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HomeMy WebLinkAboutSenor Taco 2024-23 �QyUFfO(, RESOLUTION 2024-550 a ADOPTED DOC ID: 20355 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-550 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 18,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Senor Taco,to hold Special Events 2024-23 at the Senor Taco, 44780 County Road 48, Southold,New York as applied for in Application ST1 a for Tequila Mezcal Fest on July 27th, 2024 from 1 PM to 6PM, subject to the following conditions: 1. No parking of any vehicles for this event on County Road 48 or on adjacent preserved land to the north. Provided they adhere to ALL conditions on the application, permit and to the Town of Southold Policy for Special Events. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval or is unable to properly control traffic flow into and out of the event. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilman SECONDER:Anne H. Smith, Councilwoman AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans 1 r-.r 1 vv RECEIVE® 1 rr JUN - 3 202a � 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,Pianning,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. Applicants are encouraged to submit applications as early as possible. Any completed application that is not'submitted'60'or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requestitiggun expe'dite'd`review must be'submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Tov✓n Code Article i, Section 205-2(Definitions)must obtain a pe.init. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential pro pea for profit,such as a venue for weddings,or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: ki Please indicate submission of the following by checng off the boxes and signing below. E � 9 A completed application form signed by the owner and.the event manager. Applications without property owner's signature/approval will be rejected. FEE: Is the application being submitted at least.60-da s before the event .,,(es No pP g Y .. -._ L� Y L j 2 If Yes,Fee of has been submitted ❑ If No,Fee of$ has been submitted Updated 8/7/2018 [ The applicant/owner of the property where the special event is proposed to take place must provide a Utificate bT,Ibsurance not less than 2 million dollars naming the Town of Southold as an additional insure lJ jA-Parking/Eveiit'.. I= consisting.ofa�survey, sit'e:plan and/oriaerial.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 N lean acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event.(See application form for details) EI/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 sr,cci al event peirnit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. 2 /fix LW'64� Dated Signature Activities associated with outdoor public-events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection: Unit. Updated 8/7/2018 APPLICATION FOR A PERMIT TO HOLD A a. SPECIAL EVENT .. :> Please-provide-ALL of the information requested below.Incomplete applications WILL NOT:be reviewed. Special Event Permit# Applicant(s)name: S QY10r I QCo ``�l t✓Kr.CCe n ' r Date of Submission_3A62V Name of Event lea t(a k /`'I ac&J -i-�'5"1 SCTM Ws 1000-Section_ (%3 - o© Block- 0 - 00 Lots) ©2y = 0 00 Dates of Each Event: 2 112 If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From owt to � Town Services"requested:: /( )Yes (�lo If yes,Describe Police Dept. Highway Dept. Describe Services_ N / Maximum Number of Persons Attending At One Time: PJ� Number of cars expected -gO Af tvx Is a Tent or other temporary structure being used? [V]')(es[ ]No If yes provide sizes) ,20X,2 Will food be served? Yes ]No If yes provide number and name(s)of food vendor(s) ( CD tit -:!P l-r CA a k Suffolk County permit#(s) 2 Will other vendors be on the premises during the event?[ Yes [ ]No If yes how many? /0 Describe Type of vendors) &e?'Cat GU1 yW -U"y- 9g1Se4 Property Owner(name/address):,C � 17 I�QJ`� `O t-4ola�v�1 Contact Person and Contact Tel.# &4-er L N P`e rtZ 10 31 — X 6 - 3 Z e Z I 4 4 e-mail address e-ak yn E Se y jy� Co"9 . coyy) Event Location:Street-Hamlet Address: ou-�6(d SCTM# 00® 63. /. Da 2V 000 Will any services be requested [ ]Yes [l.]'1To. If Yes describe Police _ Highway Other: Mailing Address to Send Event Permit to: 156 0 (i F e I C(Yid a ve Bolyiniu ky 1141 Updated 8/7/2018 Have any of the development rights been sold to the Town of Southold[ ]Yes [1i1'No and/or Suffolk County Agricultural Program? [ .]_Yes_ [V]JNo If 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 PARHING/EVENT-PLAN TO THIS APPLICATION-IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next pago A Parking[Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relatipn 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'qualifie 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. 0EVER'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 iminediately.sho'nld there be tiny 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 make any and all inspections necessary ' - connection with this Special Event. Print name of Owner ym Vn 11b�+(� �Qn-e 2- Print name o uthoi ed'Peison/Representative t n ture ff Authorized Persoii/Repiesentative PERMISSION IS HEREBY GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.-Parking,is strictly prohibited-on:ANY-Town�County or State Roads or Rights of Way- 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies.and,holds.harmless the Town.of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities-under this permit. 5. Tent:proposals must receive,permit approval from the Southold"Town Building Inspector before placement on the property and must-meet all fire and safety codes. = . 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review,etc.at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted, although food may,.be catered subject to all.Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/eggmss/access, tent(s)or temporary structure( or tempor=sanitary facilities,shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking, ingress/egress/access. text(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, I L 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 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 AC40R"® DATE(MM/DDNYYY) �� CERTIFICATE OF LIABILITY INSURANCE 05/24/2024 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 endorsements. PRODUCER cAOME c Commercial Dept. ANT Shore Line Insurance Agency Inc. MR NE 631 744-1200 FAX No; 631 744-9695 8 Broadway Ao AIL , commercial@shorelineins.com INSURERS AFFORDING COVERAGE NAIC q Rocky Point NY 11778 INSURER A: North Country Insurance Company 43869 INSURED INSURER B: Hartford Accident and Indemnity Company 22357 MGST Corp.DBA Senor Taco Grill INSURER C: U.S.Underwriters Insurance Company 35416 1560 Lakeland Ave INSURER D: INSURER E: Bohemia NY 11716 1 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 XP LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MM DD M DO LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 GE ToCLAIMS-MADE F OCCUR PR_DAEM MASES EREcru a ce $ 50,000 MED XP(Anyoneperson) $ 5,000 A Y B0000563 12/20/2023 12/20/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I POLICY❑ PROJECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/ X STATUTE ER B OFFICER/MEM ER XCLUDANY 07PROPRIETOR/PARTNER/EXECUTIVE ❑N NIA 12WECAP9JHU 01/24/2024 01/24/2025 E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 Liquor Liability[On Premises] Each Common Cause 1,000,000 C LQ3003773A 03/14/2024 03/14/2025 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Regarding:Tequila and Mezcal Fast Event Certificate holder is included as additional insured with respect to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 AUTHORIZED REPRESENTATIVE Southold NY 11971 Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD SESSABLE:POLICY IS-ISSUED ON THE CO-OPERATIVE'PLA TN.a"S NON-AS N: ' :. North Country'Insurance Company' ,:.RF.C�O Businessowners Policy.Declaration : : . 211:70'.NYS:Route 2.32: : . . . tinge PO Box'6540:: : -Watertown,:NY 13601: UAY 3 . : . Policy Number: B0000563 . Inception'Date: 12/20/2023. • Expiration Date: 12/20/2024 12:01.A'M. . Process:Date: 05124/2024: : E Date: 12/20/2023 = Nhola am edlnsured:&-MailingAddress: _SO AgeOncy:L 66 i : .MGST-CORP,:DBA SENOR TACO.GRILL: SH RE' INE_ NSURANCE AGENCY; INC.: ' --' C/O:GMCN:CORP PO BOX 1059: :•: . ' : 1560 LAKELAND.AVENUE. .ROCKY POINT, NY.:1:1778 . BOHEMIA,'NY 117.16' . .: : . - Phone Num6er:;(631)7.44 1200;.-• . .; ' Email:,personallines@shorelineins.com ' .Change Reaso.n(s): ,Add Interest Change'Effective: ;..05/24/2024: Add itionallReturn-Premtum: $46:00 . . . . • The term,provisions,:and.conditions herein;sef forth,including those attaclied.to this form are made part of this policy. : •_.: . ' The.Deolarations'aontained.in this Declaration page;together withany endorsements specified hereon,siipersede arid.replace any preceding Declarations bearing the same policy number. :. Location(s).of Property Insured; = :Location 1: : : : 44780 County Road Southold; NY 11971 Policy Coverages:. : . Loc#/Bldg#, : . :Limit Deductilble. .. ' Premium Cov:A-Building Loc.1%Bldg $0 Cov B:-Business Property: : : . ' . Loc 1/Bldg 1' : $1-50,000'. : : $1000': . $2'661:00- Cov L_Bodlly Injury&:P.roperty Damage $.T000,000 Occ $307.00 • ' - Cov:L: Liability A99regate $2,000'000 Adg Included. Cov.M -Medical:Payments • :" ' : : $5,000 Per/$25,000 Acc:•• : $6.00 ; Cov;N=-Products/Completed:OperationS. :: $1;000,000,0cc/$2;0.00,000:Agg ;Included ; : . . Basic Premium': " $2,974.00. Forms/Endorsements: : : . :: Loc#/Bldg# ; Lim_ it.Deductible Premium. Personal Injury : . : :.. : ;' Included L$-14 0902=Exclusion Athletic Participants ; : . : Included LS=187 0607=Asbestos Exclusion: Included. LS-31 '0690-Modification,of Liquo'r.Liability - Included : LS-3.73 1211-Canine Exclusion. . . : ' $-1.0.0•: LS-42A 0:188=Prod/Gomel Operations Included 1S=59.1192-Lead Exclusion . Included. L&6:0188-Business General Liability.(Extra Included ; LS-70 0389=13usiness Premise Exclusion -.$.-10:0.0 :. LS=73,1189-Assault&.Battery Exclusion $-10.00. L8-84 1097-NY Amendatory Endorsement Included, LS-88.0902-::Discriminatio6 Clacificatiori ..Included ML-430 0191.-Renewal Endorsement. Included NC SF=189.0108-Identity Fraud. $100. :$50.00. NC-L'S-18.0808-Operations Exclusion - Included NC-LS-90 1:106-Clarificati6n Endorsement: Included NY-STAT-1. 1108-NY Statutory . . Included SIF 0796-Intentional Acts Exclusion Included SF-20 0916-Agreement Included : . SF-311D.0916-Deluxe:Businessowners . Included SF=345 0916-Mechanical, Electrical or ' $60.00 (section continued on page 2) ; Interest Copy' Page 1 of 3 NCIc 07114 TEAS NON-ASSESSABLE:POLICY.IS]S:SUED ON THE CO=OPERATIVE PLAN: North Co untry•InSuranCe C'Ompany' Deluxe�Businessowners Policy.Declaration 21470:NYS:Route 232 hange PO Box 6546: .:... :. . .. :; Watertown,:NY 13601:��: Process:Date:� olicy.Number:B0000563 . Inception'Date: 12/20/2023: . Expiration Date: 12/20/202412:01 A.M:. . .[ 05124/2024: Effective:Date: 12/20/2023 ' Forms/Endorsements: . -Loc#/Bldg# Limit Deductible": Premium SF,=99.091q-gaIendar.Deite Exclusion. . Included : . TERR=COV 011 -Notice of Terrorism Included' . - *LS-22 0902-Additional Insured : : :$83.00 Accounts Receivable.: : : : Loc:1/Bldg 1 . $1,000 1 1 ded AdditiorialExpense. Loc 1/Bldg 1: $1,000 Included. Employee-Dishonesty a Loc:1/Bldg 1 : : $1,000: Included Exterior Signs: : . : .Loc-1/.Bldg 1 $1,000 Included MoneyASecurities Loc.1/Bld.g 1 .:..... : . $1,000 Included. .. Sprinkler. Leakage. Loc 1/Bldg 1 . Included' ' . Valuable Papers and Records. Loc.1/Bldg 1. : . : . $1,000 ..Included : . Fire Legal. Loc I/Bldg 1 $50,.000 Included SF-133A 6489-While Away From.Insured : . - Lot 1/Bldg 1• ' .. . Included SF-27A'0796-Replacement Cost'Provision ' L o01/Bldg 1 : Included.: SF-312A:0916=Loss:of.lncome=Special' : 1_6c.1/Bldg 1. . :. .•, : : .$13:00 . :.SF-32:0188-Rest6urant'Hood And Duct ..*Loc I/Bldg 1 Included' SF-4 0916-Cause of Loss Loe:1/Bldg I' Included' . SF;500 09.16-Business Extender . •. Loc 1/Bldg..1 : .$157:00 SF-78 08.1.6=Qutside Grade Floor Building :Loc.1/Bldg 1 .. : ' $105..00 . SF-03 0188-Refrigerated Food Products- Lot 1/Bldg 1' .: : -; ' $.60.00 SF-94A•0016-Off Premise Power Clause Loc 1/Bldg 1.: '$5,000 $1;000. 16.00.: : :SF-95A 0,916=Off Premise Power Clause:- :' Loc 1/Bldg 1 : $5,000 $1;000 : $9:00 SF-127 01:88-Loss Payable Provisions : . :..'Loc 1:/Bldg 1 . . Included LS-22.0902-Additional Insured L6c:1/Bld.g,1 $.83.00 Forms%Endorsements:Premium; ' : : . $605:00 . Limits and deductibles stated above are not in addition to those:on specific forms: Discounts and.Surcharges:,:- Premium *Renewal Credit' Policy. 173..00 . *Central Station..Reporting Credit: Loc 1/Bldg 1 Included *Smoke.Detector Credit *Tot Loc 1/Bldg T. Included . $3,$06 00 al Policy Pr New York Fire-Fee: Property Characteristics *Loc 1/Bldg 1 Class: -87000=Restaurant Description: Restaurant Territory: .. . Zone 1;Sub-Zone 5. Construction: Masonry Prot.:Class: Protected Year Built: 1900: . . Occupancy: ; Single. Prot:.Device: County: .: Suffolk: Sprinklered : No . Bldg Co-ins: None' BPP Co=Ins: None int'ereM Copy Page 2 of 3 NCIC,07/14 THI§ NON-ASSESSABLE:POLICY.IS ISSSUE.D.ON THE.CO-OPERATIVE PLAN - :NOrth Country lnsurance-Comp.any, Deluxe Busiriessowners Policy.Declaration 211:70:NYS.Route 232. . ;:. Change PO 130.6540:: .:.... . . : :> ., Watertown,:NY 13601. Policy.Number: $0000563'. ; . Inception Dater 12/20/2023: Expiration Date: -12/20/2024 12:01.A.M. . Process:Dater 05/24/2024: : : : Effective Date: 12/20/2023 Special"Interests: . . . . == : == ::• ------------------------=-----------•---:....-•--• :-.:...... - :._.-..:.:. :.:. . . . --•--•--=--............................ •--•-- Name and-Address:.- TOWN OF SOUTHOLD':: T. 5309T:R0 E.25. ; 71: . U� . SO: HOL D, NY 119 Assi ned To:: . Rolic g y to st Type. Additional.lnsdred LS=22) . . In re Rank: Payor: N/A.- ---- -=--------------=------=-=-------------------••---.-----=..............:-........---=------:.......:.--=-......-----•-----• ...........=-=--------------:-----.----=.::------------=--------=--- Name.and Address: PEOPLE'S UNITED:BANK NATIONAL . O : - ASSOC,.ISAA;ATIMA. PO.BOX 820 BURLINGTON,.VT 05402=0820 Assigned To:: . Loc 1/Bldg:1 Interest Type:.Mortgagee Loan_#: .:. .Rank: 1� Payor: No ---------------=-.A-dd------------------ -=------=--------=---------------------- --------------------------------------=-------------------=-=---=---==-=---=-----=---------------=-----_-----=--------------=-=---=--:::----=-----=-==-----=------ Name.and.Address: PEOPLE'S UNITED.BANK NATIONAL A OA,ATIMA.: P.OS OX 20 BUNGT RLI: ON,VT 05402-0820 .. , Assigned To: Loc 1/BIdg:1. Interest Type:.Lender's Loss Payable.(SF-127).. : : Loan.#: Rank:: Payor:.No - Name.and,Add -=ress;. : „ PEOPLE'S UNITED BANK NATIONAL- ASSOC;:,ISAOA,'ATIMA. . : PO BOX 820: � .. . . . : . BUNGT RLI O.N,VT:05402-0820.: . Assigned-To:: Loc 1/BIdg;1 .Interest,Type:,Additional'Insueed.(LS-22). Loan#: :. : . . Rank:: Payor: No. Interest Copy Page 3 of 3. NCIC 07/14 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/03/24 Receipt#: 329407 Quantity Transactions Reference Subtotal 1 Event Fee ST-07/27 $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#1309 $150.00 Senor, Taco- MGST Corp Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Senor, Taco-MGST Corp 1560 Lakeland Ave Bohemia, NY 11716 Clerk ID: DIANAF Internal ID:ST-07/27 Franke, Diana From: Franke, Diana Sent: Tuesday,June 4, 2024 11:53 AM To: Schroeder, Gwynn Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Noncarrow, Denis Subject: Special Event: Senor Taco Mexican Grill & Bar Attachments: Senor Taco.pdf Good Morning, Please see attached the Application for aispeci-FEvent ermit from enor Taco o Meximn—Grill &-Bari received on 06/03/2024. Thank you, Oailw c9rr" 'a Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 i Noncarrow, Denis l 3 � From: Schroeder, Gwynn Sent: Wednesday,June 12, 2024 2:27 PM To: Noncarrow, Denis Su Rudder, Lynda;L Subject: ' Krupski,Al Special Event resolutions Denis, Please prepare he resolutions for.the ap roval of the following special events: EV& EM Viney rds,App.# EEV1a-b Pellegrini Vine rds,App.# PV1a-e Oysterponds Hi torical Society,App. #0HS1a yIorth. Senor Taco,(ev t 7/27/2624) No app.# provided—please include the prohibition'' property to the f parking on adjacent preserved Thank you. Best, Gwynn Schroec er I Government Li ko'n Officer Office of the Sur ervisor Town of Southc I j aw nns south �dtownn ov 631-765-5806 I i { I� 1 i� Noncarrow, Denis From: Noncarrow, Denis To: catering@senortacony.com Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Mudd,Jennifer Subject: Special event application Attachments: Printout-20355-1034-M63641.doc Please see attached resolution in regards to your special event applicant. Any questions please give us a call. Have a great day. Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownnv.aov 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. 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