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Home My WebLink About84 r. Application # $50 r event). p PERMIT TO HOLD AN OUTDOOR PUBLIC EVENT AT A WINERY jr77'Jh Name of Winery ��° (9/` Max. # of Persons At One Time: 6 O Contact Person and Contact Tel."# ZMCfee6a/ Sw l T?L/- '7 c Date of Event: 40 Winery Parcel #1000-1Q2 - L- �3 Time Period (Houd): From A M, to //•°r90 • k, Street Address/Location: 3 aaiJ Aeo - fU9 J Address to Send Event ermit to: 10, O. :64& ZF Nature of Event: N Is a Tent being used? 04 Ya [ ] No. I am the Avner of Pr6peMy where this event is to be held aqd do ae to comply th the laws, Hila, regulations, conditions, and requirements of the Cade the jToCnofo including but not limited to the conditions listed below, aswellas II othehila and regulations pertaining to the activities under this event. :ONS: PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOUAWI 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. a Winery Ewe Permit— cont/miso� 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, other 1 wi11 complie 13. No band u is after 10 p.m. unless i ide an a los build' w' o oud disturbance. Issuing Date ved Gerard P. Goehringer ZBA Ch airman NA VI R Winery Barn - / 20 7 �1T Description: - ` -- &OCl< T t� ,r U`aIIt/ S &Cock V.,,n s ACORvCERTIFICA OF LIABILITY INSUI�NC� OP ID DATE(MM DD YY) ALLII-1 05/25/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hiram Cohen & Son Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 486 Willis Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Williston Park NY 11596-1782 Phone: 516-742-7180 Fax:516-742-7209 INSURERS AFFORDING COVERAGE INSURED INSURER A: Federal Insurance Company Galluccio Estate Vineyards III NSURER B: LLC INSURER C: Attn: Jim Eller 24385 Main Road INSURER D: Cutchogue NY 11935 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. IIR LTR TYPE OF INSURANCE POLICY NUMBER DATE MMID DAY EFFECTIVE TE MMIDD/YYON LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY 35770170 08/09/00 08/09/01 FIRE DAMAGE(Any one fine) $1,000,000 CLAIMS WOE ®OCCUR MED EXP(Any one Person) $ 10,000 PERSONAL&ADV INJURY 51,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 1,000,000 X I POLICY JE 0PROi El LOC AUTOMOBILE LUIBILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OW NED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR F�CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION It is WORKERS COMPENSATION ANDI WC M AM TORY LIMITS ER EMPLOYERS'LUIBILITV E.L.EACH ACCIDENT Is E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT I$ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The following certificate holder is included as an additional insured as respects Cashman-Bendowski wedding being held at 24385 Main Road, Cutchogue, NY on June 16, 2001. CERTIFICATE HOLDER Y I ADDITIONAL INSURED;INSURER LETTER;_ CANCELLATION TOWNOF1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Southold IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 53095 Main Road Southold NY 11971 REPRESENTATIVES. AUTHORIZED REPRESEN ACORD 25S(7/97) OAC D CORPORATION 1988 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 05/25/01 Receipt#: 2113 Transaction(s): Subtotal 1 Public Events $100.00 Check#: 2113 Total Paid: $100.00 Name: Galluccio, Estate Vineyards 24385 Main Road Cutchogue, NY 11935 Clerk ID: LYNDAB Internal ID:32698