Loading...
HomeMy WebLinkAbout332 BOARD MEMBERS o�SOU Southold Town Hall Leslie Kanes Weisman,Chairperson \0 pyQ 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer G Town Annex/First Floor,Capital One Bank George Horning ,2Q ® � 54375 Main Road(at Youngs Avenue) Kenneth Schneider ���'®O Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS 'JUL 2 2 2016 TOWN OF SOUTHOLD Tel.(631)765-1809•Fax (631)765-9064 Bedell Cellars 36225 Main Road Cutchogue,NY 11935 Attn: Riva Packard Re: Event Permit#WP332-weddings Dear Ms. Packard: Enclosed is the Special Event Permit for the weddings planned for Sept. 30`h and Oct. 1st, 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. Icely, Leslie anes 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 S', -!k 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 p , , SPECIAL EVENT W f��p V1 RECEIVED Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. JUL 15 2616 Special Event Permit# o ZONING BOARD OF APPEALS Date of Submission- Name of Event 1�PA-- A a- MsS --bz�&\W SCTM#'s 1000-Section Block- 02 Lot(s) lO.o'Z Dates of Each Event: nj I 6Zw1 Nature of Event: (Please attach a detailed description to this application) Time Period(Hours)of Event: From 5w\ to ��Om Maximum Number of Persons Attending At One Time: L tO Number of cars expected_ Is a Tent or other temporary structure being used?[VfYes [ ]No If yes provide size(s) Will food be served?[v"]Yes [ ]No If yes provide number and name(s)of food vendor(s) �� Ar� OCSQ� Suffolk County permit#(s)T cTW 'Sa- Oop7:M38 Will other vendors be on the premises during the event?[✓J Yes [ ]No If yes how many? Describe type of vendor(s)-\bC\25V. 1f�C �(QDJ\C omn1 � Contact Person and Contact Tel.# \(aVt .. 7,: q Event Location:Street-Hamlet Address..,:P:�e�P x fes Qn sb921' j1A Mailing Address to Send Event Permit to: P<< Have any of the development rights been sold to the Town of Southold[ ]Yes [✓jNo and/or Suffolk County? [VfYes [ ]No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARIONG/EVENT PLAN TO THIS APPLICATION(see next panel IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE.YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) 2 A Parking/Event Plan may', .4 survey,site Plan and/or aerial view(1 _ _ zamWe Google Earth) of the subiect Property,INDICATE ON THE PLAN ALL of the followine information: A parkingtevent 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. (11) 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 agency rules and regulations pertaining to the activities under this event. To& Pnesz,deY, C' �4 Print name of Owner Signature of Owner Print name of Authorized Person filling out Signature of u erson mg 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,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 long e� y(30) days before this event, and removed immediately after the event. Directional parking signs sha a adequately displayed. 3 302 J U L 15 2016 3 ZONING BOARD OF APPEALS 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 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 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/eeress/access, tent(s) or temporary structur (s) or tempora sanitary facilities shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, includine but not limited to parking, ingress/eeress/access, tent(s) or temporary structures) or temporary sanitary facilities shall be conducted on Suffolk County Purchase of Development Rights land without apermit 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: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. Date Issued: "J 1 2 2016lz&& APPROVED, ZBA Chairperson ZBA Town of Southold Office Location: 54375 Main Road(Capitol One I"floor) PO Box 11971-0959 Southold,NY 11971-0959 60,°33 Tel:(631)765-1809(press 5012 at voice recording Updated August 2013 Fax(631)765-9064 �ECEI)PEb JUL 5 2096 4 ZONING BOARD OF APPEALS 9-r k w•r _ _ wr men• . e• . $ I 1 . I 1 I �D I I I I < � nr I 9 I • i e rar 0 g O rf• E p" +h m � c p 1 9 ' m 0 z RECEIVED L4 JUL y 5 2016 4 gll�ma �� ZONING BOARD OF APPEALS 71 7 ,y �- �,y1 ti -`.-� �♦ \``ate 1. ally: V'J va 4b Nk,1.7 \ IF i Q North Fork Guest House TOTAL PARKING AREA = 41 ,844 SQ FT 80 CAR CAPACITY BEDELL July 15th 2016 Additional Information for Bedell Cellars Special Events Permit Application Parking In terms of parking, our clients provide busing for the majority of their guests.These shuttles leave from w N either the Greenport or the Riverhead hotels and do not remain on-site for the event. Cn w 0 0 w PL n c 0 O s O Q4 C fD Z w w C D Cnrn _w V W V w W V 7 N^^ 'G O CD CL CD 0 cD w 0 0 3 m CL CD n m w N n O RECEIVED JUL 15 "' i6 ZONNG BOARD OF APPEALS North Fork of Long Island t Client#:574• -"=NOR DATE(MMIDD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 7/07/2016 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 NAME NAME' Cook Maran&Associates Southampton Commercial PHONE 631 324-1440 FAX A/C No Ext: AIC,No): Cook Maran&Associates ADDRESS: certificates@cookmaran.com 300 Hampton Road INSURER(S)AFFORDING COVERAGE NAIC# Southampton,NY 11968 INSURER A:Great Northern Insurance Compan INSURED INSURER B:Federal Insurance Company 20281 Bedell North Fork LLC INSURER C: 36225 Main Rd INSURER D Cutchogue,NY 11935 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF MMIDDY ADDLISUBR EXP LIMITS A GENERAL LIABILITY X 36005900 7/12/2015 07/12/2016 EACH OCCURRENCE $110001000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea 0.ante $100,000 CLAIMS-MADE r_x1 OCCUR MED EXP(Any one person) $10,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 - GENERAL AGGREGATE- --s210001-000"'"'-"" '-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- 71 LOC $ A AUTOMOBILE LIABILITY 1373580664 7/12/2015 07/12/201 COMBINED Ea accident)SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS Ix NON-OWNED PROP RTY DAMAGE $ AUTOS $ B X UMBRELLA LIAB X OCCUR 79885941 7/12/2015 07/12/2016 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El N/A (Mandatory in NH) IEL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below IEL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The Town of Southold is included as Additional Insureds with respects to the above listed General Liability Coverage as required by written contract. /off RECEIVED JUL 5 2010 CERTIFICATE HOLDER CANCELLATION _B� APPFALS Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1021578/M800742 EH2 Owner: Bedell North Fork LLC File M WP332 Address: 36485 Route 25 Code: 06L Agent Info Riva Packard Bedell Cellars 36225 Route 25 Cutchogue, NY 11935 Phone: 631 734-7537 Fax: Email: Y ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: 7/19/16 ZBA # NAME CHECK # AMOUNT TC DATE STAMP RECEIVED WP332 Bedell Cellars 40256 $150.00 JUL 2 0 2016 Southold Town Clerk oirt'rt CC II'+• "'r'i'*Irl .I,"+ ,nhi II''' i dL i'"� mA'=^ l"4". li' ?q�n,r,.`:= _,Ytl nYl:. -"5iY'Ilii..."�* AtI •LIII�, Iln d° ..� Int I,,t-A - ,!'U, :A' S�i -1, - - .xilli eiL+' _ .al A i J I '„911, S, 'r,h_ - 'i': ,- - ".;fi. -�r'r- L, r,,M ,pr�_ ,q:._it`s.; hd_ ni„'rbip..,•;r. I . �t < U I - nmol My'i. •el, i,'•i's'„e 'rP r 'N'.. ,1,'�, I.n Fi:r', n.14_ �k ,IA a'II •A T'� 4`'I',I' Jz'::`i,r{ ''�•v `-d„' .e9" �I I C A: -f. I:Y"a; -"5 r yal � ,0'- 'i�I ,?^PI, _ '�_, ar, �','��S•'. I�":' �-I�i. :<�, d- , Ygi1 :ti l'.x „i'..`S,,,J.: '9,'II `,,..0_•�� _.tan+'�''a- aP.. _ I��, ,4•%'r4n vinl ., ,Iba'.` 1,,1�� I'n,• I rll , ,r �IInN, ;,,,," .f-.. ;p+,'q,l. / ,III ..v,,•,d,6�•+r+6�:' ,',t "e ,''6 t'„u t,,1,' <I„a. ,r;"III',1111„f.a ,I,II,�,• klnu l,l "1 ,'�I,Ib': :'!IW�,IS''';;., -.I,-1'.Ir ,nyl� II,I: "m'I'"P, i6idu ,d�n,. .1 n', ,1 .v `'�,'�,15, ,,4gJ1 'I Iv _ 'lln 'I' I `•1 6':.. - I+ .5 1,,,M" a`r', `i.;,•„+,�,',u;�, ,;a.. PE �DLL�iVOR; .J rq'�%' w.?;!q'F°7.•.• ''�. - '��, t<T„-�'j.,'i.�LC:�%J.'a'rr�,:P='� •}'t t A IC's '- 1,• _ -r•'F'�' -S x�r,..�(.,;`+,... 1't-, ,x :'� ,.1, _tih or.?t.l.', ,,.o ,v .' =',�".`;' _,, �'„ •��,-„”�:,5+-norJk'Y7;•AN.?,,�=:°�.,,�—.,_ '-, ,,{�,:,,, '.�ukad,l>"n°'y':” ,� ? .o-5 :�" ,,ryr`' ��F'.SUStaI'r1a�t .�,. ;t,,, >,i; ,;;�','_.�� ;§,:..{. Y,mn' =.� c.g�li�.�o00tlxMtlolwv6rlial O4fpp{} ,m �x_:.°'`'I � 11'� �•,"rr as LIIF�'tr�,ca , Ra 1 Fa�� �d .vy• a n„I°<, ,,„�� �' Y m 'Owned,Ss ce ""� ,14• s•r.�� 362 2 5..•, '5 -'{'. . :.i: .,'=',.. 'u"v' - - - <;,, rx+; ;;ms':.'.S t'^,;,�t•i` - - _xr' �^ -�-'.i -,';2;`tp`.:= ,It.z.i.,:;}? s.l' ,?Telr 631'73 ;5046=21,4,,: �, I'n�'111a` ,,, ��,1,� �����- 788 r:� I�`a.''_ .�a.Win:t� t ._ „s - �•', �"'. �'�r <,,I.. �.,,�;' ,`J,,b,,' ,1,1, '<,',, ,16.,{r ,11. I, „I;,,�.,.,:;,I_I,a',,,r„ �°,� �}r°: �=,� i ;':-._ f.71'13%201:6'� •:�,''• ,a ',,I• �+ {,,,,,I,t �;�1 1", ,wine@be ellcel ars:c'o „h,,�,- ' ,,J's .�: r ,, 51's F� 14. I• p I,e :4rv' A '"r n.v- LS'` .zi: ,r•. ?.`r6" ,u. r`7• r. .I I :n Iv>; _,'s'°`�,° ,:I,:i'•�' �,x, t>,.' ?..kr`r .,,;�' '�,�., }� ,�1 11,.f,, 11,-- ','4�b v,..;i� 11,E - 'rs J"„ -"r'�'is'sh'i ..�. �I''.'!,r '.�.:-%`.' .f..:: _ "t.• '+4i'• _,,,I, 'r .,a >`t, :��I};r ,1.,r iv`° :1_`° .�.I.a, -`'i'i'I;" .�y.. _ �J� �Jq, ,4: -.\�C�•. - 7t° <s. s+."-%.,'i4,, ..r: .t,: - °.4,°e-,'•,}, -i' .� c a ,rl�.a,,k' r�'b a., J. - .,1,. -.r�" ?"''"s� -.v''-r•.n,I":.s'.-Iu,T..,,v. .1:` - � ��d r-,,` _ ".s'i,�' �;x:s, 1 F''"� >'t� II�.'a'° rn .II' "f'1'7 ,{u` •�p'� ,.ntpl''I,n� v'fi 1. 1U. - 1.X - - - z �,:OI,. � I,,n1,,,C.-.�r'''.''{GI"�,f-6'il,Ll,�1'�''x ''1','I1.i'';'d„.:,�a%t' 3�b,"�.4.� z'���==. t�y$ sF; a't•'"• 'r^K,N y. res'00"rOUTHDTNOF,V50:RDER`OF ., o"e+ '-< `.R'.'}}'✓1 d', .C'a<`�..:, _ .°,:<`., Yk.£.'+P t, r"'4. - �L`k '�:,``Jli HO' 7-e**,�****�:��t• r ��: Y` 1]OL .,,1,u, II. .'il•, il•. '�§I5 +,,,� 1, rn,' (_. rt.'gs r z -=m..N -e:•�,• - t. rl° I ,1.. `off+;.:Lr• „� ,7';7" 1 '�,"y �' - ,'`f' -,1',�a'1•, :r�` R.. �,�u. ri"1-=rTl-'� ''1:.. .,..- °.a',� ".F,�'`.'cc. - ,,, 1 ^"y^:. ',e, ;`{:''r?;:.:. I..J^'., •.:1,..S t`"a`- -.x.r. +'.i� ,s -rr` '�', - IYS'OUTL" F10LG),,a, 'i -54'3p.':,� �'t'; ,°. ,IP'.?;,. ,•1f i°y;y ,I? - -Ir' �i�`E'< „C4 -;'�', ' -e* I . '75`' „O� = R tlTE;�25t�'rt �'' �•��• .xS.xi' t. - ,1° �.'C�" .t" �:'Cr - 'r`� '-'���y• ��•f m• ; <tl;�" .i t, SSC".:•• ;�= L`J 1, b.r ;f- Cr FO;)'BOX 1179: -v;t"•.k `4` GSa"�':t!. tJ, • "j, - _ .i `,,?�s�.-, „.'f5j i--P'. ,.;,4*,,:-,uy,ll� - P '`'1�,`-,• -'2' ,,,t.�•i .rl -:i' -� � , (5,'''' 1,,; 'mss:` Wiz" 1.. P 1 Ot/y�..,��` a,,.'i"ld r„1,,, :,wit,. ";Ir° .be' +9• �� .x' rr• n% �-:i I� + "•v!fY41"':��I'Pu�.. I !:, "#` I+,,- ��I ln< ,,� .'y, xR ''�Jt,, _ t t .ct..- `j:, '.'k'3z"`;I� =•P,' - ;'(1J.,-".... e ,a ...=a�:,' �°,a� J',l'" - t' I Pile-- -r'i "t• `?,,.= ry 1' r:.y c'>',%,•� - ,,�'_`"..« _ 1AUTHORIZEDSIG RE-`',',. r•s, � ,rP,A-v 4 J,S - °4,w•n• �'`I, - '='}.x r:; -",q=r ,y ,�1' .t '7 t•� ':-r_�. "�,!�,ry „t�� „''� �.i'..,t'. :"'Ii, "''r� »_! d•'.`.t '.r f' Y.�s. :.r,'.,' .%`� - `4°'1 .:J'in'n - - •''t,.,. �S;� .,.� * * * RECEIPT * * * Date: 07/20/16 Receipt#: 210775 Quantity Transactions Reference Subtotal 1 Public Events WP332 $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#40250 $150.00 Bedell, Cellars Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Bedell, Cellars 36225 Main Road Cutchogue, NY 11935 Clerk ID: SABRINA Internal ID:WP332 ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: 7/22/16 ZBA # NAME CHECK# AMOUNT TC DATE STAMP WP331 Bedell Cellars Credit Card WP332 (additional fee) c#� $900.00 WP333 Bedell Cellars Credit Card $750.00 $1650.00 By _lc Thank you. TOWN OF SOUTHOLD ZONING 54375 ROUTE 25 SOUTHOLD, NY 11971 631-765-1802 39300981882516 TOWN OF SOUTHOLD ZONING 54375 ROUTE 25 SOUTHOLD, NY 11971 631-765-1802 39300981882516 SALE MID: 2557 Store: 0001 Term 0001 REF#: 00000003 Batch #: 003 RRN: 620419609680 07122116 152110 Trans ID: 0722MEBP4G5CK APPR CODE: 05882J MASTERCARE AMOUNT $1,650.00 49AYAO X__ M I AAUOUHT IN ACCORDANCE WITH CARD ISSUER'S AGREEMENT {MERCHANT AGREEMENT IF CREDIT VOUCHER)' RETAIN THIS COPT FOR STATEMENT VERIFICATION THANK YOU MERCHANT COPY