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HomeMy WebLinkAboutBrick Cove 2023-1 oSFFA�c SSP I a (413) RECEIVED { �ol J&"r JUN 1 5 2023 Southold Town Clerk TOWN OF SOUTHOLD -- Town Code Chapter 205 "Public Entertainment ancl-Soeciial 1!±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 alications must be submitted at least 60 business days before the event Alpplicants are encouraged to submit applications as eat as possible Any compscheduled leted application that is not submitted 60 or more business days prior to the event max be rejected or subject to a late processing fee of$250 0 y the b f e of the'Town Clerk unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events, per Southold Town Code Article I, Section 205-2(Definitions)must obtain 4 permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential_property for-profit.such as a venue for weddings or other events is prohibited. This application is deemed complete once all the followingrhe uirements are submitted to the Town Clerk Please indicate submission of the following by checking off the boxes and signing below u A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. RLE- Is the application being submitted at least 60 days before the event[ ] Yes [dNo If Yes, Fee of$ has been submitted V-If No, Fee of$ has been submitted Updated 8/7/2018 /The applicantlowner 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 Mcilities,and tents or other temporary structure(s). (See application form for details) KOV ents 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 vent. (See application form for details) CSi�ature of Property hOwner 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. D ted 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 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# ,40,D3- t Applicant(s)name: 2?As% 'yq--lite-1 s U 1)f lck Cave Date of Submission Name of Event Rtn SCTM#'s 1000-Section 5-7 Block- I Lot(s) Dates of Each Event: rl -7 S If Multiple Dates are requested,applicant must give all information for all dates../ Na e of Ev t: lisYl (�t v 1 crou � S�/1(l fVl�(�Vk e-4. C ) (Please Wad a detailed description of EACH event to this application) Time Period(Hours)of Event: From s5pjl& to Town Services requested: ( )Yes (�No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: _Number of cars expected_ Is a Tent or other temporary structure being used? [ ]Yes)[ �No If yes provide size(s) ill food be served?[�Y [ No If yes provide number and name(s)of food vendor(s) ccSF C� 'c i$ .Qe t<U(}'i(k S ?K Rot, GS Suffolk County permit#(s) Will other vendors be on the premises during the event?[VfYes [ ]No If yes how many? 1 Describe Type of vendor(s) kCO L L) �P 14 C5 Property Owner(name/address): X-- cfs LL 66 94f.-1 Contact person and Contact Tel.# 1S� aeu<ef&e 3( a f SS e-mail address I I S ��eG� Ge-4--p— C � Event Location:Street-Hamlet Address: jjr j dn0-- S 7--J Will any services be requested [ ]Yes No. If Yes describe Police Highway Other: Mailing Address to Send Event Permit to: o Updated 8/7/2018 Have any of the development rights been sold t the Town of Southold [ ]Yes [-No and/or Suffolk County Agricultural Program? [ ]Yes No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKiNG/EVENT PLAN TO TEAS 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) the subject property.INDICATE ON THE PLAN ALL of the following information: A parkinglevent 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. 0WNER'S SIGNATURE: I alit 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. Updated 8/7/2018 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 ma ny and all inspections necessary in connection with this Special Event. 1 Print name of Owner Si tore of Owner � �s �e Print name of Authorized Person/Representative Signature o 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 Waw , 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 dm.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, ient(s)or temporary structure(s),:or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rights land. 10. PITO 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 Updated 8/7/2018 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 Mspeciions necessary in connection with this Special Event 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 �1 BRI6COV-01 LSERIO ,�►roRY7® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1119/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lois Serio NAME: Fleetwood Insurance Group HON No, ; 443 282-3133 FAx 410 778-0304 100 Talbot Blvd. ( ) (A/C,No):(410) Chestertown,MD 21620 ADDRESS:lois@fleetwoodins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:The Travelers Indemnity of Connecticut 25682 INSURED INSURER B: Sage Basin Partners,LLC DBA Brick Cove Marina INSURER C: PO Box 12 INSURER D: East Marion,NY 11939 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP T TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY1 (MM/DDIYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE OCCURZOL71 N3292322 10/20/2022 10/20/2023 DAMAGE TO RENTED 1,000,000 X Em Ea occurrence $ MED EXP(Any oneperson) $ 100'000 PERSONAL&ADV INJURY $ 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY❑JECT PRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ ACOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY {Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STAT TE I I ER ANY OFFICER/MEMBER EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ (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) Additional insured: Southold Town CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Southold Town THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN South SouthMain Road ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971-1179 AUTHO RIZED REPRESENTATIVE AUA- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD + s Parking !!• _ •� � �� � ..fir swim C' D i �1 µ `` PECANIC SAY �.............r.. ........................................ .r ................................................................ ............. �■r■rr LEGEND •�"' ��� -- I 4& Adirondack Chair Picnic table/Blue Umbrella ? �� (��O �V ( Flower/Shrub Boxes 4% IOU due Ba�� ow String lights - — - - Erin s/ fL Argo UC�fi'j `( chase a 9 —�___ Paddle Board Storage ♦ l • ro,�r Beach Umbrella, 2 0'7/ ; chairs, 1 table v • • . eca�a�� Community Grills & Kitchen y �__ ��'` j • Fire Pit �� NOFO Paddle HQ I tit � t\fes �r�•-_ zl- 4 m�Vnv� t Ardormnoqw T.— f S—rWd S.1f.lk C—l7,N..Y.,k T..Map}1000-57-01 38.3 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/16/23 Receipt#: 3.11836 Quantity Transactions Reference Subtotal 1 Event Fee SBP-1 $150.00 1 Late Fee SBP-1 Late $250.00 Total Paid: $400.00 Notes: Payment Type Amount Paid By CK#4049 ' $400.00 Sage, Basin Partners Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Sage, Basin Partners Dba Brick Cove Marina Po Box 12 East Marion, NY 11939 Clerk ID: DIANAF Internal ID:SBP-1 Late Franke, Diana From: Franke, Diana Sent: Friday,June 16, 2023 9:54 AM To: Mirabelli, Melissa Cc: Noncarrow, Denis; Norklun, Stacey; Sabrina Born (sabrina.born@town.southold.ny.us) Subject: SBP-1 Late-Brick Cove Attachments: Spec. Event SBP-Brick Cove.pdf Importance: High Good Morning, Please see attached the Application for a Special Event Permit from Sage Basin Partners, LLC- Brick Cove received on 06/15/2023 . Thank you, daV"CqAak Account Clerk ; Southold Town Clerk's Office (631)765-1800 Ext 1228 ., 1