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HomeMy WebLinkAbout85 t Board of Appeals Town of Southold Application # SS $50 (per event). PERMIT TO HOLD AN OUTDOOR PUBLIC EVENT AT A WINERY Name of Wine /a CfLj-t7A*Max. # of Persons At'Olne Time: �S Contact Person and Contactel. # �'`r Fe,-s e /G 3 j i3s/- 20149 Date of Event; 7 114401Winery Par6cl #1000-1c29 - L- _ice Time Period (Hours): rom //-3o ,f..v to 6 .,"SP• " Street Address/Location: 67`f3 FS 1-14,1W ,evgy Cgrr-Ha6 us 1141 1 9 3.1� Address to Send Event Permit to: /n 0 By x /2& 9 �L r.c>zHo r uc 1141 /I °j 3 r� Nature of Event: ViN6UALc7 SPoN6sratep 1W T7�sn;: t A-unceco.J Is a Tent being used?R4 Yes [ ) 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 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. Wi y Owner (Signature) lrOM/al?mv R R }t R ! R ■ R • * R R R R B/'FICC-rC PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLLOWING CONDITI J►svr s L&-LE<_ 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. z. 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 Ewa Permit continued 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, and will lied with. Issuing Date 6 Approved Board of Appeals Town of Southold NA VI R q le-11- Winery Barn { O Description: r —� _ A:.�h/ _. .12 0 A i y NA VI R Winery Barn - O _ �/O Description: T i J 1 ' 1 �/. 3�o�K z }( Vaw€S 0Cic .--tom (_J L 0C e ACORD CERTIFICP& OF LIABILITY INSU NCS OP ID DATE(MWDD/YY) ALLU-1 06/29/01 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 INSURERA: Federal Insurance Company Galluccio Estate Vineyards III INSURER B: LLC Attn: Jim Eller INSURER C: 24385 Main Road INSURERD: 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, ILTR TYPE OF INSURANCE POLICY NUMBER POLICY TE(MMIFE I L EXPI TI N DATE MMIFECTI DATE FXPI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 35770170 08/09/00 08/09/01 FIRE DAMAGE(Any one fire) $ 1,000,000 CLAIMSMADE 7X OCCUR MED EXP(Any one Person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 1,000,000 X I POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accitlent) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ O WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT E E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT I$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The following certificate holder is included as an additional insured as respects Bastille Day Party being held at 24385 Main Road / Cutchogue, NY on 07/14/01. 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 _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 53095 Main Road Town Of Southold IMPOSE NOOBLIGATIONO BILITV OF ANY KIND UPON THE INSURER,ITS AGENTS OR Main Southold NY 11971 REPRESENTATIVES AUTHORIZED REP.;;; TIVE ACORD 25S(7/97) ©ACORD CORPORATION 1988 S INA hIIATL VINIYARDI `11!11 QALLUCC10 ESTAT E VINEYARDS. LLC PM BOX 12(,9 24385 MAIN ROAD U11CIIOC JI NY 1193506-10 631)7W7089 FAX.16311 734 7114 WWWGRISTINAWINESCOM July 3, 2001 Zoning Board Town of Southold 53095 Main Road Southold, New York 11971 Dear Sir or Madam: Enclosed please find two Original Certificates of Insurance, each naming the Town as an additional insured. These certificates are for events on: 1 . 7/14/01--Bastille Day Party; and 2 . 7/28/01--Pharmacopia Brunch. Thank you. Sincerely, im Eller P-Operations JE :bms encls . Town Of Southold _►_ P.O Box 1179 J Southold, NY 11971 * * * RECEIPT Date: 07/02/01 Receipt#: 3087 Transaction(s): Subtotal 1 Public Events $50.00 1 Public Events $50.00 Cash#: 3087 Total Paid: $100.00 Name: Galluccio, Estate Vineyards 24385 Main Road Cutchogue, NY 11935 Clerk ID: LINDAC Internal ID:35736 Board of Appeals pp aIs Town of SodhoE DEPARTMENTAL MEMO TO: Office of the Town Clerk FROM: Office of the ZBA 6 afz , DATE: SUBJ: Fees Paid for Processing of Winery Permit(s)-/opt l wu�//�-%� �.a Please find enclosed check in the amount of $ /0 d. for the following Winery Events: # oc-5- for 14 2e0/ between # F4 for a&,20a _ between # for between Thank you. 3 i t• r 7 +. 1 � i V { *t�' r i• n■00308 ?ill 40214066GN 0600 «0 40�iOa''