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KK's Farm Dandelion Festival 2025-1
�"'yjsf¢lA'c °4=y RESOLUTION 2025-302 quo m g NMI� �° ADOPTED DOC ID: 21225 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-302 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 15,2025: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Ira Haspel,to hold Dandelion Festival, Special Event 2025-1 at the KK's Farm(Farm at Southold,LLC), 59945 Main RD, Southold,New York as applied for in Application KKSla for a free educational event on Sunday, May 4th from 11AM to 5PM. All parking must be contained on site.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 and is for this year only as events are always being evaluated by the Town Board. "To ensure pedestrian safety and provide sufficient space for pedestrians walking to and from their cars. parked at Coveys, I will be posting no parking signs on the north side of the roadway,from Laurel Ave to the entrance of KK's.Additionally,we'will set up a temporary crosswalk using traffic cones in front of Coveys." i Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilperson SECONDER:Anne H. Smith, Councilperson AYES: Mealy, Smith, Doherty, Evans, Doroski, Krupski Jr' Mr. Denis Noncarrow R EC E VE April25, 2025 Town Clerk Town of Southold, APR 2 5 2025 53095 Main Road South ;idnbOertk P.O. Box 1179 Southold, NY 1971 Re: Dandelion Festival at KK's Farm Special Event 2025-1,May 4,2026-11:OOam to 5:OOpm Dear Mr. Denis Noncarrow, Pursuant to your letter of approval of April 16, 2025,for the above referenced Special Event, I contacted the Town of Southold Police Department to set up traffic control. I was instructed to speak with Captain Latham. After a few messages Captain Latham called me back and he confirmed the following on April 23,2025: 1. The Police Department will be placing No Parking Signs on the north side of Main Road from Laurel Ave to the entrance to KK's Farm. 2. A temporary crosswalk will be set up at"Coveys"which is on the south side on Main Road. 3. No Parking will be allowed on the north side of Main Road for this event. 4. Parking will be permitted on the south side of Main Road. 5. Additionally, I received permission from the owner(Steven Niamonitakis, Meridian Properties,347-581-2071)of the vacant restaurant just East of Albertson Marine (62375 Main Road)to park cars there for the festival. This property is on the north side of Main Road. My insurance company has issued a Certificate of Liability Insurance to him for this event. Police Captain Latham said he had no problem with parking cars there. a ely,el,516 39 -8731, irahaspe0gmail.com Cc: Gwynn Schroeder-Government Liaison Officer 0FFO1�-�o DENIS NONCARROW o� G.f� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 ti Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICER O aQ� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER 1 `t► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD KK's Farm April 16, 2025 Ira Haspel 59945 Main Road Southold,New York 11971 Dear Ira, The Southold Town Board at its regular meeting held April 15th, 2025 granted permission to KK's farm to hold the Dandelion Festival on Sunday,May 4th 2025 as applied for.A certified copy of the resolution is enclosed. An insurance policy naming the Town of Southold as additionally insured has been filed with this office. Please contact Captain Grattan at the Southold Town Police Department as soon as possible to set up traffic control. If you have any further questions,please do not hesitate to contact the Town Clerk's office at(631) 765- 1800. Bes uck with your event. rel , enis Nonca Town Clerk Enc. Noncarrow, Denis From: Schroeder, Gwynn Sent: Thursday, April 10, 2025 4:44 PM To: Noncarrow, Denis Subject: KK's Approval for Dandelion.Festival Attachments: 250409_KKs the Farm Approved Application with Comments.pdf Denis, Please see the application and comments from the members of the Sp. Events Committee for KK's Farm Dandelion Festival. Please prepare a resolution to approve the event for the April 15 TB meeting,with the conditions outlined by Chief Grattan: "To ensure pedestrian safety and provide sufficient space for pedestrians walking to and from their cars parked at Coveys, I will be posting no parking signs on the north side of the roadway,from Laurel Ave to the entrance of KK's. Additionally, we will set up a temporary crosswalk using traffic cones in front of Coveys." Best, Gwynn Schroeder Government Liaison Officer Office of the Supervisor Town of Southold gnnnns@southoldtownn.gov 631-765-5806 �f- ;70. 1 . Ff 9 Speciallvents Committee, Application Summary and Recommendations Application,Name:, Ira Haspel/KK's Farm 9 f 3 Address: 59945 Main Road, Southold, NY 11971 f Application Number: KKsla I i Date(s) of Event(s): May 4, 5025 Date Received by Town Clerk- 2/6/25 Date Received by Committee:.2/21/2025 ' i 1 j Nature of Event: Dandelion Festival s i } 'Committee Comments Received bV:: _Andrew Amakawa (Christina Hamm -SC) X. Gwynn Schroeder X Paul DeChance/Ben Johnson �Mike,Verity ' x X-Chief Steve Grattan X Kevin Webster/Claire Glew Michael Kerr (SC) k Leslie Weisman Heather Lanza X Lillian McCullough Committee Recommendations:,. ^Approved as applied X Approved with additional recommendations Public Hearing Held Denied Special Event No: Resolution No: _. Date;.,_-...-,_ t f 3 E Schroeder., Gwynn. From: Johnson, Benjamin Sent: Thursday, April 10,2025 3:39 PM To: Schroeder, Gwynn Cc DeChance,Paul Subject: RE:Updated COL for KK's This looks good`.Thank you! i From:Schroeder,Gwynn<gwynns@southoldtowhny.gov> Sent:Thursday,April 10,2025 3:29 PM ' To:Johnson, Benjamin<benjam'inj@"southoldtownny.gov> Cc: DeChance, Paul<pauld@southoldtownny:gov> d Subject: Updated COL for KK's Ben, z Can you shoot me an email,this needs to get on Tuesday's agenda to be approved, Best, Gwynn Schroeder Government Liaison Officer Office of the Supervisor Town of Southold 7 vvynnst southoldtowh v e6,, 631-765-5806 t r i r Schroeder, Gwynn ` From: McCullough, Lillian Sent: Monday,April 7,2025 9:15 AM yTo: Schroeder, Gwynn Subject: RE: KK's the Farm/Dandelion Sp. Event Application i Hi Gwynn, a Sorry for the delay. Is the Covey/Krukowski property 56.-3-13.2? If so, no comments from me, as this isn't preserved land.Steve's comments address the crowd issues that I recall from last year. Cheers, Lilly i From:Schroeder, Gwynn<gwynns@southoldtownny.gov> Sent: Friday,April 4,2025 3:08 PM To: Lanza, Heather<heather.lanza@town.southo{d.ny.us>; McCullough, Lillian<I{Ilianm@southoldtownny.gov>;Verity, Mike<Mike.Verity@town.southold.ny.us> Subject: RE: KK's the Farm/Dandelion Sp. Event Application Hi Just following up on this application. I've heard from everyone else, but you want to weigh in? [would like to get on the agenda for the next TB mtg. s Have a good weekend, Gwynn i From:Schroeder, Gwynn r Sent: Friday, February 21,2025 4:17 PM To: DeChance, Paul Grattan,Steven<sgratlan@southofd'towr iiy°f0 >;Johnson, Bill Lillian �nm@sarutf oldtoly n�ny.� Lanza, Heather M!<e Verrty@townasoatl old nv��rtholrt,ny..us>; McCullough, 1 us>;Webster, Kevin <kevi Weisman, Leslie<les[ie�N@tawii:soutiiold ny us> Cc Glew,Claire y us>• 'Christine.Hamm@suffolkcountyny.gov' <Christine.Hamm@ suffolkcountvny.€�oy>;AndrewAmakawa 0)kcountVhY,'90y>; Mikael Kerr <Mikaei;Kerr` suffolkciauntynyt�ov> Subject: KK's the Farm/Dandelion Sp. Event Application All, Please see the attached application.SC GIS identifies the parcel as 1000056000300009000. The applicant claims 66 onsite parking spaces,and.he has permission to use the Covey/Krukowski property,which can accommodate 20 additional cars.The satellite parking is proposed to the west,on the south side of Rte.25, requiring attendees to cross the road. He did not request assistance from the PD. The original submitted COL was incomplete--an updated one is separately attached. 1 4/10/25,4:07 PM Messaging Dandelion Festival (SC Tax Map #: 1000-056.00-03.00-009.000_Re: [External] Re: Sp. Event Application KK's the Farm Hamm,Christina<Christina.Hamm@suffolkcountyny.gov> '03/25/2025 at 02:31 PM From: Hamm,Christina<Christina.Hamm@suffolkcountyny.gov> Sent: 03/25/2025 at 02:31 PM To: Weisman, Leslie_<lesliew@town.southold.ny.us>, Johnson,Benjamin <benjaminj@southoldtownny.gov>; Schroeder,Gwynn<gwynns@southoldtownny.gov>, Steven Grattan-Southold Town PD<sgrattan@southoldtownny.gov>, DeChance, Paul<pauld@southoldtownny.gov>, Glew,Claire<Claire.Glew@to"wn.southold.ny.us>, Lanza,.Heather<heather.lanza@town.southold.ny.us>', McCullough,Lillian <lillianm@southoldtownny.gov>; Verity,Mike<Mike.Verity@town.southold.ny.us>,. Webster, Kevin<kevin.wetister@town.southold.ny.us> Cc: Amakawa,Andrew<andrew.amakawa@suffolkc6Untyny.gov>, Kerr, Mikaei<Mikael.Ken-@suffolkcourityny.gov> Hello Gwynn, Re:SC Tax Map#: 1000-056:00-03.00-009.000 The Dandelion Festival at KK's Farm scheduled for May 4,2025 is not on or immediately adjacent to a Suffolk County PDR parcel. We have—no comment regarding the'event at that location on that date:, Sincerely; ClwuWWAw9a n*w Planner Suffolk County Department of Economic Development and Planning Div_ision.of Planning and Environment H. Lee.Dennison Building -2nd Floor 100 Veterans Memorial Highway Hauppauge, NY 11788-0099 https://login-us:mimecast.com/m/secure/applprint.jspTsld=mNH6SgC5bl4BopWDTgJe9AeyJhbGciOIJQQkVTM111UzllNftBMT14S1ciLCJlbmMIOIJBMTI4RONNIiwlcDJjljo2NTUzNiwicDJzljoizllGQmVQb 1/4 i. Schroeder, Gwynn From: G1,ew,-'Claire Sent: Tuesd4,,'Ma'ech 25,42025,7:45 AM To: Schroeder, Gwynn_ Cc: Webster, Kevin Subject: RE:.Sp' . Event Application'KK's the Farm Gwynn, Fror6 what I'have researched and,have spoken to Kevin since'if is still his primar' residence ce he.is Still entitled to the 'y exemption. RPTL.does not cover this type of event. CU,�re,6Lzvi, Assistant to Assessor Town of Southold Board of Assessors (631)765-1937 (0) (631)765-1356-(,F) w\AIW:southoldtow' nn' y. ..qov: 61aireg@southoldtownny.gov From:Schroeder,Gwynn<gwyn ns@,so uth o I dtown n.y.gov> Sent: Monday, March'24,2025.13:39 PM To:Glew,.Claire<Claire.Glew@town.southold.ny,ps> ,Subject: RE:5p,. Event Application KK's the Farm, Thanks Claire, He has an agricu Itu'r'al operation,as I think some-of the wineries do who are located in residential, He has been doing .this event for several years, but I am not'sure,the STAR,i sue was ever considered: Gwynn From:Glew,Claire<d e G�few6iown.SOL(f[10ld.n.y.os> Sent: Monday, March 24' 2625 3:27 PM To:Schroeder, Gwynn<igwvi1,ns0soo'fii6lcliownnY.Oov> Subject: RE*Sp' Event Application KK s th e Farm. I'm goingto have to check furthiie on this. Cbn-anVone,who is zoned_residential allowed to have this type of event? ,Assistant to Assessor Town of.Southold .8oard of Assessors ,(631)765-1,937 (0)' (631)765-1356 ..www.southoldt6wnny.qoV, i i claire'g'E ci sovtholdtownny. ou I From:Schroeder,Gwynn<hwynnsf�southoi"dtowtinu: oy> Sent: Monday, March 24,2025 2:21 PM To:Glew,Claire<C&- GlewC�towi5:southcild.ny us> Subject: RE:Sp. Event Application K,K's the Farm What are the implications if any?,Does that preclude him from holding the event,or"put him in jeopardy of losing his i exemption? I' From:Glew,Claire<Claire.Gle�+cx'towri sou'thold I!V.us> I Sent: Monday, March 24,2025. 2:20 PM To:.Schroeder,Gwynn<gw. 6s c'sdUf-holdtownny'hoV> Subject: RE:Sp. Event Application KK's'the Farm i This property has a primary resident'STAR Exemption. i CtOi4-el 6UMr { Assistant to Assessor Town of Southold € Board of Assessors P ' (631)765-1937 (0) (631)765-1356 (F) WWW,SOLitho"Idtownny`gov cla ireuAsoutholdtownny.aov ., i From:Schroeder, Gwynn<kyvVnrisfc�southa atoavniiyo:y> Sent: Monday, March.24,2025 1:54 PM To:DeChance, Paul<pa bid L@s6 ftIdtownnV_:gov>; Glew,Claire<Cla'ire G(ewPLowfi.sou'thoid:n�:�s>;Grattan,Steven <skrattafi cDso'utholdt6.�vnny�:goy>;'Christina Hamm'<chr�stiiia han mC 'suffolkcountyity aov>;Johnson, Benjamin <hen'iaminihso`utholdtownny'gdy>; Lanza, Heather'<heath`eraanzafotown.soutliold nv:us>; McCullough,Lillian <Iillian�ilCa�soutl oldtownny eQv>;Verity, Mike<Mi'ke VIddtyCotavrn.Sduthd!O nyais>;Webster, Kevin <kee n.websEer(ce�,towh,southold.N.:;`Us>;Weisman,Leslie<Iesliew c townsouthold tiV..us> Cc: 'Andrew Amakawa'<andrew:amakawag"suffcilkcountvnV_:,,ov>; 'Mikael Kerr' wikae`I.kerrla s6ffafkcountynv,.gou> Subject:Sp. Event Application KK's the Farm All, Please see the attached application and supporting documents,for KK's Dandelion Festival.There was a bit of back and 'forth concerning the COL,hence the discrepancies in the date rec'd and my.forwarding to you. He is proposing additional parking to the west,on the south side of Rie. 25. Please forward your comments.Thank you. Best, Gwynn Schroeder Government Liaison Officer Office of the Supervisor Town of Southold nn'siatioutli'iltltctiz?�'nn�xo 631-765-5806 z ti XA 4 ' tj r .Schroeder, Gwynn From:, Johnson, Benjamin Sent: Monday, March 24,202 4`28 PM f To: Schroed'er,.Gwyrin,Grattan;Steven; DeChance, Paul;Glew, Claire; 'Christina Hamm'; Lanza,,Heather,McCullough;Lillian;Verity,.Mike;.Webster, Kevin;Weisman,,Leslie Cc: "Andrew Amakawa';.'Mikael Kerr' ; Subject;- RE:Sp. Event,Application'KK's the Farm PRIVILEGED & CONFIDENTIAL;ATTORNEY-CLIENT COMMUNICATION/ATTORNEY WORK PRODUCT-INTER-OFFICE/INTRA AGENCY'COMMUNICATION-NOT SUBJECT TO l FOIL DISCLOSURE/NOT.FOR DISTRIBUTION. The insurance agreement seems to be adequate: i t s B eni amin F.Johnson + Assistant Town Attorney 54375 Main Road]PO Box 1179 i l Southold,NY 1,197.1 P: 631-765-19391 F:�631-765 6639 s t CONFIDENTIAL,ITY'NOTICE:This e'lectronic.mail transmission is intended only for'the rise of the individual or entity to which it is addressed and may contam confidential information-belonging to the�sender;which is protected by,the atlor ncy-client privilege.Ifyoichf¬ the intcndtid rc,cipie'nt,you are hereby notif izd'that-'any3dxsclosure, copying i di5trJbution,or the taking of�;ny action m reliange on the:contents of this it torm016h is you;have received this transmission in error,please,notify the sender immediately by e=mail and delete the original message. ATTENTION:;Thi�s email came-fbom,arr exteinal`source;Do-"not open attachments or-click-on links from unknown, senders or unexpected:emails. I From:Schroeder, Gwynn<gwynns@southoldtownny.gov> Sent: Monday;March:24,_2025 3:24 PM To: Grattan,Steven<sgrattan@southoldtownny.gov>; DeChance; Paul<pauld'@southoldtownny.gov>; Glew'Claire <Claire.Glew@town.southold.ny us>.;"Christina Hamm'<christina.hamm@suffolkcountyny.gov>;"Johnson, Benjamin <benjaminj@southoldtownny.go.v5 Lanza,`Heather<hea,ther.lanza@town:south6Id.ny.us>; McCullough, Lillian <lillianm@southoldtownny.gov>;'Verity,,Mike<Mike.Verity@town.southold.ny us>;Webster; Kevin <kevin.webster@town.southold;ny.us>; Weisman,Leslie<lesliew@town.southold'.ny.us> Cc: 'Andrew Amakawa'<andrew.amakawa@suffolkcountyny.gov>; 'Mikael'K'err'<Mikael.Kerr@suffolkcountyny;gov> Subject: RE:Sp. Event Application KK's the Farm Thank you:, .From:Grattan,Steven<sgrattan@sbutlioldto:wn"hv'Fw>> i Sent:-.Monday,March 24, 2025-3:24 PM <Cj r,, leder,Gwynn< vdynns(�soutloldto:�ti�nny Gov>;_Dechance, Pau!<pauld(esoutholtJtownnu€�o�>; Glew,Claire ev�i/a)'f6i n soulhold ny us>; 'Christina Hamm'<chcistrna {aaiiim@s:iai€olkeour7�yny. ay>;Johnson, Benjamin <benlarr rrarrc southoldtawnny OV>; Lanza, Heath er<h ,a'iH :larizara)toWn,souti ld ny us>; McCullough;-Lillian dill anal 'scA thofdtowii'ny t�ov>;.Verity; Mike<ivlrl.e VerrL to�r�r�:so+rthQld nU us>; ,Webster; Kevin <ftev,rn.weuster Town soutllold`'ny us>;,Weisman; Leslie<leslr uti;nlc�:nf:u > 1 Cc:'Andrew Amakawa'<Andre,l.,ear)lal(aWa-,Asuffolkco:unt%nav:E;b:v>; 'Mikael Kerr'<i��il,ael:ICFrrt 'su"ffolkcctlnivny.giiu> Subject: RE:Sp.Event Application KK's the Farm' To ensure pedestrian safety and provide sufficient space for pedestrians walking to and from their cars parked at Coveys, I will be posting.no parking signs on the north side of the roadway,from Laurel Ave to the entrance of KK's. Additionally,we will set up a temporary crosswalk using traffic cones in front of Coveys. u 1 Steve 1 From:Schroeder, Gwynn< wy nns soutl oldfb;Wnhv Rov> Sent: Monday, March 24,2025 1:54 PM' ' ( To: DeChance, Paul<pauld&souiholdtownny.kov>; Glew,Claire<CIau e:Gleiv" townsoirtliold.ny:us>; Grattan,Steven < rattan sora' l oldtetunnv' ov>; 'Christina Hamm'<christina harhh) suffolkeountynv:gov>;Johnson, Benjamin <bepianiinina southoldtownnv.gov>; Lanza, Heather<Heather.lanzti town.sou liolel_nv'.us>; McCullough, Lillian <Iilliannl@south6ldt64vn'nv nbv>;Verity, Mike<Milee'Verity.6.tdikin:southold n;r.us>;Webster, Kevin <kevin w:ebster«town Southold'.ny.u_s>;Weisman, Leslie<Ieslie,ini�town.sautholtf;nv:us> Cc:'Andrew Amakawa'<Andrew.arnakaw e su(folkcountyny Gov>; 'Mikael Kerr'<N1rl:ael:ICerr @'SUffoikcou6Whn.t"ov> E Subject:Sp. Event Application KK's the Farm l Afl, Please see the attached application and supporting documents for KK's Dandelion Festival.There was.a bit of back and j forth concerning the COL, hence the discrepancies in the-date rec'd and my forwarding to you. He is proposing additional parking to the west,on the south side of Rte.25. Please forward your comments.Thank you. i { Best, Gwynn Schroeder Government Liaison Officer Office of the Supervisor Town of Southold axyV.1111Srelis dtfioldt6 lln\r.C;C1V ' 631-765-5806 2 I. Town Clerk Feb.7,2025 Town of Southold 53095 Main Road Southold,NY 11971 R,E: Proposed-Dandelion Festival KK's Farm- 'RECEIVED, U6"i -1025 FEB 6 nos To whom it.may concern: SbuthOld Town 'Clerk I hereby apply for permission,.to.hold'the Dandelion Festival at KK's farm on May. May 4, 2025'@ Main Road, Southold, NY. From 11:00am to 5:00pm. This is an-educationalevent intended to increase the'public's awareness of the beneficial aspects of the dandelion plant as food and health benefit thereby encouraging people-homeowners, farmers, gardeners,—to reduce or eliminate the use of harmful materials in an effort to control and kill the dandelion. .At the Festival we have lectures,farm-tours; informational booths (Group for the East End, Audubon Society Slow Food, native plantinfo. etc.), face painting and dandelion�crown making for,child'ren";local musicians" and a representative from, the Wildlife Refuge. All activities Will be outside or under ternpor;irV tents. ,No one will be: -allowed entrance to-am build hig..' No alcohol is served. No food ,service will be-provided. at the event., If permission is granted this will be the fourth Dandelion Festival held at KK's Farm. Please see attached the following: I. application fee of$300.00, 2. signed Applic6tion-for a-Permit to Hold a Special Event i e, i i 3. Copy_of the Parking/Event'Site Plan, S171 dated 2/07/2025 4., Notarized Hold Harmless Statement: 5. Letter regarding,the Town Fire-marshal inspection. 6. Certificate of Insurance, naming Town of Southold as Additional Insured. j 7. A Letter from the owner of.Coveys granting permission to park'2o cars on their property which'is across the street from'the event'site: 8. Signature of Property Owner on Applicatilon authorizing the Code .Enforcement Personnel to the Town of'Southoid,to enter.the subject premises during the hours of the event. I Thank you for this consideration. If there are any questions, please contact me. Sinc,erefy; '} grHasp el. hf 59945 Main.Road,,Southold, NY 11971 i cell 516-398-8731 3 irahaspel@gmail.com `: i RECEIVED .. , 1 %E FEB Ii "ray a A a a Southold:Town Clerk, " TOWN'OVSOUTHOLD Town.'Code.Chap.ter.205"Public-,Jrntertiinmentan'd-Special'Events" i 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,.Police Department,,Government Liaison Officer,and Suffolk County Planning. } 1` .�pttlicittmu tees: Special-Events'ofrihe- same type: $300 for an initial;master'application and the first event.Each subsequent event of the satnetype,,up.to(or unlimited or limited to)'(x?)events, requires a fee of$50. All'special events require a one;-page addendum including.the specifics of'each Individual event. Different types,of events require;a separate and complete'initial,master application. All 4,00icadon`'must be sui pitted at least-6O,liusiiiess days prior to the event.AlipI cants are encourg-gr zi`to submit applications ns cai lv as=i ossilile e�ny appli¢ltton stibmit(ed between 59 .and 30 days before' the{event will be,eh treed an additional $500.late...fee.-Any application+ submitted between 29 and 14'days wit'l) cliar' d a'$1000 late fee.Late foes will also..a l to: r. ,late.6ent addenda.. PLEASE NOTE:.. 2 NO APPLICATIONS WILL"BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL 5 EVENT DATE. . s IMCOMPLETE APPLICATIONS'WILL NOT BE ACCEPTED: Any completed apaication thaf-is not subrrtitted 60'or niorc'business da:vs:nrioi`to the se]WItileil_event: rn,ry be'�r e'eet4d..at stib.trt=ici the late,ices out`linelf aixati�e bv._the.'Oific�c..+tf'the"r6ivif: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 forprocessing.. i The Cominittee.will obtain`comments oti,all applications-from`relevant Town,County and/or- tate agencies, and will forward',completed applications to the Town Board with a recornmendation as to whether to grant or deny-the:application. The Town reserves the right to,request additional infonnatiomfrom an applicant to address issues related to the health,safety, and welfare of the community: Mllien is a.Pern it Required? All-Special Events,per" titht ld Ci lv �TModc�Articic I Scclt'�n 2 S>?1{Definitions)must obtain.a permit, Occasional events on private.residential properties hosted by the owner thereof that are by invitation such as family-gath.0ings; weddings, graduations,parties or not-for-profit fundraisers'do not require permits. ,.1ityiise`+al i� ilunital jrnitc"i�cfi�Jot lia'crfit.stiGl rs.t.�enc►e fc,�..>ucd�l'.inu�nr,otherc.vetai5 tti lirnitab�teii. i f + t Tlik,41 0fication is,deemed.cn;tnnlcte bncc all the toflbti�7ri er�iiireni'ents;are-si'hiTiitte�jo'the;To}vn 1 M' ;Gic�lc: 'Please iiidyc t�s5ubmIssiorrtif t(,W1oll6Xvh,i by chcrkln�off the Gores an`d"siencnbFbel'o7v €, P A completed iif.licati6n;�foi ii`signed by the owner and`the event manager. Applications without } property owner's signature/approval will be rejected. i= l�FI✓E Is the applicahan be[a�1 ub7ittef at least`,.fi0.days before the event[ Yes [ j No l�fYes,p'eeof,y;€ ����`x�' llas bceii sulnultcti ❑Jf No,Fee of S` has been submitted The applicandowitwr of"11ie pt upeAV where the slieeial event is proposed to take place must provide a certiGcate of`uistiraded not less thanthan 2 million dollars naming the T6wh of,Southold. as ail. Additional insured 9 A signed and-noWized,,Hold Harmless Agreement naming Southold Town 42( .An up to datd Certificate of Compliange.issued by the Southold Town Fire Marshall or-the Town Building,Departmehf } 1 \valid Certtcate,af Uceupancy,:tn all,btuldings used dtiring the special event. (Nr?+c f A P..aikina%f vent`1'13n coiisisiirrg€,of a survzy, site plan andlor aerial view of the subject proper,,that 6 includes the location's 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 coritrol plan f r acceptable to the Town of Southold AND a qualified traffic controller_ must be provided at the event. (See application form for details) ! l"Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of t Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. k My signature below affirms that I have submitted all the information required above in connection with my application. , Date' 12r'rlttrt e 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 Cominittee. 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 file Suffolk County Bureau of Public Health Food Protection Unit 2 `i • l I a: MASTER APPLICATION FOR A PER YiIT TO HOLD A SPECIAL EVENT PLL:ISE_'PI OVIDE,ALL OF TI-E I.jNFOR1•JA I"ION-Rlt-OLtl •STEll BELOW TNCOMPETEAPPLICATIONS WILL.NOTJBE ACCEPTED FOR INTERNAL USE ONLY Special Event Master Permit.#: t ~ 2 Date of Submission: Applicant's.Name&Title '143)9 :N' ,S 1'" L y ?E-`• F Applicant's Phone: 516-S`)6-673.1 .. Email:� �`fxwj 601 Property Owner(if different from Al pv Owner Phone: 5) Email: I eo m t Contact Person(if different from above).-- Contact Phone:.,-. Email:., _ Event Venue: QtYtiDj5'1,1 UN r15,5I/-V F}•L Venue Address: 5`T c�J=S {• /N ?-0f}D II'anlict "SyO 14010 SCTM#'s 1000-Section i713t? ` Bloclih, Lot(s) 005, Name ofEvent(s) Type ofEvent(s) u �ldN mil. (Please complete one-addendum bel6w for each individual event)V . Date(s)of Event(s):' •ctn Is there an approved site plan for the event venue?Yes [ ]No Maximum Number of Persons Attending at One Time(including staff): Max#of Cars Expected at Any One Time iJ: / ?6"s Is a tent-or other`6m i6fr 1-'.'structure being used?Yes J No [ ] If yes; s): x provide of tent provide size( v 3U. jOK.aoJ Have any of the'development rights been sold to the Town of Southold[ ]Yes[ I No-and/or Suffolk; County Agricultural Program? [ )Yes {` ]No If Vas,,to ithdf OI b,th, 11.: 1.11ldi66t��,df I . Lcit ltC� boundaries ofthe reserved aria iij5cin"{vh'1ch-tlic=we 1E1Vill tzlct�ial�cc Is this event being held to benefit a charitable organization?Yes[ ]No [ ] If yes,you may be eligible to request a waiver,of the special event fee,.•with the submission of verification and a written request..with this application. Mailing Address to Send]Event Permit to: .l�A �h`?;f '�-. 5q J t°j..MAIN '1Z —T- _ — 3 t 1 P„ E- SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event. 6 APPlicantJVenue :,(R,;f`r F is Date Master Permit#(if previously issued) -- _ r tv r-+U Start Time: ►r• End Time:, ?'S Is this special event consistent with the Master Application submittedlapproved for this type of event?For example, (; does this event comply`with the initial parking plan,maximum number of attendees,and the size and:placement of E tent(s):applied for or approved? Yes[ ]No [ J.If no,what amendments to the permit are being requested? r Ft Will food be served?[` ],Yes [vNo 'If yes;provide following: ¢'. Vendor Name:.. _ Suffolk County permit#:, Vendor Name: Suffolk County permitl#:. - Will outside vendors be serving;alcohol?'[ ]'Yes [�lo 1 If yes,provide--- Vendor Name:. _- LiquorLieense;#. Vendor Contact Name-,,,-; ,_.. . .,;Cell Phone:.. Will non-food/alcohol vendors be on the premises during the event?[VfYes []No If yes,provide: Describetypeofvendor(s) :SHi+f T5,�'IZ�2�17. C;'�ot7� ; ' u►iibriyofvc r]ors` } Day of Event Contact Person: IR 0- l M4' Piton� E-mail address'(prifit clearly), Will any Southold Town services be requested Yes(Describe below) NNo. Police Highway Other- Willa security company be used for any.of the events? [ ']Yes No.If yes,provide the following:name, address and cell number of the security company which will work on the pro mises,.and a description of the.duties to.be performed: Security,Company:, Contact Narries' Cell Phone:;' Duties to be performed: _ Pleaec,.�jse��atldiioi il n�y�s sfraa'aie irc.:n�eticii 4 3. t - g, YOU IVIUSTATTACH ATARk GIEVENT PLAN T.O T1IL MAS-TER APPLICATION. :k Tl;Tl'rII~E�LL�LCTEI?AT`T�1�B.�1?'Cl+.lg';300.OI2_l'fOR�'1'I;OP.LT.'S CAL,'i1I.i15`I e�I.:S:Q,r�TT't�CTi ��1s T1Lifi?:lucd(`NTROL PLfll\x tsrc uczi:,p tee 4(} ;A Pii Ftiiiti/'yent Plaii itiit r lie a'svi`<<rrt,:site nFni and/or aerial.vleiti tfoy_}Fi.�:tni�nle,( ,666 the sirbiect prorierty.INDICAT)::ON"l IE PLAID ALL of the=foIIwi utn information:, 3 i Aparking/event plan shownig: (1) The size of the property and its location in relation to abutting streets or highways. V(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 i temporarily for,the event; -1(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., i t ✓(6) The location of all fire extinguishers and other fire safety equipment: �17) The location of all temporary utilities to beinstalled for the event,if any. f ✓(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 s' ft, per car. v(9) A traffic control plan for vehicles entering and leaving the site for the proposed event. k,(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. V(11) A description of emergency access and facilities related to the event. pf \-(12) Provisions:to-dispose of any garbage,trash;rubbish or other refuse'., 1 (13) Location`and description of;anv additt.onal lighting to;be utilized in conjunctionwith the event. ,/(14) Zocation of sanitary facilities on site. ? Traffic Control Plan i 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 rJtalltieil'tT.t'fic't<�nttrillei uiitst'~be{�totFtded.Please attached a written deseription'and/or notate on the parking`eventplan the following: 1)Who will be j conductingliaffie,'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'SSIGNATURE.., 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 limitedlo 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;iind attachments hereto are true and correct to the best of my knowledge, and agree to provide totice to the Town immediately should.there be any material chi nges,regarding, to this application. Trafftc.Control Plan _ Events for three hundred(300)or more people also require subihission and approval of a traffic control plan,acceptable to the Town of Southold,AND a gwalified traffic.cotitrollet'1iiust°be Licvikied,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;, 5 circulation,parking,and exiting oflcats on site,and.4),Contact ihformation,for use by Southold Town Police. to 0 WNER'S.SIGNA T URE., I ant the fly Owner of tire Property where this event.Ulo be held and I agree,to6mPly with the'laws, rules,regulations,'conditions, and'requirements ofthe.Code of the T6wn,qfSo'uIhoId,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,11te by re swearolraffirm,that,the information contained,'herein and,attachments hereto are true and correct to the best of knowledge, and agree to provide notice to the Town intmediately shofild'there be.arsyni aterialchanges,regarding - to this'application Furthermore,I hereby authorize Code Enforcement Personnel of the Town'of Southold to enter the property-duringili,ohotirs'of the permitted spec' ' ialeventibmakeanyp.7d finqpecfioni necessary in , connection with this Special Event. Print name ofOwAe'r Print name of Authorized Person/kepresenta6ve Signature of Autboriied-Person/Representative 4. i I PERMISSION IS HEREBY GIbUNTED,SUBJECT TO THE F OLLOR'ING CONDITIONS_ (PLEASE RE'AD CARE ULL�a: 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-Paticintt to stileth�pr6lfibited tin ANTY'176wii.Cioonty'o)-°Stttc Roads or.Riyiiis,o"1'Way, 2, Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic r controller in accordance with the attached, approved traffic control plan. t j 3. One"on-premises"sign not larger than six(6)square feet in size maybe displayed not longer than thirty i (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. i ! 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. F 8. On-site food preparation is NOTpermitted,although food maybe catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this avert, inclUdiiiir but not liiniteil-tb,4S J- jfid.`in Yg &Wegi'esslacdess. tcnt(s) of.femnarary:structurc(s) or tC_mporaw,attitary f iciliOes.sliall be conducted on-Towi1,of Southold Purchase Obevelopment Rights land. 10 NU" tivides assoc�ntad_ivitli:fliis avert: mcIuelink bW'not IiiAtctl ia`palki in'rress/egress/access. � tent[a)'nr t�itapc+tii-y st�uchirv(�) or•"tcml�otan sanit.try tticiLtt��sshall be'eunductedon'Suffolk Countv: - Pw'chasc ot-Devclod n t nfsRi't?hts land tivithiit�T t peitintt issued by tlic_Suff�ll.Cottiaty'l�arinlaad Goriinuti0e:. 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. i 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 path from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstnicted at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws,and possesses a valid r Certificate of Occupancy for any building the public will occupy or used during the special event. 7 i y; 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 j 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:,, r t t E I 1 1 ANY VIOLATIONS.IN-CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT; fi APPROVED Town of Southold I' ( Resolution Number: Date Issued:. 3 I i i i l f i r 8 i S i t 1 I Town Clerk Feb.7,.2025 Town of Southold k 53095 Main Road s Southold,NY 11971 i RE' Pr:onosed DandoHon"Ftiestivbl°@ KW Farm May.4,.2025. To whom it may concern: On.Feb. 3, 2025, 1 went to,the Building Departmentto make an arrangement for the required Fire M,arshaJ inspection. G I was told that the doesnotat this;time`have;a,full=time Fire Marshal on I staff.and that:an Inspection of the premises',temporary tents would be made. 1 t once the tents are up. All activities for the proposed festival will held.outside or under tents and no one is allowed in any building on premises. ' Therefore, I am unable to submitthe.Fire Marshal's Inspection report with this submission. Thank you for this consideration. 'If there are any questions, please contact me: Siq cerely, r ,-Ira Haspel 59945 Main Road, Southold, NY IiW cell 516-398-8731 irahaspel@gmaii.com i HOLD HARMLESS AGREEMENT i i s ' The applicant of this Special Permit shall defend, indemnify and hold harmless the Town of Southold,its officers, employees, and representatives from and against any and all damages,liability,judgments,losses, and expenses, including but z not limited to attorney's fees, including damages arising from injuries or death of persons and. i damage to property which arise from or are connected with the event or events authorized by resolution of the Town Board of the Town of Southold,or caused by the negligent misconduct, and/or omissions under this Agreement and that of applicant's agents,servants and/or employees. If this Agreement is being executed in a representative capacity,the individual executing this ; Agreement hereby represents that this action has been authorized. i Dated:, Signature,: �J f Name: �.� J��S �e,s ,Authorized Agent XX IS P*Z P1 On behalf of: ��/2(.q : AP . f (Name of Business Entity) Dates of event(s): 44 ,Z ?Swc�T�a to before me this Jr� niar?A FRaFIEfE �, h0TW,FUQIJC STATE OF NEl`YDR< Day o el��I ez. t 0 r, rsrron.tro psFRc_S_asi QUO Mr,d In SO el. Coutrtp'' PIyCCn�7rtirrs; � EjI:fJIhClQ3,20 . 9 t ' 1 i 1 t 1 ' { r Wt j• ! 1 [ :° , `'� -. ,4G��t'� r > ;�°3 �A 1.�cTW1tE5�x..FLoos-°Df i ol t' l ��ti f��'f of-AhFN� °••fRL+citF 5 a uHaFlt't i • ., ,r•,a i v '.n b /; Z v�rw? .�y,.:1:.•1I z c,. µ `',` � 1�,`,: �r r ' ✓-"J •-� � �J �,<�}�.n•°, as � P�({J�to ,n�x . m� £ • t. � .•�''• /~�r�Y�'t�'"/.!r �1 .L` 1J �.p, �' bG iA6iS�10fA1, r + t. _ `�Qi� r - f�r.-.r rr.".T�'"' i ����'�, t�\ t• .'` •t - t - 4 ' , t '3 ` •� t �- i.' 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'� �.,�v,Y`.�.J , 'its' . �-��n'... 1� �• p � ., �^ __-_� ... -� I I t i t i (4 - 1 Town Clerk 53095 Main'Road Feb. 5,2025 Town of Southold,NY 11971 i � F Re:Special Event Application i F KK's Farm 59945 Main Road Southold;:NY'11971' Propos®d 0ain'dillon Festival May 4, 2025 Parking To whom it May Concern, f I hereby give permission.to park20 cars on the"Coveys"property for the above'referenced Dandelion Festival i 1 Sincerely- 46 .! r Marilyn KNkowski Owner Coveys Main Road,Southold,NY Town of Southold P.O Box 1179 Southold, NY 11971 RECEIPT Date: 02/06/25 Receipt#:. 337498 Quantity Transactions Reference Subtotal 1 Event Fee 05/04/2025 $360.00 Total Paid: Notes: Payment Type Amount Paid By CK#214 $300.00 Farm,At Southold Llc Southold Town Clerk's Office -530.95 Main Road, PO Box 1179 Southold, NY 11971 Name: Farm,At Southold LIc Ira Haspel 59945 Main Rd Southold, NY 11971 Clerk ID: DIANAF Internal ID:05/D4/2025 s Permit#: TC Checklist for Special Events Farms/Wineries/Private Events Applicant Name: J.l(1 �06 DOmAe YO T�S i 0. GvV 1)1 Number of Events on Application: Date Received: Q� No (max of 6 per application) Application(al 16 pages completed) Fees to be c 1lected: -5 . .O10 Application fee($1 ) 300 Late Application fee($250.00-if application is received less than 60 days) Current Certificate of Ins. Application sent for approvals to the following people: Gwynn Schroeder ►� Denis Noncarrow Stacey Norklun After emailing application and all applicable paperwork to'the people above, put application in `pink' pending folder. SION RECEIVED4 e w ar FEB Southold Town Clerk TOWN OF SOUTHOLD Town Code Chanter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals,Police Department, Government Liaison Officer, and Suffolk County Planning. Application fees: Special Events of the same type: $300 for an initial, master application and the first event. Each subsequent event 4 the same type; up to(or unlimited or 1united to)(x?) events, requires a fee of$50. All special events require a one-page addendum including the specifics of each individual event. Different types of events require a separate and complete initial,master application. All applications must be submitted at least 60 business days prior to the event. Applicants are encouraged to submit applications as early as possible.Any application submitted between 59 and 30 days before the event will be charted an additional $500 late fee. Any application submitted between 29 and 14 days will be charted a $1000 late fee.Late fees will also apply.to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be reiected or,subject to the late fees outlined above by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article 1, Section 205-2 (Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential propertLprofit, such as a venue for weddings or other events is prohibited. 1 This application is deemed complete once all the following requirements are submitted'to the-T--own a Clerk: Please indicate submission of the following by checking off the boxes and signing below. &/A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. CKFEE: Is the application beinsjubmitted at least 60 days before the event[ Yes [ ]No El`ff Yes,Fee of$ has been submitted ❑/The If No,Fee of$ has been submitted 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 �1 A signed and notarized Hold Harmless Agreement naming Southold Town An up-to-date Certificate of Compliance issued by the Southold Town Fire Marshall or the Town VA Department yes T PgrAcHPP b eft> �/ A valid Certificate of Occupancy in all buildings used during the special event. C1V0jv p tl GFD) FP/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) L(Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. a �Q ate i ature 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. 2 SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: I Rpr 44�p a'- —12M496 VIO (a Date of Event. ZOZS Master Permit#(if previously issued) Start Time: 111,9-m End Time: 5e0�M Is this special event consistent with the Master Application submitted/approved for this type of event?For example, does this event comply with the initial parking plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Yes [ ]No [ ].If no,what amendments to the permit are being requested? Will food be served? [ ]Yes [MNo If yes,provide following: Vendor Name: Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes [ I O If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: Cell Phone: Will non-food/alcohol vendors be on the premises during the event? [VYes []No If yes,provide: Describe type of vendor(s ap' &v C^0a S umber of vendors: Day of Event Contact Person: Phone: E-mail address (print clearly) /'prA hare&{C° cf,W'aY�o em M Will any Southold Town services be requested [] Yes(Describe below) NNo. Police Highway Other Will a security company be used for any of the events? [' ]Yes !f}No. If yes,provide the following: name, address and cell number of the security company which will work on the premises; and a description of the duties to be performed: Security Company: Contact Name: Cell Phone: Duties to be performed: Please use additional pages if more are needed. 4 MASTER APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT PLEASE PROVIDE ALL OF THE INFORMATION REQUESTED BELOW INCOMPETE APPLICATION'S WILL NOT BE,ACCEPTED FOR INTERNAL USE ONLY Special Event Master Permit#: Date of Submission: Applicant's Name&Title: IRA. 44 EL J W N ER pP ' �� Applicant's Phone: 5(G"3y8-P 7 31 Email: I vv-kag p01 &ameu,l °co 14 Property Owner(if different from above): Owner Phone: B)C-3t 8 -67 3 P Email: I M h 6,s P 0,1f e° 2 MO 1 ,40M Contact Person(if different from above): Contact Phone: It Email: Event Venue: a4 N Q,10/y Venue Address: 5`19�5- �/1`�/��"n Hamlet sou- Mo 0 SCTM#'s 1000-Section4'-13VO9 BlocoS�p 3 Lots) 00 ) Name of Events) DA'ND F—L W 114 ES T i yAL- Type of Event(s): ��� (Please complete one addendum below for each individual event) Date(s) of Event(s): Aj�y �i`, 02©,z-- S'dD Is there an approved site plan for the event venue?Yes [ ]No I)yj6 S1-1 dg4M Z*C� Maximum Number of Persons Attending at One Time(including staff): 2-5 Q5 Max#of Cars Expected at Any One Time: 60 Off 5Il- 4-2-0 s p6 ccs & "C-V&YS" Is a tent or other temporary structure being used?Yes�6 No [ ] If yes,provide of tent provide size(s): 1 dwac! 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. Is this event being held to benefit a charitable organization?Yes [ ]No [ ] If yes,you may be eligible to request a waiver of the special event fee,with the submission of verification and a written request.with this application. Mailing Address to Send Event Permit to: (RA #45P&L. -991+5 HA-IN RD s,D�(,q00 P 1igl 3 YOU MUST ATTACH A PARE ING/EVENT PLAN TO THE MASTER APPLICATION. IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parkine/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 following information: A parking/event plan showing: 1(1) The size of the property and its location in relation to abutting streets or highways. v(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. v'(9) A traffic control plan for vehicles entering and leaving the site for the proposed event. v(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. v(11) A description of emergency access and facilities related to the event. ,v(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 IS SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,.regulations, conditions, and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application. 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, 5 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 Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application 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 inspections necessary in connection with this Special Event. i Rr+- - hgL r Print name of OwAer i tur er Print name of Authorized Person/Representative Signature of Authorized Person/Representative 6 PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS (PLEASE READ CAREFULLY): 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 maybe 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 maybe catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), 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, in rg ess/ejress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas, all buildings,all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit path 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, and possesses a valid Certificate of Occupancy for any building the public will occupy or used during the special event. 7 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: 8 HOLD HARMLESS AGREEMENT The applicant ���} f�'9 S�'6-L- of this Special Permit shall defend, indemnify and hold harmless the Town of Southold, its officers, employees, and representatives from and against any and all damages, liability,judgments, losses, and expenses, including but not limited to attorney's fees, including damages arising from injuries or death of persons and damage to property which arise from or are connected with the event or events authorized by resolution of the Town Board of the Town of Southold, or caused by the negligent misconduct, and/or omissions under this Agreement and that of applicant's agents, servants and/or employees, If this Agreement is being executed in a representative capacity, the individual executing this Agreement hereby represents that this action has been authorized. Dated: Signature: Name: / W4 / S PAL ,Authorized Agent /L/C's PIP M On behalf�of: (Name of Business Entity) Dates of event(s): to b_ore me this - o IANA MANE NOTARY PUBUC,STATE OF NEWYORK Da of , 20 Registration No.Q5FR6288691 Quai[W In Suffolk County My CWML%W Expires September 09,211ZE 9 . .. �, rIG•�n i .J 4 Southold Town 2025 Special Event Application Policy Changes Iteme Old Policy New Policy Notes 1 Application0 One application for up One "Master Application"for No limit on number of events, but this to six events of the events of the same type, plus may be re-valuated periodically. same type. For a one-page addendum for example, weddings. each individual event. Master Please fill in all fields on the application. If } applications reviewed by the a field does not apply to the event, please All applications are entire committee. indicate N/A(not applicable). reviewed by the entire committee. Addendum reviewed by the The Addendum to the application Government Liaison Officer requires particulars about each individual Incomplete (GLO) unless there is a event,for example,food vendors, or applications were significant change from the amendments to the approved Master accepted, although Master Application. Application. required. Applications reviewed by the In the past, common omissions on Govt Liaison Officer for applications have been SCTM#,SC Vendor ,. . completion before submitted ID#s, errors on Cert. of Insurance, and to the Town Clerk. If the GLO parking plans without dimensions. ' is unavailable,the Clerk's k office will certify the application is complete. `2Appca`fion f.e The increased fees reflect more $150 for up to six $300 for the Master accurately the staff time used to review. events. Application and first event. The$50 fee is more equitable for venues $50 for each subsequent holding fewer events of the same type vs. a event. those holding many. 3�Ltefees x $250 if submitted less If submitted between 59 and No application will be accepted 14 days r , than 60 days prior to 30 days prior to the event, prior to the event to ensure the Town a the first event. the applicant will be charged Board has time to consider and approve. h` an additional late fee of$500. s Late fees apply to late submission of If submitted between 29 and addendum as well. 15 days prior to the event a iw $1000 late fee applied. 4 Reggired °: Checklist required, but $2million C of I now required Qocurn nts frequently omitted on A Certificate of Compliance may be issued Cheek ist submitted applications. Added to Check List y the Fire Mars a orgy t e Building A. H did'FtarmlAs Agreement Dept. h tP` "I'. �C re�"`�1�.�4ii11 1 0.r Y A minimum of$1 A B: Cer�; tif of�Compli.a c 'for -y million Certificate of ,Building&.Fire.lnspection It is the applicant's responsibility for Insurance(C of I), 'any�bUilding used contact the Town for the yearly fire and naming Southold Town during the special event building inspection. a as an additional r� R4 insured. The check list on page 2 of Additional fees may be charged if a the application must be reinspection is needed per fire marshal or . . completed before the Building Dept.fee schedule. application will be accepted. Town Clerk Feb.7,2025 Town of Southold 53095 Main Road Southold,NY 11971 RE: Proposed Dandelion Festival @ KK's Farm May 4, 2025 RECEIVED FEB » ,' To whom it may concern: Southold Town Clerk I hereby apply for permission to hold the Dandelion Festival at KK's farm on May May 4, 2025 @ Main Road, Southold, NY. From 11:00am to 5:00pm. This is an educational event intended to increase the public's awareness of the beneficial aspects of the dandelion plant as food and health benefit thereby encouraging people -homeowners, farmers, gardeners—to reduce or eliminate the use of harmful materials in an effort to control and kill the dandelion. At the Festival we have lectures, farm tours, informational booths (Group for the East End, Audubon Society, Slow Food,native plant info. etc.), face painting and dandelion crown making for children, local musicians and a representative from the Wildlife Refuge. All activities will be outside or under temporary tents. No one will be allowed entrance to any building. No alcohol is served. No food service will be provided at the event. If permission is granted this will be the fourth Dandelion Festival held at KK's, Farm. Please see attached the following: 1. application fee of$300.00 2. signed Application for a Permit to Hold a Special Event 3. Copy of the Parking/Event Site Plan, S1-1 dated 2/07/2025 4. Notarized Hold Harmless Statement. 5. Letter regarding the Town Fire marshal inspection. 6. Certificate of Insurance, naming Town of Southold as Additional Insured. 7. A Letter from the owner of Coveys granting permission to park 20 cars on their property which is across the street from the event site. 8. Signature of Property Owner on Application authorizing the Code Enforcement Personnel to the Town of Southold to enter the subject premises during the hours of the event. Thank you for this consideration. If there are any questions, please contact me. Sincerely, Hasp 59945 Main Road, Southold, NY 11971 cell 516-398-8731 irahaspel@gmail.com Town Clerk Feb.7,2025 Town of Southold 53095 Main Road Southold,NY 11971 RE: Proposed Dandelion Festival @ KWs Farm May 4, 2025 Fire Marshal Inspection To whom it may concern: On Feb. 3, 2025, 1 went to the Building Department to make an arrangement for the required Fire Marshal inspection. I was told that the Town does not at this time have a full-time Fire Marshal on staff and that an Inspection of the premises' temporary tents would be made once the tents are up. All activities for the proposed festival will held outside or under tents and no one is allowed in any building on premises. Therefore, I am unable to submit the Fire Marshal's Inspection report with this submission. Thank you for this consideration. If there are any questions, please contact me. S' cerely, dra Haspel 59945 Main Road, Southold, NY 11971 cell 516-398-8733. irahaspel@gmail.com Town Clerk 53095 Main Road Feb. 5,2025 Town of Southold, NY 11971 Re:Special Event Application KK's Farm 59945 Main Road Southold, NY 11971 Proposed Dandelion Festival - May 49 2025 Parking To whom it May Concern, I hereby give permission to park 20 cars on the"Coveys"property for the above referenced Dandelion Festival. Sincerely Marityn Krukowski Owner Coveys Main Road,Southold,NY Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/06/25 Receipt#: 337498 Quantity Transactions Reference Subtotal 1 Event Fee KKF la $300.00 Total Paid: $300.00 Notes: Payment Type Amount Paid By CK#214 $300.00 Farm, At Southold Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Farm, At Southold Llc Ira Haspel 59945 Main Rd Southold, NY 11971 Clerk ID: DIANAF Internal ID: KKF 1a .- �• \'• � .' - -, - .. � . .. r '. -, .. r -t _ �-may/._ _ _- _y � .. .. , a - �'�''"•' ` x+ _ : .. " -' .. .. - Y - • }- ,p III" a {MDT- FD IRON PIPE r - _ \ 4' SOUTH ___ _ �Q 1♦F \ 0.4' WE$ �O /�[��j_ -- - `� TE , �e. 1 2-0 , off. (!`E �fa t • 4 _ i. of , L LP - x • •r , 'M . `Y { - Y ��y •/ T „f -l1 . f, w _ , - .r , , - µ - , , • y" � �'- , w 1 Y -a r f� ..Y a r - r I Vjq s. 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