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HomeMy WebLinkAbout78 _ 4,P e79
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cation # 78
$50 1per event).
PERMIT TO HOLD AN
OUTDOOR PUBLIC EVENT
AT A WINERY
Name of Winery tiM,91S Max. # of Persons At One Time: Z60
Contact Person and Cont Tei. S - ZUv
Date of Event: S Winery Parcel #1000-
Time Period (Hours): to
Street Address/Location: a
Address to Send t Pe it
Nature of Event: - a 0,1
Is a Tent being used? t ) Yes [4 No.
I am the Owner of Property where this event is to be held and do agree to comply with the laws,
rules, regulations, conditions, and requirements of the Code of the T n f Southold, including but
not limited to the conditions listed below, as well as all o fie app !cable agency !ales and
regulations pertaining to the activities under this event.
Wine ner (Signature)
R R R R R R R R R R R R R R
PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLLOWING CONDITIONS:
1. By acceptance of this permit, Applicant agrees to adequately supervise and direct all parking
to be on this site, and Applicant agrees to provide additional traffic controls necessary for this
event.
2. 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.
3. 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. A Certificate of Liability naming the Town of Southold as an additional insured in the
amount of One Million ($1,000,000.00) Dollars is hereby filed by Applicant, and said Certificate
must remain in full force and effect during this entire event.
4. Tent proposals must receive prior written approval from the Southold Town Building Inspector
before placement on the property and must meet all fire and safety codes.
5. 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 45 days prior to the event.
Winery Event Permit oontinoee
6. 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 of the day
of the event.
7. No on-site food preparation is permitted, although food may be catered subject to all health
regulations.
S. Events for three hundred (300) or more people require submission and approval of a traffic
control plan, acceptable to the Town.
9. Violations in connection with this event will terminate this permit.
10. Issuance of this permit does not authorize in any manner occupancy of the principal building
exceeding the legal limitations under the fire code, or other codes which would prohibit such
increased occupancy.
11. Two fire exits shall remain open and unobstructed at all times to building(s) on the property.
12. Owner assures that all fire, safety, building, a er law will b lied with.
Issuing Date Y*41Ll
/Approved
c-ow_ ' CERTIFICW OF LIABILITY INSUS►NCkIDDA DATE(MM DDI0
NDA-1 02/21/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Coverage Associates, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
2941 Sunrise Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Islip Terrace NY 11752
Phone: 631-277-5700 Fax:631-277-5941 INSURERS AFFORDING COVERAGE
INSURED INSURERA: Atlantic Mutual Ins. Co.
INSURERS:
Pindar Vineyards, etal. INSURER C:
591 Bicycle Path Suite A INSURER D:
Port Jefferson Station NY 11776
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR R)TYPE OF INSURANCE POLICY NUMBER DATE MMDATE MM LIMITS
GENERAL LIABILITY EACH OCCURRENCE S $1,000,000
A X COMMERCIAL GENERAL LIABILITY 7130060150000 12/31/00 12/31/01 FIRE DAMAGE(Any mefire) $ $1001000
CLAIMS MADE 1X OCCUR MED EXP(Any one Pawn) $ 5,000
PERSONAL&ADV INJURY $ $1,000,000
GENERAL AGGREGATE s $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S $2,000,000
POLICY JECT LOC
PRO- Em Ben. $1,000,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea attWaM)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per Person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNEDAUTOS (Per accident)
PROPERTY DAMAGE S
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE S
OCCUR FICLAIMS MADE AGGREGATE $
S
DEDUCTIBLE S
RETENTION S S
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT S
E.L.DISEASE-EA EMPLOYE S
E.L.DISEASE-POLICY LIMIT I S
OTHER
DESCRIPTION OF OPERATIONSILOCA'nONSIVEHICLE&EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate Holder is named as Additional Insured with respects to event
being held on 8/11/01.
CERTIFICATE HOLDER Y I ADDITIONAL INSURED;INSURER LETTER: A CANCELLATION
SOUTHOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Town Of Southold LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
53095 Main Road ANY KIND UPON THE INSURQt,ITS AGENTS OR PAERESENTATIVES.
Southold NY 11971
ACORD 25S(7197) U U " ACORD CORPORATION 1988
d ,
EVENT ® z
3
AREA El �
W
PARKING AREA ( 12
ACRES )
adjacent
C❑NSTRUCTI❑N SITE lot
2K Pkk/ Skr L
Office of
BOARD OF APPEALS
Southold Town Hall
53095 Main Road
Southold, NY 11971
(631) 765-1809 tel. (631) 765-9064 fax.
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
May 24, 2001
To: Pindar Winery
Attn: Betsy Weiss
P.O. Box 332
Peconic, NY 11958
Re: Permit#78 - Event for 8/11/01
Dear Ms. Weiss:
Please find enclosed the Conditional Permit for the proposed Special Event to be held on the
above date. A duplicate of this signed permit must be conspicuously posted during the event.
Please note the Conditions written into the Permit. With respect to parking and traffic controls,
these responsibilities will be the owner and operators, and their agents. Note that parking of
vehicles by visitors and/or customers must be on the site of the Winery and vineyards, and not along
the State Highway at any time.
With respect to tent or canopy areas, please call 765-1802 to make arrangements for its
inspection prior to the Friday before the event through the Building Department. If there is no tent or
canopy proposed, please disregard this request.
We are furnishing a copy of this permit to the Enforcement Departments of the Town (Police
Department and Building Department) for their reference and records, if needed.
Very truly yours,
Enclosures Gerard P. Goehringer
Copies of Event Permit to: Chairman
Town Building Department
Town Police Department
. Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT
Date: 03/30/01 Receipt#: 3003
Transaction(s): Subtotal
1 Application Fees $50.00
Cash#: 3003 Total Paid: $50.00
Name: Pindar, Vineyards
P O Box 332
Peconic, NY 11958
Clerk ID: LINDAC Intemal ID:29212