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TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51276 Date: 10/11/2024 Permission is hereby granted to: Peconic Land Trust Inc PO BOX 1776 Southampton, NY 11969 To: Construct a farm stand with lean-to on an agricultural parcel as applied for. Premises Located at: 3005 Youngs Ave, Southold, NY 11971 SCTM# 63.-1-25.3 Pursuant to application dated 08/22/2024 and approved by the Building Inspector. To expire on 10/11/2026. Contractors: Required Inspections: Fees: Agricultural-Farm Stand $200.00 CO Accessory Structure $100.00 Total $300.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Aw Telephone(631) 765-1802 Fax(631) 765-9502 hit.s:a�fwww.statholdtcwatca'r Date Received APPLICATION For Office Use Only t✓ I DDD I PERMIT NO. Building Inspector-'JV2 u l _ ., Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an B 1 1 a;k'-,w C 3,DE,PT. Owner's Authorization form(Page 2)shall be completed. Date:8/21/24 OWNER(S)OF PROPERTY: Name:Peconic Land Trust SCTM #1000-63-01-25.3 Project Address:3005 Youngs Avenue, Southold, NY Phone#:631-283-3195 1 Email:jwilson@peocniclandtrust.org Mailing Address:296 Hampton Road, Southampton, NY 11968 CONTACT PERSON: Name:Jacqueline Wilson Mailing Address:296 Hampton Road, Southampton, NY 11968 Phone#:631-283-3195 Email:jwilson@peconiciandtrust.org DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:The Carriage Shed Mailing Address:1195 VA Cutoff Road White River Jct, VT 05001 Phone#:800-441-6057 Email:info@carriageshed.com DESCRIPTION OF PROPOSED CONSTRUCTION BNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Farmstand $50.000 Will the lot be re-graded? ❑Yes VA No Will excess fill be removed from premises? ❑Yes BNo 1 PROPERTY INFORMATION Existing use of property:Residential /Agricultural Intended use of property:Residential /Agricultural Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_80 this property? @Yes []No IF YES, PROVIDE A COPY. @ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code.APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):Daniel Heston (Director of Ag. Programs) Authorized Agent @Owner Signature of Applicant: ` sate:I - 14 Vaw/211/ STATE OF NEW YORK) SS: COUNTY OF Scge 44; being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the . *-� �, (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this v2f day of �?//JJ aez,..r 20 �� , XIL , Notary Public ... POSIN L.HARRIS Regis a:°on#01HA64207M PROPERTY OWNER AUTHORI My CA: i ,,.Expire* (Where the applicant is not the o R I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 PECONIC LAND TRUST ................. ...................... August 22,.2024 To: Town of Southold Building Department - Town Hall Annex D 54375 Main Rd. PO Box 1179 A I G Southold, NY 11971-0959 RE: Application for Building Permit BUMIDING DEPT. TOWN I'M SOUTH017- Charnews Farm-3005 Youngs Ave.,Southold,NY 11971 SCTM#: 1000-63-01-25.3 Dear Mr.Verity: The Peconic Land Trust is requesting a Building Permit to build a farmstand for our Farms for the Future Program, location referenced above. Enclosed please find: • Building Permit Application • Survey/Site Plan • Four (4) sets of plans(waiting on the stamped plans from the engineer) • Contractor's proof of insurance • Easement and C &Rs on the farmland attached to the property (1000-63-01-25.4) Should you have any questions or require additional information, please do not hesitate to contact me. Very truly yours, Ja queline Wilson Stewardship Program Manager 296 Hampton Rd. Southampton, NY 11969 (631) 283-3195 Ex. 143 j�vil,sonf Enclosures 296 HAMPTON ROAD I P.O.BOX 1776 1 SOUTHAMPTON,NY 11969 1 TEL:631.283.3195 1 FAX:631.283.0235 www.pecotiicl,tildtrust.org PECONIC LAND TRUST October 3,2024 To: Town of Southold Building Department Town Hall Annex 54375 Main Rd. PO Box 1179 t�: � � �";�° ': � V I Southold, NY 11971-0959 Fa `F RE: Application for Building Permit(Additional Documents) O C I 3 , Charnews Farm—3005 Youngs Ave.,Southold,NY 11971 SCTM#: 1000-63-01-25.3 P Dear Mr.Verity: The Peconic Land Trust submitted a Building Permit application to build a farmstand for our Farms for the Future Incubator Program, location referenced above. Enclosed are additional documents to support our application. Enclosed please find: • Farm for the Future Initiative Overview • Four (4) sets of architect plans stamped and signed Should you have any questions or require additional information, please do not hesitate to contact me. Very truly yours, J�cgUeline Wilson Stewardship Program Manager 296 Hampton Rd. Southampton, NY 11969 (631) 283-3195 Ex. 143 Enclosures 296 HAMPTON ROAD I P.O. BOX 1776 1 SOUTHAMPTON,NY 11969 1 TEL:631.283.3195 1 FAX:631.283.0235 www.peconiclaiidtrust.org Farms for the Future Initiative Agricultural Center at Charnews Farm Long Island's farms and farmers are central to our economy, heritage, and the stewardship of some of the best farmland in the country. However,both new and established farmers are faced with intense development pressures, escalating real estate values, a decline in food production farming, and a lack of affordable farmland with infrastructure. "Farms for the Future" is a special initiative that the board and staff of the Peconic Land Trust have undertaken to explore these challenges in depth and problem-solve using pragmatic approaches. The Peconic Land Trust is working to ensure that Long Island's farms and farming communities remain viable and productive now and in the future. The goal of the Peconic Land Trusts Farms for the Future Farmland Leasing Program is to help new farmers start their commercial agricultural operations with an emphasis on food production. The program gives beginning farmers access to productive farmland. To help new farmers establish viable agricultural operations, the Trust offers advice, guidance, and educational opportunities. In some instances, the Trust can provide farmers with access to other important agricultural infrastructure including barn space, greenhouse space, and retail space. The Agricultural Center at Charnews Farm in Southold is the Farms for the Future Incubator Programs central hub. As one of the locations for the Trust's Farms for the Future Initiative, the Agricultural Center at Charnews Farm provides beginning farmers affordable access to productive land. Our 21-acre incubator farm currently leases farm plots to 8-10 beginning farmers a year. Currently, the farmers at Charnews Farm are growing a variety of vegetables, fruits, flowers, oysters and culinary and medicinal herbs. One farmer is also a beekeeper and produces honey. The farmers start with a 1-acre farm plot their first year and can increase their acreage each year for up to 5 years. After 5 years in the program the incubator farmers graduate from the program and move on as established farmers. The Trust then helps them find outlying farmland to lease or purchase. The Peconic Land Trust is proposing to build a 12ft. x 26ft. roadside farmstand at the Agricultural Center at Charnews Farm to be used by the incubator farmers in the Farms for the Future Program. A variety of products would be sold in the farmstand that the farmers grew on-site at Charnews Farm. Commodities would include but not limited to, a variety of vegetables, fruits, flowers,herbs, oysters,honey and value added medicinal herbal and elderberry products. One of the objectives of the Farms for the Future Initiative is to expand and develop our farmland leasing program and a second objective of the initiative is to expand farmer support. Both objectives include additional farm infrastructure to support farmers, training, education and provide overall support to the farmers in the Trust's Incubator Program. The farmstand will give our incubator farmers the opportunity to sell direct to consumers on-site and enhance access to selling products outside of the regional farmers' markets that require hours of travel and set-up. The farmstand will helps define the success or failure of the farmer's start-to-finish business plan. It will require the farmer to learn and experience the importance of NYS Ag & Markets Food Safety regulations,marketing, communication and advertising skills, and cooperative skills with other farmers in order to collaborate on the management of the stand. Overall, the Farms for the Future Incubator Program Farmstand will support both objectives above by providing beginning farmers a market for their products while educating them on direct- to-consumer sales. The farmstand will also provide the community with a source of fresh local products direct from the farm. r rt J ' ry /r u u r l un 1 p „pJ Vu �jpui, ��✓ „Vi � J��' ny.r 4 r� v 0 r (f r� !U' 1 a ' II ICI t I �u I ff� I J • fl�tu� r I��i I��SII!I�elll��� 0 of I'- loflll�Iu� y/ %f `�/ r e, THERENT-01 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIIDDIr ) 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 CONTACT Amanda Rudio .NAME .�_ ....................... Digital Insurance LLC-Rutland,VT PHONE FAX 98 Merchants Row �n�c No E w 800 296�5722 _ w ._w AID No: 8802)296-6126. Rutland,VT 05701 Amanda.Rudio onedi i.Com ..."§ALRF. LAIEI=.WI4V9 99./.1.. ....._AlARA_._... ........._..............._..._ ww.... __._I"N ;Concord General Mutual,ins .............._.........20672 INSURED IN ,ICI„RFR .II�;l_.Pr /_MUty I�nSurange CQ 23043 Therrien Enterprises DBA The Carriage Shed iy§ 1195 VA Cutoff Road JN3E3P: White River Jct,VT 05001 _R RW�R E ''....INSURER F: COVERAGES CF.RTJFICATE E ; or-VI'Ainti mill—_ 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 1,000,000 IFA,�FI Q„�:,�1„�RftEN!.x�.,,,........... .� CLAIMS-MADE OCCUR 20047634 7/12/2024 7/12/2025 DAMA E.TO RENTED 50,000 X EIaId 1..........._.......__a ED EXP An one,pgr§spnla._ma 5,000 .....w..�................................................................................................... PER ONAL&ADV INJURY 0'_0 "L�AGGRE';��+„P E LIMIT APPLIES PER: ffhE RA(.A,f �wFrA�lf 2000000 X ;tLICY JEo- ❑LOC Pac�rIa r -c MPS P 2,000,000 A _E._......._.__... �E . A AUTOMOBILE LIABILITY COMMNEiDSINGLE LIMIT 1,000,006 ANY AUTO 0046422 417/2024 4/7/2025 p pAl �U INRYP,g rp r5y , OWNED ...... SCHEDULED AUTOS ONLY _X AUTOS B„L)I„L,Y IN II�Y LP ,�.i„ ,Yn1 _„„„„„„„„„„„„„„„„„„ X HIRED X NON-AWNED PROPER Y AMAGE AUTOS ONLY AUTOS ONLY � A 1,X UMBRELLA LIAB OCCUR A�,H OCCLIRRENCEw 000,000 OD=1DX xcESS LIAR µX CLAIMS-MADE 20047634 7/12/2024 7/1212025 A RESAT _ 110001000 RETENTION$ 10,000 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ,„ -- �-- --------- XWW65079697 7/1212024 7/12/2025 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE „E�,„L., IJT_. (41j;. a ory In NH)EXCLUDED? N/A ---' iAendatory In NH) 500,000 yes,describe under DESCRIPTION 500,000 . P ATI I I A -P ,I Y IMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addlti*Pal Remarks Schedule,may be attached if more space is required) RE:Charnua^wrs Farm 3005 Youngs Rd.Southold,NY 11971;Certificate holder is named Additional Insured with respect to General Liability and Auto Liability to the extent required in executed written contract. NE_(„(A; I_QN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE conic Land Trust THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Pe Pe Hampton Tr ACCORDANCE WITH THE POLICY PROVISIONS. Southampton,NY 11968 ------- AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THERENT-01 '4`64� o CERTIFICATE OF LIABILITY INSURANCE DA E(MMI o24 DDIYYYY) 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 ri hts to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Amanda Rudlo ' _... ..................... ........____............. Digital Insurance LLC-Rutland,VT PHONE FAx 98 Merchants Row A/c No,E>d: 800 296-5722gq gq_gq qq q n/c NoI;�802 296-6126 Rutland,VT 05701 Aman a. uIn one ItaLCom ..................... AF,FORDING COVERAGE _.............. _ ININ RE_ nCord General Mutual Ins_ 20672 INSURED IN URER ;L dyr Allutual Insurance CD „„„.......................23Q43 Therrien Enterprises DBA The Carriage Shed INFER c. ............... 1195 VA Cutoff Road White River Jct,VT 05001 � wwwwwwwwwwwww_"""MM wwww....ww.._� RE;ww_..._............. INSURER F: COVERAGES CERTIFICATE NUMBER: a E : 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.w w_ _.w _ _. .w ... ... INSR TYPE OF INSURANCE ADDL�"SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY A H g IRRE !% ......... ..._..._. 1,000,000' CLAIMS-MADE 0 OCCUR X 20047634 7/12/2024 7/12/2025 r Ada&r'c RENTEO 50,000 5,000 __. ....__. MED IFJCIP L!�k.�,n�.P.�rsan �.....��.__. ............. PER,WSCINALBAAaV.�NI RY 1,000,000 f"''N"L AGGRE'45,.„„ATE LIMIT APPLIES PER: N RA A „PFjiAT 2,000 000 X POLICY LOC P Qpp TS- MP/OP AGG 2,000,000 nLL.E A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 -_._....... ANY AUTO 20046422 4/7/2024 4/7/2025 Y(,,n,(,, Ry„�(,Frpgr,,s,�,n�,I OWNED AUTOS DONLY X AUTOSULED �,,0(aII.YIN RY P r cci ent X AIRED X ®rONED Pv. E1'1'�';YtDAMAGE _.. .�.............. __....... .... AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB OCCUR FAH C R ENCE 1,000,000 �., �, . .................. EXCESS LIAB X CLAIMS-MADE 20047634 7/12/2024 7/12/2026 1,000,000 ._._.ww.... ..........__._._....................... , ATE.............. ..__.--w___..... DED X RETENTIONS 10,000 B WORKERS COMPENSATION X PER�.Z�W' 90TH- AND EMPLOYERS'LIABILITY YIN ----....... ANYPROPRIETOR/PARTNER/EXECUTIVE XVVW65079697 W12/2024 7/12/2025 fA4" 90ENT 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NMI 500,000 If yes,describe under 500,000 R.. I F TI NS 1— E, 1 5 -P I Y IMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional RemarM Schedute,may be attachad If mom space Is roq ufmd) RE:Char Farm 3005 Youngs Rd.Southold,NY 11971,Certificate holder is named Additional Insured with respect to General Liability and Auto Liability to the extent required in executed written contract. CERTIFICATE HQLDER C C "1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 53095 Route 25 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD