HomeMy WebLinkAboutBreeze Hill Farm 2025-2 `�uouthold Town Board - Letter Board Meeting of Apri129, 2025
RESOLUTION 2025-345 Item # 5.33
ADOPTED DOC ID: 21275
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-345 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
APRIL 29,2025:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to Breeze
Hill Farm to hold Special Event 2025-2 at Breeze Hill Farm, 31215 County Road 48, Peconic,
New York, as applied for in Application BHFIa-f for Events to be held on May 2°a, 911,, June 7"',
141h, 21", and 27"' of 2025, from 5PM- I IPM, 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: Jill Doherty, Councilperson
SECONDER:Brian O. Mealy, Councilperson
AYES: Mealy, Smith, Doherty, Evans, Doroski, Krupski Jr
Generated April 30, 2025 Page 49
BREEZE HILL FARM & PRESERVE, INC.
31215 County Road 48
P.O. Box 246
Peconic, New York 11958
(631) 876-5159
Email: breezehillfarmeventsgymail.com
April 10, 2025 RECEIVED
Office of the Town Attorney APR 2 1 2025
Attn: Gwynn Schroader, Government Liaison Officer
53095 Main Road, P.O. Box 1179
Southold, New York 11971 Southold Town Clerk
Re: Breeze Hill Farm Special Events Permit
31215 County Road 48, Peconic, New York
SCTM No. 1000-074.00-01.00-03-6.000
Dear Sir/Madam:
,In connection with the above referenced matter enclosed please find
additional documentation to complete our application.
Please be advised that the delay in filing for the permits was the fire
inspection and clearance by the building department. Enclosed please find
the filing fee of$1,600.00 for the six (6) events.
If you have any questions, please do not hesitate to contact the undersigned.
Thank you.
Very truly yours,
k/"
. i Christopher Ls
This application is deemed complete once all the following requirements are submitted to the Town
Clerk: Please indicate submission of the following by checking off the boxes and signing below.
❑ A completed application form signed by the owner and the event manager: Applications without
property owner's signature/approval will be rejected.
❑ FEE: Is the application being submitted at least 60 days before the event[ ]Yes [4No
❑ If Yes,Fee of$ has been submitted
❑ If No,Fe'e of$ has been submitted
❑ The applicant/owner of the property where the special event is proposed to take place must provide a
certificate of insurance not less than 2 million dollars naming the Town of Southold as an
additional insured
❑ 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
Building Department
❑ A valid Certificate of Occupancy in all buildings used during the special event.
❑ A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that
includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s).
(See application form for details)
❑ Events for three hundred(300)or more people require submission and approval of a traffic control plan
acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event.
(See application form for details)
❑ Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of
Southold to enter the subject premises during the hours of the event to ensure compliance with any and
all special event permit conditions.
My signature below affirms that I have submitted all the information required above in connection
with my application.
I me &4 tlz
bated Signature IV
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
MASTER APPLICATION FOR A PERMIT TO HOLD' SPECIAL EVENT
PLEASE PROVIDE ALL OF THE INFORMATION REQUESTED BELOW
INCOMPETE APPLICATIONS WILL NOT BE ACCEPTED
i
FOR INTERNAL USE ONLY
Special Event Master ermit#:
I
Date of Submission: �IApplicant's Name&Title: rf� � &�fU� tG.
Applicant's Phone: �3 . �7�, �� �� Email:_17��e1-Z,t�,� �� �Z✓�hGW�S ( C�✓Vt�l i Go�'V)
Property Owner(if different from above): �,,rttu— 1 UI P414KO , L L
Owner Phone: �3 i S7 �1 Email: �Gu1yi- ✓�&
Contact Person(if different from above): J eVb1 i4ir eel(
Contact Phone: � � ?� S� s
Email: i
Event Venue: rulinL,
Venue Address: Z 16 (..U(AJ� �,A `( Hamlet
I
SCTM#'s 1000-Section -1Y Block ' Lot(s)_ 6
Name of Event(s) -�C&l 00f uka "d m aw*115
pAI I
Type of Event(s): U1i m6b
(Please com ete one addendum below for each individ6al event)
Date(s)of Event(s): L I L'l 2�'1��° ✓c� �61�' ✓V� �f '1�1.I� �jry� �s�i(�
Is there an approved site plan for the event venue?Yes ;]No [
I
Maximum Number of Persons Attending at One Time(including staff): U�s S Z �
Max#of Cars Expected at Any One Time: 1��+-��GUI
Is a tent or other temporary stricture being used?Yes 06 No [ ] If yes,provide of tent provide size(s):
I
Have any of the development rights been s Id to the Town of Southold [ ] Yes No and/or Suffolk
County Agricultural Program? [ ]Yes [ No If yes to either or both,also in icate on the attached plan the
boundaries of the reserved area upon whi h the event will take place
i
Is this event being held to benefit a charitable organization?Yes [ ]No [K If yes,you may be eligible to request
a waiver of the special event fee,with the submission of verification and a written:equest. with this application.
Mailing Address to Send Event Permit to: ��� �� ��� EU¢t�✓l f ��
3
i
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: -
Date of Event: KOil Master Permit#(if previously issued) I
Start Time:
End Time: I f
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?
,If-
Will
food be served? )]
[ Yes [ ]No If yes,provide following:
Vendor Name: E a 'GVL G4f ��s Suffolk County permit# Pro O a Z
Vendor Name: Suffolk County permit#: `�— OQO �r9�1 rl
Will outside vendors be serving alcohol? [�j Yes [ ]No If yes,provider
Vendor Name: Wefe/_5 Liquor License# { ��
Vendor Contact Name: �V� G5 � S Cell Phone: ��i �� �'0-70
Will non-food/alcohol vendors be on the premises during the event?[ ] Yes XNo If yes,provide:
Describe type of vendor(s) Number of vendors:
Day of)Event Contact Person: ���{ � �l%�I Ph one• � � 4
E-mail address(print clearly)_ �f��� i (✓� (;r y'ep&e. 0 �(1tffl &awt_
i
Will any Southold Town services be requested [] Yes(Describe below) I No.
Police Highway Other l
Will a 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 premises, and a description of
the duties to be performed: Security Company:
i
Contact Name: Wl Cell Phone: I
1
Duties to be performed:
i
Please use additional pages if more are needed.
I
4
I
I
I
SPECIAL EVENT APPLICATION ADDENDUM v
Please complete one form for each event I
Applicant/Venue: ���1'�' R �� __ k 0� �1 1/(� i 44 G•
Date of Event: �Ily 1 _Master Permit#(if previously issued)
Start Time: 5- End Time: I
I
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 [y No [ ].If no,what amendments to thei permit are being requested?
0>rft6i Gluey byUv1,5 ee, � 60 � '�
I
Will food be served? Yes [ ]No If yes,provide following:
Vendor Name: Lctunik tomb" - i'��H J Suffolk County permit#: �� M0137 3'
Vendor Name: Suffolk County permit#:
i
Will outside vendors be serving alcohol? ]Yes [ ]No If yes,provide:
Vendor Name: �' r�'�� `�'''`'�414 / 6 U, Liquor License# L��sy
Vendor Contact Name: Cell Phone: ��6-3 �� 6 73
Will non-food/alcohol vendors be on the premises during the event? [I Yes o If yes, provide:
Describe type of vendors) � l/U✓''c �"' 'i` Number of vendors: 7
Day of Event Contact Person: eyy W �"� `�) Phone: �' —
E-mail address (print clearly)\ Op La!,_r (oa�yU1
Will any Southold Town services be requested [] Yes(Describe below) p�No.
7
Police Highway Other
Will a 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 premises, and a description of
the duties to be performed: Security Company:
Contact Name: All Cell Phone:
I
Duties to be performed:
Please use additional oases if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue. 1r`�� �l V� ' ` � �•
Date of Event: ' V MC 0 Master Permit#(if previously issued)
Start Time: pM End Time: 11
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 pail ing 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? [\Xl!Ye''s [ ]No If yes,provide following: l
Vendor Name: �QCA a4 ca+efl i"� Suffolk County permit#: ��� Og�U` q"
Vendor Name: Suffolk County pennit#:
Will outside vendors be serving alcohol? [A Yes [ ]No If yes,provide:
Vendor Name: `� (^"'' err �� Liquor License# 13V _7Z 7 3
Vendor Contact Name: AN am LoVL Cell Phone: 3 l, �6 -7 7 2-
Will non-food/alcohol vendors be on the premises during the event? [� Yes []No If yes, provide:
Describe type of vend o-(s) 1�LV���� ��U` Number of vendors:
Day of Event Contact Person: `� � '� Phone:
E-mail address (print clearly)
Will any Southold Town services be requested [] Yes(Describe below) No.
Police Highway Other
Will a 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 premises, and a description of
the duties to be performed: Security Company:
Contact Name: 7/+
Cell Phone:
Duties to be performed:
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue:
Date of Event: TU k - �-1 _Master Permit#(if previously issued)
Start Time: �' End Time:
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 [%4]No [ ].If no,what amendments to the permit are being requested?
Will food be served?M Yes [ ]No If yes,provide following:
Vendor Name: Calf e rV_ Suffolk County permit#: �O 1-7
Vendor Name: - Suffolk County permit#:
Will outside vendors be serving alcohol? [ J Yes [ ]No If yes,provide:
Li uor License# �'61 /l r
Vendor Name: q II
Vendor Contact Name: SqA ek) Cell Phone:
Will non-food/alcohol vendors be on the premises during the event? [)]Yes []No If yes, provide:
Describe type of vendor(s) !" Number of vendors:
Day of Event Contact Person: ° " I Phone:
E-mail address(print clearly)
Will any Southold Town services be requested [] Yes(Describe below) pQNo.
Police Highway Other /
Will a security company be used for any of the events? [ ]Yes [ ]No.If yes,pr,ovide 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
SPECIAL EVENT APPLICATION ADDENjDUM
Please complete one form for each event
Applicant/Venue:
mow. i (�� �V`�, %rim,
1,,�nl
Date of Event: VK_c2'( 1 f�P/) Master Permit#(if previously issued)
rP�
b
Start Time: fm". End Time:
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 [' q No [ ].If no,what amendments to the permit are being requested?
Will food be served? [r� ]Yes�,�_[ ]No If yes,provide following:
Vendor Name:
YYY+l�lGtiL, V�1'1�D �ak�(Vf Suffolk County permit#: 0-0 2,0
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? N Yes [ ]No If yes,provide:
Vendor Narne: A&hatt (J � �'� 6Ll��e d`S' LiquorLicense# '�`�6 3
Vendor Contact Name: Cell Phone: 63/ fo 6�C
Will non-food/alcohol vendors be on the premises during the event? [*]Yes []No If yes, provide:
Describe type of vendor(s)
lC �(� ��U �" 4 Number of vendors: 2.
qjv_ Avs 6� (, r-0—d- AVG 64vll
Day of Event Contact Person: '� je-f Ae- ' Phone: 3
E-mail address (print clearly)
Will any Southold Town services be requested [] Yes(Describe below) [ To.
Police Highway Other ((
Will a 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 ork on the premises, and a description of
the duties to be performed: Security Company:
Contact Name: Ar, Cell Phone:
Duties to be performed:
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: t7& to krm, I Ayu J
Date of Event: JU 1 Vaster Permit#(if previously issued)
Start Time: 'S_l End Time: l
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)ya�pplied for or approved? Yes N No [ ].If no,what amendments to the permit are being requested?
„�Irltil V1� �`Pil��r/1. Ofl�l.� �(f�'�l� �✓�/�L� `�(l�-� 1/� �li��
Will food be served? ['o Yes [ ]No If yes,provide following: /
�� Suffolk County ermit#: 2�l
Vendor Name: ,bt/'L ty, p
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [\4 Yes [ ]No If yes,provide:
Vendor Name: 1kte ra Liquor License# 6 orb.ell 6
l
Vendor Contact Name: Cell Phone: 41f- CF2_�'
Will non-food/alcohol vendors be on the premises during the event? [�j Yes []No If yes, provide:
Describe type of vendor(s)
InC 'UP (.6WV14 ii nn�1M Uc Number of vendors: Z
Day of Event Contact Person: l Phone: �j
E-mail address(print clearly) �t ey Mal, C/A
Will any Southold Town services be requested []Yes(Describe below) yo.
Police Highway Other
Will a 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 premises, and a description of
the duties to be performed: Security Company:
,"
Contact Name: (4 Cell Phone:
Duties to be performed:
Please use additional pages if more are needed.
4
YOU MUST ATTACH A PARKING/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 Parking/Event Plan may he 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) The size of the property and its location in relation to abutting streets or highways.
(2) The size and location of any existing building(s)or structure(s)that will be in operation
during the course of the event and any proposed building, structure,or signs to be erected
temporarily for the event.
(3) The location of the stage or tents,if any.
(4) The designated areas of use for spectators,exhibitors,vendors,employees and
organizers.
(5) Location of all entries and exits.
(6) The location of all fire extinguishers and other fire safety equipment.
(7) The location of all temporary utilities to be installed for the event,if any.
(8) The layout of any parking area for automobiles and other vehicles and the means of
ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft.
per car.
(9) A traffic control plan for,vehicles entering and leaving the site for the proposed event.
(10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used,
if any, and the type and location of speakers and other audio equipment.
(11) A description of emergency access and facilities related to the event.
(12) Provisions to dispose of any garbage,trash,rubbish or other refuse.
(13) Location and description of any additional lighting to be utilized in conjunction with the
event.
(14) Location of sanitary facilities on site.
Traffic Control Plan
Events for three hundred(300)or more people also require submission and approval of a traffic control
plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provide&Please
attached a written description and/or notate on the parking event plan the following: 1)Who will be
conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance,
circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town
Police.
OWNER'S SIGNATURE:
I am the Owner of the Property where this event is to be held and I agree to comply with the laws,
rules,regulations, conditions, and requirements of the Code of the 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 all inspections necessary in
connection with this Special Event.
R411 (fVrftI t I
Print rename of Owner Signature of Owner
Print name of Authorized Person/Representative Signature of Authorized Person/Representative
t
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 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 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 structures), 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, ingress/egress/access,
tent(s) or temporary structures), 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 ��'G �U`� 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: ,Authorized Agent
On behalf of: rWze U I 6m, t �—P. cgio°� .rf
(Name of Business Entity)
Dates of event(s):
0�,
Sworn to before me this
Day of , 20 7,
L 0 4, JJ1f<1
WILLIAM C.GO.GGINS
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.4963689
Suffolk County
Commission Expires March 12,741
9
Southold Town 2025 Special Event Application Policy Changes
Ifiem Old Policy New Policy Notes
1.Application 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
office will certify the
application is complete.
2.Applicati0 60of
— The increased fees reflect more
$150 for up to six $300 for the Master accurately the staff time used to review.
events. Application and fi7t ewnt,."-
aN,
The$50 fee is more equitable for venues
$50 for each subsequent holding fewer events of the same type vs.
event. those holding many.
3. Late fees $250 if submitted less If submitted between 59 and No application will be accepted 14 days
than 60 days prior to 30 days prior to the event, prior to the event to ensure the Town
the first event. the applicant will be charged Board has time to consider and approve.
an additional late fee of$500.
Late fees apply to late submission of
If submitted between 29 and addendum as well.
15 days prior to the event a
$1000 late fee applied.
4. Required Checklist required, but $2million C of I now required
D06uments frequently omitted on A Certificate of Compliance may be issued
Checklist submitted applications. Added to Check List by the Fire Marshal or by the Building
A. Hold Harmless Agreement Dept.
A minimum of$1 B. Certif. of Compliance for
million Certificate of Building& Fire Inspection It is the applicant's responsibility for
Insurance (C of 1), C. C/O for any building used contact the Town for the yearly fire and
naming Southold Town during the special event building inspection.
as an additional
insured. The check list on page 2 of Additional fees may be charged if a
the application must be reinspection is needed per fire marshal or
completed before the Building Dept.fee schedule.
application will be accepted.
TOWN OF. SOUTHOLD BUILDING :DEPTH',
631 765-1802 :p
INSPECTION
,
[ ,] FOUNDATION 1'ST [ ] ROUGH PL" BG'.
[ ] FOUNDATION 2ND' [ J, INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] F L, AL
[ ] 'FIREPLACE & CHIMNEY [ ,FIRES SAFETY INSPECTION
[ } FIRE RESISTANT CONSTRUCTION [ ] " FIRE RESISTANT PENETRATION
] ELECTRICAL (ROUGH) [ .] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ r ] . PRE C/O- [ ] RENTAL
REMARKS:
i ' S numv,- Amvo, . -
r
C �V pwVVI �5 w wjJA,/w dgo he)�
ADAT S
;t E; � � INSPECTOR V/ v
CY23IM17 W Wdrg 7enl We smdng.;ng
Orchard
I
40XI 00 New Century Hth Peak Pole Tent
, tars L'G=
B=dr1tC3
O
.. .. ...
m i�i'�i .:.r. :� '..'�'t�!%�i r.^.'a.,� 931 g�1 C+ Gssv d Fz+cmg Let
.... JAM
spy6•tt t utentcarterM1.9E•
. tact' -ILL fra=srvel,inline
with lamp post
2(h20 .• GrardFark=gLat
eAW FrameTent .. 2301A0,
for Sct•.ice last abed dot
to base nftree•
10,1?ie from g2ce1
. i •9s1D de9s16
optional ram plat
not torrend included
A
V
ILL FARM &
BREEZE ■ PRESERVE
LOCATION SITE PLAN
,IJeo .s,i �1 •��,r-r'�� •GoDgIC Q�-j: .
SOUTyp
TO .. � Of-,'$OUTHOLD:`BUILDING, DEPT. I
WN .
o�y�ouRilOio . ' 631-765-1802
1
i
:NAP
.ECT
] FOUNDATION 1.ST [ ] ROUGH PLBG. i
FOU.NDATION,2ND [ ] INSULATION/CAULKING
F N'AL
[ ]= FRAMING /.STRAPP.ING [ } �
FIREPLACE.& CHIMNEY IA
FIRE SAFETY INSPECTION
[ ]` FIRE'RESISTANT CO:NSTRU:CTION- [ ] FIRE.RESISTANT PENETRATION
ELECT.FtICAL (RO.UGH) [. �] ELECTRICAL (FINAL)
! [ }
PRE C/O RENTAL
[ } CODE VIOLATION [ ] ;
[ ]
4
REMARKS: 1
-\y
in
pAqu(kef-
-21-
IC�v.
p!M r �P 1Y�
{
r t
i TE 7i �'' �' INSPECTOR (
Schroeder, Gwynn
From: Schroeder, Gwynn
Sent: Friday, April 25, 2025 2:58 PM
To: 'breezehillfarmevents@gmail.com'
Cc: Noncarrow, Denis
Subject: RE: Updated Insurance Requirements
Tracking: Recipient Delivery
'breezehi Ilfarmevents@gmail.com'
Noncarrow,Denis Delivered:4/25/2025 2:58 PM
Hi Jennifer,
Just following up on my email below.
Best,
Gwynn
From: Schroeder, Gwynn
Sent: Monday, April 21, 2025 3:05 PM
To: 'breezehillfarmevents@gmail.com' <breezehillfarmevents@gmail.com>
Cc: Noncarrow, Denis<denisn@southoldtownny.gov>
Subject: Updated Insurance Requirements
Jennifer,
Per our conversation, he Town of Southold requires$2, 000,000 of coverage under Commercial General Liability for both
"Each Occurrence" an "General Aggregate".
Alternatively, if the insurance company (not the agent) puts in writing that a.$2 mil excess/umbrella policy, be exposed
to a loss to the benefit of the Town, in its position as an additional insured and certificate holder,that will be acceptable.
Breeze Hill currently has$2million under Commercial General Liability for general aggregate, but not under each
occurrence
Best,
Gwynn Schroeder
Government Liaison Officer
Office of the Supervisor
Town of Southold
wgwynns a shutholdtownn gov
631-765-5806
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT
Date: 04/25/25 Receipt#: 339298
Quantity Transactions Reference Subtotal
1 Event Addendum Fee BH1 a-f $300.00
5 Event Addendum Fee BH1 a-f...' $250.00
1 Late Fee BH1 a-f.. $1,000.00
Total Paid: $1,550.00
Notes:
Payment Type Amount Paid By
CK#1361 $1,550.00 Breeze Hill Farm
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Breeze Hill Farm
31215 County Road 48
Peconic, NY 11958
Clerk ID: DENISN Internal ID:BH1 a-f..
NoncarroA4j Denis
From: Noncarrow, Denis
To: breezehillfarmevents@gmaii.com
Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Mudd,Jennifer; Franke, Diana
Subject: Printout-21275-1034-M65117
Attachments: Printout-21275-1034-M65117.doc
Please see attached Resolution for your special events.
Any questions please give us a call.
Thank you
Denis Noncarrow
Southold Town Clerk.
Town of Southold, New York
www.southoldtownny.gov
denisn@southoldtownny.gov
631-765-1800
CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged
information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is
prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the
intended recipient, please contact the sender and destroy all copies of the communication.
1