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Home My WebLink AboutBrick Cove Marina 2025-21 MASTER APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT PLEASE PROVIDE ALL OF THE INFORMATION REQUESTED BELOW RECEIVED INCOMPETE APPLICATIONS WILL NOT BE ACCEPTED FOR INTERNAL USE ONLY MAY 12 2Q5 Special Event Master Permit#: Southold Town Cler Date of Submission: Z Z� Applicant's Name&Title: Carla Nemiroff,Event Coordinator Applicant's Phone: 917.653.7110 Email: carlagbrickcove.com Property Owner(if different from above): Peter Stein, Owner Owner Phone: 215.694.0037 Email: petergbrickcove.com Contact Person(if different from above): NA Contact Phone: NA Email: NA Event Venue: Brick Cove Marina Venue Address: 1760 Sage Blvd,Southold,NY 11971 Hamlet Southold SCTM#'s 1000-Section 57 Block 1 Lot(s) 38.3 Name of Event(s) goats+Brine r ,^ j Type of Event(s): w(I LA "( ('('�l � (Please omplete one abdendum below for a ch individual event) Dates)of Event(s): July 10, 17,24,31+August 7, 14,21,28 Is there an approved site plan for the event venue?Yes [x]No [ ] Maximum Number of Persons Attending at One Time(including staff): 150 Max#of Cars Expected at Any One Time: 50 Is a tent or other temporary structure being used?Yes [ ]No [x] If yes,provide of tent provide size(s): Have any of the development rights been sold to the Town of Southold[ ]Yes[x]No and/or Suffolk County Agricultural Program? [ ]Yes [x]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 [ x] 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: 1760 Sage Blvd,Southold,NY 11971 3 YOU MUST ATTACH A PARKING/EVENT PLAN TO THE MASTER APPLICATION. IF T14E 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 ofuse 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 atraffic 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'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 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. Peter Stein Print name of Owner Signature o Owner Carla NemiroN 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 Ri is 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. in rgress/egress/access, tents)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, in rg_ess/egress/access, tent(s) or temporary structure(ss), 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 Peter Stein 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: 51-7/2.5 i Signature: Name: ,AVLhonzed Agent VVl On behalf of: Sage Basin Partners, LLC dba Brick Cove (Name of Business Entity) Dates of event(s): July 10, 17,24,31+August 7, 14,21,28 Sworn to before me this I"— Day of Mock 1 2025 �tS JULIANNE CAROLINE FEDELE Notary Public•State of New York NO.01FE0016050 Qualified in Suffolk County MY Commission Expires Nov 11,2027 9 +'®�4buFFa't Town of Southold 7/22/2023 P.O.Box 1179 53095'Maiu.Ra Southold,New York 11971 CERTIFICATE OF OCCUPANCY Nor 44328 Date: 7/22/2023 r THIS CERTIFIES that the building. ACCESSORY ALTERATION Location of'Proper y: 176Q Sage,Blvd.,Greenport SCTM#: 473889 See/Block/Lot: 57.1-38.3 Subdivision: Filed.Map No. Lot No. conforms substantially to the Application for Building Permit:heretofore, filed in this office dated 3/l/2022 pursuant to which Building Permit No. 47.634 dated 4/1/2022 was issued,and conforms to all.of the requirements of the applicable provisions of the law. The:occupan. y for which this certificate is.issued is: repairs to existingstorage torage building as applied for. The certificate is issued to Conkling Advisors LLC of the aforesaid building. SUFFOIK COUNTY DEPARTMENT OF HEALTH APPROVAL .ELECTRICAL CERTIFICATE NO. 47052 11/2912021 PLUMBERS CERTIFICATION DATED the riiz giiatur� Town of Southold 7/26/2013 P.O. Box 1179 f 530"Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No 44355 Date: 7/26/2023 THIS CERTIFIES that the building DECK Location of Property: 1.760 Sage Blvd,:Greenport SCTN.#l: 473.889 Sec/Block[Lot: 57.4-38:3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/25/2022 pursuant to which Building.Permit No. 47969 dated 6/16/2022 was issued,and conforms to.all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: deck and ramp addition to existing building as"applied for. r The certificate is issued to Conkling Advisors LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT:OF HEALTWAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut or' a Signature. y ��`��,,",�"' �'"��y trl�/�';L' , ;��""�r;��. �` ''fir'�!�'.�r✓� , , I Oun I 44 ' •'�' � 'Y�-ice►`C�" Q t � � �' ,a,��' °_. s r.. I PA1 .,� _ r:L' ..• Vitt G v�✓�J 40.I6./' �y- V��1��7 T..�? i. ••art'� r�( �� .f{��P'�yf rw 00, 41 At 10 All i�_�._.. r, .,_ _ is l"" � •?' /br°P":� .. �yy�lr1 �e,... 'i9'11" 'yn �. �6`�� ^ ��.+(,•�`�"' �� •� F`` '�� Fi SKr e . ! ;f•f ['fixF"rSt/,�.rr1�';' �.+t i1�1;f.' F s. � t�_ , • CEO` Ai,., 14'+.�r�sh .- ... _ • f. ,rs • • y-^'YT � �ih - � �h ,moo. .TOWN QF SOUTHO D BUILDING D,EOT.. 765,18,02 INSPECTION [ ]` FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS,I] TION/CAULK(NG [ ] _FRAMING /STRAPPING [ ] F+. AL [ ] FIREPLACE & CHIMNEY [_` FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE.C/O :REMARKS: , 1 ry t DATE 1 _,�--S` . #.NSPEC, R. KATHY HOCHUL INE RK Liquor Governor ATE JAuthority LILY M. FAN Chair Receipt May 02, 2025 SAGE BASIN PARTNERS LLC 1760 SAGE BLVD SOUTHOLD, New York 11971 RE:NYS Application ID:NA-0578-25-12504 Thank you for submitting your application to the New York State Liquor Authority. You will be contacted via email should there be any questions or information required to complete the processing of your application. Please retain the NYS Application ID listed below to reference your application. The following fee(s)were received with your application: NYS Application ID License Description Receipt Amount NA-0578-25-12504 One Day Alcohol Event Permit 1 $144.00 NOTE:If you are applying for an On Premises Liquor License or a Liquor Store License, you must visibly post notice of your intent to file an application on the front of your establishment. This notice can be found on our website at.www.slaxy.goy1forms-guick-find#retail. Respectfully Licensing Bureau CC: Alfred E.Smith Office Building,80 South Swan Street,Suite 900,Albany,NY 12210 Ar-- 1.0 C-rocary Store Effective Date: 09/01/2024 License ID:0081-21-105806 Ex Iration Data: 08/31/2027 A state Liquor P County: Suffolk 4 Legacy Serial;it 1335757 Authority THE LICENSEE,DESIGNATED BELOW IS HEREBY GRANTED PERMISSION, UNDER THE ALCOHOLIC BEVERAGE CONTROL LAW TO:TRAFFIC IN ALCOHOUC BEVERAGE PURSUANT TO THE TYPE OF LICENSE INDICATED IN THE UPPER LEFT HAND CORNER OF THIS CERTIFICATE AND ACCORDING'TO THE,STATUTES AND REGULATIONS PERTAINING THERETO. THIS LICENSE SHALL NOT BE TRANSFERABLE To ANY OTHER PERSON OR TO ANY OTHER PREMISES OR TO ANY OTHER PART OF THE BUILDING CONTAINING SUCH LICENSED PREMISES.,IT SHALL NOT BE DEEMED A PROPERTY OR VESTED RIGHT AND MAYBE REVOKED AT ANY TIME PURSUANT TO LAW METHOD QFOPERATION, Grocery Store S01110g,Beer, Wine Products,and Cider SAGE BASIN PARTNERS LLC BRICK COVE PODEGA 1-760 SAGE BLVD SOUTHOLD, A10w York.1.1971 Certificate No.00811.41-10.5805 Lily M.Fan C, Chair Licenses issued under this chapter shall contain, In addition to any further Information or matedal to be prescribed by the tales of the liquor authority, the folloyOng information: (a)Name of person to whom license is issued;(b)kind of license and what,kind of traffic in alcoholic beverages is-thereby permitted; (c)description.by street and number, or otherwise, of licensed prertils.es; (d) a statement In substance that such license shall not be deemed a property or vested right, and that it may be revoked at anytime pursuant to law. .31 t6ww 04,190 NW01 '��~� s w`f� a +,a ,��`+X,«�,'�*r'��,.i'k Y,'�ru. �`'a"�' '�Y "^+,�� Z��`M':,:`•`��a.'��`"�'&`*�•4't�r 1�n"�3�,.a c,�.�,.s'�z�"d3'h��"kTq�o '" ;>e"-`�et� `,�, �°'t.....e�>3 "#'�-�U{q�-a+-�:*. ,��i"�F % PARKING EVENT PLAN� T gr RINN i 't 6 x e >3.. �•i 5- S '` � "+-•h'.�' +�'t R tr.,� r,..,�Y"�' n ;$� f 1 �� e � �,,s `c�,.h, aY k. raw�` ' �" t .�• :'��`:da,r'"°.,% a - �."� r r i�r Y C 's` ' .v c'9u� �. t k •'r .+3x;`t7t'� 2 2, )�a 'teMe: W.yy�+ Y3-' A:h� 1,A 4 . �Multf Sport Couft ce '�' Fxsntr Houc� T zx Entrances/Exits LIIUndry t 1'� �AAM Restrooms °c`+dde.wki g7Stomga�Y� ��- �' � '.. ,r �f „ `/L�i - • �� '�i �, t� _� Event Area j' o ®1 bar • ®1 food truck Ti • Al musician Event Parking • ' ® Directional parking signage �e � a• �h ' ti tit d e :"• ' Z r9 , ^ ik�4 '�ltlt�lu '_ t t< y„is�'a.. •+�Ls,'}ems",•'Ly'+h1` ,` �'S��'• �o-'�` S}{ �'tttlt'-is ��/ � y:� a� a^x�`°� { *'I`• ,,,;, tea" �3 +� > '� ,. � f i^` fir 1�RI p ' �Y, .'}a.t..(y'I�.��y�y,�'�r'iY.� R low- A `�.J"• °x ` `"d- '� V7 Aw ` -.`'t*�\ "� 'mot �' � ��\' � f i 3,� 't`f �•+,,y'�. ��•F, b(YY ((JJ��y11 .,•W, vv (((,l f �� i l /J fit. � � A r!�-�'h"? •,. '�'t7��i !arm ,.- Ctii°` �_ ,�a • T: ®�./ i��✓/` � �`�r j()[(/ •gyp'� �.-.�"" .. !N •�r�Y}.•• Jfyj .. � '� }',� ;may "�� 3:•d..��I,9. ® ,q 1�� 6 r•�rJ �� a r °t ® �$�t OOOO """i Yl' Z •�r ' P, Yam. EMT 4 Y.:� VS l�iPIJq �S!k/F I R . LAN , .}. t; a q Special Event Permit Application New York State Liquor Authority Landlord Authorization Form Date(s) of event: July 10, 17, 24, 31 Aug 7, 14, 21,28 Name of Applicant: Peter Stein Venue Name: Brick Cove Marina Venue Street Address: 1760 Sage Blvd Venue City and'zip code: Southold, NY 11971 By my signature.. I acknowledge that I am the landlord/owner of the applied for premises.. or that I am a duly authorized representative of the landlord/owner, to sign this landlord authorization form. l hereby grant permission for the sale or services of alcoholic beverages by the applicant for consumption on said property. Peter Stein Print Name of Landlord/Owner Peter Stein, Ownder+ Landlord Print Your Name and Title 417/25 Signature &Date THIS AUTHORIZATION IS TO BE SIGNED AND DATED The following authorization must be signed and dated by an individual applicant,each member of a partnership or an authorized officer of a corporation. The undersigned,each for herself/himself, certifies that she/he is the applicant or applicant principal of the above named;that she/he knows the contents of the above application and the statements contained therein; and that the same are true of her/his own knowledge. If the applicant is a corporation then the corporate principal acknowledges that she/he has been authorized, by order of the Board of Directors of said applicant corporation to make the statements and answers in this application on behalf of said corporation with the same force and effect as if said corporation made such statements and answers itself. The undersigned certifies that she/he has read the terms and conditions for the permit applied for and agrees to comply with these conditions. Peter Stein Owner Print name of applicant or principal signing authorization Title of principal (If a partnership all partners must sign) V j" Signature of applicant or principal 2535 Cedar Lane, East Marion, NY 11939 Home address of applicant or principal 215.694.0037 Telephone Number of applicant or principal 417/25 Dated Andrew Salomon Owner Print name of applicant or principal signing authorization Title of principal (If a partnership, all partners must sign) Signature of applicant or principal 10 Blue Ribbon Dr, Westport, CT 076880 Home address of applicant or principal 917.881.6888 Telephone Number of applicant or principal V7/25 Dated SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event rim a Applicant/Venue: V WOW"- Date of Event: Master Permit#(if previously issued) Start Time: End Time: (f Z) P 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 DONo [ ].If no,what amendments to the permit are being requested? Will food be served?[,Wes [ ]No If yes,provide following: Vendor Name: - D<3f.S Suffolk County permit#: h �f Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes To If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: �eSS �� Cell Phone: l(/✓�' �Vli �/(�� Will non-food/alcohol vendors beeoon(the premises during the event?[ ]Yes []No If yes,provide: Describe type of vendor(s) v(A° Number ofvendors: I / Day of Event Contact Person: l .Vl/1�° 1 ( j Phone: ` 7 ' �� I® E-mail.address(print clearly) �a rU✓l� l'J h C—�-. (� Will any Southold Town services be requested []Yes(Describe below) o. Police Highway Other Will a security company be used for any of the events? [ ]Yes [ o.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 uap-es if more are needed. 4 r ' SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant(V,nue: r) Date of Event: Master Permit#(if previously issued) (,{ UlfPro Start Time: I ' �� 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[,k^ [ ].If no,what amendments to the permit are being requested? Will food be served?[ es [ ]No If yes,provide following: Vendor Name: )j [C`P. Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes [ io If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: L�'MI�- �k'C-k D rV Cell Phone: �I `'I�7•��`f Will non-food/alcohol vendors be on the premises during the event?( ]Yes ' To If yes,provide: Describe type of vendor(s) Number of vendors: Day of Event Contact Person: At' lLl t�� Phone: I(-T&D -71( E-mail address(print clearly) Will any Southold Town services be requested 0 Yes(Describe below) [W Police Highway Other Will a security company be used for any of the events? [ Yesfo.If yes,provide the following: name, address and cell number of the security company whic]h will 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 sages if more are needed. 4 - 4 � aidi _ • DEAN EICHORN` k ,t NICE BUNS SLAMMIN:SLIDERS } i - ."SOUTHOLD,NY 11971i �v DETACH PERMIT HERE AND DISPLAY PROMINENY — _ _ �Y To TH!~FUB tlC rY Y.,}1 tit• t °� , : ffolk County,Su of Health Seryices 360 Ya h Delp Avenue Suite 2A Iljt mva+er w wacsa wnKwrrw'uw hanp k' Ya NY 119�0 Y{, 4 J+#FPLK CON+TY t'XLCIA'NE- GOUWssW�+Ea i, P 631 852r5999 i Www.s uffoIke ntyny yovtheatth . i ! •• ,N„rl; •5 811FfplKcoa Ty t - V - acr0 D,z. F 00088 3 A 2 t I ER�rT : Issued 7/_iW2623 !1 „i TO OPERATEA FOOD ESTABLISHMENT ., NICE_BUNS SLAMMIN iLI LJERS D. 0 ACVE 'SOUTH R791 NOWN NE ER'NME A ON OW, NER - Type 718'Limited Spec Evf Mob Ae FP ti Restaurant seats o Permit ID Number LMP 1.6=0008857 Exterior Seats=`0 - , Caterjng'Seats='o Vand From 6/21%2023 Tcs,6l30/2025 Bar Seats-0' Tatal,;eats=,0 bD6E69820CA.03U814,. v- e'date ecrfled or ripon a change Af ovunership, ` This.permrt will eiprre upon the -p l„ subject to compliance with the provisionstof Atticle'-13:of the Suffolk County Sanitary Code and all applicable state local`and This permr2is NOT,transferrable and rs granted M t-al iyws:ordirlanceS,;eodes,rules,and regulations C N', murnc i1k�1;, p THIS PERMIT MUST BE'_PROMINENTLY DISPLAYED TO THE.PUBLIC: , :X y y = 0 y = SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant(Venue: �l� Date of Event: ��Master Permit#(if previously issued) Start Time: End Tune: e), y(l Is this special event consistent with the Master Application submiuWapproved for this type of event?For example, does this event comply with the initial 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? es [ ]No If yes,provide following: Vendor Name: lbd 1(7i-S �� Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes WO If yes,provide: Vendor Name: II Liquor License# Vendor Contact Name: AeS6a1jJeV__ Af l�fQ�� Cell Phone: l(� g23- `f U 55 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: /y Oem 'l Day of Event Contact Person: U&ktA Phone: q(7 E-mail address(print clearly) C r t`a- (2 JVi l:Xrxl of Will any Southold Town services be requested []Yes(Describe below) [ Police Highway Other Will a security company be used for any of the events? [ ]Yes ,A o.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 naaes if more are needed. 4 ' t ERMITS TO bPERATE A FcbD ESTA8LISHMENT AND PERMIT 096 PAYMENTS ARE,NOT TRANSFERABLE , Neilty tho 9Groali of PGb►la Htialih P/otocffod of ariy change'oi t�vvhot0hlp,(ypo of biie(h6aa actfvtfyr bfislriess riamo,or biging uddr066 . "caflln0 631 B52 5990,C'erM bocorrie void upon cti0n0e fyoWnftishlp;Nelda h6(§mu6f appfy End pay fora new j piirmIt prliyf i6 beginning operoflbn Operating wdhout a valid pr fffU[rrfa}T riubjobfyOG N loyaf sciton,frictuding a hearing,fines and 06061 10 ho-bn6fbH of the o0rrraffng p6"If., ALEXAN`bE�Al VARt! ALEXANDER ALWAREZl8AIJUS'FOODS 8500 DEPOTLANE GOTCHOGUE,NY 1i935 m,,, DETACH PERMIT HERE AND DISPLAY PROMINENTLY TO THE;PUBLIC Mir Suffolk County Department of Health Services 360 Yaphank Avenue Suite 2A SUFRMCOMMOCECUTM it ` 3ONcow�sa `�" Yaphank, NY 11980 631-852-5999 wwwsuffolkcountyny.gov/health nmuiT►ortoft�n+saev{ees " ., _ ,. _ PERMITFacility ID: _FA0011504 Issued: 4/26/2024 TO OPERATE A FOOD`ESTABLISHMENT ALEXANDER ALVAREZIBALO'S.FOODS . 8500 DEPOT LN CLITCHOGUE,NY 11935 OWNER NAME'.BALO'S FOODS INC Restaurant Seats=o Permit ID Number.LMP-21-0012020 Type 718 Limited Spec Ev/Mobi7e FF E)derior Seats=0 Catering seats=0 'Valid,From:4/19/2024 To 3/31/2026 { Bar Seats=0 . Total Seats=0 ' 1WC20OF2253054145 '. t 2 4 fz Az ! -i, �efa x. 3 4 ,wyir rar r'f 7S f ` } This perrtld will eripire upon the date spec�ied or.Lporra change of ownership This pertnifis NOT trarisferrable and is granDed subject to compflance with the provisions of Artlda 13 of ftie Suffollt County Sanitary Code and all 46ricable stat6J al and -�munirapal laws oMinances codes,rules and regulatlons:r THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO TXt HE PUBLIC-. ., h r a44 r r St 't , T {k Y f i �. x f a r r 'r 2 r, ,� • y fi' :2 4 Ff,�t,v47 3�`h �" ':t }7 �J / ; 5• 4, t �5�$ � k 5 hi,7 y3 4 '� � ";� 4 r r t t,�,..:'� 's"n.+ f i r' r•y4i tt'7t4 "„r� xk, `3�.� �. ti � ¢ iq FX 1`A,. rt er Kl n�'?�x.�•��r 7 s yh G,t.: a x F r "} a i' +✓-�, h t}r i.«z. .ar� y 1 �. �ep�/ / .t` 6 [ - 'i" �t � k• t f'1 s a r � 7 J �tf % y ` SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: Date of Event: t Master Permit#(if previously issued) Start Time: OD End Time: ` Is this special event consistent with the Master Application submitt eWapproved 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[ To [ ].If no,what amendments to the permit are being requested? Will food be served? es [ ]No If yes,provide following: ,o Vendor Name: � u I S Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes o If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: Cell Phone: 2y Will non-food/alcohol vendors be I the premises during the event?[ ]Yes []No If yes,provide: Describe type of vendor(s) +me&—B Number of vendors: Day of Event Contact Person: OV V�a 1 /eM/ OTT— Phone: '?17, 05-3 - ? (0 E-mail address(print clearly) l�rw(W .6h cv—C'We uW Will any Southold Town services be requested []Yes(Describe below) o. Police Highway Other Will a security company be used for any of the events? [ ]Yes ` 6-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 uaaes if more are needed. 4 77, C: 044 FU. - J,.� 0 AN Suffoik County Department of Health Services 360 Yaphank Avenue Suite 2A } UFFOix OUNTYEXEcurn� GREGSCNOWIM70 MD.MPH Yaphank, NY 11980 t 631-852-5999 4.f su"O"Carl rry www.suffolkcountyny.gov/health <, DEPARTMENT OF HEALTH SERVICES - •-- - PERMITt=ac iQ: ;FAa> -0 TO OPERATEA FOOD ESTABLISHMENT Printed: 5/22 BRAUN SEAFOOD COMPANY 30840 MAIN RD u CUTCHOGUE, NY 11935 , OWNER NAME: GEORGE BRAUN OYSTER CO., INC.- Restaurant Seats=o Permit ID Number: LMP-24-00023 Type 718 Limited-spec Rw Exterior Seats=0 � : Catering Seats=l) '-Valid'From' 5/�1/2024 To 6/30/2026 Bar Seats 0 ` Total Seats=0 1 U9BE1829RM17501671 �. tj"t i This permit will expire upon the date specified or upon a change of ownership. f �hts p rm'�t Is NO't trr�nsferrable and is granted subject to compliance with the provisions of Article 13 of k the Suffolk County Sanitary Code and all applicable state,focal, and municipal laws ordinances codes Yy, 1; "j , , ,rules,and regulations. F { 4 THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC - a:,±,s-c�'.S1T tdSY t r awl t�(?'i��aL'.:1�'7�!- S�.°�`S2 4 l❑,.Sc� � F,r �^ -/a Yam. �' ,.CZ'`•d�TiiRKilK'ii l6 "LI:TtuiStr tF WJ'(L)lt + l " , ,t 1 _ SPECIAL EVENT APPLICATION ADDENDUM �) Please complete one �form for each event Applicant/Venue.A Date of Event: Master Permit#(if previously issued) Start Time: End Time: 6.GD 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 plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Yes�o [ I. If no,what amendments to the permit are being requested? Will food be served?[ es [ ]No If yes,provide following: Vendor Name: � ��S (7�CS�-°s Suffolk County permit#: edjt(�.Le-c( Vendor Name:_ Suffolk County permit#: Will outside vendors be serving alcohol?[ ]Yes [ If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: IrtO r AUaV-e-Z— Cell Phone: �D�j • !��- "1 �< Will non-food/alcohol vendors be on the premises during the event?[ ]Yes Wo If yes,provide: Describe type of vendor(s) Number of vendors: Day of Event Contact Person: 0ia k100"i i111r— Phone: q(7- f0.S�3 •710 E-mail address(print clearly) 2L(g(�2 6r C*7C( C' • &tVV' Will any Southold Town services be requested 0 Yes(Describe below) Police Highway Other Will a security company be used for any of the events? [ ]Yes [ 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: - R Duties to be performed: - Please use additional oaaes if more are needed. 4 pBFttutlfs.Tp f)PERAT9 Apl3CD EBTABL!$FINIENTAND i'�I?nw t PEE PAYMeW6 ARE-N6T TRANSFERABLE fJ6fiffl ihe.EOrbsu 6f PUbflrr Hoeillh P`iofaction of arji change of 6wil6fohi`;fypo of buaih6aa t ffvf�r}bfiaingne name,orbitlir�g ahJr6§6y 6a0fnp 63T-tt5�- 995r I�etri►iCs baccoma void upon 6fi66116 6f 066fs 60.,l46v/6wh6(6,Mt of appfy and pay for a new - prifhi t prfui to bdylnfitn�dpdfafif,n bp�orating v�ihout a valid ppfolli fridy 606J66f ydu fo Idgaf actloRr fpcl6ding a hearing,fines e�nEt pddbibt6 au6p6nafori of iha 6poratirigi�6rmif� -. . ALEkAN'DEt2 AI�VAE2Ez ALEXAN'DER ALV'AREL/6ALOIS FOODS =t35t)0 t 800T LANE OUTOHOGUE,NY 113b zy. ,, � D.ETACN PERMIT HERE AND DISPLAY PROMINENTLY TO THE PUBLIC �, Suffolk Coun De artment of . ty: p Health Services - . 360 Yaphank Avenue Suite 2A tnmtrr a it GRMS ' a '�" Yaphank,:.NY 11980 631-852.5999 111 Suffolkcountyny.go4lhealth CFPAK==Seivretq _.. PERMITaali�lo_ FA00TI504 Issued: 412SJ2024 - TO OPERATE A FOOD:ESTABLISHMENT ALEXANDER ALVAREVBALO'S'FO.ODS 8500 DEPOT LN CUTCHOGUE,NY 11935 OWNER NAME"BALO'S FOODS INC Restaurant Seats=o Permit ID Number:LMP-21=0012020 Type 71e LWded Spec Ev/Mobile FF Exterior Seats=0 Catering Seats Valid From,4/19/2024 To 3/31/2026 Bar Seats= Total Seats=0. I 1 WC200F2253054145 9 �` 3 { a': d? r, t*� 1 �' z i v az a a •"x 'a fix,"k;„'' i `��' 3 'Ts;'� `+iw�rap'vrnr,�' 'r, r"'* s - `�� sTh�s permit wtll expire u" ri the dates citied or upon a chan a of ownershf �` rr i Po 9 P,` This permit is NOT transferrable and is granted subject to compliance vJith the provisions of Attide 93 of the Suffolk County Sanitary Code and aU appUcalite state focal,ar d „mumci al taws,ordinances,codas,rules and regulations TNI&PERMIT MUST BE PROMINENTLX DISPLAYED TO THE PUBLIC. y 2 ;,. : # tr � r - �'�;¢ 'i t,,..c r s >a � �i � �'• to '� � F,�`s�� h -. t li`` s r 3+a� {.t .� � � +. ! � rt. JS k ay x" t�.�'...s�",y� �-e,.r: � 4k� ,, tpr✓,.��,r.. r �}a',n t:: :",� d -�' c t n -_x eYp,K#- �f a?"`�{SX,� 'a�✓;��iec�,fp '- '� ; 6 {7 °'at-'"��' ,��£`',�y¢�"kY�i,�-._ �' �ba.�u '�'{ � `�s, 3 b:: � �{ �� a;.y q�a��'�"�z��#"�&. �.�s aksg; p=•'' 3 t �5"+` ,* a' r : Sa+s'✓e a..'.g .^�- n x `£ - } f >x a 4 :•.. S 6 xe' ,:,, `.. rr r" a y -�r+� �, `�, u { a � +�- 'a✓�s � w u ,�,Jg�,� n c^� .�r xt• �-^e ; a ,e, ?`� �.�i;��i :�'T:'. �� ,�xP r" r.- sj xO�:+,d. t f, y4 `'h ..,;.a y,� s + 73J `.wvd .:..tr✓ C..3- .s.. 5 ,cu 6 y ,...,'' v,a.:. -k ,y .:. t.'J t .:., ✓ : :;;.� - :. 4 R .; '1 r € '*.., ..: u S � :�.: •; a u�.> 3..,., �. .�.t H v >x '�""-fx � �k � �c3 4 .r �„-� uf�^$.f,; ?a � .�t�'a�:v,:,.:`, {l.� -.. '+ 4%a�.t.t:.+ner� .r �s�,.c,. ^x .,:::rs,'reu �ta! z '..,<Ev=F ,.nd...rw.u.W:. ..,�::e�?.53e. .: SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: V' Date of Event: Master Permit#(if previously issued) Start Time: �i,1 End Time: `&D PO 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 p g plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Yes 1�o [ ]•If no,what amendments to the permit are being requested? Will food be served? es [ ]No If yes,provide following: �y Vendor Name: L�_ 1 JU 0 Suffolk County permit#: Vendor Name: Suffolk County permit#: J Will outside vendors be serving alcohol?[ ]Yes [ b If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: (/Vl' ©rVl Cell Phone: - y',(;-Z80 l 1 Will non-food/alcohol vendors be on the premises during the event?[ ]Yes If yes,provide: Describe type of vendor(s) 9� �"A'— Number of vendors: Day of Event Contact Person: (-.�f.t�u Y UU ' Phone: �( 7 ' >• 10 opm, E-mail address(print clearly) �.c��-(.�� 06 dt-0'0\'A-e • &16� Will any Southold Town services be-requested 0 Yes(Describe below) . Police F1ighway Other Will a security company be used for any of the events? [ ]Yes [ o.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: A Please use additional pap-es if more are needed. 4 — - —_ - -— z. DEAN EICHORN NICE BONS SLAMMIN SLIDERS L, P.O.BOX 1617, "? SOUTHOLD,NY 11971 DETACH;PERMIT HERE AND.DISPLAY PROMINENTLY TOf?L1BI IC__ --- w -- ——- Suffolk County Department of Health Services ' M i 360 YaP hank Avenue Suite 2A I,ti;+ mEvo eEi(as' onecso.Kwmn:uo,uaH- hank, NY 11980- p NFCO KrAUNiV[XECUINE cnassswgrn Yap 631-852.5999 1{\ 1iti'. wwwsuffoikcountyny.90vlhealth �i. - 6t1FFJLK CDUNT' 5;1. �.+.. QEPM/UeR OF MFXTN SERVICES i Facility 10, FA000B823 `. PERMIT + Issued: 7115f2023 TO OPERATE A FOOD•ESTABLISHMENT t. NICE BUNS SLAMIVIKSUDERS 585 BIRCH,AVE y SOUTHOLD,NY.11971 ; 1i OWNER.NAME:DEAN EICHORN,OWNER .i Type 71B Limited Spec EvlMobile FF Restaurant Seats=0 Permit ID Number:LMP 16=0008857 Exterior Seats=0 catering Seats=o Valid From 6/21/2023 To 6/30/2025 Bar Seats=0 Total Seats=0 4D6EB1820CA030814 �i•+` This permit will expirei Upon the specmed or upon a change of ownership. 9 This permit is NOT transferrable and is granted subject to compliance with the provisions of Article 13 of the Suffolk County.Sanitary Code and all applicable,state Coca!',and municipal laws,ordinances,codes,rules,and regulations. = -THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC , - SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: j n' Uaviwn_ Date of Event: ` Master Permit#(if previously issued) Start Time: 4 '(ID I VI/\ End Time: OD P 1l V 1 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 p plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? YesWo [ ].If no,what amendments to the permit are being requested? Will food be served?Wes [ ]No If yes,provide following: Vendor Name: -bV-RuO i S Suffolk County permit#: e C� Vendor Name: Suffolk County pemut#: Will outside vendors be serving alcohol? [ ]Yes [' iT If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: ® Cell Phone: L7 67-'-f 2:J3 Will non-food/alcohol vendors be on the premises during the event?[ ]-'Yes []No If yes,provide: Describe type of vendors) Y9rV� Number of vendors: Day of Event Contact Person: O_,M a &11i) (Tg— Phone: q( 7- 69S-3• V IO E-mail address(print clearly) 0-4 r lJ�I ip, 61'ckc."Oe• e'(>r Will any Southold Town services be requested []Yes(Describe below) . Police Highway Other Willa security company be used for any of the events? [ ]Yes [V.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 nacres if more are needed. 4 LA— o o = .Y. �. A III ..�_�..:.. .S_ ♦ i": i vM- t f Suffolk County Department of Health Services „k 360 Yaphank Avenue Suite 2A EDWARD P.ROMMNE -GREG70N It PmTT., W.MFH ..SUFFOLK COUNTY EXECurIVE - COMMISSIONER Yaphank, NY 11980 631-852-5999 SUFFOLK COUNTY www.suffolkcountyny.gov/health _ DEPARTMENT OF HEALTH SERVICES _ PERMIT Fad : Pri, TO OPERATE A FOOD ESTABLISHMENT BRAUN SEAFOOD COMPANY ' 30840 MAIN RD a. CUTCHOGUE, NY 11935 OWNER NAME: GEORGE BRAUN OYSTER CO., INC. Restaurant seats=o Permit ID Number: LMP-24-00023 Type 7l8 Limited-Spec 9b ! Exterior Seats=0 Catering Seats=0' Valid From W21/2024 To'6/30/2026 Bar Seats=0 - � - ._ Total Seats=0 - 1 U9BE1829RM175016 This permit will expire upon the date specified or upon a change of ownership. This pecn�t is NQ C Yransferrable and is granted subject to compliance with the provisions of Article 13 of the Suffolk County Sanitary Code and all applicobte state,tocait, av �' 1r°1 municipal laws,ordinances,codes,rules,and regulations. 4 �?' THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC S71SR(Avio ewe t` _ `�-c G,',o C��„ am tlw'F`� �: �,��,�_ka3�,n�48{7I&�,�t�;F(u)lrtjCtsl. .,, ` - _�4:�.t.iL �C e,:t�,,t c vv� u .[�.t+_ tI u_,.�.�'a' (t .b,,,a thy.c,c�a �,_u•c tt.�,. �� c��•2� > 'aC't',)(�)Zr3Ue7Cx:L�naT�)L;�us;'te - ,,,,., -- .. :'S:--l:-'$Y.'1:.•a,,,., i �, . � a ,.. .,, S t..:iC,i « %a. -- 10 r _ t yy�b �i t % t r+ SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue:-60-0,4 _( '1� �AG rt\'La-- Date of Event: 2 e) Master Permit#(if previously issued) ` Cq) (� End Time: e ' U v Start 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 p plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Yes[parking [ ].If no,what amendments to the permit are being requested? Will food be served? es [ ]No If yes,provide following: Vendor Name: ��I,I ��v` Suffolk County permit#: YLVI k(VLA Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes 0116 If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: Jcs S -pu 17y) c Cell Phone: Will non-food/alcohol vendors be on the llpremises during the event?[ ]Yes [j If yes,provide: Describe type of vendor(s) Number of vendors: Day of Event Contact Person: l �li�(� �� 1�Ul \ Phone: q17, &S 3- E-mail address(print clearly) PA� � 10V�CkQLW. 0 2'f" l Will any Southold Town services be requested []Yes(Describe below) . Police Highway Other Will a security company be used for any of the events? [ ]Yes .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 naves if more are needed. 4 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/13/25 Receipt#: 339799 Quantity Transactions Reference Subtotal 7 Event Addendum Fee BCM 1 b-h $350.00 1 Event Fee BCM la $300.00 Total Paid: $650.00 Notes: Payment Type Amount Paid By CK#6903 $350.00 Sage Basin Partners LLC CK#6908 $300.00 Sage Basin Partners LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Brick, Cove Marina 1760 Sage Blvd. Southold, NY 11971 Clerk ID: JENNIFER Internal ID:BCM 1a �M 8 xs TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT.INSTRUCTIONS AND APPLICATION FORM Applications fora 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$1000 late fee. Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events, per Southold Town Code Article 1, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties.or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. 1 This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. ❑ A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ❑ FEE: Is the application being submitted at least 60 days before the event[X] Yes [ ]No ❑ If Yes,Fee of$ 3300 has been submitted ❑ If No,Fee 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 i ❑ 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. 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 TI1E INFORMATION REQUESTED BELOW LNCOMPETE APPLICATIONS WILL NOT BE ACCEPTED FOR INTERNAL USE ONLY Special Event Master Permit#: Date of Submission: Applicant's Name&Title: Carla Nemiroff, Event Coordinator Applicant's Phone: 917.653.7110 Email: carlaCbrickcove.com Property Owner(if different from above): Peter Stein, Owner Owner Phone: 215.694.0037 Email: peter@brickcove.com Contact Person(if different from above): NA Contact Phone: NA Email: NA Event Venue: Brick Cove Marina Venue Address: 1760 Sage Blvd,Southold, NY 11971 Hamlet Southold SCTM#'s 1000-Section 57 Block 1 Lot(s) 38.3 Name of Event(s) Boats+Brine Type of Event(s): (Please complete one addendum below for each individual event) Date(s)of Event(s): July 10, 17,24,31 +August 7, 14,21,28 Is there an approved site plan for the event venue?Yes [x]No Maximum Number of Persons Attending at One Time(including staff): 150 Max#of Cars Expected at Any One Time: 50 Is a tent or other temporary structure being used?Yes [ ]No [x] If yes,provide of tent provide size(s): Have any of the development rights been sold to the Town of Southold [ ] Yes [x] No and/or Suffolk County Agricultural Program? [ ]Yes [x]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 [ x] 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: 1760 Sage Blvd;Southold,NY 11971 3 SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: Date of Event: 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 [ ]No [ ]:If no,what amendments to the permit are being requested? Will food be served?[ ] Yes [ ]No If yes,provide following: Vendor Name: Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol?[ ] Yes [ ] No If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: 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: 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: Cell Phone: Duties to be performed: Please use additional paces 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. Peter Stein Print name of Owner Signature of Owner Carla Nemiroft Print name of Authorized Person/Representative Signature of Authorized Person/Representative 6 iv TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,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$1000 late fee. Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. The Committee will obtain comments on all applications from relevant Town,County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article 1.Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events.is prohibited. 1 This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. ❑ A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will.be rejected. ❑ FEE: Is the application being submitted at least 60 days before the event[x] Yes [ ]No ❑ If Yes,Fee of$ 3300 has been submitted ❑ If No,Fee 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 affinns 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 i MASTER APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT PLEASE.PROVIDE ALL OF THE INFORMATION REQUESTED BELOW INCOMPF.TE APPLICATIONS WII.,L No,r IIE ACCEPTED FOR INTERNAL USE ONLY Special Event Master Permit#: Date of Submission: Applicant's Name&Title: Carla Nemiroff, Event Coordinator Applicant's Phone: 917.653.7110 Email: carla@brickcove.com Property Owner(if different from above): peter Stein, Owner Owner Phone: 215.694.0037 Email: . peter@brickcove.com Contact Person(if different from above): NA Contact Phone: NA Email: NA Event Venue: Brick Cove Marina Venue Address: 1760 Sage Blvd, Southold, NY 11971 Hamlet Southold SCTM#'s 1000-Section 57 Block 1 Lot(s) 38.3 Name of Event(s) Boats+Brine Type of Event(s): (Please co.inplete one addendum below for each individual event) Date(s)of Event(s): July 10, 17,24,31 +August 7, 14,21,26 Is there an approved site plan for the event venue?Yes [x]No [ ] Maximum Number of Persons Attending at One Time(including staff): 150 Max#of Cars Expected at Any One Time: 50 Is a tent or other temporary structure being used?Yes [ ]No [x] If yes,provide of tent provide size(s): Have any of the development rights been sold to the Town of Southold[ ] Yes [x] No and/or Suffolk County Agricultural Program? [ ]Yes [x]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 [ x] 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: 1760 Sage Blvd, Southold, NY 11971 3 SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: Date of Event: 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 [ ]No [ ]. If no,what amendments to the permit are being requested? Will food be served?[ ] Yes [ ] No If yes,provide following: Vendor Name: Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol?[ ] Yes [ ] No If yes,provide: Vendor Name: Liquor License# Vendor Contact Name: 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: 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: 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 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. Peter Mein Print name of Owner Signature of Owner Carla Nemirofl a,aZ l l Print name of Authorized Person/Representative Signature of Authorized Person/Representative 6 PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS �.P.LEAS.E REAL) 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, tents 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, 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 Peter Stein of this Special Pen-nit 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: Sage Basin Partners, LLC dba Brick Cove (Name of Business Entity) Dates of event(s): July 10, 17,24,31 +August 7, 14,21,28 Sworn to before me this Day of , 20 9 Southold Town 2025 Special Event Application Policy Changes Old Policy New Policy Notes ;A',;jApplication k' ° 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 eriodically. , axe Ir'C,qs' f f *-,�f 'M �at ' �£ ,{ �; same type. For a one addendum for ;�j` `£ example,weddings. each individual event. Master Please fill in all fields on the application. If 45_� r s applications reviewed by the a field does not apply to the event, please " i "' � # All applications are entire committee. indicate N/A(not applicable). reviewed by the entire M" The Addendum to the application � �� f< i committee. Addendum reviewed by the 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 � E,� �� `, accepted,although Master Application. Application. required. << ' a �� i �" Applications reviewed by the In the past,common omissions on "2� 1�Q, ; y Govt Liaison Officer for applications have been SCTM#,SC Vendor "g 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. �2pphcatonfee``s" 'The increased fees reflect more $150 for up to six $300 for the Master accurately the staff time used to review. i,a 'erg-rii 2� pxty � �' `' ` ' 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. . W_= event. those holding many. 3L'ate fees , $250 if submitted less If submitted between 59 and No application will be accepted 14 days t'a x 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 I2equiredN' Checklist required, but $2million C of I now required Documents � � , frequently omitted on A Certificate of Compliance may be issued Chrecklist` 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. _r9a „k Y+� !A! Wm i�abet.,, Special Event Master Permit#: J�►''l a ' Vt TC Checklist for Special Events (Farms/Wineries/Private Events) Applicant Name: eo'VQ, ftX 11n Ck— Type of Event(i.e. Community Event,Wedding,etc.) r : lcAi _ Eytp� Uoo84- AusLa Application(Master/lsl Event) Date Received: S //X /2025 Addendum(s) No. of Addendums attached: Date Received: .5 / l.2-/202 S Same type of event as Master? ✓ Y N Fees to be collected: Master/1st Event fee($300.00) Date Received:�/ Ul 9's $300.00 ✓ Addendum(s) ($50/Addendum) Date Received: 5 / 0-/cX7STotal 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: $. bso. O O Check#(s): CO q OY t350 Current Certificate of Ins. 0 9N6 0 ✓Hold Harmless Agreement Application sent for approvals to the following people: ✓Gwynn Schroeder ✓ Denis Noncarrow 1%'I�tacey Norklun After emailing application and all applicable paperwork to the people above, put application in `pink' pending folder. Mudd, Jennifer From: Mudd,Jennifer Sent: Tuesday, May 13, 2025 11:20 AM To: Schroeder, Gwynn Cc: Noncarrow, Denis; Born, Sabrina; Franke, Diana Subject: Special Event - BCM 1 a-h (Brick Cove Marina) Attachments: Special Event- BCM 1 a-h.pdf Good Morning, Please see attached Special Event Application. Thank you, Jew Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 i ' RECEIVE® MAY w 9 203 Southold Town Clerk May 9th, 2025 Thank you for taking the time to look over our event application for Brick Cove Marina. We are repeating the series of events that we had last summer, inclusive of 1 food truck at each event, beer + wine sales sold by us (pending our approved temporary liquor license which is in progress) and 1 live musician. Our events will run from 4pm - 8pm on Thursday nights in July and August. This is open to the public as well as our marina members who very much look forward to these! We anticipate about 100 attendees (similar to last year) which is inclusive of families with their children, so expected cars would be 30-50 leaving plenty of parking should this number go up at all. As last year, we have signage to direct guests to the designated parking area(s) as well as our staff to help should there be the need. See site plans enclosed. The musician each week will be a solo guitarist performing from 4:30pm - 7:30pm so as to not disturb any neighbors (music levels are kept low and can only be heard in the immediate area of the musician - we are very conscientious of respecting our neighbors). There is no stage or tenting for these events - they are held outside, weather permitting. Aside from the solar string lights that we have placed outside, there is no additional lighting. Multiple garbage cans are placed throughout the event area which both guests and our staff utilize to keep the grounds clear. Our staff empties these out at the end of the night into our site dumpster. Restrooms are located nearby in the bodega/office building. Please let us know if there is any further information you require from us. Many thanks, Carla Nemiroff Event Coordinator Brick Cove Marina 917.653.7110 BRICK COVE 1 1760 Sage Blvd. Southold, NY 11971 1 BRICKCOVE.COM 1 631-477-0830 o��SuFF�1C� RECEIVE® MAY 12 203 o � Southold Town I o Clerk TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,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)(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 charged an additional $500 late fee. Any application submitted between 29 and 14 days will be charged a$1000 late fee.Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. The Committee will obtain comments on all applications from relevant Town,County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2 (Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. 1 This application is deemed complete once all the followine requirements are submitted to the Town Clerk: Please indicate submission of the following by checkinLy off the boxes and sienine below. ❑ A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. ❑ FEE: Is the application being submitted at least 60 days before the event[x]Yes [ ]No ❑ If Yes,Fee of$ $300 has been submitted ❑ If No,Fee of$ 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 ofthe 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 I Signatur 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 i � 1 Noncarrow, Denis To: Carla Nemiroff Cc: Mudd,Jennifer Subject: Special event Hi Carla Here is the resolution in Regards to your special events.Any questions give us a call. Special Event 2025-21 Sage Basin Partners LLC RESOLVED that the Town Board of the Town of Southold hereby grants permission to Sage Basin Partners, LLC, D.B.A. Brick Cove Marine,to hold Special Event 2025-21 at the Brick Cove Marina, 1760 Sage Blvd,Southold, New York as applied for in Application BCM1a-h for Boats and Brine events at Brick Cove on July, 10th,17th, 24th, 31st and August 7th, 14th, 21st,and 28th, 2025 from 413M to 813M.All parking must be contained on site. Provided they adhere to all conditions on the application,the 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. Motion By:Councilwoman Smith Seconded By:Councilman Mealy Motion Yes/Aye (5) No/Nay (0) Abstain (0) Absent Adopted Supervisor Krupski,Jr., Councilwoman Smith, Councilman Doroski; Councilman Mealy,Justice Evans None None Jill Doherty 22.American Legion Car Show RESOLVED that the Town Board of the Town of Southold hereby grants permission to the American Legion Griswold-Terry-Glover Post 803 to hold an Antique Car'Show on August Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownn y.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its-contents may contain confidential and/or legally privileged information. 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