa <melissa.mirabelli@town.southold.nv.us>wrote: Attached is color copy of map from CAST. The music Groups will be set up where the movie Screen was set up and "movie lawn" is where people will be sitting to listen to the music.This is all in the backyard of the CAST Building. Missy Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 154375 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. i From: Leslie Weisman Forward <lesliekweisman@gmail.com> Sent:Tuesday,August 30, 2022 5:24 PM To: Mirabelli, Melissa <melissa.mirabelli@town.southold.nv.us> Cc:Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Ginas, James<iginas@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Burke,John <iohnbu@southoldtownny.gov> [ Subject: Re: CAST Special Event 4a i I would like to know if the CAST yard they refer to is in the front of the building or behind it. It's very unclear from the "map"submitted and will it make a difference to the safety of drivers on Main Road because it could be quite a distraction. Generally we are going to get a lot of these free public events from CAST and should ask for a little more description perhaps. Exactly how many cars can their parking lot accommodate? Leslie i i On Tue,Aug 30, 2022 at 3:36 PM Mirabelli, Melissa j <melissa.mirabelli@town.southold.ny.us<mailto:melissa.mirabelli@town.southold.ny.us>>wrote: Good afternoon all, i f 1 Als always please send me any questions and or comments. Thank you Missy Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold, NY 11971 Office (631)765-1939 Fax(631)765-6639 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. 2 Mirabelli, Melissa From: Leslie Weisman Forward Sent: Wednesday, August 31, 2022 1:48 PM To: Mirabelli, Melissa Subject: Re:CAST Special Event 4a Ok, thanks. On Wed,Aug 31, 2022 at 12:44 PM Mirabelli, Melissa<melissa.mirabelli@town.southold.nv.us>wrote: I knew I just needed a clearer map .... Cathy though they had the color map in the application not the hand drawn one. i Missy Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex i 54375 Route 25 ( Main RD) P.O. Box 1179 I Southold, NY 11971 } Office (631)765-1939 Fax(631)765-6639 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. } i From: Leslie Weisman Forward <lesliekweisman@gmail.com> Sent:Wednesday,August 31, 2022 12:08 PM To: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> i Cc:Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Ginas, James<iginas@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.nv.us>; Burke,John <iohnbu@southoldtownny.gov> Subject: Re: CAST Special Event 4a i Okay now I get it.The lawn is behind the old parsonage on the same property as the CAST building. Looks okay. Leslie On Wed, Aug 31, 2022 at 11:00 AM Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us<mailto:melissa.mirabelli@town.southold.ny.us>>wrote: Attached is color copy of map from CAST. The music Groups will be set up where the movie Screen was set up and "movie lawn" is where people will be sitting to listen to the music.This is all in the backyard of the CAST Building. Missy 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. ******************************************************************************************* From: Leslie Weisman Forward<lesliekweisman@Rmail.com<mailto:lesliekweisman@Rmail.com>> Sent:Tuesday,August 30, 2022 5:24 PM To: Mirabelli, Melissa<melissa.mirabeIli @town.southold.ny.us<maiIto:melissa.mirabel li@town.southoId.ny.us>> Cc: Weisman, Leslie<lesliew@town.southold.nv.us<mailto:lesliew@town.southold.ny.us»; Lanza, Heather <heather.lanza@town.southold.ny.us<mailto:heather.lanza@town.southold.ny.us>>; Ginas,James <iginas@town.southold.ny.us<mailto:iginas@town.southold.nv.us>>;Verity, Mike <Mike.Verity@town.southold.nv.us<mailto:Mike.Verity@town.southold.nv.us>>; Burke,John <iohnbu@southoldtownny.Rov<mailto:iohnbu@southoldtownny.gov>> Subject: Re: CAST Special Event 4a I would like to know if the CAST yard they refer to is in the front of the building or behind it. It's very unclear from the "map"submitted and will it make a difference to the safety of drivers on Main Road because it could be quite a distraction. Generally we are going to get a lot of these free public events from CAST and should ask for a little more description perhaps. Exactly how many cars can their parking lot accommodate? Leslie On Tue,Aug 30, 2022 at 3:36 PM Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us<mailto:melissa.mirabelli@town.Southold.ny.us><mailto:melissa.mirabelli@to wn.southold.nv.us<mailto:melissa.mirabelli@town.southold.nv.us>>>wrote: Good afternoon all, [ Als always please send me any questions and or comments. } Thank you i Missy 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 ******************************************************************************************* 2 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. 3 Mirabelli, Melissa From: Noncarrow, Denis Sent: Tuesday, September 13, 2022 7:40 AM To: Mirabelli, Melissa; Rudder, Lynda Cc: Born, Sabrina Subject: RE: CAST reso to be added Done Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. From: Mirabelli, Melissa Sent: Monday, September 12, 2022 11:23 AM To: Rudder, Lynda <lynda.rudder@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov> Cc: Born,Sabrina<sabrina.born@town.southold.ny.us> Subject: CAST reso to be added RESOLVED that the Town Board of the Town of Southold hereby grants permission to CAST,to hold Special Event 2022- at CAST, 53930 Main RD, Southold,New York as applied for in Application CAST 4a for Brass /Blues event on October 9, 2022 from 2PM-7PM. 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. 1llelissa M 31irabelli 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 02 TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments, and the Suffolk County Planning Commission. Application fee: $150.00 per application.Up to six(6)multiple events of the same type, occurring over a period of three months, may be permitted on one (1) application for a fee of$150.00. However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event.Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. * A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least 60 days before the event [] Yes [X] No a If Yes,Fee of$ has been submitted. We request a waiver as a non-profit hosting a free event for the community. 0 If No,Fee of$ has been submitted F t,q 0 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 (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) N/A Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 i APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name: Community Action Southold Town(CAST) Date of Submission 8/30/2022 Name of Event Brass&Blues Festival 061.00 04.00 019.001 SCTM#'s 1000-Section 061.00 Block-04.00 Lot(s)019.001 Dates of Each Event: October 9.2022 If Multiple Dates are requested, applicant must give all information for all dates. Nature of Event: Brass &Blues Festival (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From 2PM to 7PM Town Services requested: ()Yes (X)No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: 150 Number of cars expected 50 Is a Tent or other temporary structure being used? [X] Yes [] No If yes provide size(s)Porto-potty,riser. Will food be served? []Yes [X]No If yes provide number and name(s)of food vendor(s) x Suffolk County permit#(s) Will other vendors be on the premises during the event?[X]Yes []No If yes how many? 1 Describe Type of vendor(s) Audio rental company Property Owner(name/address):Community Action Southold Town,53930 Main Rd. Southold Contact Person and Contact Tel.# Cathy Demeroto 631-477-1717 ext. 101 e-mail address: cdemerotoncastnorthfork.org Event Location: Street-Hamlet Address: 53930 Main Road, Southold,NY 11971 SCTM#061.00 Block: 04.00 Lot(s): 019.001 Mailing Address to Send Event Permit to: PO Box 1566, Southold,NY 11971 Have any of the development rights been sold to the Town of Southold [] Yes [X] No and/or Suffolk County Agricultural Program? [] Yes [X] No If yes to either or both, also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey,site plan and/or aerial view(for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1)The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s) or structure(s)that will be in operation during the course of the event and any proposed building, structure, or signs to be erected temporarily for the event. (3)The location of the stage or tents,if any. (4)The designated areas of use for spectators, exhibitors, vendors, employees and organizers. (5)Location of all entries and exits. (6)The location of all fire extinguishers and other fire safety equipment. (7)The location of all temporary utilities to be installed for the event,if any. (8)The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas.The parking spaces must allow for 300 sq.ft. per car. (9)A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used,if any, and the type and location of speakers and other audio equipment. (11)A description of emergency access and facilities related to the event. (12)Provisions to dispose of any garbage,trash,rubbish or other refuse. (13)Location and description of any additional lighting to be utilized in conjunction with the event. (14)Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300) or more people also require submission and approval of a traffic control plan, acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site, 3)How they will direct the entrance, circulation,parking, and exiting of cars on site, and 4) Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules, regulations, conditions, and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application. . Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event. Print name of Owner/Signature of Owner: Print name of Authorized Person/Representative Signature of Authorized Person/Representative: Cathay Demeroto,Executive Director/ YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey,site plan and/or aerial view(for example Google Earth)of the subject property.INDICATE ON THE PLAN ALL of the following information:A parking/event plan showing: (1)The size of the property and its location in relation to abutting streets or highways. (2)The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building, structure, or signs to be erected temporarily for the event. (3)The location of-the stage or tents,if any: (4)The designated areas of use for_spectators,exhibitors,vendors, employees and organizers. (5)Location of all entries and exits. (6)The location of all fire extinguishers and other fire safety equipment. (7)The location of all temporary utilities to be installed for the event,if any. (8)�The layout of any parking area for automobiles and other vehicles and.the means of ingress and egress for such parking areas.The parking spaces must allow for 300 sq.ft. per car. (9)A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan,for the use of live outdoor music,loudspeakers and other sounds which will be used,if any, and the type and location of speakers and other audio equipment. (11)A description of emergency access and facilities related to the event. (12)Provisions to dispose of any garbage,trash,rubbish or other refuse. (13)Location and description of any additional lighting to be utilized in conjunction with the event. (14)Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300) or more people also require submission and approval of a traffic control plan, acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site, 3)How they will direct the entrance, circulation,parking, and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations, conditions, and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application. . Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event. Print name of Owner/Signature of Owner: Print name of Authorized Person/Representative Signature of Authorized Person/Representative: Cathay Demeroto Executive Director/ If Yes,Fee of$ has been submitted. We request a waiver as a non-profit hosting a free event for the community. If No,Fee of$ has been submitted ° 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(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) N/A Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town 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. _ - L Dated Signature /3 'IJ 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-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 r s C A S T I I I CENTER FOR ADVOCACY I SUPPORT I TRANSFORMATION CAST CONCERT: Brass & Blues Festival Date: October 9, 2022 Timeline: 1:OOPM Load-in 2:OOPMShow Starts 7:OOPM Show Ends 8:OOPM Load Out and Clean-up Finished Location: CAST Yard (53930 Main Road, Southold) Details: Afternoon Concert with 3 Acts Performing • Number of anticipated guests: 150 • Number of cars expected: 50 (can use CAST lot plus street parking) • Free event. No charge. AC" 08/25/22022022 Y) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 Lauren Murphy NAME: Roy H Reeve Agency,Inc. n/c°No Ext: (631)298-4700 IX C,No: (631)298-3850 PO Box 54 E-MAIL Imurphy@royreeve.com ADDRESS: 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURERA: Philadelphia Indemnity Ins Cc 18058 INSURED INSURER B: Community Action Southold Town Inc(CAST) INSURER C: PO Box 1566 INSURER D: INSURER E: Southold NY 11971 INSURER F: COVERAGES CERTIFICATE NUMBER: CL228117499 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO R L) CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A PHPK2436408 08/16/2022 08/16/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JEST LOC PRODUCTS-COMP/OPAGG $ 1,000,000 HPOLICY Li 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 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: 10/9/2022 Event Town of Southold is included as Additional Insured with respect to General Liability. 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. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD P-4. AMd F } �s3; '_ <r. ' ,.,t � aIRA s� -��� .��., ,:mss,.'' /��\�� ,•�-..�.� _,>�__..t,, _ = :.:� - . .a s ter- �'�' � ,�r,�;' "" Y✓- .- -'-'.= �;:;•. _ :?� y "'6L NoweN � g` 1: :• -) 49 Ov 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 the 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, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking,ingress/egress/access,tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11.Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles, to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire, safety,building, and other Town laws. 14.Music,when outdoors,is required to stop at the time specified in the permit. Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. A , 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 Noncarrow, Denis To: Mirabelli, Melissa Subject: Special event . Attachments: CAST blues event_20220830132659.pdf Hi Missyl See attached. Thanks Denis Nonaarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely-for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 Town of Southold " P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/30/22 Receipt#: 305399 Quantity Transactions Reference Subtotal 1 Event Fee 10.9.2022 $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#2780 $150.00 C A S T, Southold Town Clerk's Office 53095 Main Road, PO Boz 11.79 Southold, NY 11971 Name: C A S T, 53930 Main Rd Po Box 1566 Southold, NY 11971 Clerk ID: DENISN Internal ID: 10.9.2022