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Breeze Hill Farm 2023-49
RESOLUTION 2023-807 ADOPTED DOC ID: 19502 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-807 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 12,2023: RESOLVED that the Town Board of the Town of Southold hereby granted permission to Breeze Hill Farm to hold Special Event 2023-49 at Breeze Hill Farm, 31215 County RD 48 Peconic, New York as applied for in Application BHF 1a for a Private Event on September 9, 2023 from 8PM- 11 PM. Provided they adhere to ALL conditions on the application,permit and to the Town of Southold Policy for Special Events and subject to the applicant's compliance with all executive orders of the State of New York. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval or is unable to properly control traffic flow into and out of the event. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Greg Doroski, Councilman SECONDER:Brian O. Mealy, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell RECEIVED ago o�y� SEP 14 2023 dol dao 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 14, 2023 Subject: Special Events —Breeze Hill 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: FOW Address:31A15 C uf4y R ggAconN`i Application number: . 10L Date of Event: � a M3 Time: BQt— lipm Date Received by Town Clerk: _ la3 Date Received by Committee: O1 3 Nature of Event (S): pcf4ak Committee Comments Received by: Government Liaison Lillian McCullough Leslie Weisman Missy Mirabelli Chief Flatley Mikael Kerr- County Heather Lanza Andrew Amakawa-County Mike Verity Fred Visser III Paul DeChance Kevin Webster/ Claire Glew Committee Recommendation's: Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: baa?) Resolution No: o Q3-90T Date: q I �alaoa3 RECEIVED by g' SEP 8 2023 Southold Town Clerk TOWN OF SOUTHOLD T6,wn Code Chanter 205,"Public VAtertabiment and Skeiral Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applisatiansfor a S.perjit Event Permit are subject to an inter-departmental coordinated reiTiew:by the Southold To,�%s.Board;ToNNm Attomeyj Town Assessors,Land Preservatiori,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County,1 hnining Commissioh. Anr:lication.fee:: -$156.06.per application.Up to six(6)multiple events of the wine type,occurring over a period of three months;m-a-y lie pernzitted on one(1);appiication for A fee of$150.00; Holvever,specific ddtails ofeacli event must be included with this applica#ion. Alla apolications must.be submitted at least 60 business &vs before the event ApWicants .are-encourayed to submit gpP1i0ti6ns as i62Hv,as pt sible _Anv cowleted application that-is not submitted 6® or more btisibess dnvs nnor to the scheduled event-maybe refected,or.subeect to a late nrocesMn� fee of 5250 00 by the Offiaee of the Toien Clerk;, uirless a waiver p abtanred .Requesting-ail c-,*ditcd review must be submitted tri writing to°the.Town Clerk The'Igivn Cleric =dl.forward allapplications,to the Special Events Committee forprocessing. The Committee 7111 obtain comments on all applications from relevant Town, County and/or State agencies and will forward`completed: applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare ofthe community. When is a,PermitReauired? All Special Events,.per$oukhold Town.Code Article 1,Section'20:--2(DefiWtions),,mvggbtain a permit. Occasional events�on private residential.,properdes.hosted by the owner thereofthat,ore bn:such as familia gatherings; weddirigs,.gradui ions, poi4es)or:not for-profit fundraisers do riot require,permits. Anv use of residential property for profit such as avenue for-veddigits'or otb&events is pr6hibited. This application is deeiried,complete onee all the followin2 1reauiremersts are sufiriiitted to the Town. Clerk: Pl ase rndreate•sgihrnission of the followin -bv checkieaQ off the lboes and si tri be ow. A completed application .form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. PE Is the application being submitted at least 60 days before the event[ ]Yes [ ]No Yes,Fee of$ f 1- -� has been submitted !_1 If No,Fee of$ has been submitted APPLICATION FOR A PERNUT TO HOLD A SPECIAL EVENT Please nrovide-ALL'of the information reiauested Below.Incomolete anolications WILL NOT be reviewed. Special Event Permit# Applicant(s)name: 'Date of Submissionqr` ` , Name of Event �-��(or SCTM#'s 1000-Section - Block- ( Lot(s) 47 DWS of Each Event: If Multiple Dates are,requested,applicant must give all information for all dates. -(Please-attach a detailed description of EACH event to this.app licafia ) Time Period(Fours)of Event: From to. t. Ste,, t%��. Town Services requested: ( )Yes ( No If yes,Describe 'Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: GO Number of cars.epected5 7s a Tent or other tempo structure being used?[ I Yes[ I No If yes provide size(s6Ml Will food be served?'(]Yes ( ]No 1f yes provide number and name(s)of food vendors) Stiffalk.County perm"(s) Will other vendors be.on iliepremises during the event?[ t; Yes [ ]No If yes how many? Describe Type ofvcudor(s) Property Owner(name/address): I [ f Contact Pemn and Contact Tel.# _Com' c;'� i e-mail address � ' �'` ( Flu- , , Event Location:Street hamlet Address:_ �j T4c( jY,:7-7, SCTM# Will any services be requested [ ]Yes [ ] No. If Yes deson'be PaliQe Iii ghway Other. Mailing Address to Send Event Permit to: Have any of the development rights been sold to the Town of Southold Yes ]No and/or Suffolk County Agricultural Program? [ ]Yes [ ]No If yes to either or both,also indicate on the_ attachedplan the boundarios of the reserved area upon iVhi6b the event mill take place. YOU MUST ATTACH A LARKING/EVENT PLAN TQ TIHS."PLKATLON IE M EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU.MUST ALSO ATTACH A TRAFFIC,CQL4�TRL PLAN(see next page A Parkigglygnt Plan may,bea survey,site plan,and/or,aerial view(for-gianil2le liaoogI6 Earth) o the subject INDICATRON"THE-PLAN ALL of the followinginformation: 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 buildings)or structure(s)that will be in operation -during the course of the event and any proposed building,structum 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 wwguishers and other fire safety:;quipment. (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=as. The parking spa=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 arith the event. (14) Location of sanitary fapilifies on site, Trafflc,Contretflon 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 ftiffic:c6ntt6ll6i 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,.parkijjg,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,condhims,and requiremelift 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 ottachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town iiumediatelj�should there he any material changes regarding to this gpPI470#0n- 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&ecial Even �d,t r.3 1 `�✓` Pri a of Owner S1`&,t$rc of Owner„ Print name of Auftrize� Person/Reprmntative Signature ofAuttiori Rpon/Representative 13ERMISSI.ON IS HEREBY GRANITED SUBJECT TOTgIE EO_LL 9 Cf MITTIONS; 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.Tarking is strictly prohibited.on ANY Tocyri.Couiitxr or State Roads-or Rights of Wav- 2. Traffic control at events for three huiidred(SOA)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 50 business dans priorto_the scheduled event.. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to winovc 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 assaciatecl i�irti2 diis.eve►it,uiclading=but uafi:limited:to parkin..inesslearess/access: igntis of tempgt%j,structure(s) ortemporary sanitaxy facilities shall be condacted on Town of Southold Purchase ofbgvelopment-Rinhts.land. 10.NO activities associated with this event including but not limited t6 laikina ineress/egress/access fent(s) ortemiotemporaducted on Sufolk.Coun�af Purchase of Development 'Riahts land: without -a-permit issued by. the Suffolk- County Farmland_ Committee. 11.Issuance of this permit does not authorize in any mamer the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. UNDERTAKING 31215 County Road 48,Peconic,New York SCTM No. 1000-074.00-01.00-036.000 The Applicant, Cbristopher L. Pia undertakes to present and post on site the NYS Liquor Authority Permit during times when alcohol is being served. CMUSTQPBER L.PIA i The applicant/owner of the property where the special event is proposed to take place must provide a �"certi£icate of insurance not less than 2 million dollars naming the Town.-of..Southold as an additional insured .A.ParkingAvent Plan, consisting of a survey,site plan and/or aerial view of the subject property that includes the locations of on-site par!Qng,sanitary facilities,and tents or other temporary structure(s). (See application form for details) Events for three hundxcd (300) or more people, m wire submission and aRRro of a traffic coni rol plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event.(See application form for details) ❑ Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours ofthe 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 pglication. 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 Couno of Suffolk with a permit issued by the Suffolk County Farmland Committee. -Iffood is to be served, it rnu$t be catered and prepared off-site by food vendors who hold a permit to operate issued by the Affolk Couno Bureau ofPultlic Health Food Prot-ecdon Ung 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 inspee dons necessary in connection with this $pecial 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,. I tt FAR W&6 OF���.' LOCATION SITE PLAN ky�� S✓ t: � - ..�• MM r `",:;,t' �r'a.,ir�: ";,;t,�}b x,"'. ,y'}�:NT Y. 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W 12 in from gravel � '9slOdc9tLG optioualsaaplan Am cocrtAtly included { a AC"_ N& CERTIFICATE OF 1-0ABILITY INSURANCE DATE(mwDormm'' 7127/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF 1.44FORMATION ONLY AND CONFERS NO RlGfffS UPON THE CERTIFICATE HOLDER-THIS CERTIFICATE DOES NOT AFM=TArELy OR W-(;ATruV-y AMEND, OnEW OR ALTER TW COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERWICATIE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BlEnNEEId THE ISSUffir, INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If thO cerMicale holldw Is an ADDITIONAL MSURE14 the policy0es)must have ADDITIONAL INSURED pravislons or lie endorsed. If SUBROGATION Is WAIVED,subject to the teretes apd czr4fdons of Ow policy,cerWn pcftfes MaY ffequim an endomement. A statement an PRODUCER f;ox AN C1IONY11100 KMNEM MACNISH f`Ttattw Ax _631-C4 859 CONNETQUOT AVE _A ONY. WMERICAN4&noW_'colm SUITE 12 1KSuMV,.AFfa=NGCdvr:#AGg NAIC& ISUP'TERRACE UMIAMRA-t FAPJ.1 FAWLYCASUALfYMURANCE co . 13803 VMRED BREEZE HILL.FARM&PRESERVE INC PO BOX246 Urgq o. ,PECONIC NY"11958 gyp. COVERAGES CER*16ATt REVISION NUMB E'11-- THIS-IS"TO CERTIFY-THATTHE-POLICMS OF WaRANCIELISTED$1= aw'IItiVE SEM ISSUED TO THE MURED NMAED ABOVE FOR,THEPOUCY P INDICATED: NOTWITI DOCUMENT WITH kESPECT Tb._VwHICH TIs OTHER 11 .1 .. 1 11 �H CERTIFICATE FAY BE:ISSUED OR MAY P&ARC THE1NSUPAqCE AFFORDED BY THE POLIC;ESDESCf0ED HEREIN IS SUIAtCT 1b'AL'LfjHE"7EIt(v1Sj EXCLUS16NS AND OMIT16NS OFSUCH POLMES.LIM-= SHOWN MAYHAVE Sit REDUCED BY PAID 0A*St Q61 (URACY OMM A y 311 S 2,000,000 MANSUOME rK/_1 I OCCLR 100.600 6.060 FEFS MVAL&ADV NAM 9 1.606.dub C.0,rLAWfMGAM UOTAPPLES PM GMEPALAWRWAM S 2,000,00... 1 F-1-or PFWW=-Cd?.'9'MPA6G es 2.000,000 othem AWNNO OWNM WHEDUUM — At(=OMY AUM Hu?w NON-O"M — AVIDSOPLY AMMOI&Y $ A I)MURELLALABoc= 31ri2B23SS 692292I3� 612 592013 6ACHO&GUI RENM 4 0 E)CM I" H0LAM%4AQE &GOPEGATE 9 1.000,000 DED R'F'TEMw'MS yjW JhUnd4pgy In SH) II fk' b '*r €r &=TICY:'40Ft?Pc�RITlOAtBt CERTIFICATE HOLt ER1.ISTEDAS ADDIT10 tFAL.INSUw. EVENT DATE:9t29 CERT'Ir-WATE CANCELLATION- TOWN OF SOUTHOLD SWRLDMWOFTMAW&OMMMIMPOUCB-:SWCAWalMD BEFORE 53095 ROUTE 25 TW 1313WAUXI DATE TI of NOTICE WILL BE DELIVERED IN SOUTHOLD,NY 11971 ACCOMAUMVINITITHEPOU"PROWSIONS. ©1988 2015 ACORD CORPORATION.All tights reserved. ACORD 25(20ISM3) The ACORD name and logo are registered marks of ACORD Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/08/23 Receipt#: 315158 Quantity Transactions Reference Subtotal 1 Event Fee BHF 1a $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#1341 $150.00 Breeze, Hill Farm Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Breeze, Hill Farm Po Box 246 Peconic, NY 11958 Clerk ID: SABRINA Internal ID:BHF 1a Mirabelli, Melissa From: Flatley, Martin Sent: Monday, September 11, 2023 9:45 AM To: Mirabelli, Melissa Subject: RE: Special Event Breeze Hill I have no objections to this event being approved Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s)and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,you are hereby notified that any review, retransmission, conversion to hard copy, copying,reproduction,circulation,publication, dissemination or other use of,or taking of any action, or omission to take action,in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error,please(i)notify us immediately by telephone at 631.765.2600, (ii)return the original message and all copies to us at the address above via the U.S.Postal Service, and(iii)delete the message and any material attached thereto from any computer, disk drive,diskette,or other storage device or media. From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent: Monday,September 11, 2023 9:40 AM To: Flatley, Martin<mflatley@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Lanza, Heather <heather.lanza@town.southold.ny.us>; Weisman, Leslie<lesliew@town.southold.ny.us> Subject: Special Event Breeze Hill As always please send any questions and or comments Melissa A-1 Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax (631)765-6639 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply 1 transmission and delete the message without copying or disclosing it. ******************************************************************************************* 2 Mirabelli, Melissa From: Lanza, Heather Sent: Monday, September 11, 2023 10:03 AM To: Mirabelli, Melissa; Flatley, Martin;DeChance, Paul;Weisman, Leslie Subject: RE: Special Event Breeze Hill Looks like they have plenty of parking for this event ------------ From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent: Monday,September 11, 2023 9:40 AM To: Flatley, Martin <mflatley@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Lanza, Heather <heather.lanza@town.southold.ny.us>;Weisman, Leslie<lesliew@town.southold.ny.us> Subject:Special Event Breeze Hill As always please send any questions and or comments Melissa IY Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* 1 Mirabelli, Melissa From: Visser III, Fredric Sent: Monday, September 11, 2023 10:29 AM To: Mirabelli, Melissa Subject: RE: Special Event Breeze Hill Good morning, I don't oppose, but I have tent applications for more events than the one date.Also the COI is expired. Thank you, Fredric Visser, Fire Marshal Town of Southold Phone: (631)765-1802 Web: https://southoldtownny.gov/1736/Fire-Marshal Email: Fredv@southoldtownny.gov PO Box 1179 54375 Main Road Southold, NY. 11971 From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent: Monday,September 11, 2023 10:18 AM To:Visser III, Fredric<fredv@southoldtownny.gov>; McCullough, Lillian<lillianm@southoldtownny.gov>; Webster, Kevin<kevin.webster@town.southold.ny.us>; Glew,Claire<Claire.Glew@town.southold.ny.us> Cc: Christina.Hamm@suffolkcountyny.gov; mikael.kerr@suffolkcountyny.gov Subject: Special Event Breeze Hill As always please send and questions and or comments 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. Re: Special Event Breeze Hill Hamm, Christina<Christina.Hamm@suffolkcountyny.gov> 09/11/2023 at 11:21 AM From: Hamm, Christina <Christina.Hamm@suffolkcountyny.gov> Sent: 09/11/2023 at 11:21 AM To: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>, Visser III, Fredric <fredv@southoldtownny.gov>, McCullough, Lillian <lillianm@southoldtownny.gov>, Webster, Kevin <kevin.webster@town.southold.ny.us>, Glew, Claire <Claire.clew@town.southold.ny.us> Cc: Kerr, Mikael <mikael.kerr@suffolkcountyny.gov>, Kangas, Melissa <Melissa.Kangas@suffolkcountyny.gov> Missy, Can we get a clearer site plan map for the Breeze Hill Farm and Preserve special event? Sincerely, Christina Chri,Ww .a1Ya*n,vw Christina Hamm Planner Suffolk County Dept. of Economic Development & Planning Division of Planning & Environment 100 Veterans Memorial Highway, 2-"-d Floor --------------------------------------------- -------- Hauppauge, NY 11788 ----------------------------- (631) 853-6044 (631) 853-4044 (FAX) From: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Sent: Monday,September 11, 2023 10:18 AM To:Visser III, Fredric<fredv@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>;Webster, Kevin <kevin.webster@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us> Cc: Hamm, Christina <Christina.Hamm@suffolkcountyny.gov>; Kerr, Mikael <mikael.kerr@suffolkcountyny.gov> Subject: Special Event Breeze Hill As always please send and questions and or comments 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. Disclaimer The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful. This email has been scanned for viruses and malware, and may have been automatically archived by Mimecast, a leader in email security and cyber resilience. Mimecast integrates email defenses with brand protection, security awareness training, web security, compliance and other essential capabilities. Mimecast helps protect large and small organizations from malicious activity, human error and technology failure; and to lead the movement toward building a more resilient world. To find out more, visit our website. C= _ RECEIVED C SEP - 8 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-depaAm atal 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 encouraeed 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 reiected or subiect to a late processine fee of$250.00 by the Office of the Town Clerk unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtains comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application, The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential pEgMi ty for profit such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Jerk: Please indicate submission of the followine by checkini!off the boxes and sip-nin2 below, A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. OE: Is the application being submitted at least 60 days before the event[ ]Yes [ ]No dD Yes,Fee of$ C - has been submitted If No,Fee of$ has been submitted APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please Provide ALL of the information requested below.Incomplete analications'WILL NOT be reviewed. Special Event Permit# Applicant(s)name: Date of Submission f Name of Event bf., SCTM#'s 1000-Section Block- ( Lot(s) (O , Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: —Wa-( (P ease attach a detailed description of EACH event to this applicatio ) Time Period(Hours)of Event: From t.. I Town Services requested: ( )Yes (14No If yes,Describe 'Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: log. Number of cars a ecteds:& 'o" ` , I$a Tent or other temp o..._ structure being used?[ ]Yes [ ]No If yes provide sizes) C � Will food be served? ]Yes [ ]No If yes provide number and name(s)of food vendor(s) Suffolk County permit#(s) Will other vendors be on the premises during the event?[ I'es [ ]No If yes how many?�_Describe Type of vcndor(s) � � Property Owner(name/address): S Contact Person and Contact Tel#� j G� e-mail address � .i,l G�}2 �� �m L 0 001 Event Location:Street Hamlet Address: I ` y2 SCTM# Will any services be requested [ ]Yes [ ] No. If Yes descnbe Police Highway Other: Mailing Address to Send Event Permit to: Have any of the development rights been sold to the Town of Southold[ ]Yes [ ]No and/or Suffolk County Agricultural Program? [ ]Yes [ ]No If yes to either 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 pane) A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the subiect property.INDICATE ON THE PLAN ALL of the followine 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 forthe 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 1own 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 c-onnection with this Special Even ' :. _ 0A P name of Owner Si of Owner ' . Print name of Authorize Person/Representative Sigtw of Autho ' erson/Representative PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS; 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way. 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. S. 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. ingre�gress/access, tent(s)or tem�orary structure(s2,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,Wgress/egress/access, tent(ss) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Right land without a permit issued by the Suffolk CoupU 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. UNDERTAKING 31215 County Road 48,Peconic,New Fork SCTM No. 1000-074.00-01.00-036.000 The Applicant, Christopher L.Pia undertakes to present and post on site the NYS Liquor Authority Permit during times when alcohol is being served. CHRISTOPHER L. PIA. 'b4The 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 VI 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) ❑ 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 app 'cation. Date__ Si nature 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 Committees If food is to be served, it trust be catered_ and prepared off-site by food vendors who hold a permit to operate issued by the Sgffolk County Bureau of Public Health Food Protection Unit, � s; �, ':'. u�fxiffw+ 4. ,:t:' s i0. ;la-.•1.f. :Sx . i -• , - 'y ',x Fifa; r �' r.*_:.F'^''�� ,��.%, ., ,. ,.�._ + t' .. s.. .- t,. - ;, rte' �,,� J� .. ,�� ,•,; if ` ��-'`• ,,t.�!' ,.,• ��I���•.'ll • 44`3. y��, .. � ' ♦ - . I � ,y ~ . - tri.. }, * � � � •,r'�,••fi✓ .�'r �r iK-•a!•'ri�J� .�k�"'�l�f �,�.ry, - ; .+1/,�''.j�,f.x '., �f1•;w'�t�}.i� ° t - - - � J '' � /' ,r, f �� .�a`�1� „�{ � y�et'�'�`yh�(•F''fT - �- , �ysc5��� .� ,t'J. �i e �' 4 { ,�, �.✓ �r i/ �r' � ,rh�• +s +.+. Yom' .?S.�'ar' •� .3•dii'^V r'. t• `I: �tr-',�'F�e+��r � ��f l i � ' r''� �'k J �^7'y� • t ice., . �y�.. � 1 .v. t ,., .+Y; �~ •* ✓tf•�' / rt•,+•1 ,� � t!ti '. •� � .rte r i ,`t�"5.� •. 3' `, { s+±`�tef L a}}i,u; ' _ i s ti.�• :y .' ;, -'',ice• .. Irv • s ';krt�..r., �- {j''i �x + 1 F * �.ls• f �S`s"I+f•" 1 Y'VI fe•s+.� � t`. '� v '�+•r'•r �* .-. y r t _ a •� �, ' i f ri��' p� 'A L r.•t� y-t1,i r �.r { — i .. + `i•' w R .t i ti'x '. `� � iR y., •Y t � l ` ...SIV.,^ �:i .. h i } r '���3 rr" a'2 .I' � },t✓. - ,{ 'i . '`� _ •• 7r.�4 i i ^� t* .-:x r 1. s� " 'i�5 wµ�L" f �x�"ti - 4 s � . '..- •r4 .. ,. �:-"' ' c • .•_+ r:.:r 4 'L• *.... !'• �M"t.-;,'��:s.:.r •.� �'r.'�4..e�ju:,,.ti� Fa v • , x � f � 5"1312017 Y'laWng Test We seadrig.Mg 40xI 00 New Century High Peak Pole Tea mn.Hmsz r:�fiir��. �.xfatr Vit. * � s•.r�L`bz + ��� �a Egghitt BffiLtj e�tt.2 . MMS ttam { s y sA wv71.:�-'tai ."�. vnw'.' Gra d Pjer=g La • $.}{` Ttln teat comer 30-3?' .;.� tritlt lamp po u sCO)0 Grad Park=g La TraWeTent'�=�%' 30.c?0' for Sa:tCc i62anaLrlox to bax of erect 10 12 in from gravel '9s10&9sL6 a optioaal ria plan ant at�ICeatd)indaled t t i t t 3 a Y t t r 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 $pg fW 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: CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYrf) 7/27/2022 THIS CERTIFICATE tS 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 he endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies any require an endorsement. A statement on this certificate does not confer rights to the certificate bidder in lieu of such endorsementjs). PRODUCER INCA'fNTAGT ANTHONY.RICGi KENNETH MACNISH PRONE..- .). 631-939-6060. FAXfAtCJo: 53.9-E93�3039 859 CONNETQUOTAVE EaIL. DQRFSS ANTHONY.R{CGItERtcAN h'ATIO�CAL cohA SUITE E 4NSURERiSIAFFORDiNGCOVERAGE. NAICD (SLIP TERRACENY 1175.2 .. A_ FARM FAMILY CASUALTY INSURANCE CO 13803 INSURED RrSIIRHt a: BREEZE HIL FARM X PRESERVE INC ar>sll�c. PO BOX 246 INSURER 0• E• PECONIC .. NY.._11958_ .. 10URBtF: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TD THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCVAAENr 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! ADO!SUR -FOL II EFF- O CLANS. pT9R TYPEOFDISURANC£ POLICYNUMBER POLCYEXP L087S A COMIMMC ALGENERALLWNUTY Y 315265107 5ffi12022 5/6/2023 E4CH yCE s 1,0001000 CUINsauDE FelOCCUR �PREMAkuse9fFLS s 100.000 MEDEXP yonsepermn) S 5,000 PERSONALRAOVINJURY s 1.000 000 . GEMA AwREGATELIIAITAPPLSESPER GENERALAGGREGATE s . 2.000,000 X PouCY PRG- Q Loc PRODUCTS-COMPIOPAGG S 2,000,000 OTHEER S AUTOt1 WELIABHJTY - — _ ----—- Cf1''J3i• ELIA11j ' - •s arnde+st •. $ ANYAUTO BODILY NIJURY(Perpeamn) $ OWNED SCHEDULED AUTOS ONLY AUTOSBODILY INJURY(Per neddent) S IRED UTOSONLY N _ AAUiOSOXY ImpgER `' S $� A uMeRELLALUiaHCLAMr.—MADE OCCUR 310181336 6!1112022 6/11/2023 -eACHOCCURRENCE. S. 1,000,000 EXCESS LIAR AGGREGATE. $ 1,000_.000 Dar RETENTIONS 10=0 S WORKERS COMPENSAMON pg1 07 ANDEIIiPLOYERS'LIABILITY YIN -- ANYPROPRIETDRlP,kRTNEWEXECUTIVE OFFICERIMFlWBERf7(CLtm97T MIA E.L.EACH ACCIDENT S (idendw—Inme E.LD)SFASE_EAEMPLO S If M d:scxll:o under DFSCRIP710lJ OF OF87ATtONS 1t4 E-DISEASE-POLICYLUM T S OESCRIP710NOFOPErtA.3Yii]NS/Lt2C+TTION516,rE7dfCiJ:S(ACDRD4I1t.Jr��Sloes��Sdiedr�malrtieamdred$maeslrttetsrequtrr� CERTIFICATE HQLDER LISTED AS ADOMONAL INSURED. EVENT DATE 9/29 CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OFTWABOVEaESMI ED POLICES BECANCFLLEDBEFORE 53095 ROUTE 25 TIE EXPIRATION DATE MEREOF, NOTICE WILL BE DELIVERED IN SOUTHOLD, NY 11971 ACCOIWAHCr-VN (TMPOUCYPROMIONS. AIITFIORD�O fdLATIYE ©1988 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016!03) The ACORD name and logo are registered marks of ACORD Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/08/23 Receipt#: 315158 Quantity Transactions Reference Subtotal 1 Event Fee BHF 1a $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#1341 $150.00 Breeze, Hill Farm Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Breeze, Hill Farm Po Box 246 Peconic, NY 11958 Clerk ID: SABRINA Internal ID: BHF 1a RECEIVE® `, RECEIVED SEP 19 2023 SEP 14 2023��� - - ��:� Town Attorney's Office Southold Town Clerk TOWN OF SOUTHOLD Town Code Chanter 205 OPubiic 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. Aunlicathm 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 S150.00. However,specific details of each event must be included with this application. An ao6fie-ations must tie submitted at least 60 Business days More the event. Apo ieants are encouraeed to submit applications as early as Dossible. Any evmuk led auulication that is net submitted 60 or more business days prier to the scheduled event may be reiected or subiect to a fate processing fee of$256.00 by the[office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. etas is it Permit.Required¢ All Special Events,per Southold Town Code Article 1,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit.such as a venue for weddings or other events is prohibited. This application is deemed complete once alt the following requirements are submitted to the Town #Clerk: Please indicate submission of the following by cheeldne off the boxes and signing below. Lel A completed aaplication form signed by the owner and the event manager. Applications without property owner's signaturetapproval will be rejected. FEE: Is the application being submitted at least 60 days before the event }']yes [ )No if Yes,FCC of$ 150.00 tins becn suitte,d El if No,Fee of$ has been submitted ffi The applicants ner sof the property where.the special event is Fvlmsed 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 ofthe subject property that includes the locations of on-site parading,sanitary facilities,and tents or other temporary structure(s). (SW appii_catim f)m for details) 6Events for three hundred(300) or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AAIJ a qualified traffic controller must be provided at the event.(See application form for details) Signature oflsroperty Owner on the application authorizing Lode Enforcement personnel ofthe 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. 9112Q2 Dated Signature Adivilies associated wM outdoor public events are strictly prohibited groin taking place on land preserved through the safe of development rights to the Town of Southold, and can only take place on land preserved through the sate of development rights to the County of Suffolk with a permit issued by the Suffolk County p'armland 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 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( )name: Breeze MIt Ruhl Date of Submission 9/12/28 Name of Event i SCTM Ws 1000 Section 74 Block- Lots). 36 Dates ofEach Events 9/16/23 If Multiple Dates are requested,applicant must give all information for all dates. Nature ofEvent: Wedding (Please attach a detailed description of EACH event to this application) Time Period(]=lours)of Event: From 9 am to 11 om see attached Town Services requested: ( )Yes (x)No If yes,Describe Police Dept Highway Dept. Descrtibe Services 150 16 Maximum Dumber of Persons Attending At One Time: plumber of cars expected Is a Tent or other temporary structure being used?(x-j Yes j j No Ifyes provide size(s) East End Cc rers Will�d be scr=d?_[ x}Yes ( )No If yes provide nwnber and nacos)of food wndor(s) Suffolk County permit#(s) 2 Will othwvendorsbe on-#1 a premisesJuring.the event?I x)Yes t )No Ifyes h=nn — gibe Valet, Rentals Type of vendor(s) Propedy owfla(raz laddr a 1' Chris:Pla 6000 Vagston Road GutdMue Contact Person and Contact TOW RoserngU Pia. 718-744-4477 e-nmff address Breezehillfarmevents2cgmait c om Event Location:Street-Hamlet Address: 31215 county road route 48. oeconic NY. 11958 SCTI Will any services be requested j ]Yes j X No. if Yes describe Police Highway Other. P.O.Box 246 Peconic NY. 11958 Mailing Address to Send Event Permit to: Have any of the.development rights been sold to the Town of Southold I I Yes [ I No and/or Suffolk County Agricultural Program" [ ]Yes [ 7 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 PARWNGlEVENT PLAIT TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 344 OR MORE PEOPLE,YOU MUST AL 54 ATTACH A TRAFFIC EQNTROL PLAN(see next page) Tt/8 A ParkinWEvent Plan may be a survey,site plan and/or aerial view(for example Google Earthl of the subiect property.IIYWATE ON THE'PLAIV Ai:L ofthe following information: A patkinglevent 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 ofall 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 ofany 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.& per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (lfl) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any,and the type and location ofspeakers and other audio equipment. (I f) 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 Flan 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 desenption and/or notate on the paAipg event plan the following. I)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, 0WAWR7s STQU"l URL7- Yam the Owner of the Property where this event is to be held and I agree to comply with the laws, rubs,regulations,eoneiitions,and requirements of the Code of the Town of�outitole including but net 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.. p'urthermore,,Thereby authoritee Code Enforeement Personnel g f`the Town ofSouthold to enter the property during the hours of the permkied spedal event to make any and aU inspections necessary in connection with this Special Event. Chris Pia Print name of Owner Signature of Owner Ch s Pia elm -R". Fe Print name of Authorized PersonMepresentative Signature of Authorized PecsonfRepresemtative I�EII�I�IiSSIflN IN IIEI BY 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 strictlprohibited on ANY Town,County or State Roads or Rights of fay. 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(5) 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. S. 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 fair the designated event. &ch additional day will require a separate permit application, fee, and related-documents for review,etc.at least 50 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 air Suffolk County Department of Health regulations. q. NO activities associated with this event including but not limited to parking, essle�resslaccess. tent(s)or temporary structure(s),or temporary sanitary facilities shaft be conducted on Town of Southold Purchase of Development Riehts land. 10. NO activities associated with this event including but not limited to parking, in sslegEmLaccess. 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 build"-ngs,all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s) on the properly, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures fidl compliance with all fire,safety,building,and other Town laws. ISI. Music,when outdoors„is required to stop at the time specified in the permit.Placement ofthe speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner w ft atlow access to Code PnforcementPersonnel of the Town of,Southoid daring the kours of ike special event to Make any and aff Inspections necessary in connection with Wis *eda1Evwt 16, ADDITIONAL CONDITIONS; ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT, APPROVED Town of Southold Resolution Numbev. 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C-=Cl Parktng Lac Tr=cTlem=dt forscvlcr iAltzeddam 10 13 itl from graval '9-d0&9116 000dal fzia plan po,wercAtly induded Franke, Diana From: Franke, Diana Sent: Friday, September 15, 2023 3:13 PM To: Mirabelli, Melissa Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Noncarrow, Denis; Norklun, Stacey Subject: Special Event: Breeze Hill Farm Attachments: Esp. Event- BHF.pdf Good Afternoon, Please see attached the Stament of Use for a Special Event Permit from Breese Hill Farm & Preserve INC, received on 09/15//2023.The person from BHF said that the appllication was alredy emailed to you Thank you, liana cggmrke Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1 RECEIVE® S E P 1 5 2023 STATEMENT OF USE Southold Town Clerk 31215 County Road 48,Peconic,New York SCTM No. 1000-074.00-01.00-036.000 The Events are Weddings. In connection with the special events applied for herein, please be advised of the following: The single family structure at the premises shall not be used as part of the catering of the special event. . Our farm products are an intricate part of the wedding events. Apple cider made from apples grown on the farm is purchased and made a part of the refreshments options for the guests. All guests are given apple donuts,which are made from apples grown on the farm. The guests further have access to our farm stand, which provides for opportunities of the guests to purchase our produce grown on the Breeze Hill Farm at our farm stand, which includes honey, apples,peaches, pairs, onions, blueberries, tomatoes, eggplant,peppers, basil, oregano,tyme, parsley, sage, rosemary,peas and eggs from forty(40)egg laying chickens. This a truly unique farm wedding experience. UNDERTAKING 31215 County Road 48, Peconic,New York SCTM No. 1000-074.00-01.00-036.000 The Applicant, Christopher L. Pia undertakes to present and post on site the NYS Liquor Authority Permit during times when alcohol is being served. CHRISTOPHER L. PIA. ��`�•„�M•, ..M� ice' , - s • '��.e, ��',-y`'c"r,,,.� .., ��h � � 'z. •.. r '9r,..4-. .� _. t •• � �,' aM f .u�s�x��iF�.. r=. r�`�X .s..r ,x ' '±��e{,,+� � •� a` 'j is-`•{•'� �v �.r••� x. b r � � �Y tc , t} 2 , • •�h..;a S �•r �•��: • l:"'� r •;;► i � .. /t'�. �. ,'. r •V,{,'"��,=-y'N.C'fs� ', .f�' � .. ,»a'' _ ,{" .:' ��J�Q'�1 4 •fi ' f;`~F�' : .s't•••,.i .C' �. �. w � �1 .',t x �" 'e•. r , J Y '' tr"'• `.a„ t.� ' •s �, .`• r_ , Ge � ayin\t •�i'r �' �`��"«�S !�" .,�•- � NJ• •• •�r• ter... {- � `7i ��yM R .,..•rr •i. --1,, _.. ,,.,t� ,;•�^-•z ~ ./' ;a�'y, • - `'�C'lt,,.�.- 1.�• s-1 .r •' •F �•_ r ✓• E3,F.d[(4 Mr• afi. { � ,r SIV -V .:tom �{,�v S ` «f T1�f f' �' ��f• ` .'S i��41,t-�-. .. .�•'.,jw ��r'e�•,t' !�• ,r,,.r• •~ - _, _ �.. ,, • w! `^ .yt ,; fr `�,/' ,/'. `LZµ ?X+,`aj.....x�9 •r. Yr ._ - _ �f% . �c f �`•��r ,f,,h /� ,. x tier �., +y, `• ^•,. r � ,�-�M�!':"" ''J' '' �� '',r�� �• :GOO •�C+ `� o. {�"�'•�.. st23017 W aMog Tent 12Ue seadng Mg Oxcherd 40xI 00 New Century H loi Peak Pole Tent At3Il FIanse' R*rte j ties. !i•.2ffiCt xlf. f ti� �,4EggIWO i r�r�s�fj� ua ti $aridrltt2 � : . cue 1=tii - Main �m Etitrancr/Et 9siE GrardP;iogLot 1, . tin cent career 30-33' 's � ! tit: &oar cruel i ` tcith lamp po st ASS'; MOO Grand Parl=g Loc �rameTeut 30:c20' - forSer.-sce in2aDeldor to base of creo- 10 13 in from gravel j 9x10&9116 i opdoualZac plan no:mrrauir included r I i f 'r 1 Town of Southold P.0 Box 1179 1 Southold, NY 11971 * * * RECEIPT * * * Date: 09/15/23 Receipt#: 315282 Quantity Transactions Reference Subtotal 1 Event Fee BHP-2a $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#1342 $150.00 Breeze, Hill Farm Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Breeze, Hill Farm Po Box 246 Peconic, NY 11958 Clerk ID: DIANAF Internal ID:BHP-2a