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HomeMy WebLinkAbout78 _ 4,P e79 /A ,V�1�4 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