HomeMy WebLinkAboutBedell North Fork LLC 2025-3 i
`W' RESOLUTION 2025-375
ADOPTED DOC ID: 21289
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-375 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
MAY 13,2025:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to Bedell
North Fork, LLC to hold Special Event 2025-3 at Bedell Cellars, 36225 Main Road, Cutchogue,
New York as applied for in Application BCla-x for Weddings: 5/25, 5/31, 6/6, 6/7,
6/14,6/20,6/28,7/12,7/26,8/9,8/16,8/23,8/30,9/5,9/6,9/12,9/13,9/20,9/26,9/27,10/3,10/4 and
10/12/2025 from 5PM- 11PM
These events are approved with the following conditions:
1. All parking of vehicles for this event must be as shown on the plan submitted with the
special event application.
2. No parking for this event is permitted on land where development rights have been sold
to the Town.
. 3. Active and updated insurance policy must be supplied to Government Liaison at all times.
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.
All events are being evaluated by the Town Board.
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Jill Doherty, Councilperson
SECONDER:Greg Doroski, Councilperson
AYES: Mealy, Smith, Doherty, Evans, Doroski,Krupski Jr
Special Event Master Permit
p X
TC Checklist for Special Events Farms/Wineries/Private Events
Applicant Name: le- d
Type of Event(i.e. Community Event,Wedding,etc.):
Application(Master/151 Event) Date Received: q / 1 U /202Jr
Addendum(s) ,I
No. of Addendums attached: 2. Date Received: / 18/2025
Same type of event as Master? N
Fees to be collected:
J Master/ls`Event fee($300.00) Date Received: `'i / I g/ 202T $300.00
JAddendum(s) ($50/Addendum) Date Received: 2;Total Due: $
Late Application fees: $500.00 -30-59 days before event Total Due: $
$1,000.00 - 14-29 days before event Total Due: $
Total Paid: $ 1—I 0 V��
Check#(s): 50 8
Current Certificate of Ins.
JHold Harmless Agreement
Application sent for approvals to the following people:
Gwynn Schroeder Denis Noncarrow V Stacey Norklun
After emailing application and all applicable paperwork to the people above, put application in
`pink' pending folder.
Franke. Diana
From: Franke, Diana
Sent: Friday,April 18, 2025 1:59 PM
To: Born, Sabrina; DeChance, Paul;Johnson, Benjamin; McGivney,Julie; Mudd,Jennifer;
Noncarrow, Denis; Norklun, Stacey; Schlachter,Amy, Schroeder, Gwynn; Squicciarini,
James; Stype,John; 'TOWN ATTORNEY'
Subject: Bedell Cellars:Weddings
Attachments: BC 1 a-x.pdf
Importance: High
Good Afternoon,
Please see attached the Application for a Special Event Permit from Bedell Cellars.
* Similar case regarding the insurance.
Thank you,
Account Clerk
Southold Town Clerk's Office
(631)765-1800 Ext 1228
1
�4
RECEIVED
APR 18 2
025
TOWN OF SOUTHOLD Southold Towle Clerk
Town Code Chapter 205 "Public Entertainment and Special Events"
SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM
Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the
Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,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 of the same type, up to(or unlimited or limited to)(0)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 charged an additional $500 late fee. Any application
submitted between 29 and 14 days will be charged a$1000 late fee.Late fees will also apply to
late event addenda.
PLEASE NOTE:
NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL
EVENT DATE.
IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
The Committee will obtain comments on all applications from relevant Town,County and/or State agencies
and will forward completed applications to the Town Board with a recommendation as to whether to grant
or deny the application.
The Town reserves the right to request additional information from an applicant to address issues related to
the health,safety,and welfare of the community.
When is a Permit Required?
All Special Events,per Southold Town Code Article I. Section 205-2(Definitions)must obtain a permit.
Occasional events on private residential properties hosted by the owner thereof that are by invitation such
as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits.
Any use of residential property for profit, such as a venue for weddings or other events is prohibited.'
1
This application is deemed complete once all the following requirements are submitted to the Town
Clerk: Please indicate submission of the following by checking off the boxes and signing below.
15 A completed application form signed by the owner and the event manager. Applications without
property owner's signature/approval will be rejected.
dFEE: Is the application being submitted at least 60 days before the event[ Yes [ ]No
❑ If Yes,Fee of$ 300 has been submitted
❑ If No,Fee of$ has been submitted
DO/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.
l/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.
Dated Signature
Activities associated with outdoor public events are strictly prohibited from taking place on land
preserved through the sale of development rights to the Town of Southold, and can only take place on
land preserved through the sale of development rights to the County of Suffolk with a permit issued by
the Suffolk County Farmland Committee.
If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to
operate issued by the Suffolk County Bureau of Public Health Food Protection Unit.
2
MASTER APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT
PLEASE PROVIDE ALL OF THE INFORMATION REQUESTED BELOW
INCOMPETE APPLICATIONS WILL NOT BE ACCEPTED
FOR INTERNAL USE ONLY
Special Event Master Permit#:
i
Date of Submission: y Zia Applicant's Name&Title: .L,F, 41V V\ L l�ff(hy nr WtWiq j C'ulm
Applicant's Phone: Email:
Property Owner(if different from above): nz l er
Owner Phone:
Contact Person(if different from above): OC I(SDI T� 11p
Contact Phone: � )�-,3 u--1 5 31 Email: De (I. A Ode 11 CC lNaZ• (()b
Event Venue: e 0.V_S
Venue Address:30a a 5 NN \ a � () UAQle t I G 3 5
SCTM#'s 1000-Section_ Block Lot(s) Q5 , 1
Name of Event(s) �(�f." C Q\1 C,S W:RR d'm�1
Type of Event(s):_ I
c(,Please complete one addendum below for each individual event)
Date(s)of Event(s): U j a 5 1 d ci
Is there an approved site plan for the event venue?Yes [V]No [ ]
Maximum Number of Persons Attending at One Time(including staff): �5
Max#of Cars Expected at Any One Time: t)d
Is a tent or other temporary structure being used?Yes [vf No [ ] If yes,provide of tent provide size(s):
Have any of the development rights been sold to the Town of Southold [ ] Yes [�No and/or Suffolk
County Agricultural Program? [vfYes [ ]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: 3 b aa5 N'1(i n Q-o
3
SPECIAL EVENT APPLICATION ADDENDUM
11 Please complete one form for each event
Applicant/Venue: C P N OZ
Date of Event: '5 ol�Ian Master Permit#(if previously issued)
Start Time: End Time: I VYl
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 [vf No [ ].If no,what amendments to the permit are being requested?
Will food be served?M Yes I ^[ ]No If yes,provide following: rl
Vendor Name: �o,urPln Suffolk County permit#: �- I �0 - V U0 ls 3
Vendor Name: _ Suffolk County permit#:
Will outside vendors be serving alcohol?[li]'Yes [ ]No If yes,provide::
Vendor Name:LaUQ n LOhghaMi t-V�Rj Liquor License#_ l 0 4 5 5 y b
Vendor Contact Name: 1--U ut Qr) LOIMb rw' Cell Phone: �3l - aW— Jn U
Will non-food/alcohol vendors be on the premises during the event?[vr—yes []No If yes,provide:
Describe type of vendor(s)Q1 J J3 r (& jCAQbAj .VnM,1 l C i( Number of vendors:
Day of Event Contact Person: Phone:103k-I �U—-]J 3
E-mail address(print clearly) 5(y\)U`�Cws (Cl m
Will any Southold Town services be requested [] Yes(Describe below) Lj<o.
Police Highway Other
Will a security company be used for any of the events? [V]'Y�es [ ]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: Qkj wk
Contact Name: �CJI�tJ, �(�,l (� Cell Phone: �J�_ �u — R 1
Duties to be performed: S (A
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant(Venue: eedew cc\\ 1&_
Date of Event: 5 3 11 2,5 Master Permit#(if previously issued)
Start Time: 5 PM End Time: H p 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[Vf No [ ].If no,what amendments to the permit are being requested?
Will food be served? [VfYes [ ]No If yes,provide following: r
Vendor Name: I r IS (f&C P1 1�0 Suffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [V]'Yes [ ]No If yes,provide:
Vendor Name: I r �S (dre-P pub Liquor License#
Vendor Contact Name: S R9 y) M Q b n n 6 Cell Phone: - 211 - 000-1
Will non-food/alcohol vendors be on the premises during the event? [Vf Yes []No If yes,provide:
Describe type of vendor(s) I()Y I IS h0+6 a aoh ell 1'Y W ber of vendors:
Day of Event Contact Person: Phone: 631
E-mail address(print clearly) Cellar),r n m
Will any Southold Town services be requested []Yes(Describe below) [LK6.
Police Highway Other
Will a security company be used for any of the events? [v]'-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: qk&_--i+l1 k M 5 X(f cA i V� 5C(U Sri H
Contact Name: (1�11��1L( S ai 1 Cell Phone:
Duties to be performed: S
Please use additional pages if more are needed.
4
RECEIVED
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
APR 18 20Q5
Applicant/Venue: Sdw
Date of Event: Master Permit#(if previously issued) Southold Town Clerk
Start Time: �� End Time: 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 [ o [ ].If no,what amendments to the permit are being requested?
Will food be served? [V Yes [ ]No
If yes,provide following:
Vendor Name: (v)o0)" OA SO hi_Suffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [V411-es [ ]No If yes,provide:
Vendor Name: SC1l raj r,< <A 1 Liquor License#
Vendor Contact Name:' Cell Phone:
Will non-food/alcohol vendors be on the premises during the event? [jel"Y—es []No If yes,provide:
Describe type of vendor(s) Number of vendors:
Day of Event Contact Person: Phone:
E-mail address(print clearly) NO.. m
Will any Southold Town services be requested [] Yes(Describe below) [uD1ef
Police Highway Other
Will a security company be used for any of the events? [U fes [ ]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: Pkck�inum
Contact Name: Cell Phone: I — g o o — `�S
Duties to be performed: 59 cuvi
Please use additional Wages if more are needed. `
4 D(o ne show r `VKV\f ny o\,) 0Uv' POd Once SON
T
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: � �`� ce_k .' s
Date of Event: Master Permit#(if previously issued)
Start Time: ;olom End Time: 1 pro
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 [L-] o [ ].If no,what amendments to the permit are being requested?
Will food be served?[Uile-s [ ]No If yes,provide following: n r`
Vendor Name: ,Q J yev, L � I C VeMS Suffolk County permit#: ESP 006 I3
-13
Vendor Name: -Suffolk County permit#:
Will outside vendors be serving alcohol? [L T Yes [ ]No If yes,provide: 'I hh
Vendor Name: La� f �n I Q naha l C&IS Liquor License#�)q �5 `1 U
Vendor Contact Name: _LQu f f n Lc "bad► Cell Phone: 2
Will non-food/alcohol vendors be on the premises during the event? [ L]Xes []No If yes,provide:
Describe type of vendor(s)VI_ V� V QbjY, YV\%j Number of vendors:
Day of Event Contact Person: S . Phone:`('3 —�3 q —-7 5 3-7
E-mail address(print clearly) a_
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? [ V],,Ye's [ ]No.If yes,provide the following: naive,
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: Phu i num EkCc u4 j Lq Se cuo"
Contact Name: W am w S c oc Cell Phone: (031 - 3 O Q - K-1 H 5
Duties to be performed:
Please use additional naizes if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: eM\ c P �yw
Date of Event: Master Permit#(if previously issued)
Start Time: prn End Time: 1 Q phn
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 [VrNo [ ].If no,what amendments to the permit are being requested?
Will food be served? [V4Yes [r ]No If yes,provide following: [�
Vendor Name: p0b Suffolk County permit#: ` SP''� - 00o g3C)
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [L.,]-Yes [ ]No If yes,provide:
Vendor Name: I Y & Mlee Nb Liquor License#
Vendor Contact Name: S�f Qep on MUh Q o d Cell Phone:
Will non-food/alcohol vendors be on the premises during the event? [V]'Yes []No If yes,provide:
Describe type of vendor(s) i� I U V��S ph +Q6V&Q hLV,MUSl(Number of vendors:
Day of Event Contact Person: Phone:
E-mail address (print clearly) rl
Will any Southold Town services be requested [] Yes(Describe below) [qN`o.
Police Highway Other
Willa security company be used for any of the events? [L/rYes [ ]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:_001�jnSA VYl
Contact Name: W CU Cell Phone:
Duties to be performed: . Se�
Please use additional panes if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: Bede\�
Date of Event: (P 12 a I�5 Master Permit#(if previously issued)
Start Time: 5 rn End Time: hem
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[VrNo [ ].If no,what amendments to the permit are being requested?
Will food be served?[ tKYes [ ]No If yes,provide following: /�� f I
Vendor Name: C I Q � I CbCke' (Suffolk%unty permit#: +l Jl 1 �P �.�o
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [VjYes [ ]No If yes,provide: /�/�
Vendor Name: C h h'Sho E'lQ,l- 'M I C4 06 (N k�i(\q Liquor License# V 6 9 613
Vendor Contact Name: Maki IC('1/ Cell Phone: (0 31
Will non-food/alcohol vendors be on the premises during the event? [VjYes []No If yes,provide:
Describe type of vendor(s) Oh0t6a RQK4, �\US1C Number of vendors:
Day of Event Contact Person: n rhLA 1Sr(XeN Phone: 1 `13`c—153�
E-mail address(print clearly) 21 Aa 0 ELIf11CQA\M.(dy�n
— i —
Will any Southold Town services be requested [] Yes(Describe below)
Police Highway Other
Will a security company be used for any of the events? Ulyes [ ]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:�O\CA+-ii n u M Ck C C cJ 4 i V,� SPC_u�i mil.
Contact Name: Cell Phone:
Duties to be performed: SQ
Please use additional Aa%!es if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: ` cc \�o'`J-
Date of Event: I 2,3 �a� Master Permit#(if previously issued)
Start Time: End,Time: Pm
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 [t/]'No [ ].If no,what amendments to the permit are being requested?
Will food be served?[ Yes [ ]No If yes,provide following:
Vendor Name: C' MCL 6 n Suffolk County permit#: +S o- I� -
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [Vj Yes [ ]No If yes,provide:
Vendor Name:_ C)mu G yi V Liquor License# 1 2 vl 6 b
Vendor Contact Name: V(1j w Q')S Cell Phone:
Will non-food/alcohol vendors be on the premises during the event? [I/Yes []No If yes,provide:
Describe type ofvendor(s)_+ '�1V rs�� �h0'�UU�04U�r, 1M, ,J►(Number of vendors:
Day of Event Contact Person: IS rae Phone: (O3�
E-mail address(print clearly) r)rvAA(@ 9fMN CP_\kM•(0`M
Will any Southold Town services be requested [] Yes(Describe below) [Wo.
Police Highway Other
Willa security company be used for any of the events? [Uj 4es [ ]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: --,Qck4 I Y1um L X<C UA i W Se w A �A
Contact Name: W(Au yu SCE\W' Cell Phone: (06 ' Soo - 9
Duties to be performed: V
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: 2 a5 Master Permit#(if previously issued)
Start Time: 2) End Time: 11 Pm
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? [tj Yes [ ]No If yes,provide following: r
Vendor Name: I y m\cone, R)b Suffolk County permit#: t S t'— I�0 ' 0 d 0 Q q 36
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [14—Yes [ ]No If yes,provide:
Vendor Name: C OfNn (N�Jb Liquor License# b (P Z
Vendor Contact Name: ,> �! ) ►v\aY l(IUC� Cell Phone:
Will non-food/alcohol vendors be on the premises during the event? [0-yes []No If yes,provide:
Describe type of vendor(s)t IUVI�h , 1?)2�2LQW MUS I Number of vendors:
Day of Event Contact Person:_ �Yvw Phone:
E-mail address(print clearly)_ ^ C k%E
Will any Southold Town services be requested []Yes(Describe below)
Police Highway Other
Will a security company be used for any of the events? [VfYes [ ]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: _.Q 1(K+j�\c�m CXt w4iw Seu,OL.l
Contact Name: V V (/Ullt Vlt S a:\1 w Cell Phone: (o 0 O
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:die\\ CC ,\&O
Date of Event: I o`Q I a 5 Master Permit#(if previously issued)
Start Time: pyl End Time: I 1 om
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 [Vf Rio [ ]. If no,what amendments to the permit are being requested?
Will food be served? [Lj'Y_es [ ]No If yes,provide following:
Vendor Name: 6 r(n & Suffolk County permit#: �S P — I� � bob
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? Mly'es [ ]No If yes,provide:
Vendor Name: C-\, &ce- A �n Liquor License#
Vendor Contact Name: \V(K We lS( Cell Phone: C4 I — `iU-7 — a 1Q
Will non-food/alcohol vendors beonI the premises during the event? [✓`Yes []No If yes,provide:
Describe type of vendor(s) IV I� �� , I/haiyo 2Lo_sLr, GUI Number of vendors:
Day of Event Contact Person:_�(V1�S1 ie l Phone:
E-mail address(print clearly)_(_J_M&4 a Redd 1(MN coyn
Will any Southold Town services be requested [] Yes(Describe below) o oo.
Police Highway Other
Will a security company be used for any of the events? [k,-�es [ ]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: Pp (_ l nw 8V((Aj Vq �e uyi�
Contact Name: Cell Phone: - 3 6 0 - 0 1 5
Duties to be performed: S U(1
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: 8coe��W\Ck
Date of Event: O 19 4(5 Master Permit#(if previously issued)
Start Time: �5 M 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)applied for or approved? Yes [V]&o [ ].If no,what amendments to the permit are being requested?
Will food be served? [L Yes [ ]No If yes,provide following:
qLA
Vendor Name: l ,ho'sb ol r moo �� �Suffolk County permit#: PT 000 6 a o�
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [V Yes [ ]No If yes,provide: ``
Vendor Name:L, ��l 1(,►1CAP�1 Liquor License# 0 r1 V S 00B� - b
Vendor Contact Name: ��- j,1/ Cell Phone: &3 ' -I
Will non-food/alcohol vendors be on the premises during the event?[Vj"Tes []No If yes,provide:
Describe type of vendor(s) r I � Number of vendors:
Day of Event Contact Person: _ LA I,C M f.� Phone: �& —-7
E-mail address(print clearly) _ h(1 U PI�P,�1Cf.11�CS-(yM
Will any Southold Town services be requested [] Yes(Describe below) [(,]ado.
Police Highway Other
Will a security company be used for any of the events? [q`�es: [ ]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: g� In( m FXCC(wi ue Sf Qxyj --�
Contact Name: W 0,LAV\ &Ac��( Cell Phone: 0 31— 360 —K 1 `1
Duties to be performed: S
Please use additional paEes if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
{� 1\ /P-lease complete one form for each event
�)Applicant/Venue: dO l,f`Wu
Date of Event:'_ I 1 � )a l- ; Master Permit#(if previously issued)
Start Time: npm End Time: I�0 yh
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 [VS No [ ].If no,what amendments to the permit are being requested?
Will food be served? [ A]"?es [ ]No If yes,provide following: lr` (`�
Vendor Name:_ �i �\ (0-�Pe b Suffolk County permit#: �S�— � � U�1�O "130
Vendor Name: Suffollc County permit#:
Will outside vendors be serving alcohol? [VrYes [ ]No If yes,provide:
Vendor Name: I ��,�� C(lkk Nb Liquor License#
Vendor Contact Name: ,\ ���(1 v 1��Y 1�b Cell Phone: (P 31 Q
Will non-food/alcohol vendors be on the premises during the event? [l /lyes []No If yes,provide:
Describe type of vendors&1Qy-&, Number of vendors:
Day of Event Contact Person: n Lr� �S el Phone: 3! I
E-mail address(print clearly) w��� P('�Pl'1 (P��CJ•VS- (0�
Will any Southold Town services be requested []Yes(Describe below) Lam] o
Police Highway Other
Will a security company be used for any of the events? [ es [ ]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 n(A m ad(A m SP(U VI H
Contact Name: (�t1[ 1��,Q \�(�� Cell Phone:
Duties to be performed: S
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Q
Applicant/venue: Bedn
Date of Event: ? / 2,3 a5 Master Permit#(if previously issued)
Start Time: 1 )Q v l End Time: I'pry)
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 parkin plan,maximum number of attendees,and the size and placement of
tent(s)applied for or approved? Yes VNo [ ].If no,what amendments to the permit are being requested?
Will food be served? [O Y s [ ]No If yes,provide following:
Vendor Name: ��MC( 64 "-- . Suffolk County permit#:
Vendor Name: Suffolk County permit#:
i
Will outside vendors be serving alcohol? [ q fes [ ]No If yes,provide:
Vendor Name: '; �'l'�G �'� �- - Liquor License# IQ, 3 U U
Vendor Contact Name:,,,, 1� 0� l ei Cell Phone. 3) —
Will non-food/alcohol vendors be on the premises during the event? [Kyes []No If yes,provide
Describe type of vendor(s) I( I( _V1 (&cg Ml Number of vendors:
Day of Event Contact Person: �ym Phone:
E-mail address(print clearly)
Will any Southold Town services be requested []Yes(Describe below) [v o.
Police Highway Other
Will a security company be used for any of the events? [ es [ ]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: e(ai 'lLgum t;y(C u4i of sljf a nVj
Contact Name: I_� yo &D'U r Cell Phone: (gip:� — 3 Q a
Duties to be performed: c j
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: b 00 Master Permit#(if previously issued)
Start Time: c_ End Time: +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 par5kp* g 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 [ ]Nod,` If yes,provide following: I
Vendor Name:_LO& rl LO�MfXKWM �Ve�St'zffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [ ,]/Yes [ ]No If yes,provide: l 1
Vendor Name:LaouoY) Ln mVY...M'j C--VQ Yt Liquor License# g 1 O yS 5 '1
Vendor Contact Name: I aQ Q.0 Cell Phone: 6 3 1 —
Will non-food/alcohol vendors be on the premises during the event?[VrYes []No If yes,provide:
Describe type of vendor(s) i (,1J &Number of vendors:
Day of Event Contact Person: MU lsmc Phone: G31
E-mail address(print clearly) &(I o4-\
Will any Southold Town services be requested [] Yes(Describe below) V4
Police Highway Other
Will a security company be used for any of the events? [ es [ ]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 n(A M )i C C LA.-I(LU a I r
Contact Name: (Kf�A'o S(� (��/ Cell Phone:
Duties to be performed: SR
Please use additional pages if more are needed.
4
i
i
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: ,��
Date of Event: 9 Master Permit#(if previously issued)
Start Time:`)'h--N 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 parkin 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?[v]'4'es [ ]No If yes,provide following: ((��
Vendor Name: I { i Nh C O XI-��b Suffolk County permit#:
Vendor Name: Suffolk County permit#:
- r-
Will outside vendors be serving alcohol? [V(Yes [ ]No If yes,provide:
Vendor Name: Y j,\lamW q 90 h Liquor License#-
Vendor Contact Name: � �� d (�(,{ Cell Phone:
Will non-food/alcohol vendors be on the premises during the event? N i'es []No If yes,provide'
Describe type of vendors)CjQffi, Number of vendors:
Day of Event Contact Person: Phone:
E-mail address(print clearly)a-MA .1 ( 1 &\\CKA , c o ry-�
Will any Southold Town services be requested []Yes(Describe below)
Police —Highway—Other
i
Will a security company be used for any of the events? [tj'Y_es [ ]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: Pm�hln yn t::keC'W i W
Contact Name: yV(��( 181 or/ Cell Phone:
�
Duties to be performed: Sp, �yl
i
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue:S08A c `1 ai S
Date of Event: a 5 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 parkin plan,maximum number of attendees,and the size and placement of
tent(s)applied for or approved? Yes M No [ ].If no,what amendments to the permit are being requested?
Will food be served?[k j"Yes [ ]No If yes,provide following:
Vendor Name: 50ah01A SUA W Suffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [L]'1res [ ]No If yes,provide:
Vendor Name:�Q� l O\(h s6 o w. Liquor License#
Vendor Contact Name: L l Z. W C�Lm Q i,\ K Cell Phone: (Qc�
Will non-food/alcohol vendors be on the premises during the event?0—yes []No If yes,provide:
Describe type of vendor(s) h umber of vendors:
Day of Event Contact Person:h MA �SVke\ Phone:
E-mail address(print clearly) ,Iw�Q
Will any Southold Town services be requested[]Yes(Describe below) [L. o
Police Highway Other
Will a security company be used for any of the events? [ es [ ]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: 0. '1 w -i ( 1� j vy n L yll-1
Contact Name: yU� V�I �Ckl J& Cell Phone: l-� 3 1 - S(�U - C� `1
Duties to be performed:
Please use additional na2es if more are needed.
4
i
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/venue:
i
Date of Event Master Permit#(if previously issued)
Start Time: 5P'cvl End Time: p n rn
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 [V]-N'o [ ].If no,what amendments to the permit are being requested?
i
Will food be served?[U-Y'es [ ]No If yes,provide following:
Vendor Name: Cl o- Q . C`lY1 Suffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [\/]'Yes [ ] No If yes,provide: (�
Vendor Name: VA Q Liquor License# q
Vendor Contact Name: R )V(I Cell Phone: W3 - mi - U�
Will non-food/alcohol vendors be on the premises during the event? [Li] es []No If yes,provide:
Describe type of vendor(s) 1- - IN Number of vendors:
� " rI F
Day of Event Contact Person: 6W Phone:
i
• I
E-mail address(print clearly) Gl, .
I
Will any Southold Town services be requested [] Yes(Describe below) �—
Police Highway Other
Will a security company be used for any of the events? [ Q,Ces [ ]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 pelrfo ned: Security Company:_ Q1('w 6(W
Contact Name: V V( 1 U I- Cell Phone: V03 3 6 q 15—
i
Duties to be performed:
Please use additional paces if more are needed.
4
I
SPECIAL EVENT APPLICATION ADDENDUM
1Please complete one form for each event
Applicant/Venue: Fed(\ \
Date of Event: c, Master Permit#(if previously issued)
Start Time: V p 1 End Time: 11 Q)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 parkin plan,maximum number of attendees,and the size and placement of
tent(s)applied for or approved? Yes [14 No [ ].If no,what amendments to the permit are being requested?
Will food be served? [ ]"Yes [ ]No If yes,provide following: r I^ 7�
Vendor Name: r ,� � � u Suffolk County permit#: T 52 - I lU -
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? VYes [ ]No If yes,provide:ll
Vendor Name: I Vl��h, (�� r��� QO)D Liquor License# I 0 0c�
Vendor Contact Name: �� �hc�� ��1� Cell Phone:
Will non-food/alcohol vendors be on the premises during the event?[vYes []No If yes,provide:
Describe type of vendor(s)P_I OVL� kI obkj l( Number of vendors:
Day of Event Contact Person: !� Q(�1 �� . ,(() PThone:_
E-mail address(print clearly)._ �� t�Q��r� VS•(,� 1�(�
Will any Southold Town services be requested [] Yes(Describe below) [Lpiu.—
Police Highway Other
Will a security company be used for any of the events? [Lj'_Y'es [ ]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 p
erf
ormed: Security Company: J 1
Contact Name: V�1 � y O i/ Cell Phone:
Duties to be performed:
Please use additional uaizes if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
Please complete one form for each event
Applicant/Venue: Be-be Um
Date of Event: 9 1 Q 6 0l Master Permit#(if previously issued)
Start Time: t Prn End Time: I 1 p ry\
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 [ o [ ].If no,what amendments to the permit are being requested?
Will food be served?M Yes [ ]No If yes,provide following:
l-)Vendor Name: ra(D l� 1 Suffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [/J Yes [ ]No If yes,provide:I�
Vendor Name: C a u 4 6 V 1 � Liquor License# Ion q S o �Q 3
Vendor Contact Name: Q j V a w Cell Phone: � 3� - q 0 �
Will non-food/alcohol vendors be on the premises during the event? [\Oes []No If yes,provide:
Describe type of vendor(s) �l, LUl`'1 Number of vendors:
II
Day of Event Contact Person: �,���,1 Phone:
E-mail address(print clearly)
Will any Southold Town services be requested []Yes(Describe below) [L]Nu—.
Police Highway Other
Will a security company be used for any of the events? [LrYes [ ]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: ��G j
Contact Name: UV SCA x Cell Phone:
Duties to be performed: _ w
Please use additional naizes if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
,{ Please complete one form for each event
Applicant/Venue: C f k'
Date of Event: a a 5 Master Permit#(if previously issued)
Start Time: N" 1 End Time: 11 ft
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 parkin lan,maximum number of attendees,and the size and placement of
tent(s)applied for or approved? Yes [1 [ ].If no,what amendments to the permit are being requested?
Will food be served? [Q-'V�e_s [ ]No If yes,provide following:
rl�l
Vendor Name: I���� V4k�P Ih Suffolk County permit#: U�' 1 - y a q30
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [Vr es [ ]No If yes,provide:
Vendor Name: Liquor License#
Vendor Contact Name: Cell Phone: _ �Q 3 - a -000
Will non-food/alcohol vendors be on the premises during the event? [ l jlfes []No If yes,provide:
Describe type of vendor(s)�I��� i 6�Ou(�l�-�Y 1�I,Y )10k�mber of vendors:
Day of Event Contact Person: P Phone:
E-mail address(print clearly)
Will any Southold Town services be requested []Yes(Describe below) WNv.—
Police Highway Other
Will a security company be used for any of the events? [Lj"�7e_s [ ]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: Q CJV & {C i ld.( auLmd
Contact Name: �(�( ��(I,j (),� Cell Phone: 3 'J
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: (�.�� ce-\�aA, �
Date of Event: ( Master Permit#(if previously issued)
Start Time: cc)P N-\ End Time: �1 PM
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 servled?T[v/T Yes [ ]No If yes,provide following: P
Vendor Name: I I J� r c1 '�eQ � �Suffolk County permit#: ` S�� — 0 Q O G 3
Vendor Name: Suffolk.County permit#:
Will outside vendors be serving alcohol? [�yes [ ]No If yes,provide:
Vendor Name: IS 1 1 l 6� �P p✓l��j Liquor License# 6 (0 Q a
Vendor Contact Name: SkOhaY) Cell Phone: (e3
Will non-food/alcohol vendors be on the premises during the event? [V]'1'es []No If yes,provide:
Describe type of vendor(s)O O VO�( S a��` r- I'`(�uS�lu�mber of vendors:
Day of Event Contact Person: lae Phone:
E-mail address(print clearly)
Will any Southold Town services be requested [] Yes(Describe below) [U No:
Police Highway Other
Will a security company be used for any of the events? [ es [ ]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: -PULAl In(-ko rL_Y W iw �c-/e Imo'
Contact Name: Cell Phone:
Duties to be performed: CAjy
Please use additional pages if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
WWPlease complete one form for each event Applicant/Venue: Cc 5
Date of Event: ) V B I O Master Permit#(if previously issued)
Start Time: LA End Time: 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 [\/jNo [ ].If no,what amendments to the permit are being requested?
Will food be served? [ g4es [ ] (N1o(' Iff yes,provide following:Vendor Name: I 1 (� 1'C e{� RU�) Suffolk County permit#:' 1 V oo6 G 3o
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [\A Tes [ ]No If yes,provide: r1Vendor Name: I C (� �,h f ee 00b Liquor License# V q
Vendor Contact Name: &QhUn NCk V) Od(_� Cell Phone: (_Q3 ( " a T�'6 60 J
Will non-food/alcohol vendors be on the premises during the event? VfYes []No If yes,provide:
Describe type of vendors) QN16y QA IMQAInber of vendors:
Day of Event Contact Person: J Phone:
E-mail address(print clearly) 6 CCA� a-a • o n1
Will any Southold Town services be requested [] Yes(Describe below)
Police Highway Other
Willa security company be used for any of the events? [ es [ ]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: kkl j MM '
Contact Name: W QaA Cell Phone: U 3
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: I L Master Permit#(if previously issued)
Start Time: on nm 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 Vj No [ ].If no,what amendments to the permit are being requested?
Will food be served?[\k1es [One
If yes,provide following: r)r1 q
Vendor Name: I Sh C O'1, -e�_ Suffolk County permit#:
Vendor Name: Suffolk County permit#:
Will outside vendors be serving alcohol? [Vryes [ ]No If yes,provide: r,
Vendor Name: I r I, h C,0QP p0b Liquor License# I V ( �—
Vendor Contact Name: -4 O h C,V) W\�h 0() Cell Phone:
Will non-food/alcohol vendors rble on the premises Id-uring the event? [(\'4"Yees []No If yes,provide:
Describe type of vendor(s)f I V m i Oh 1 G 7 Ufa No h u�"N1`ber of vendors:
Day of Event Contact Person: y vv ,S I(I( � Phone:
E-mail address(print clearly) Lmm P(A('11 CP \ (:LE - ( n 14
Will any Southold Town services be requested [] Yes(Describe below)
Police Highway Other
Will a security company be used for any of the events? [(�s [ ]No.If yes,provide the following: name,
address and cell number of the security company which will work on the premises, and a destion of
the duties to be performed: Security Company: (I(1(A V_I�yl (U A I q 'Up( u V 1�
Contact Name: (,(� (J` Cell Phone:
Duties to be performed:
. SR
Please use additional nacres if more are needed.
4
SPECIAL EVENT APPLICATION ADDENDUM
1 1 Please complete one form for each event
Applicant/Venue: ��.e\I cc `1 Ckf�
Date of Event: '� Master Permit#(if previously issued)
Start Time: ��`� End Timu.
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 parkiN plan,maximum number of attendees,and the size and placement of
tent(s)applied for or approved? Yes [kANo [ ].If no,what amendments to the permit are being requested?
Will food be served? [q !] ers ([1 ]No If yes,provide following:
Vendor Name: f ��l„kI�� ��Suffolk County permit#: �p_ O G 6() q3 6
Vendor Name: _ Suffolk County permit#:
Will outside vendors be serving alcohol? [\XY-es [ ]No If yes,provide:
Vendor Name: � ��� Liquor License#
Vendor Contact Name: ���,phCJ,►n M b()CA Cell Phone:
Will non-food/alcohol vendors brr\\e on the premises during the event? [V]'`Yes []No If yes,provide:
Describe type of vendor(s)T1 U� �(�7 u( '(A Q� W �MNrin'iber of vendors:
Day of Event Contact Person: y v Vv\ IS P Phone:
E-mail address(print clearly)
Will any Southold Town services be requested [] Yes(Describe below) [L o�
Police Highway Other
Will a security company be used for any of the events? es [ ]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: _� C4 j A(A L-W (C a L41 IN Spcu 6l to
Contact Name: W M)Q&&3�1 K- Cell Phone: 6-3�
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 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) 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 provided. Please
attached a written description and/or notate on the parking event plan the following: 1)Who will be
conducting traffic,2) Where they will be stationed on site,3)How they will direct the entrance,
circulation, parking,and exiting of cars on site,and 4)Contact information for use by Southold Town
Police.
OWNER'S SIGNATURE:
I am the Owner of the Property where this event is to be held and I agree to comply with the laws,
rules,regulations, conditions, and requirements of the Code of the 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.
Trent Preszler
4-1-
Print name of Owner Signatu of Owner
Delaney Allen NkWN0411(\-
Print name of Authorized Person/Representative Signature of Mthorized 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 Wa
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, in rgress/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, ingress/egress/access,
tents 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:
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TOTAL PARK1IUGAREA = 26,153 SQ FT
HOLD HARMLESS AGREEMENT
The applicant BCA e I` Cc L lL rs 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: J
Name: ,Authorized Agent
On behalf of: Qjed�;L ��/� (,� rs
(Name of Business Entity)
Dates of event(s): IZ Za
Sworn to before me this
Day of CA&e C-K , 20 2-.
PETER J. GUNDERSEN
NOTARY PUBLIC,STATE OF NEW YORK
Registration No. 01 GU6331394
Qualified in SUFFOLK County
Commission Expires 10/05/2027
9
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TOWN OF SOUTHOLD �EUILDING DEPT.
INS-PECTI 0 N l
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FOUNDATION 1ST/ REBAR [ .`] ROUGH PLBG. :
[ .]'--FOUNDATION 2ND [ ] INSULATION/.CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[: ] FIREPLACE & CHIMNEY RE SAFETY INSPECTION
[ ] `FIRE RESISTANT CONSTRUCTION: [ ] -FIRE RESISTANT PENETRATION:
[' ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
]. .CODE VIOLATION [ ] PRE C/O � [ ] RENTAL :
` _' REMARKS
I 8
DATE._ d INSPECTOR
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Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 04/18/25 Receipt#: 339091
Quantity Transactions Reference Subtotal
1 Event Fee BC 1 a-x $1,400.00
Total Paid: $1,400.00
Notes:
Payment Type Amount Paid By
CK#50873 $1,400.00 Bedell, Cellars
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Bedell, Cellars
36225 Main Road
Cutchogue, NY 11935
Clerk ID: DIANAF Internal ID: BC la-x
i
Noncarrow, Denis
From: NONCARROW, DENIS6134
To: delaney@bedellcellars.com
Subject: Special event permit
Attachments: Printout-21289-1034-M65178.doc
Good Morning,
Please attached resolution on your special event application.
Any questions please give us a call.
Thank you
Denis Noncarrow
Southold Town Clerk.
Town of Southold, New York
www.southoldtownny.gov
denisn@southoldtownnv.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.
i