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HomeMy WebLinkAbout317 BOARD MEMBERS ®F Cj j Southold Town Hall Leslie Kanes Weisman,Chairperson 095 Main Road• P.O.Box 1179 Southold,NY 11971-0959 Eric Dantesc Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank G6orge Horning �O ® �® 54375 Main Road(at Youngs Avenue) Kenneth Schneider 100um Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS APR 0 8 2016 TOWN OF SOUTHOLD Tel. (631)765-1809•Fax(631)765-9064 Linda Sweeney, Executive Director Foundation/Community Relations Eastern Long Island Hospital 201 Manor Place Greenport,NY 11944 Re: Event Permit#WP317—Eastern Long Island Gala(fundraiser) Dear Ms. Sweeney: Enclosed is the Special Permit for the Eastern Long Island Gala planned for August 13, 2016. 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. ince e7UWA"20— lz� r — Leslie Kanes Weisman Chairperson Encls. - Copies of Event Permit to: Town Building Department Town Police Department Fire Inspector, Building Department ' land preserved through the , 'of development`rights to the county of Wk 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 RECEIVED Please provide ALL of the information requested below. Incomplete applications AibIwx reviewed. ZONING BOARD OF APPEALS Special Event Permit#- ,3/ Date of Submission 3Name of Event�Q, Tlla SCTM#'s 1000-Section I C "1 Block- -3 Lot(s) a Dates of Each Event: (A- 0 ' - I-b 201 Co Nature of Event: Ci'b YA&1'Zi11SQ,(— (Please attach a detailed description to this application) Time Period (Hours) of Event: From 5;60 t--, to Maximum Number of Persons Attending At One Time: �5c) Number of cars expected Is a Tent or other temporary structure being used? [<] Yes [ ]No If yes provide size(s) r-Will food be served? Yes [ ]No If yes provide number and name(s)of food vendor(s) S�u�ffollk County permit#(s) Will other vendors be on the premises during the event?' h(] Yes [ ]No if yes how many9 Describe type ofvendor(s) 7;—; - Q.t� z '�• Contact Person and Contact Tel.# L Event Location: Street-Hamlet Address: Mailing Address to nd Event Permit —1\ LA - Have any of the dev lopment right een sold to the Town of Southold [ ] Yes No and/or Suffolk County? [ ] Yes o If yes to either or both, also indicate on the attache pan the boundaries of the reserved area up hich the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION (see next pate) IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN (see next page) 2 Y A Parking/Event Plan may survey, site ppan an&or aerial view ( .xample 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. Opaq (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage, trash, rubbish or other refuse. RECEIVED (13) Location and description of any additional lighting to be utilized to conjunct* w�ithh the event. (14) Location of sanitary facilities on site. ZONING BOARD OF APPEALS 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 applicabl agency rules and regulations pertaining to the activities under this event. L rj 7A- �0yy', V\/ t h Print name of Owner /Sign e o er 00 `n V_�,0 Print name of Authorized Person filling out Sign=T11FOLLOWING rson filling out application application PERMISSION IS HEREBY GRANTED SUBJECT 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, County or State Roads or Rights 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. 3. 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 4. 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 pen-nit. 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 pen-nit 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 scheduled 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 including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s) or temporary sanity facilities shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s) or temporary sanitary facilities shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this pen-nit 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. 60P,31.7`7 15. ADDITIONAL CONDITIONS: RECEIVED MAR 2 8 2016 ZONING BOARD OF APPEALS ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. 2D1S Date Issued: APR 0Q-- - APPROVED, ZBA Chairperson ZBA Town of Southold Office Location: 54375 Main Road (Capitol One I" floor) PO Box 11971-0959 Southold,NY 11971-0959 Tel: (631)765-1809(press 5012 at voice recording) Updated August 2013 Fax(631)765-9064 4 EASTERN LONG ISLAND HOSPITALvs 201 Manor Place, Greenport, NY 11944 * 631 -477-1000 • Fax 631-477-1746 March 18, 2016 P,5 RECEIVED MAR 2 8 2016 Leslie Kanes Weisman, Chairperson ZONING BOARD OF APPEALS Zoning Board of Appeals Town of Southold PO Box 1179 Southold,NY 11971 Dear Ms. Weisman: On behalf of Eastern Long Island Hospital and the patients we serve, I am respectfully requesting that the application fee be waived' for the attached event permit. This permit is for Eastern Long Island Hospital's largest fundraiser on Saturday, August 13, 2016 to be held at 9205 Skunk Lane, Cutchogue at the Lomangino residence from 6 pm to 10 pm. Eastern Long Island Hospital is a 501 c3 not- for-profit organization with a mission to provide essential healthcare services to the residents of the North Fork and Shelter Island. The Summer Gala benefits the Emergency Department. Thank you in advance for your consideration. Sincerely, P da S. Sweeney Executive Director Foundation/Community Relations LS/es ELI H EASTERN LONG ISLAND HOSPITAL Putting CARE back in HealthCARE 201 Manor Place,Greenport,NY 11944 . 631.477.1000. 631.477.1746 . www.ELItLorg PROFILE: EASTERN LONG ISLAND HOSPITAL is a 90-bed acute-care, full-service, not-for-profit, community hospital; and the first voluntary hospital in Suffolk County (founded in 1905). Now Celebrating 110 Years of Caring. Eastern Long Island Hospital maintains a strong commitment to improving access to healthcare for the North Fork and Shelter Island community. The primary service areas include the hamlets of Orient, East Marion, Southold, Peconic, Cutchogue,New Suffolk, Mattituck, Shelter Island, Shelter Island Heights, and the incorporated Village of Greenport. ELIH is a 501C (3) corporation. Federal Tax ID # 11-1633563 Recognized for Excellence, Eastern Long Island Hospital boasts a five-star rating for patient satisfaction ranking in the"Top 5%Nationally and # 1 for Patient Safety in the Tri-State Region" EVENT: Summer Gala, Saturday,August 13,2016 Summer Gala is for the benefit of Eastern Long Island Hospital Emergency Department a service vital to the community. Hosted by Lynda and Anthony Lomangino of Cutchogue,NY. Evening highlights include fabulous food and wine pairings, sunset vistas, live music and dancing. Live and Silent Auctions. Luxury raffle prizes.RECEIVED9�013/? MAR 2 9 2016 ATTENDANCE: 450 Guests (Sponsorships $1,000 - $50,000) ` INIG BOARD OF APPEALS ADVERTISING: A multi-media campaign promotes the event and highlights corporate sponsors. Campaign includes—prominent event signage, radio,print,posters, show cards, newsletters, and direct-mail pieces. PUBLICITY: Heavy print media throughout East End of Long Island is anticipated. CONTACT: Linda Sweeney,Executive Director,Foundation and Community Relations Phone: 631-477-5164 FAX: 631-477-8218 email: linda.sweeney_@elih.org Issue Date 03/16/2016 CERTIFICATE OF INSURANCE Ommic INSURER: Medical Liability Mutual Insurance Company SERVICING OFFICE: 8 British American Blvd.Latham, New York 12110.(518)786-2700 a(800)635-0666 This certificate Is Issued as a matter of information only and confers no rights upon the certificate holder. This certic1t Ves not amend,extend or alter the coverage afforded by the policies below. RECI1V tD NAMED INSURED: MAR 2 8 2016 3�� Eastern Long Island Hospital Eastern Long Island Hospital Association ZONING BOARD OF APPEALS 201 Manor Place Greenport, New York 11944 'r4'inSH,F"A" a _ -,•1 ---��i,_:,3,3f"-=--__;feiu LEr€rte—"--�;.ax�li`e-.s-�;si�-'l;";.nim,_,.—r rrin -- �I,a-G3�zvr �"r, ,-ks==�.m`,'v -—_--_ .v T s''', a`�p{; — _ y i•_€�= —__ _,x�, aa� �. :-,�-'.` Q;If`' "e _-__-_ „a„#�E'.#'m.€ -m��,r sa�,�Gfi�.e�gr .rYT, ��:..��,-:,a..�'a' -�.....tahLal:.-....� :�,._aG.sa..�:�.y, I =-` "EFt�.lca.�.'®..�nyas�+�a _.,_r.....,.E,�wacWaa�..,,,�..:,a-t :.,,,.R�-,�;�,�.a-4 F"w�l..c=• ., __""z...�„ua:.�,..==,,.s..W."���s THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED ABOVE FOR THE POLICY PERIOD INDICATED NOT WITH STANDING 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICY POLICY TYPE OF INSURANCE POLICY NUMBER EFFECTIVE ExPIRATION LIMITS DATE DATE '.•=3���ir'��"I ., :§w _%6_ES5SS#QMff t�dILi1h =`" ":''„` EACH MEDICAL INCIDENT ❑CLAIMS MADE ❑ OCCURRENCE AGGREGATE $ aNr iL1=ret AH1002132 04/252016 04!25/2017 EACH OCCURRENCE $2,000,000 XCOMMERCIAL GENERAL LIABILITY PERSONAL&ADV INJURY $2,000,000 OCCURRENCE DAMAGE TO PREMISES $ 100,000 RENTED TO YOU (Any one premises) ❑ Owner's&Contractor's Prot MED Exp(Any one person) $ 10,000 ❑ GENERAL AGGREGATE $6,000,000 PRODUCTS-COMP/OP $6,000,000 6,000000 AGGREGATE EIGIS '� �4BILT '�'J�II»''' _1' Iln'IN III A}!4,!,ri ,s;,ml�llllj�!;� IIII ' �'J Iri ' ".__ _ 1�'5'!p EACH PERSON/EVENT $ UMBRELLA FORM TOTAL $ LLL���JJJ OTHER THAN UMBRELLA FORM $ ESCfiIiIPT[G1N°, F-tiRERi4113L"=-Ci#1dt�[tl1VI._1�EI:ESSFC1 ___ T_ „,3=_.--;1,,.=„, -_ � r E_�_fE€ - _�,_W= �, � Coverage is provided subject to the terms and conditions of the above referenced policy for the Certificate Holder as additional insured as per NYGO102 0313 RE*2016 Gala"Under The Tuscan Sky”to be held on August 13,2016 at Lomangino Residence, 9205 Skunk Lane, Cutchogue, NY 11935 11,11 III+6!'” , ,,, ,,, ,, .,,I' - - ,III,I L ,,,,J 9�p16„ISI - .,',' „IP ,_I,I,Pi �' »,' ll,IIII Ja II„p,,.,.,r.,,y;r;",rd°"1d,,,L,�1,_', hi,LR1611'f�i.,,,»d„ ,'nal n' ,1,,,,,,��,,,g�p1 , ,,,,' Pi.a rvl,unr _ �n 1!n„,.,,,.”, v�r�IJ ISIS ISAYA�,4'Z{SId�J�JVWI�IP,Iy'�_I"�II'd':IIW,Eal�l��s __'�,Eh I,1�1����0 .��;� ,11'�,_" - -' ��1� -- -,J ,�,I;iJ41,'�p4I.� _ y,�;!J��, I'Y, _ �!n��ll,!!�!��L "� �• " '.,.r_!_�1''41 51'»""'1'JP�'.J4J'll'6 �_�^___4i �'J.J�S°.�__ L.rJ...fLL ^"'"'•' .____ w.���_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT THE MAILING OR THE FAILURE TO MAIL NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AND IT IS UNDERSTOOD THAT THE NAMED CERTIFICATE HOLDER EXPRESSLY CONSENTS TO THE SAME CERTIFICATE HOLDER Town of Southold 54375 Main Road PO Box 1179 Southold, NY 11971-0959 AUTHO D REPRESENTATIVE COI-HOP-04-07 CCORa ATE , 1% � 3/21/CERTIFICATE OF LIABILITY INSURANCE D/21/201IDD/Y6 6 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(ies)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(s). PRODUCER CONTACT Lynn Lirm ndean NAME: Y The Mechanic Group Inc. PHONE , (845)735-0700 FAX AIC, IC No;(845)735-8383 One Blue Hill Plaza E-MAIL ADDRESS: c g roup llinderman@mechanicom Suite 530 INSURERS AFFORDING COVERAGE NAIC# Pearl River NY 10965 INSURERA Allied World Surplus Lines 24319 INSURED INSURERB:The State Insurance Fund 36102 CM Security Consulting Inc. INSURERC: PeoplePool Event Staffers Inc INSURER D: 34 Gardenia Avenue INSURER E: Hampton Bays NY 11946 INSURER F: COVERAGES CERTIFICATE NUMBER:2016-2017 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 INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGES( RENTED PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE a OCCUR 200-0207-03 /14/2016 /14/2017 MED EXP(Any one person) $ 10,000 X Errors & Omissions PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 5,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION X WC STATU- OTH- ANDEMPLOYERS'LIABILITY Y/NJORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) 14143960 /14/2016 /14/2017 E L DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I I E L DISEASE-POLICY LIMIT $ 1,000,000 A Garagekeepers Liability 200-0207-03 /14/2016 /14/2017 Aggregate Limit $200,000 RECEIVED DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) MAR 2�0, 6 ZONING BOARD OF APPEALS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIVERED IN Cutchogue New Suffolk Parks District ACCORDANCE WITH THE POLICY PROVISIONS. ' PO Box 311 Cutchogue, NY 11935 AUTHORIZED REPRESENTATIVE Steve Mechanic/LYNN -s....�_ ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn2517n1nnm n1 Tho Arr1Rr1 nmmgm nnrl lnnn nuc r'cnicfararl mnrlrc of Af'npn AC®® DATE(MM/DD/YYYY) 11*.� CERTIFICATE OF LIABILITY INSURANCE 3/21/2016 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(s). PRODUCER CONTACT Lynn Linderman NAME: The Mechanic Group Inc. PHONE (645)735-0700 FAC No•(845)735-8383 One Blue Hill Plaza ADDRESS llinderman@mechanicgroup.com Suite 530 INSURERS AFFORDING COVERAGE NAIC# Pearl River NY 10965 INSURERAAllied World Surplus Lines 24319 INSURED INSURERB:The State Insurance Fund 36102 CM Security Consulting Inc. INSURERC. PeoplePool Event Staffers Inc INSURER D 34 Gardenia Avenue INSURERE: Hampton Bays NY 11946 INSURER F: COVERAGES CERTIFICATE NUMBER:2016-2017 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 INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $ 100,000 A I CLAIMS-MADE Fx-]OCCUR 200-0207-03 /14/2016 /14/2017 MED EXP(Any one person) $ 10,000 X Errors & Omissions PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 5,000,000 GE N'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 5,000,000 X POLICY JFr.TPRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS It JAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ B WORKERS COMPENSATION X WC STATU- I JOTH- AND EMPLOYERS'LIABILITY Y/N TORY I WITS I ER ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? NIA 14143960 /14/2016 /14/2017 (Mandatory In NH) E L DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E L DISEASE-POLICY LIMIT $ 1,000,000 A Garagekeepers Liability; 200-0207-03 /14/2016 /14/2017 Aggregate Limit $200,000 Pr-CFTvFr) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) MAR 2 8 Zn,16 a) 3 /j ZONING BOARD OF APPEALS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Eastern Long Island Hospital ACCORDANCE WITH THE POLICY PROVISIONS. 201 Manor Place Greenport, NY 11944 AUTHORIZED REPRESENTATIVE Steve Mechanic/LYNN ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 oninnF1 ril The Annpn name anti Innn arc rcnic4crcri markt of Ar'r1Rr1 eco `../' CERTIFICATE OF LIABILITY INSURANCE 3//21/21/° '°°201166 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(s). PRODUCER CONTACT Lynn Linderman NAME: Yn The Mechanic Group Inc. PHONEO. • (845)735-0700 FAICNot,(845)735-6383 One Blue Hill Plaza E-MAIL rou llinderman@mechanic com ADDRESS: g P' Suite 530 INSURERS AFFORDING COVERAGE NAIC# Pearl River NY 10965 INSURERAAllied World Surplus Lines 24319 INSURED INSURER B•The State Insurance Fund 36102 CM Security Consulting Inc. INSURERC: PeoplePool Event Staffers Inc INSURERD: 34 Gardenia Avenue INSURER E: Hampton Bays NY 11946 INSURER COVERAGES CERTIFICATE NUMBER:2016-2017 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 INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA AGE X COMMERCIAL GENERAL LIABILITY PREM SES a occurrence $ 100,000 A CLAIMS-MADE 7 OCCUR 200-0207-03 /14/2016 /14/2017 MED EXP(Any one person) $ 10,000 X Errors & Omissions PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 5,000,000 X POLICY JECT PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) `$ HI/REOS AUTOS D AUTOS NO OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION X WC STATU- OTH- ER_EMPLOYERS'LIABILITYTORY LIMITS —1 R ANY PROPRIETOR/PARTNER/EXECUTIVE� NIA EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 14143960 /14/2016 /14/2017 (Mandatory In NH) EL DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1 000 000 A Garagekeepers Liability 5200-0207-03 /14/2016 /14/2017 Aggregate Limit $200,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) RECEIVED MAR 2 8 20116 ZONING BOARD C/I=APPEALS CERTIFICATE HOLDER I CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Lynda and Anthony Lomangino ACCORDANCE WITH THE POLICY PROVISIONS. Nassau Point Road Cutchogue, NY 11935 AUTHORIZED REPRESENTATIVE Steve Mechanic/LYNN, ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25lgmnn5i ni Tho Af'npn Hama anti Innn nra ronictararl mnrltc of Arr)p 1 '°'��® CERTIFICATE OF LIABILITY INSURANCE 3/21/2016 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(ies)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(s). PRODUCER CONTACT NAME: Lynn Linderman FA The Mechanic Group Inc. PHONE (845)735-0700 AIC No:(845)735-8363 One Blue Hill Plaza E-MAIL llinderman@mechanic rou com ADDRESS: g p Suite 530 INSURERS AFFORDING COVERAGE NAIC# Pearl River NY 10965 INSURERAAllied World Surplus Lines 24319 INSURED INSURERB:The State Insurance Fund 36102 CM Security Consulting Inc. 1 INSURERC: PeoplePool Event Staffers Inc INSURER D: 34 Gardenia Avenue INSURER E: Hampton Bays NY 11946, INSURER F: COVERAGES CERTIFICATE NUMBER:2016-2017 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 ILTR TYPE OF INSURANCE INSR WVO SUER POLICY NUMBER MMIDD1 EFF MMIDD/YYYPI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 A I CLAIMS-MADE Fx_]OCCUR 200-0207-03 /14/2016 /14/2017 MED EXP(Any one person) $ 10,000 X Errors & Omissions PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 5,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATIONX WC STATU- I JOTH- AND EMPLOYERS'LIABILITY, Y/N I TORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICERNEMSER EXCLUDED? FNIA (Mandatory In NH) 14143960 /14/2016 /14/2017 E L DISEASE-EA EMPLOYE $ 1,000,000 If es,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 A Garagekeepers Liability 200-0207-03 /14/2016 /14/2017 Aggregate Limit $200,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RECEIVED MAR 2 8 ZONING BOARD C 'PPE.AI.5 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 Southold, NY 11971 AUTHORIZED REPRESENTATIVE Steve Mechanic/LYNN ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025/gmnn51 n+ Tho Arrwn nama and Innn ara ranictarari marlrc of Amnon Peoplepool Valet Service 34 Gardenia Ave Hampton Bays, NY 11946 1-631-872-3985 Parking Plan Peoplepool Valet Service, a parking management company, which is fully insured by The State Insurance Fund for Worker's Compensation and Allied World Surplus Lines Insurance Company for Garage Insurance,have been contracted by Eastern Long Island Hospital,to conduct parking management on Saturday, August 13, 2016, from the hours of 5:00 PM to 11:00 PM at the Lomangino's residence,Nassau Point Road, Cutchogue, NY, 11935. The event anticipates approximately 200 guest vehicles at one time and 15 staff vehicles. As the guests arrive at the residence,they will directed by Peoplepool Valet Service personnel into the driveway of the property, (See diagram). Peoplepool Valet Service personnel will valet approx 100 vehicles on the property(See diagram) and the remaining on the Cutchogue Park District Property (See diagram). Personnel will insure that Nassau Point Road will be clear at all times. Handicap guests will be Valet parked at the entrance to the event. The end of the event will be conducted in revise. In the event of an emergency, Peoplepool Valet Service personnel will telephone the proper authorities. Respectively submitted, Charles McArdle 3 Vice President Peoplepool Valet Service RECEIVED 1-631-872-3985 MAR 282016 ZONING BOARD OF APPEALS 80x1OO term Outing Sent 9.xIO t g Island 6Ox8O e �= t pitc l �,rrw"' . '�• Cocktail Tent i Icy 9XIO 39x4O Service ._ 1 fwt cion ti►Y - 0 2016 Google G I ar�h .m . / �;„. 3'Y �. ,� '''� t•t d T .tel. ��� .r ¢ µ " 4 � n '� ��•'►'.�.� '-i3.1. 71 �'?�' � uta"` - ---•_ - '•'' � �' r'i ryw '17 a - .v 1 •. i S ve :. ,�•\ . .. , ,� ,�.;;ems �`-•� � � - - �"' �<� .FL Y-+'Y - " } ��I r `}'•...sem _ Ak . '+Overflow Parking : Oil 0 0 1994 Imagery�Date; SJ23,?05 ;,41000'56.99" N 72°26'54.52"W elev 0 Toth, Vicki From: Lanza, Heather Sent: Thursday, March 31, 2016 1:51 PM To: Toth,Vicki Subject: RE: ELIH summer gala spec event I'm not seeing how they'll fit 100 cars on site,but if they say they can do it, then I guess they can. Especially if its valet parking. It's the other 150 cars that I would worry about...it states 250 cars in their application. So 100 park on site, another 55 to 70 can fit in the 460' stretch of Cutchogue Park District parking lot they designate on the plan. Where will the other 70-95 cars be parked? I would ask them to clarify that. Maybe they have an agreement to use more park district parking lot if need be, or maybe they can fit more than 70 cars in the section of parking lot through valet. I'm just pointing out that they didn't address it, and probably should because that's a tough corner down there. And do they have permission from the Park District? I would ask for that in writing just so a permit isn't given that involves someone else's property without their permission in writing. From:Toth,Vicki Sent:Thursday, March 31, 2016 1:09 PM To: Glew, Claire<Claire.Glew@town.southold.nv.us>; Lanza, Heather<heather.lanza@town.southold.nv.us>; Webster, Kevin<kevin.webster@town.southold.nv.us>; Flatley, Martin <mflatlev@town.southold.nv.us>; Fisher, Robert <Robert.Fisher@town.southold.nv.us> Subject: ELIH summer gala spec event Dear All— Please review the special event permit for Eastern LI Hospital. It is located under computer, southold shared 'S', everyone, special event applications, 2016, ELIH summer gala. Kindly send comments/concerns to me. Thank you, Vicki Toth Zoning Board of Appeals Town of Southold 631-765-1809 631-765-9064(fax) 1 Toth, Vicki From: Linda Sweeney <Issweeney@elih.org> Sent: Thursday, March 31, 2016 2:03 PM To: Toth, Vicki Subject: RE: ELIH summer gala spec event The parking company submitted all the backup paper work with pictures.They got permission to park at the beach as well. we submitted that a plan and certificates of insurance. Linda S. Sweeney BS-BA Executive Director, Foundation and Comnnuiity Relations. Eastern Long Island Hospital—Putting Care Back in HealthCARE 201 Manor Place Greenport,New York 11944 Office 631-477-5164 Direct 631-477-5498 linda.sweene ehh.or T, - • • • t ELIH Ranks Among the TOP 5% Nationally in Patient Satisfaction. From: Toth, Vicki [mailto:vicki.toth(&town.southold.ny.us] Sent: Thursday, March 31, 2016 1:56 PM To: Iinda.sweeneY@elih.org Subject: FW: ELIH summer gala spec event Ms.Sweeney— Your application was forwarded to other departments and below is a comment that I need you to address. Please respond back to me via email as soon as possible. You may need to provide additional documents. Thank you, Vicki Toth Zoning Board of Appeals Town of Southold 631-765-1809 631-765-9064(fax) I'm not seeing how they'll fit 100 cars on site, but if they say they can do it, then I guess they can. Especially if its valet parking. It's the other 150 cars that I would worry about...it states 250 cars in their application. So 100 park on site, another 55 to 70 can fit in the 460' stretch of Cutchogue Park District parking lot they designate on the plan. Where will the 1 other 70-95 cars be parked? I would ask them to clarify that. Maybe they have an agreement to use more park district parking lot if need be, or maybe they can fit more than 70 cars in the section of parking lot through valet. I'm just pointing out that they didn't address it, and probably should because that's a tough corner down there. And do they have permission from the Park District? I would ask for that in writing just so a permit isn't given that involves someone else's property without their permission in writing. 2 Toth, Vicki From: Glew, Claire Sent: Thursday, March 31, 2016 2:15 PM To: Toth,Vicki Subject: RE: ELIH summer gala spec event Vicki, The Assessors have no objection to this event. Claire From:Toth,Vicki Sent:Thursday, March 31, 20161:09 PM To: Glew, Claire<Claire.Glew@town.southold.nv.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Webster, Kevin <I<evin.webster@town.southold.nv.us>; Flatley, Martin <mflatlev@town.southold.ny.us>; Fisher, Robert <Robert.Fisher@town.southo Id.ny.us> Subject: ELIH summer gala spec event Dear All— Please review the special event permit for Eastern LI Hospital. It is located under computer, southold shared 'S', everyone, special event applications, 2016, ELIH summer gala. Kindly send comments/concerns to me. Thank you, Vicki Toth Zoning Board of Appeals Town of Southold 631-765-1809 631-765-9064(fax) 1 ZONING BOARD OF APPEALS � % a Town Hall Annex, 54375 Route 25 f` P.O-Box 1179 i Southold, New York 11971-0959 i� Fax(631) 765-9064 t { Telephone (631) 765-1809 TOWN OF SOUTHOLD APPLICATION FOR AN OUTDOOR SPECIAL EVENT AT A WINERY CHECKLIST Date:13 ��'G �, Your application is being returned as incomplete for the following reasons: V/Received less than 30 business days from the proposed event date(Requires written request for expe4ited rAweeview stating reasons)S / f j Q Fee: Q uS G lam, MLt ' Application(3 pages): t/ Detailed description of the event: r/ Insurance Certificate: _"P king Event Plan: The location(s)and width(s)of all ingress/egress to the winery property Parking for the existing winery building(s)and proposed additional on site parking for the outdoor event,including the number of parking spaces and the square footages'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 V Traffic control plan if 300 or more people will attend event: Information on sale of Development Rights y V dor Information: Other: V r 1`7�� -\ 0 pi -'j 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. ZONING BOARD OF APPEALS Town Hall Annex, 64375 Route 25 P-0.Box 1179 RECOvED Southold, New York 11971-0959 Fax(631)765-9064 Z Telephone(631) 765-1809 Z0,11G BOAPID OF APPEALS TOWN OF SOUTHOLD APPLICATION FOR AN OUTDOOR SPECIAL EVE'NT AT A WINERY CHECIUIST Date: -3 A? Your application is being retuened as incomplete for the following reasons: Received less than 30 business days from the proposed event date(Requires written request for expedite eia stating reasons) Fe it's) Z44-, Application(3 pages): U Detailed description of the evelit: , Insurance Certificate: Yarking Event Plan: The location(s)and,width(s)of all ingress/egress to the winery property_ Parking for the existing winery building(s)and ptoposed additional on site parking for the outdoor - event,including the number of parking spaces and the square footages'of parkiniz areas The location(s)of ajequalt'e.6n site sanitary facilities The proposed location(s)for any tents (s),vendors,or other temporary structure(s)and the size of each Traffic control plan if 300 or more people will attend even Information on sale of Development Rights Vendor Information: —Other: FAILURE TO SUBMIT THE IN-F--0 R-MATION NOTED UEREIN TO THE ZBA OFFICE WITHIN FIVE(5) BUSINESS DAYS OF THE ABOVE DATE WILL RESULT IN DELAYS IN PROCESSING YOUR APPLICATION AND MAY RES-ULT IN A DENIAL. 1 Owner: Eastern Long Island Gala File M WP317 Address: 9205 Skunk Ln Code: 06L Agent Info Linda Sweeney 9205 Skunk Lane Cutchogue, NY 11935 Phone: 477-5498 Fax: Email: S11FfF1x, Town of South__ 4/1/2016 53095 Main Rd - Southold,New York 11971 Zoning Application Information. File Number: WP317 Master Parcel: 104.-3-16.11 Assignment Code: 06L Owner Name: Eastern Long Island Gala Location: 9205 Skunk Ln' Cutchogue _ Status: OPEN Description: Special Event-Eastern Long Island Hospital fundraiser 8/13/16 from 5 pm to 11:30 pm for approximately 450 people Notes: DATES Sent to Town'Clerk: 4/1/2016 Sand W: Decision Date: CoPL: PB: Sent to LF: LWRP: Trustees/DEC: Page 1 of 1 Toth, Vicki From: Flatley, Martin Sent: Thursday, March 31, 2016 4:23 PM To: Toth,Vicki Subject: RE: ELIH summer gala spec event I have no objections to the event being held as long as they are able to perform valet service at this site without seriously interfering with Skunk Lane traffic and parking takes place only on one side of the road in front of the site so emergency vehicles can pass safely. Martin Flatley,Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 a From:Toth,Vicki Sent:Thursday, March 31, 2016 2:08 PM To: Flatley, Martin <mflatley@town.southold.ny.us> Subject: RE: ELIH summer gala spec event Yes they have. From: Flatley, Martin Sent: Thursday, March 31, 2016 2:08 PM To: Toth, Vicki; Glew, Claire; Lanza, Heather; Webster, Kevin; Fisher, Robert Subject: RE: ELIH summer gala spec event Vicki, I'm assuming that the Valet Service has received permission from the Cutchogue Park District to use their lot on the Nassau Point Causeway? Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 a 1 From:Toth,Vicki Sent:Thursday, March 31, 2016 1:09 PM To: Glew, Claire<Claire.Glew@town.southold.nv.us>; Lanza, Heather<heather.lanza@town.southoId.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Fisher, Robert <Robert.Fisher@town.southold.nv.us> Subject: ELI summer gala spec event Dear All— Please review the special event permit for Eastern LI Hospital. It is located under computer,southold shared 'S', everyone, special event applications, 2016, ELIH summer gala. Kindly send comments/concerns to me. Thank you, Vicki Toth Zoning Board of Appeals Town of Southold 631-765-1809 631-765-9064 (fax) z Toth, Vicki From: Fisher, Robert Sent: - Tuesday,April 05, 2016 9:55 AM To: Toth,Vicki Subject: RE: ELIH summer gala spec event Vicki have no problem with this application. ; Bob = Robert Fisher ' Fire'Marshall, Town of Southold robeht.fisher@town.southold.ny.us (W) 631-765-1802 - (C) 631-786-9180 PRIVILEGED AND CONFIDENTIAL COMMUNICA TION CONFIDENTIALITYNO,ITCE This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by'privilege. If you are not the intended recipient,you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited.,If you have received this transmissiomin error,please notify Me,sender immediately by e-mail and delete the original message. -From:Toth,Vicki Sent:Thursday, March 31, 20161:09 PM To: Glew, Claire<Claire.Glees@town.southold.ny.us>; Lanza,Heather<heather.lariza@town.southold.ny.us>; Webster, Kevin<kevin.webster@town.southold.ny.us>; Flatley, Martin<mflatlev@town.southold.ny.us>; Fisher,,Robert <Robert.Fisher@town.southold.ny.us> 'Subject: ELIH summer gala spec event Dear All— Please review the special event permit for Eastern LI Hospital. It is located under computer,southold shared 'S', everyone, special event applications, 2016, ELIH summer gala. Kindly send comments/concerns to 'me., .Thank you, Vicki Toth , Zoning Board of Appeals Town of Southold 631-765-1809 631-765-9064(fax) Linda Sweeney From: Toth, Vicki Sent: Thursday, March 31, 2016 11:07 AM To: 'linda.sweeney@elih.org' Subject: Summer Gala fundraier 2016 Dear Ms.Sweeney— The Chairperson of the Zoning Board of Appeals has reviewed your application for a special event on August 13,2016 at the Lomangino residence. She has waived$100.00 of the required-application fee and the remaining-$50.00 is an administrative which cannot be waived. Please provide a check payable to the Town of Southold.-Once we receive the - ' check we can complete the processing of your application and release the permit. Thank you for your attention to this matter. Vicki Toth Zoning Board of Appeals Town of Southold 631-765-1809 631-765-9064(fax) 1 ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) i i I ®ATE: 4/8/16 ZBA# NAME CHECK# AMOUNT TC DATE STAMP s RECEIVED i ! Eastern Long Island 1601 $50.00 WP317 Gala APR 8 2016 ' Southold Town Clerk 1 i i• I i I .��:�. ,- ^as•.�,x �n� " ,:r:"z•_ ",Jw.., .�=.E� Em;�:. .a:�i<:,u;:a'.:� '*`.,,,�THE,EASTERN L ONG-IISL:AND-HOSPITAL, E } :r DEVELOPMENT COMMUNITY RELATIONS z;' ` `F'°' `W7 '.I' ""� -'-"`mss,:.,:. �`°'x-�"'`-•: �f��:;.�.�ew.�;��..a. ,-:,�.,, --�J:. - z� 50�7D1R14Z _ Date 'i ��r:2>�s-`,.: .+w+azxsumr:i,x:..rac.�xyA�.,,M.z,-,•.�c,',� _ .�1.4 _ i ;O der,.of ..lur..� F GL',IrS0 _ DQ llar$ o.,,.o� ; - - 77, - .h �J One, .A. - ;',�, - ` ry ws. - - c.e.:uv�. .1 r * * * RECEIPT * * * Date: 04/08/16 Receipt#: 202621 Quantity Transactions Reference Subtotal 1 Public Events WP317 $50.00 Total Paid: $50.00 Notes: Payment Type Amount Paid By CK#1601 $50.00 Eastern, Long Island Hospital Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Eastern, Long Island Hospital 201 Manor Place Greenport, NY 11944 Clerk ID: SABRINA Internal ID:WP317