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HomeMy WebLinkAboutBrick Cove 2023-3 S2 e) I� RECEIVED JOIN 2 6 2023 Southold Town Clerk TOWN OF SOUTHOLD Town.Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application — up to six (6) multiple events of the same type 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. Ap icant 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$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional'information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? . All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential prop y for plQfit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town - 1-1— Me sm indicate submission of the following y cheeldni off to boxes and signing below, VA completed application form signed by the owner and the event manager. Applications without ,tery owner's signature/approval will be rejected. Is the application being submitted at least 60 days before the event[ ] Yes [Lf'No ❑ If Yes,Fee of$ has been.submitted 9 If No,Fee of$ 1f 00 has been submitted Updated 8/7/2018 P(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 ��ark'n / vent 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 pIn acceptable to the Town of Southold AND a qualified traffic controller must be provided at the e ent. (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. %—JI5-40e 2 J,3 aced 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• c u__� Special Event Permit# ul-r 3^ Applicants)name: �7fc Z.�COc�. , ytl�gs tf! �he P�� Date of Submission (� Name of Event _u 0 t- 12L&4 -,S 09 LCL(dVA- SCTM#'s 1000-Section '7 _Block-_I Lot(s) S�r Dates of Each Event: 2 y✓ If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: a •.W Q�-C'I 4a (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From ipM to Town Services requested: ( )Yes 04No If yes,Describe Police Dept.`Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: a-5 1D Number of cars expected Jr Is a Tent or other temporary structure being used? [X] Yes [ ]No If yes provide size(s) Will ed be served?[56]Yes [ ]No If yes provide number and name(s)of food vendor(s)-i!429 Cid T�uc�- T �-Lr�4e---Suffolk County permit#(s) Will other vendors be on the' premises during the event?[K]Yes [ ]No If yes how many? (r' p _Describe Type of vendor(s) � t,�C�f' may✓) f5 G{,/� .yl� 17 . N Go Yy, k+GG+), {Vlrc/S l L Properly Owner(name/address): EQ�,r$�4 A �O ���QL 11�'r Contact Person and Contact Tel.# V��I� 43( — ? Dq e-mail address 1•ls� W� J�L �. W Event Location: Street-Hamlet Address: n C(Iccoup. V Will any services be requested [ ]Yes No. If Yes describe Police Highway Other: do A- Mailing Address to Send Event Permit to: Updated 8/7/2018 Have any of the development rights been sold to the Town of Southold[ ]Yes [ �J No and/or Suffolk County Agricultural Program? [ ]Yes re<No If yes to either or both,also indicate on the attached plan the boundaries of the served—areh W=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_Parldnn/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. 0NWE.R'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.. Updated 8/7/2018 Furtdaeraraore, laerelry caaath&nZe Coale Frayorcenwaat p'easoanel of Ike Tow-,of Soa€tlaolrl to enter he property daring, the hates of the permitted special eve-at to make any and all inspections necessmy in connection with tkis'Speciaal Hent. Ste` ri Print name of Owner Si_JIT L\.s� Print name of Authorized Person/Representative Signature of Authorized P'erson/RepresentaEive Py ISSION IS 1I +1!l,BY O1RANTED S1LTB.�CT TO THE FOLLOWMG 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 s ictly prohibited on ANY Town Counter 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 "ori-prernisee' 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 Binder this permit_ 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and*roust 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 dogs 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 ingress/egress/access. tents or temporary Aructure(sor temporary sanitaryfacilities 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/e=ss/access, tent(s) or temporary structure(s� or temporary sanitary facilities shall be conducted on Suffolk County Purchase of Deve1QVMent Rights laird: 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 8/7/27018 frorti the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 The Swell event is a free community event for the whole family to enjoy. We want to support local artisans and vendors by giving them an opportunity to show/sell their creations with the local community.We will have games and activities for kids to enjoy during the day. The event is from 12-5pm so this allows people to come enjoy for as long or short a time as they like. aaw Parking New 1 Survey Gi Property 7. ........... ........... ............. . ................. ................................ .................................. .............. .......... LEGEND 40 Adirondack Chair qk NO Picnic table/Blue Umbrella Flower/Shrub Boxes V Ilk, String lights 0 Paddle Board Storage CA Beach Umbrella, 2 C NafyeG��� �, chairs, 1 table Community Grills & Kitchen or MY Fire Pit NOFO Paddle HQ AW .......................................................................................................................................................... ......................... .......... ................................................ BRICCOV-01 LSERIO �►CORO' TE CERTIFICATE OF LIABILITY INSURANCE ) 11/9/1202202YY1f) � 11/ 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER JNle•cT Lois Serio Fleetwood Insurance Group PHONE 100 Talbot Blvd. Arc,No,Ed):(443)282133 FAX Ne):(410)778-0304 Chestertown,MD 21620 E ss.lois@fleetwoodins.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:The Travelers Indemnity of Connecticut 25682 INSURED INSURER B:- Sage :-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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE E OCCUR X OL71N3292322 10120/2022 10/20/2023 DAMAGE TO RENTED 1,000,000 PREMlsES_(Ea occu�nce $ MED EXP An one person) $ 100,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JET E LOC PRODUCTS-COMP/OP AGG 2000,000 POLICY El OTHER: S AUTOMOBILE LIABILITY (Ea accide SINGLE LIMIT $ ANY AUTO BODILYINJURY Per erson $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS Ep AUT OS ONLY AUTO ONNLY ROPERTY AMAGE PeracadM $ S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ PER I I OTH- WORKERS COMPENSATION STATUS E AND EMPLOYERS'LIABILITY ANY PROPRIETO�RIPARTNER/EXECUTIVE Y� NIA E.L.EACH ACCIDENT S (Man ETr Ein NH)EXCLUDED? E.L.DISEASE-FA EMPLOYE $ If yes,dascriba under E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold Town ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Main Road PO Box 1179 Southold,NY 11971-1179 AjUTHOR¢ED REPRESENTATIVE ACORD 25(2016!03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ..,w a+,. .,.W: ''�. ,.,:Fta .K� .� :,br.. :rri. :,R .A, �wro�ia�>, t ...x�• ik->..:i;2'�. 5,k-• t SAGE BASIN PARTNERS LLC i 9555 1-2,210 'DATE y .•,'.ORDER OfE' O�C \V w� It_._,.-400 1_•----.•..4�4. DOLLARS JP.Morgan Chase Bank,N.A. r vi%m.Chase.com' .:>f MEMO...-^ __ t•-. 1000020: 6367166121129555 Noncarrow, Denis To: Mirabelli, Melissa Cc: , Sabrina Born (sabrina.born@town.southold.ny.us); Mudd, Jennifer; Franke, Diana Subject: Special events Attachments: sage 2_20230626140556.pdf; sage 1_20230626140348.pdf Hi Missy Please see 2 permits from Sage marina. Thank you 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. J 1 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 06/26/23 Receipt#: 312242 Quantity Transactions Reference Subtotal 1 Event Fee 8.12.2023 $400.00 Total Paid: $400.00 Notes: Payment Type Amount Paid By CK#9555 $400.00 Partners, Sage Basin Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Partners, Sage Basin 1760 Sage Blvd, Greenport ny Clerk ID: DENISN Internal ID:8.12.2023