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BOARD MEMBERS ��f $O Southold Town Hall Leslie Kanes Weisman,Chairperson Ury! 53095 Main Road• P.O.Box 1179 � Q O Southold,NY 11971-0959 Eric Dantes [ Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning 54375 Main Road(at Youngs Avenue) Kenneth Schneider �'�C'oM Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD SEP 14 2015 Tel.(631) 765-1809•Fax(631) 765-9064 Strong's Marine Inlet LLC 2255 Wickham Ave. P. O. Box 1409 Mattituck,New York 11952 Attn: Ted Webb Re: Event Permit#WP309- Wedding Dear Mr. Webb: Enclosed is the Special Event Permit for the wedding planned for September 26ti'2015. A duplicate of this permit must be continuously posted during the event. This permit is granted as applied for, based on information supplied in the application. * There are several conditions written into the permit. Please be aware that under the State Fire Code,the number of persons occupying the building and/or tent area is limited. The use of a tent will require an application and approvals at least three days before the event,from the Building Department. A Town Building Inspector must inspect the tent,before occupancy,they can be reached at 765-1802 between the hours of 8 a.m. and 4 p.m. This permit does not authorize parking on Suffolk County Right of Way located in front of the property or any lands owned by County of Suffolk, Town of Southold or Peconic Land Trust. All parking and traffic controls are the responsibilities of the event operators, and their agents. Note that parking on any County or State Roads are not authorized under this permit. Any violations of this permit can be cause for revocation. The Town also reserves the right to revoke any permit or deny future permits if the event(s) generates unforeseen impacts to the health, safety or welfare of residents and guests of the Town. S' c ely, ar— Leslie Kanes Weisman Chairperson Encls. Copies of Event Permit to: Town Building Department Town Police Department Fire Inspector, Building Department land preserved through the s0of development rights to the county of*lk 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. APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT u ee Yzzl RECEIVED Please Provide ALL of the information requested below. Incomplete applications WILL. NOT be reviewed. AUG 21 2015 Special Event Permit ZONING BOARD OF APPEALS Date of Submission P P I Name of EventICA& �i SCTM#'s 1000-Section_- & Block-._. 3�___ Lot(s)��_ Dates of Each Event: Nature of Event:_ (Please attach a detailed description to this application) Time Period(Hours)of Event: From ,�v�---.---to Maximum Number of Persons Attending At One Time: z yr, _Number of cars expected /o C' Is a Tent or other temporary structure being used? [XJ Yes [ ]No If yes provide size(s) n 0)( i?o Will food be served?5,j Yes [ ]No If yes provide number and name(s)of food vendor(s) r✓+Zic �/Ldr//� ,� �v __. Suffolk County permit#(s) __ _ Will other vendors be on the premises during the event?[ ]Yes P]'No If yes how many? Describe type of vendor(s) Contact Person and Contact Tel.# �_�7� 2 6�� , aq,;� _91 Event Location: Street-Hamlet Address: ?Z_SS Mailing Address to Send Event Permit to: � Have any of the development rights been sold to the Town of Southold [ ] Yes [,'No and/or Suffolk County? [ ] Yes [ No if yesg either,mbeth, -tlsu h1dicate on file_u_Uached pianthe kotindaries of the reserved area upon which the event will take place. YOU MIDST ATTACH A PARKIN(:/1;VENT PLAN TO THIS AI'll LICATION (see next page) IF THF, h,XPEcrED ATTENDANCE IS 300 Oit N110RE PEOPLF YOU MIiST ALSO) ATI'AC-11 A TRAFFIC CONTROL PLAN (see next 0ge 2 A Parkino/Event Plan may Is survey, site elan and/sir aerial view Mexample Google Earth) of the subject 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) The location of the stage or tents, if any. (4) The designated areas of use for spectators, exhibitors,vendors, employees and organizers. (5) Location of all 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. (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. (1 I) 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. I am the Owner of the 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 a n rules and regulations pertaining to the activities under this event. Print name of Owner Signatu e df Owner Print name of Authorized Person filling out Signature of Authorized Person filling out application application 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 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, CountyUr SU or Ri its 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. RECEIVED 3. One "on-premises" sign not larger than six (6) square feet in size may bpgonger than thirty (30) days before this event, and removed immediately after the event. Direct1 k4n ll s shall be adequately displayed. ZONING BOARD OF APPEALS �P3�9 3 4. Applicant indemnifies and holds armless 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 schedugd 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, it but not limited to parking, ingress/cgresstaccess, tents) or temporary structures or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rigbts land. 10. NO activities_associated with this event,including but not limited to parkiq& re sle�ressJaccess, tentfsl or tcmporary--�tructure(s),,_,or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of 1 cpylopment 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 paths 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 that all fire,safety,building,and other laws will be complied with. 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. ADDITIONAL CONDITIONS: —v62v e r � su �� f 0� y' i �i�r Oi�G=�'I't G// �i3 �ES ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. \) n Date Issued: APPROVEIJ, ZBA Ch irperson CEIVE� ZBA Town of Southold Office Location: 54375 Main Road (Capitol One 1"floor) PO Box 11971-0959 N1NG gOARD OF APt,�A�S Tel t( 631)7 9 65-1809(press 5012 at voice recording) Updated August 2013 Fax(631)765-9064 4 a,21 3d9 ^ RECEIVED b AUG 21 2015 RECEIVED ZONING BOARD OF APPEALS ,U 20? n ZONING i Y :.J j .... y'zY" � •. y�a ;lh F. � � '�T x l T���L, �w,'a,iM' �. ,T 4 LK�T'atx`.T� e'4 �.,.*M'sT.• � � � � yf�` �� , Oeb[F y lllrrr,,, _ � ,.d�"t"f.'�aY'd•C ti :*�'-ai.%. ht+/i a&� �1 gut+'G+7! � ���,`_`�'�t it .�'•�•�f"`ri� r., v ��^i.,.» u..�`t`'.��x7.-r"'. ��.+�,��w.:r��� �rca� III ;p J' �L.���A"`�*¢ 2. Y .• ,i 5 � a _..�•�a � '�L,}...��• 3•�Y 1 � JAG C .. , 50AT 6TOR64L t 4t^_;:_ `#R=�.f .X.� �„ a � � r.���$:'.+.x p^�-5, �'Nr•��',� �r q3 3 t 1^n 1�Ff '7"'t3 t,( "^Y i{' .•.fir 1 , 1 �q 1 E 4 v f,t f ! t g, BOARD O� PQEAS RECEIVED L � JILL 0C1 yf${y�jj,�lr.+Cp) � �r � � '. B PD OF PEALS OA 00 dilY III, N r= Nt O Z O D X7 O :aj O x%` D v v Rt r lJ �CD C / f Fr p G� No 711a CERTIMATE OF LIABILITY INSURAE DATE a6/2o15 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement a. PRODUCER CONTACTCOME, Cassalyn Spangler -- - ---- Global Marine Insurance Agency, Inc. PHONI E , (800)748-0224 FAX (231)947-4407 �- -- ------ —-- LAIC N°,E. - --- --nei -- 12935 S. Nest Bayshore Dr. Ess:Cspangler®c3lobalMarinsurance.com --- — - nsI — INSURER(S)AFFORDING COVERAGE NAIC N ------ - -- -- Traverse City MI 49684 INSURERA:Hanover Ins Co INSURED INSURER B_ Strong's Marine, LLC etal INSURERC: PO BOX 1409 INSURERD: INSURER E: Mattituck NY 11952 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1542801570 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP -- 1 TSR TYPE OF INSURANCEL POLICY NUMBER LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 - DAMAGE TO R NT D - i----- A _ CLAIMS-MADE I�OCCUR PREMISES Ea occurrence) $_ 200,000 X IIRWA60071000 4/3/2015 4/3/2016 51000 - I-_--------- ----_- __-- MED EXP(Any one person)_ $ PERSONAL&ADV INJURY $ 11000,000 i GENAL AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 PRO- I X,POLICY�_�JECT LOC i PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: Marine OP Legal Liability $ 11000,000 AUTOMOBILE LIABILITY LIMIT Ea Ea accidentL _ $ 1,000,000 i X I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED r SCHEDULED AUTOS AUTOS ABtU159151100 4/3/2015 4/3/2016 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS -(Per PIP-Additional $ 100,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 ----— A EXCESS UAB 11 CLAIMS-MADE AGGREGATE $ DED X RETENTION 10.000 IRNA60077600 4/3/2015 4/3/2016 — i $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNERIEXECUTIVE I.EACH ACCIDENT I$ OFFICER/MEMBER EXCLUDED? NIA rFFICER/MEMBER EXCLUDED? NIA -E- -- ----- -------- - (Mandatory in NH) I I E.L.DISEASE-EA EMPLOYE $ If yea,describe under --- -- --_--_-__ -_- DESCRIPTION OF OPERATIONS belowI E.L.DISEASE-POLICY LIMIT $ A INWA60071000 4/3/2015 4/3/2016 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more specs Is required) Certificate Holder is included as additional insured with respect to the above cationed eneral liability per terms/conditions of actual policy for a Special Events permit for I�f> location #5: 2255 Wickham Ave., specifically, but not limited to 09/26/15. avP 3bAUG 21 2015 ZONING BOARD OF APPEALS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Rt 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE Jeff Heydlauff/CRSS ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) DDITIONAL COVERAGES 0 nRef# Description Coverage Code Form No. Edition Date P&I Liability-Marina Operations Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date GL Broadening Endorsement Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Included Ref# Description Coverage Code Form No. Edition Date Sudden&Accidental Pollution Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Foran No. Edition Date Personal Use-Scheduled Employees Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Included Ref# Description Coverage Code Form No. Edition Date P&I Liability-Watersports Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Included Ref# Description Coverage Code Foran No. Edition Date P&I Liability- 14 Rental Boats Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date PIP-Basic PIP Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 50,000 Ref# I Description Coverage Code Form No. Editlon Date Uninsured motorist combined single limit UMCSL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Underinsured motorist combined single limit UNCSL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Medical payments MEDPM Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description RECEIVED f,,, 3d Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 1 ount Deductible Type Premium OFADTLCV APPEALS Copyright 2001,AMS Services,Inc. UF � Town of Sout 8/21/2015 S 53095 Main Rd Southold,New York 11971 Zoning Application Information File Number: WP309 Master Parcel: 114.-3-1 Assignment Code: 06L Owner Name: Strong's Marine Inlet LLC Location: 2255 Wickham Ave Mattituck Status: OPEN Description: Special Event-Wedding for approximately 240 people on Sept 26, 2015 from 5 pm - 11 pm Notes: DATES Sent to Town Clerk: 8/21/2015 Sand W: Decision Date: CoPL: PB: Sent to LF: LWRP: Trustees/DEC: Page 1 of 1 ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: 8/21/15 ZBA # NAME CHECK# AMOUNT TC DATE STAMP RECEIVED WP309 Strong's Marine Inlet 2195 $150.00 LLC AUG 2 1 2015 snuthold Town C{erk n - - SUFFOLK COUNTY NAnONAL ' 10M MAIN ROAD 2195 p^NR ,STRONG'S WATER CLUB MARINA �w+rnTUCK,NY 11%2 2255 WICKHAM AVE. F.o. +W0 BOX>1 STI1Vl 1VS MA-MCK,NY 11952 50-546/214 WAT E R C L U 6 MARINAA PH:631-298.4739 FAX:831.288.4803 ONE HUNDRED FIFTY DOLLARS NO CENTS DATE AMOUNT SOUTHOLD TOWN CLERK 21AUG15 *********150.00 ' POAY P.0.BOX ;117�(9J THE S UTHOLD, N J. ORDER 1197OF P LLI SECURITY FEATURIPS INcweFD.DETAILS ON BACK. L*I i i ! _ Owner: Strong's Marine Inlet LLC File #: WP309 Address: 2255 Wickham Ave Code: 06L Agent Info Ted Webb, Strong's Marine Inlet LLC 2255 Wickham Avenue PO BOX 1409 Mattituck, NY 11952 Phone: 631 298-4739 Fax: Email: * * * RECEIPT * * * Date: 08/21/15 Receipt#: 192689 Quantity Transactions Reference Subtotal 1 Public Events WP309 $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#2195 $150.00 Strongs, Marina Inc. Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Strongs, Marina Inc. Po Box 1409 Mattituck, NY 11952 Clerk ID: SABRINA Intemal ID:WP309 ZONING BOARD OF APPEALS Town Hall Annex, 54375 Route 25 � ' .. P.O. Box 1179 Southold, New York 11971-0959 t° Fax(631) 765-9064 tl '"' Telephone (631) 765-1809 I r 4, S�f _ TOWN OF SOUTHOLD RVA &Ne APPLICATION FOR A SPECIAL EVENT ell � CHECKLIST AUG 18 N`i' Date: (/� BOARD OF APPEALS Your application is being returned as incomplete for the following reasons: Received less thanWn s ness days from the proposed event date(Requires written request for pedited review stating reasons) Application(3 pages): / Detailed description of the event: f/ Insurance Certificate: Parking Event Plan: The location(s)and width(s)of all ingress/egress to the winery property The layout for any parking areas for automobiles and other vehicles on the property and proposed additional on-site parking for the event, including the number of parking spaces and the square foota eg s of parking areas The location(s)of adequate on site sanitary facilities The proposed location(s)for any tents(s),vendors,or other temporary structure(s)and the size of each Plan for use of live outdoor music, location of loudspeaker/audio equipment, if applicable Traffic control plan if 300 or more people will attend event: Information on sale of Development Rights Vendor Information: 4— Other: FAILURE TO SUBMIT THE INFORMATION NOTED HEREIN TO THE ZBA OFFICE WITHIN FIVE(5)BUSINESS DAYS OF THE ABOVE DATE WILL RESULT IN DELAYS IN PROCESSING YOUR APPLICATION AND MAY RESULT IN A DENIAL. (August 2013)