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HomeMy WebLinkAboutEV & EM Vineyards DENIS NONCARROW Town Hall,53095 Main Road P.O. TOWN CLERK 4 8 Box 1179 ' 'fO Southold,New York 11971 Fax REGISTRAR OF VITAL. (631)765-6145 Telephone(631) STATISTICS MARRIAGE OFFICER 765-1800 RECORDS MANAGEMENT wwwsoutholdtownny.gov OFFICER FREEDOM OF �o INFORMATION OFFICER C � UHiy':t� OFFICE OF THE TOWN CLERK TOWN OF.SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-594 WAS ADOPTED AT THE FISHERS ISLAND MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 5,2025: RESOLVED that the Town Board of the Town of Southold hereby grants permission to EV & EM Vineyards, 3165 Main Road, Laurel,New York,to hold a Dog Adoption Event on Sunday, August 1Oth 2025 as applied for in Application EEV-la and 2 Weddings on Thursday, September 18th, and Saturday, September 20th, 2025, as applied for in Applications EEV-2a and EEV-3a. 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. Denis Nonearrow Southold Town Clerk RESULT: Adopted MOVER: Justice Evans SECONDER: Councilman Doroski AYES: Councilman Mealy, Councilwoman Smith, Justice Evans, Councilman Doroski, Supervisor Krupski, Jr. NAPES: None i Noncarrow, Denis To: kristen@evandemvineyards.com Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Mudd,Jennifer; Norklun, Stacey Subject: Emailing: EV and EM Vineyards Attachments: EV and EM Vineyards.pdf Hi Kristen, Please see attached resolution in regards to your special events. Any questions, please let us know Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 Special Event Master Permit#: e E V • r TC Checklist for Special E ents Farms/Wineries/Private Events Applicant Name: Type of Event(i.e. Community Event,Wedding,etc.): V Application(Master/1"Event) Date Received: (O / 10/202 i7 Addendum(s) No. of Addendums attached: Date Received: / /202_ Same type of event as Master? Y N Feces to be collected: r�� 'V Master/is`Event fee($300.00) Date Received:�/ 10/Gy $300.00 Addendum(s) ($50/Addendum) Date Received: / / 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: $ 300. Check#(s)' /Current Certificate of Ins. Hold Harmless Agreement Application sent for approvals to the following people: Gwynn Schroeder Denis Noncarrow Stacey Norklun After emailing application and all applicable paperwork to the people above, put application in `pink' pending folder. RECEIVED OFF i N 0, , y �. ®y ®� fodhold Town Chxf� , TOWN OF SOUTHOLD Town Code Chanter 205"Publie 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 W charged an additional $500 late fee. Any application submitted between 29 and 14 days will be charged a$1000 late fee.Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETEAPPLICATIONS WELL NOT BE ACCEPTED. The Committeewill'obtain commerits'on' 'all applications from relevant Town,County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residentialproperties hosted by the.owner thereof that are by invitation such as family gatherings,_weddings, graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. 1 This ' liihAdon deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. /��Coihp leted application form signed by the owner and the event manager. Applications without .property owner's signature/approval will be rejected. 2 J EE: Is the application being submitted at least 60 days before the event[4Yes [ ]No 0 If Yes,Fee of$ SOO has been submitted If No,Fee of$ has been submitted iThe 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 Y,/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 uilding Department (�valid Certificate of Occupancy in all buildings,used during the special event. P Y g g P ❑ 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) 4 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) Vsignature 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. 2 DAted ignaareZ 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#: Date of Submission: 2� Applicant's Name,&Title: n ✓�:'^�-�I(�NZ✓E S Applicant's Phone: (Q N—2�_C8 I Ljj_.Q Email: '11 (Pexrgr\,�/M vl S-CO'h Property Owner(if different from above): Owner Phone: Email: Contact Person(if different from above): L1 ►'� C�Y'�ilJ2 Contact Phone: (0a 8c � _s Email: �c r_r s�1 <' QV firLd��fAaa_�r CG-b Event Venue: Y� Venue Address: ?L CO J ff_U(0 r66,dl Hamlet L Ct_.c )-ej SCTM#'s 1000-Section `2 Block [ Lot(s) 2 .w ( .. Name of Events) 'PQ3'1p�vS f— p i og\ Type of Eyent(s): 6 01� f wf)k5�' QQ(II JJ lease complete one addendum below for each individual event) Date(s)of Event(s): . (0��5 Is there an approved site plan for the event venue?Yes [ ]No [ ] Maximum Number of Persons Attending at One Time(including staff: i J� Max#of Cars Expected at Any One Time: 40 Is a tent or other temporary structure being used?Yes[ ]No [�yes,provide of tent provide size(s): Have any of the development rights been soldA the Town of Southold[ ]Yes [�To and/or Suffolk County Agricultural Program? [ ]Yes [v 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 [,41No [ ] 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: (Ill . -ro`14 ( (,Q,t,(_J'r'p 3 '�� SPECIAL EVENT APPLICATION:ADDENDUM -Please.complete one form for each,event.' Applicant/Venue: E_VLr Date of Event: U U Master Permit#(if previously issued) Start Time: 1 Z=j2YY1 End Time: �rY1 Is this special event consistent with the Master A plication submittedlapproved for this type of event?For example, does this event comply with the initial park ar ' 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: 1150 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 o If yes,provide: Describe type of vendor(s) 0 Q'Q Q Number of vendors: Day of Event Contact Person: Y � �i�/1�i�.Q_ Phone: 622 E-mail address(print clearly) Will any Southold Town services be requested []Yes(Describe below) [6]l'do'. Police Highway Other Will a security company be used for any of the events? [ ]'Yes [V 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.uages if more are.needed. 4 YOU MUST'ATTACH A PARKING/EVENT PLAN TO THE MASTER APPLICATION. ' IF THE EXPECTED ATTENDANCE IS 300 OR R MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parkin2/Event Plan may be a survey,.site plan and/or aerial view(for example Goolde 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 sny proposed building,structure,or signs to be erected temporarily'for the event. (3) Tl a locatioiiNof do stag@ or tents,if any.-O'�VS (4) The designated;areas of usefor spectators,exhibitors,vendors,employees and � ..,organjzeArs. °P (5) '--"tocdibh 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. tpk (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft. per car. V' (9) A traffic control plan for vehicles entering and leaving the site for the proposed event.✓ (10) Plan for the use of live outdoor music loudspeakers and other sounds whicb Nyill 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. H 0 (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 as gualified 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 is 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 m�akeian _ d al ' spe tion ecessary in connection with this Special Even Print name of Owner Spature of Owner Print name of Authorized Person/Representative Si a Au orized 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 Wad 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One"on-premises"sign not larger than six(6)square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. .6. This permit is valid only for the time,date,,place and use specified above,and for the designated event. Each additional day will require a separate permit application,fee, and related documents for review, etc. at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted,although food maybe catered subject to all Suffolk County Department of-Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary 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 . e l(Iouutyr 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,.andexpenses,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 ifl, r On behalf of: � f -+' Vm// . .cm( (Name of Business Entity) Dates of event(s): 2q 1 Sworn to before me this oZ.�, Day of 20 aS_ WONDA R MILLER NOTARY PUBLIC-STATE OF NEW YORK Registration No.OIMI0006270 Qualified in Suffolk County Commission Expires April 26,2027 Southold Town 2025 Special Event Application Policy Changes B' Item Old Policy New Policy Notes 1.Applicatien One application for up One "Master Application"for No limit on number of events, but this to six events of the events of the same type, plus may be re-valuated periodically. same type. For a one-page addendum for example,weddings. each individual event. Master Please fill in all fields on the application. If applications reviewed by the a field does not apply to the event, please All applications are entire committee. indicate N/A(not applicable). reviewed by the entire committee. Addendum reviewed by the. The Addendum to the application Government Liaison Officer requires particulars about each individual Incomplete (GLO) unless there is a event,for example,food vendors,or applications were significant change from the amendments to the approved Master accepted,although Master Application. Application. required. Applications reviewed by the In the past,common omissions on Govt Liaison Officer for applications have been SCTM#,SC Vendor completion before submitted ID#s,errors on Cert.of Insurance,and to the Town Clerk. If the GLO parking plans without dimensions. is unavailable,the Clerk's office will certify the application is complete. 2.Applicatien fees The increased fees reflect more $150 for up to six $300 for the Master accurately the staff time used to review. events. Application and first event. The$50 fee is more equitable for venues $50 for each subsequent holding fewer events of the same type vs. event those holding many. 3. Late fees $250 if submitted less If submitted between 59 and No application will be accepted 14 days than 60 days prior to 30 days prior to the event, prior to the event to ensure the Town the first event. the applicant will be charged Board has time to consider and approve. an additional late fee of$500. Late fees apply to late submission of If submitted between 29 and addendum as well. 15 days prior to the event a $1000 late fee applied. 4. Re,tuired Checklist required, but $2million C of I now required Documents frequently omitted on A Certificate of Compliance may be issued Checklist submitted applications. Added to Check List by.the Fire Marshal or by the Building A. Hold Harmless Agreement Dept. A minimum of$1.._.-.__,...B_Certif-of.Compliance for million Certificate of,, Buildingt&Fire Inspection It is the applicant's responsibility for Insurance-(C�of 1),, !C/O for a''N'building used contact the Town for the yearly fire and naming Southold;Tow'n',;' during'the'sgecial event building inspection. as an additional insured.L The:check'l1st:'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. t ° ao, tIPA ,�, !1• �a, +� •A '{ ' ,y,�s;.,,,, t} `A *� f '. " VA e.el Y g 1► t Sls A� * ow m it to i 4 z t t° le p i VA �, p � ate,.. � ,- y�r y,�_. �� a"" + •�` � ��It � 10 ; tit 2° 40 ♦ t r w 3165 Mai .�, ♦ ' �9Laurel,NY 1 a•g:1� • Ev&Em Vineyards ! r Af Ak L It .41 r r d .. °R„•. Google * SFsouryo��. = wTA ON "I S- ; 'C . :F ID TIC °ST I . GH�'�PL13G. ]' 'FOUNDATION", NUI PRAMINO I STRAPPING � i j -IHEPLACE CHI NEY` [ I" FI ' AFETY IN SPE "ION ] FIRER SB T lT C i i` I�CT N' ° ] `FIRE RESOSTANT PENETRATION �. ELE�CTRICAL.(R �U B) ���, � �, EL CT I.CAL `(�16�'AL C D8, VIOLATION' ' � �� ] ��P�R;E Cf , ��[ , P,,E T'A`L ° REMARKS: a u, r w- v ev A ro. a,. ° it INSPECTOR_ t , ° ° Franke, Diana From: Noncarrow, Denis Sent: Tuesday,June 1Q, 2025 4:16 PM To: Franke, Diana Subject: FW: Ev&Em Vineyards Inspection Attachments: Town of Southold Inspection -Approval March 2025.pdf Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.pov denisn @southoldtownn y.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. From: Kristen Curcie [mailto:kristen@evandemvineyards.com] Sent:Tuesday,June 10, 2025 4:14 PM To:Schroeder, Gwynn<gwynns@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject: Ev&Em Vineyards Inspection Had it scanned already .Thank you for your help!! ATTENTION: This email came from an external source.Do not open attachments or click on links from unknown senders or unexpected emails. Kristen Curcie General Manager Ev&Em Vineyards 631-298-1420 1 Franke, Diana From: Franke, Diana Sent: Wednesday,June 11, 2025 11:12 AM To: Schroeder, Gwynn Cc: Born, Sabrina; Franke, Diana; Mudd,Jennifer; Noncarrow, Denis; Norklun, Stacey Subject: Special Event: EEV-1a Part I - Dog Adoption Event (EEV-1a) Attachments: EEV-1 a Part I.pdf; EEV-1 a Part I I.pdf Importance: High Good Morning, Please see attached the Application for a Special Even Permit from Ev& Em Vineyards received on 06/10/2025. Thank you, C /'afll�8 Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/11/25 Receipt#: 341150 Quantity Transactions Reference Subtotal. 1 Event Fee EEV-1 a $300.00 Total Paid: $300.00 Notes: Payment Type Amount Paid By CK#5546 $300.00 EVANEM, Vineyards LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: EVANEM, Vineyards LLC 3165 Main Rd Laurel, NY 11948 Clerk ID: DIANAF Internal ID:EEV-1a Special Event Master Permit#: EE-V 2o1 TC Checklist for Special Events (Farms/Wineries/Private Events) Applicant Name: E 14NI CM UI V�eu a(CL Type of Event(i.e. Community Event,Wedding, etc.): A}C i Application(Master/11`Event) Date Received: _J_/ )$ /202S Addendum(s) No. of Addendums attached: Date Received: / /202_ Same type of event as Master? Y N Fees to be collected: �1 Master/1st Event fee($300.00) Date Received: LS $300.00 Addendum(s) ($50/Addendum) Date Received: / / 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: $ 3 00' O 0 Check#(s): 06 7 ✓ Current Certificate of Ins. ✓ Hold Harmless Agreement Application sent for approvals to the following people: Gwynn Schroeder ✓ Denis Noncarrow Stacey Norklun After emailing application and all applicable paperwork to the people above, put application in `pink' pending folder. RECEIVE® QgQ�FQ���, 1/ -2ao` JUL 1 am co Southold Town Clerk TOWN OF SOUTHOLD Town Code Chanter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals,Police Department,Government Liaison Officer,and Suffolk County Planning. Application fees: Special Events of the same type: $300 for an initial,master application and the first event. Each subsequent event 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$1000 late fee.Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETEAPPLICATIONS WILL NOT BE ACCEPTED. The Committee will obtain comments on all applications from relevant Town,County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties:or not-for-profit fundraisers do not require permits. Any use of residential propea for profit,such as a venue for weddings or other events is prohibited. 1 This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boXes and signi#s klft - Juk A completed application form signed by the owner and the event manager. APPl,ications without property owner's signature/approval will be rejected. ®/FEE: Is the application being submitted at least 60 days before the event[,J Y eS [ ]No irlf Yes,Fee of$ 2)00 has been submitted 7❑ I o,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 C� A signed and notarized Hold Harmless Agreement naming Southold Town GY An up-to-date Certificate of Compliance issued by the Southold Town Fire Marshall or the Town /Building Department I A valid Certificate of Occupancy in all buildings used during the special event. WA 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 siructure(s). (See application form for details) J 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) Q7 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. Y'OOX =r, �s Dated Signature Activities associated with oufdoor public events are strictly prohibited from taking place on land preserved through the sale o ¢evelopment rights to the Town of Southold, and can only take place,.otz land preserved through,tle'Sale of development rights to the.�'ounty of Suffolk with a permit issued'dy the SufJiolk County Far�nlan�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 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[4 Y eS [ ]No elf Yes,Fee of$ 3)0 has been submitted YI o,Fee of$ has been submitted e 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 /'A add insured signed and notarized Hold Harmless Agreement naming Southold Town COY An up-to-date Certificate of Compliance issued by the Southold Town Fire Marshall or the Town Building Department 0/A valid,Certificate of Occupancy in all buildings used during the special event. 9 .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) 1 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. 1M.y signature below affirms that I have submitted all the information required above in connection with my application. 1.5 2S Dated Signaturd Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Tdwn, 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 llre'Suffolk County Farmland Committee. rr 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. "` T 2 EEV 2_a. 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#: Date of Submission: : ' VZ� 2_QZS Applicant's Name&Title: 1r-+-1EA^n (A lllQk/i areQ Applicant's Phone: & :5l 'ZQ 84'42Q Email: nh e eNPLnd QAB Vj O'dr6Q�_ Property Owner(if different from above): Owner Phone: Email: Contact Person(if different frorn.aboye): 1rl 8 '(AJr JLQ_ Contact Phone: 6 31 _ Email:.Y) ,(S+M (PeV'0M d&Y)k/)y1 eq 6_rd s .C0,11 Event Venue: Ovf_1r'� f I(1eU1 el�o Venue Address: Hamlet C_L.0-CA SCTM#'s 1000-Section 1'2 S Block Lot(s) 2 Name of Event(s) P r,r 4) Type of Event(s): r i V)a r' (Please complete one addendum below for each individual event) . Date(s)of Event(s): q l 8 2� Is there an approved site plan for the event venue?Yes [ No [ ] Maximum Number of Persons Attending at One Time(including staff): �S Max#of Cars Expected at Any One Time: Is a tent or other.temporary structure being used?Yes [ ]No [vj'lilf yes,provide of tent provide size(s): Have any of the development rights been solpe the Town of Southold[ ]Yes[ ; o and/or Suffolk County Agricultural Program? [ ]Yes [ . No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. Is this event being held to benefit a charitable organization?Yes [ ]No [-111,11f- yes,you may be eligible to request a waiver of the special event fee,with the submission of verification and a written request.with this application. Mailing Address to Send Event Permit to: l to rM..I I f) 120 aQ( 1_0 A R-CA 3 SPECIAL EVENT APPLICATION ADDENDUM. Please complete one form for each event Applicant/Venue: C� Date of Event: Master Permit#(if previously issued) Start Time: G Pry-) End Time: I p1 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 par] ' plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Ye Nc [ ].If no,what amendments to,the permit are being requested? Will food be served?[v]Yes [ ]No Ifyes,provide following: Vendor Name: UV _ r- . c n Suffolk County permit#: C C)O 4 Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes [/ -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 N,<If yes,provide: Describe type of vendor(s) Number of vendors: - Day of Event Contact Person: 6 n 1S,+CrN G re_� 0-Phone: (031 E-mail address(print clearly) V)61S P clyardlcm V fV /(A S_CG4'N1 Will any Southold Town services be.requested a Yes(Describe below) [ Police jHighway '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 bn'the premises, and a description of the'duties to be performed:•,Security Comppy: Contact Name: Cell Phone: Duties to be performed: Please use use additional pages if more are needed. 4 _ SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: Cry,, V[,(w 6.P-d Date of Event: IFS Master Permit#(if previously issued) Start Time: p sy) 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 par ' plan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Ye Nc [ ].If no,what amendments to the permit are being requested? Will food be served?['v]Yes [ ]No If yes,provide following: � _ [ r ��a ,11 -, C Vendor Name: UV Suffolk County permit#: Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ ]Yes [XXNo 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 144101"If yes,provide: Describe type of vendor(s) Number of vendors: �y, ' Day of Event Contact Person: t' 1 �'1S n C _0 Phone: (031 E-mail address(print clearly) y �'1S 1'l 'ekfa' demyioj 1 or-d3- Lam 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 [ 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 panes 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 Parkinm vent 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) Tie location,of thestage or tents,if any. (4) The, esignated areas of usetifor spectators,exhibitors,vendors,employees and :•''T". � � . _ • � , (5) ". I ovation of all.entri&4hd,exits:, (6) Y'The location of all fire extinguislers 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 conip&.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 tomake any and all inspections necessary in connection with this Special Event. 1AbmtY6 Y. Print name of Owner igna e c Print name of Authorized Person/Representative S"bafulfofhuthorized Perso a esentative 6 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 tomake any and all inspections necessary in connection-with this Special Event. Dan;e, 1 Ab(-(A-YY6 Print name of Owner igna e o w Print name of Authorized Person/Representative SynalbKoAkuthorized Person/ a esentative 6 PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS (PLEASE READ CAREFULLY): 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site,and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way. 2. Traffic control at events for three hundred(300)or more people shall be provided by a'qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One"on-premises"sign not larger than six(6)square feet in size maybe displayed not longer than thirty (30) days before this.event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time,date,place and use specified above,and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review, etc. at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted,although food maybe catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary 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 rgress/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 PERNMT APPROVED Town of Southold Resolution Number: Date Issued: 8 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 tl:e 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: s 8 HOLD HARMLESS AGREEMENT The applicant &7ACM SOU of this Special Permit shall defend, indemnify and hold harmless the Town of Southold,its officers, employees, and representatives from and against any and all damages, liability,judgments, losses, and expenses, including but not limited to attorney's fees, including damages arising from injuries or death of persons and damage to property which arise from or are connected with the event or events authorized by resolution of the Town Board of the Town of Southold, or caused by the negligent misconduct, and/or omissions under this Agreement and that of applicant's agents,servants and/or employees. If this Agreement is being executed in a representative capacity,the individual executing this Agreement hereby represents that this action has been authorized. Dated: Signature: Name: ,Authorized Agent Ill CUT—co, On behalf of: P-y ,rCm CIA O CAS (Name of Business Entity) Dates of event(s): r Sworn to before me this .. WONDA R MILLER Day of 1 , 20 2,57 ►RY PUBLIC,STATE OF NEW YORK '2egistration No.OIMI0006270 Qualified in Suffolk County a.ommission Expires April 26,2027 9 Southold Town 202S Special Event Application Policy Changes Old Policy New Policy . Notes 1.Application One application for up One "Master Application"for No limit on number of events, but this to six events of the events of the same type,'plus may be re-valuated periodically. same type. For a one-page addendum for example,weddings. each individual event. Master Please fill in all fields on the application. If applications reviewed by the a field does not apply to the event, please All applications are entire committee. indicate N/A(not applicable). reviewed by the entire committee. Addendum reviewed by the The Addendum to the application Government Liaison Officer requires particulars about each individual Incomplete (GLO) unless there is a event,for example,food vendors,or applications were significant change from the amendments to the approved Master accepted,although Master Application. Application. I required. Applications reviewed by the In the past,common omissions on Govt Liaison Officer for applications have been SCTM# SC Vendor completion before submitted -ID#s,errors on Cert.of Insurance,and to the Town Clerk. If the GLO parking plans without dimensions. is unavailable,the Clerk's office will certify the application is complete. 2.Applicati'on fees The increased fees reflect more $150 for up to six. $300 for the Master accurately the staff time used to review. events. Application and first event. The$50 fee is more equitable for venues $50 forseach subsequent holding fewer events of the same type vs. event. those holding many. 3. Late fees $250 if submitted less If submitted between 59 and No application will be accepted 14 days than 60 days prior to 30 days prior to the event, prior to the event to ensure the Town the first event. the applicant will be charged Board has time to consider and approve. an additional late fee of$500. Late fees apply to late submission of If submitted between 29 and addendum as well. 15 days prior to the event a $1000 late fee applied. 4. Iteq' ui'red 'hl,,' Checklist required, but $2miliion C of I now required ®ocuments frequently omitted on A Certificate of Compliance may be issued Cheeklist .s.ubmitted_applications...-Added..to.Check List by the Fire Marshal or by the Building Hold Harmless Agreement Dept. Wminirrium-of$1 B." Certif.of Compliance for }+ r° million Certificate of" ilding&Fire Inspection It is the applicant's responsibility for Insurance C of'I , "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. i � ;` �a�', ss� �; t` � .1x �� :�� �, +'1- �. �� r: :"S yam, ' ,: �•, +} ys IP k at :�,. �` ' t4► � mow'-' '�i '}r 9I � # �y � _:,a. x p " '3165 k1 Laurel,NY " if i Ev&Em Vineyards' r Ot Nit v" * } t'Y =� Google � 3165, '*- '407�OffftK c©G Town of Southold 2/13/2023 a y P.O.Box 1179 ti -a 53095 Main Rd y�1o1 �aog, Southold,New York 11971 %W CERTIFICATE OF OCCUPANCY No: 43846 Dater 2/13/N23 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 3165 Route 25,Laurel SCTM#: 473889 Sec/Block/Lot: 125.-1-2.31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/2021 pursuant to which Building Permit No. 46554 dated 7/12/2021 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: alterations to existing Winery as applied for. The certificate is issued to Evanem Vineyards LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46554 7/18/2022 PLUMBERS CERTIFICATION DATED 5/11/2022 J S lu i &Heati Irk. th ri d ignature pF SOUjyo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.deylirI town.SbUth6Id.hy.us Southold,NY 11971-0959 l'�COUMV,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Evanem Vineyards LLC Address: 3165 Route 25 city:Laurel st: NY zip: 11948 Building.Permit;€: 46554 Section: 125 Block: 1 Lot: 2.31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Retrofit Electric License No: 60131 ME SITE DETAILS Office Use Only Residential Indoor X Basement X Service X Commerical X Outdoor X 1st Floor X Pool New X Renovation 2nd Floor X Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 45 Ceiling Fixtures 29 Bath Exhaust Fan 3 Service 3 ph X Hot Water GFCI Recpt 11 Wall Fixtures 29 Smoke Detectors 7 Main Panel A/C Condenser Single Recpt Recessed Fixtures 34 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights 20' Dryer Recpt Emergency Fixture Q Time Clocks Disconnect Switches 33 2'LED 30 Exit Fixtures 12 Pump Other Equipment: Ice Maker-2, Big.Fridges-2, Mini Fridges-6, Gas FP, DW-3, Fridge-1 Notes: Rewire Bar, Kitchen, Decks, Baths and Lighting Throughout Signature: Inspector i ( Jul 18 2022 0 Date: y ' S.Devlin-Cent Electrical Compliance Form OF 50 , Jv TOWN OF SOUTHO€LO BUILDING DEPT. G C 'INSPECTION Y [ ] FOUNDATION 1ST [ ] ROUGH PLEG,. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /ST:RAPPING [ ] ,FINAL [ ] FIREPLACE & CHIMNEY [ �] "FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL. (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS- f •t x r, t it S -'`S_.�� #' n i y ,... qnm I Tr DA INSPECTOR ' f i Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/18/25 Receipt##: 343149 Quantity Transactions Reference Subtotal 1 Event ee EEV:2a $300-00� 1 Event Fee EEV-3a $300.00 Total Paid: $600.00 Notes: Payment Type Amount Paid By CK#0675 $300.00 EVANEM, Vineyards LLC Credit Card-Ref# $300.00 EVANEM, Vineyards LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: EVANEM, Vineyards LLC 3165 Main Rd Laurel, NY 11948 Clerk ID: JENNIFER Internal ID:EEV-3a Mudd, Jennifer From: Mudd,Jennifer Sent: Monday,July 21, 2025 11:02 AM To: Schroeder, Gwynn Cc: Noncarrow, Denis; Born, Sabrina; Franke, Diana Subject: Special Events - EEV2a & EEV3a (EVANEM Vineyards) Attachments: EEV 2a.pdf; EEV 3a.pdf Good Morning Gwynn,. Please see attached special event applications that were dropped off in our office on Friday. 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 Special Event Master Permit#: CCV 3GL TC Checklist for Special Events (Farms/Wineries/Private Events) Applicant Name: €VAN E M 1/into=�C" Type of Event(ix. Community Event,Wedding, etc.): We Application(Master/I"Event) Date Received: r4 / 6'/202 UK Addendum(s) No. of Addendums attached: Date Received: / /202_ Same type of event as Master? Y N Fees to be collected: v to Master/l`Event fee($300.00) Date Received: / / $300.00 Addendum(s) ($50/Addendum) Date Received: / / Total Due: $ Late Application fees: $500.00 - 30-59 days before event Total Due: $ $1,000.00 - 14-29 days before event Total Duuee: $ Total Paid: $ /V1- Ud Current Certificate of Ins. Hold Harmless Agreement ZApplication sent for approvals to the following people: ✓Gwynn Schroeder Denis Noncarrow Stacey Norklun After emailing application and all applicable paperwork to the people above, put application in `pink' pending folder. S RECEIYED o�p ®� L V 3a, JUL 18 M o Southold Town 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$1000 late fee.Late fees will also apply to late event addenda. PLEASE NOTE: NO APPLICATIONS WILL BE ACCEPTED WITHIN 14 DAYS BEFORE THE SPECIAL EVENT DATE. IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. The Committee-will-obtain comments on'all,applications from relevant Town,County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on.private residential,properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential properly for profit,such as a venue for weddings or other events is prohibited. 1 This application is deemed complete.once all the following reuuirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. JjL E/A completed application form signed by the owner and the event manager. Applications without roperty owner's signature/approval will be rejected. Ef FEE: Is the application being submitted at least 60 days before the event[ fres J ].No @(If Yes,Fee of$ has been submitted, 30C) ky-' ` �'� t ❑ If No,Fee of$ has been submitted E 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 si ed and no Hold Harmless Agreement naming Southold Town �' g An up-to-date Certificate of Compliance issued by the Southold Town Fire Marshall or the Town /Building Department Q 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. �ee application form for details) ❑ Si ature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of � P rtY PP g 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. -7 Y. ate ign re 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 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 roperty owner's signature/approval will be rejected. : ...r' FEE: Is the application being submitted at least 60 days before the event[ K 4[N]No (9- 2/71f_Y_es,Feeof$ has been submitted 3pU ' ifi� l ❑ If No,Fee of$ has been submitted Q 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 E� A si ed and notarized Hold Harmless Agreement naming Southold Town �n gr g An up-to-date Certificate of Compliance issued by the Southold Town Fire Marshall or the Town /Building Department C� 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) l 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. � ee application form for details) /Si`gJ nature of Pro e Owner on the a lication authorizin Code Enforcement Personnel of the Town of Property PP g 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. t2 L(ateld igna re 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 guv 3c., MASTER APPLICATION FOR.A PERMIT.TO HOLD A SPECIAL EVENT PLEASE PROVIDE ALL OF THE INFORMATION REOUESTED BELOW INCOMPETE APPLICATIONS WILL NOT BE ACCEPTED FOR INTERNAL USE ONLY _ Special Event Master Permit#: Y Date of Submission: 2. Applicant's Name&,Title: � �(� S Applicant's Phone:0:f)\�2 q&142 0 Email: yA-�O CGS Property Owner(if different from above): Owner Phone: Email: Contact Person(if different from above): -1 Contact Phone. A Email: }� -am Event Venue: 1(Ltcl a V-PILS Venue Address: Hamlet L I�.t reA SCTM#'s 1000-Section 12�- Block_ Lot(s) Name of Event(s)_ Type of Event(s): ( , (Please complete o e addendum below for each individual event) Dates)of Event(s): 2� 6Zs YZ Is there an approved site plan for the event venue?Yes [ ]No [ ]' Maximum Number of Persons Attending at One Time(including staff): I Max#of Cars Expected at Any One Time: ..,,.. Sd Is a tent or other temporary structure being used?Yes[ ]No [ If yes,provide of tent provide size(s): Have any of the development rights been solqW the Town of Southold[ ]Yes [ ]No and/or Suffolk County Agricultural Program? [ ]Yes [ No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. Is this event being held to benefit a charitable organization?Yes [ ]No kf 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 i 1p _(na rl Ln jATJ 3 SPECIAL EVENT.APPLICATIONADDENDUM P1lease complete one form for each event Applicant/Venue: N' Date of Event: "1/� I 20 2CZ!,S Master Permit#(if previously issued) Start Time: LAe r^ End Time: I 142M Is this special event consistent with the Master Application submittedlapproved for this type of event?For example, does this event comply with the initial parkWan,maximum number of attendees,and the size and placement of tent(s)applied for or approved? Yes[vfNo [ ].If no,-what amendments to the permit are being requested? Will food be served?[Vflyes [ ]No If yes,provide following: Vendor Name:Sa70 �uy) Suffolk County permit#: 1- " (� Vendor Name: Suffolk County permit#: Will outside vendors be serving alcohol? [ Yes [ ]No If yes,provide: Vendor Name: S u r Q ,Spo rn . Liquor License# Vendor Contact Name: I a n (C AP 3o an c two Cell Phone: 510 -2� - Will non-food/alcohol vendors be on the premises during the event?[ ]Yes W<01 If yes,provide: Describe type of vendor(s) Number of vendors: Day of Event Contact Person: r 11'i (A A-V A S Phone:_U E-mail address(print clearly) r l S'��✓1 P yr,YIC rASLY' Qc ar&(.S-C Gv) Will any Southold Town services be requested Yes(Describe below) [�To._ Police Highway Other Will a security company be used for any of the events? [ ]Yes No.If yes,provide the following: name, address and cell number of the security company which-will 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 napes if more are needed. 4 SPECIAL EVENT APPLICATION ADDENDUM Please complete one form for each event Applicant/Venue: � tf�'I— Date of Event: Q 2_0 2GL' Master Permit#(if previously issued) Start Time: ryn End Time: I I.0M Is this special event consistent with the Master A plication submitted/approved for this type of event?For example, does this event comply with the initial parkin an,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?[Iflylles [ ]No If yes,provide following: Vendor Name: < & Suffolk County permit#: F� Vendor Name: Suffolk County permit#: Will out vendors be serving alcohol?[- Yes [ ]No If yes,provide: Vendor Name: S 6 r U &0 OCInLiquor License# Vendor Contact Name:Deu) 1� .( Ls 30 Qy1'(4L1b Cell Phone: j 1(0 —2 oLf - (_00[' Will non-food/alcohol vendors be on the premises during the event?[ ]Yes o If yes,provide: Describe type of vendor(s) Number of vendors: Day of Event Contact Person: r 1V` , (A A'f Q Phone: U �— E-mail address(print clearly) r i`i' yl emaylwrA Ulf'\w, ara%-C C/V) Will any Southold Town services be requested 0 Yes(Describe below) [ To. Police Highway Other Will a security company be used for any of the events? [ ]Yes No.If yes,provide the following: name, address and cell number of the security company which will 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 PARIONG/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 pace) . A Parkina/Event Plan may.be a survey,site plan and/or aerial view.(for example Gootle Earth).of the subject.property.INDICATE ON THE PLAN ALL of the followiminformation: . 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)' 'Theloca.46n of�the stage:or teats,if any. " (4) Tie designated A�6a's of use,for spectators,exhibitors,vendors,employees and' organizers: . (5)- Location of all entri6*hd`exits. 'V (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 andegres's for suchparking 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 a and l ins ectio s necessary in connection with this Special Event. 1Dont i ' U Print name of Owner Signature of Owner CU rG'Ce Print name of Authorized Person/Representative jgnatuVofAuthorized,Person/Representative 6 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 a and I in ecd s necessary in connection with this Special Event. Dant-6 Print name of Owner Signature of Owner Cu rc Ce. Print name of Authorized Person/Representative gna o 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-ghis of Wad 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 may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, in rg ess/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/egess/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,wheri,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 PERAHT. APPROVED Town of Southold Resolution Number: Date Issued: 8 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 '' JtY® 'QlV,1 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 thisAgreement 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 = 1 S kyi Cock 0 On behalf of: (Name of Business Entity) Dates of event(s): �@ ,{ � �2j& Sworn to before me this_L WONDA R MILLER Day of 20 2 S NOTARY PUBLIC,STATE OF NEW Yt;ll2 k Registration No.Ol MI000627[► Qualified in Suffolk Coumg Commission Expires April 26.21) 9 ate::" sd '... �y +, y _•. va401F x1j 1 4 a A t 1A fat. t+ ax '. ,. .T: .i4. .p.. ,'y # ♦ iM� � "► sat � fi j 3165 -' `i►�" ..: ,: . , � . , Laurel, .t ; - ��• may' � 4. '�- i �� Ev&Em Vineyards .. + r„ h 1�' ' fill th L ! IVA- d . t. 't Goo gle a t}o S�FPO[XcG Town of Southold 2/13/2023 yam$ P.O.Box 1.179 Cz ti +� 53095 Main Rd Southold,New York 11071 CERTIFICATE OF OCCUPANCY No: 43846 Date: 2/13/2023 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 3165 Route 25,Laurel SCTM#: 473889 Sec/Block/Lot: 125.-1-2.31 Subdivision: Filed Map No: Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/2021 pursuant to which Building Permit No. 46554 dated 7/12/2021 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: alterations to existing Winery as applied for. The certificate is issued to Evanem Vineyards LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46554 7/18/2M PLUMBERS CERTIFICATION DATED 5/11/2022 nnhlu bi &Heati Irk. th Uvignature Town Hall Annex Telephone(631)165-1802 54375 Main Road P.O.Box 1179 Q -sean devlinotown.south'ofd.i y.us Southold,NY 1 1 97 1-0959 , 40U(1lhi, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION issued To: Evanem Vineyards LLC Address: 3165 Route 25 city:Laurel st: NY zip: 11948 Building Permit : 46554 section: 125 Block: 1 Lot: 2.31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Retrofit Electric License No: 60131 ME SITE DETAILS Office Use Only Residential Indoor X Basement X Service X Commerical X Outdoor X 1st Floor X Pool New X Renovation 2nd Floor X Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 45 Ceiling Fixtures 29 Bath Exhaust Fan 3 Service 3 ph X Hot Water GFCI Recpt 11 Wall Fixtures 29 Smoke Detectors '] Main Panel A/C Condenser Single Recpt Recessed.Fixtures 34 CO2 Detectors Sub Panel A/C Blower Range Recpt. Ceiling Fan Combo Smoke/CO Transformer UC Lights 20' Dryer Recpt Emergency Fixtures 1 Q Time Clocks Disconnect Switches 33 Z LED 3Q Exit Fixtures 12 Pump Other Equipment: Ice Maker-2, Big,Fridges-2, Mini Fridges-6, 'Gas FP, DW-3, Fridge-1 Notes: Rewire Bar, Kitchen, Decks, Baths and Lighting Throughout July 18, 2022Inspector Signature. Date:S.Devlin-Cert Electrical Compliance Form afsouryo�� TOWH Off' S U°ff'H.OLD BURLOBNa DEPT'n INSPECTION L ). FOUNDATION l'ST L ROUGH PLRO. L FOUNDATION 2N�D , INSUL.ATION/CAUL KING L ] FRAMING [STRAPPING L ] yFINAL L. FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION ,1 'FIRE RESISTANT CONSTRUCTION [ ]- FIRE RESISTANT'P,ENETRATION L ] ELECTRICAL (ROUGH) L ] ELECTRICAL (FINAL)' L CODE VIOLATION L ] PRE C/O L ] RENTAL REMARKS e x k t 3 q gq If �d��;=:. ��✓ J' 3 Pp Bi.i'- @, r a ,r z � z A G 0 AT E ONSPEC70R ®' Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/18/25 Receipt#: 343149 Quantity Transactions Reference Subtotal 1 Event Fee EEV-2a $300.00 1 vent Fee EEV=3a $30000� Total Paid: $600.00 Notes: Payment Type Amount Paid By CK#0675 $300.00 EVANEM, Vineyards LLC Credit Card-Ref# $300.00 EVANEM, Vineyards LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: EVANEM, Vineyards LLC 3165 Main Rd Laurel, NY 11948 Clerk ID: JENNIFER Internal ID:EEV-3a Mudd, Jennifer From: Mudd, Jennifer Sent: Monday, July 21, 2025 11:02 AM To: Schroeder, Gwynn Cc: Noncarrow, Denis; Born, Sabrina; Franke, Diana Subject: Special Events - EEV2a & EEV3a (EVANEM Vineyards) Attachments: EEV 2a.pdf, EEV 3a.pdf Good Morning Gwynn, Please see attached special event applications that were dropped off in our office on Friday. Thank you, JeVk' 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