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HomeMy WebLinkAbout340 C • 3cLr BOARD MEMBERS OF S0 Southold Town Hall Leslie Kanes Weisman,Chairperson �� h'p 53095 Main Road• P.O.Box 1179 Southold,NY 11971-0959 Eric Dantest Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning �p. �� 54375 Main Road(at Youngs Avenue) Kenneth Schneider fyCn1i Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631) 765-9064 October 5, 2016 Barbara Poliwoda Event Coordinator American Heart Association Via facsimile (516.752.2050) &Regular Mail 125 East Bethpage Road, Suite 100 Plainview,New York 11803 Re: Special Event Permit# WP340 Property: Pugliesi Vineyards 34515 Main Road, Cutchogue NY Date of Event: November 20, 2016 Dear Ms. Poliwoda: Enclosed is the Special Event Permit for the event planned for November 20, 2016. A duplicate of this permit must be continuously posted during the event. The subject application has gone through several revisions based upon discussions with the ZBA office staff under my direction. Initially, the application requested to hold a charity 5K.run over several different parcels that make up Pugliesi Vineyards. The original application could not be approved because the proposed route would have participants traveling over parcels that are the subject of preservation covenants that prevent such activities. Your final application, submitted on October 4, 2016, proposed a route traveling along Bridge Lane and on one of the parcels that make up Pugliesi Vineyards property. Ultimately, after consultation with the Town Attorney,the Land Preservation Coordinator, and me, your revised application was approved by the Town Board (required because of the proposed use of a town road). This grant is based upon that approval and because the final revised route has mitigated the impacts to preserved land and the surrounding community to the maximum extent possible. However, please be advised that this approval is for the event planned for November 20, 2016 only since this-type of event is not an allowed activity on the parcel being utilized based on the conservation covenant placed on the land. Please be further advised that future applications for a special event permit that contemplates this type of event taking place on lands encumbered by a conservation easement with the Town of Southold or Suffolk County will not be approved. 1 Page 2 American Heart Association 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 any lands owned by the County of Suffolk, Town of Southold or land for which an agricultural property tax exemption has been granted. 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. If you have any questions regarding the foregoing, or would like to discuss the matter further, please do not hesitate to contact the undersigned. Very ly yours, Leslie Kanes Weisman ZBA Chairperson Cc: Town Board Members William M. Duffy, Town Attorney Melissa Spiro, Land Preservation Coordinator Patricia Pugliesi, Pugliesi Vineyards Building Department land preserved through the sale of development rights to the county of Suffolk 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 Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. RECEIVED Special Event Permit# SEN 2 9 2016 Date of Submission (P Name of Event 8th Annual American Heart Association Healing Heart 5K ZONING BOARD OF APPEALS SCTM#'s 1000-Section Block- ) Lot(s) v Dates of Each Event: 11/20/2016 Nature of Event: Healing Heart 5K Run/Walk (Please attach a detailed description to this application) Time Period(Hours)of Event: From 8:00 am to 1:00 pm Maximum Number of Persons Attending At One Time: 200 Number of cars expected 50 Is a Tent or other temporary structure being used? [X] Yes [ ]No If yes provide size(s) 4Dx LAS a," Z® x g1C) Will food be served?[ ]Yes [ ]No If yes provide number and name(s)of food vendor(s) we will serve pre-packaged foods only Suffolk County permit#(s) Will other vendors be on the premises during the event?[X]Yes [ ]No If yes how many? Describe type ofvendor(s) sponsors will be set up at table to give away information/brochures Contact Person and Contact Tel.# Barbara Poliwoda 631-734-2804 Event Location: Street-Hamlet Address: Pugliese Vineyards - 34515 Main Rd. Cutchogue,NY 7- I - 1 -3, Mailing Address to Send Event Permit to: American Heart Association,Attn:Healing Heart 5K 125 East Bethpage Rd Suite 100 - Plainview,NY-11803 Have any of the development rights been sold to the Town of Southold [ ] Yes [X]No and/or Suffolk County? [X] Yes [ ]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 PARKING/EVENT PLAN TO THIS APPLICATION(see next page) IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next pat=e) 2 A Parking/Event Plan may bea survey, site plan and/or aerial view (for example Google Earth) of the subiect 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. (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 conjunctio-TE iblllle event. ix)P3 (14) Location of sanitary facilities on site. SEP 2 6 2016 Traffic Control Plan ZONING BOARD OF APPEALS 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. Patricia Pugliese Print name of Owner ignature of 0ner , 11 r Kathy Munsch X � Print name of Authorized Person filling out Signature of AuthorizePerson 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 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 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/egress/access, tent(s) or temporary structure(s) or temporary sanitary 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 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. OCT 5 � 2016 Date Issued: r l P,310 APPROVEI5, ZBA Chairperson RECEIVED ZBA Town of Southold Office Location: SEP 2016 54375 Main Road(Capitol One I"floor) PO Box 11971-0959 Southold,NY 11971-0959 Z1Fax(631)765-9064ONING BOARD OF APPEALS (press 5012 at voice recording) Updated August 20 4 ' J, ACORO® DATE(MM/DD/YYYY) � CERTIFICATE ®F LIABILITY INSURANCE 09/1512016 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 Marsh USA,Inc. NAME: PHONE FAX 4400 Comenca Bank Tower A c o Ext AIC No). 1717 Main Street E-MAIL Dallas,TX 75201-7357 ADDRESS Attn.Dallas.Certs@marsh com Fax:212-948-0519 INSURERS AFFORDING COVERAGE NAIC# n/a INSURER A:Zurich American Insurance Company 16535 INSURED American Heart Association INSURER B.American Guarantee and Liability Insurance Company 26247 Founders Affiliate INSURER C:Axis Insurance Company 37273 125 East Bethpage Road,Suite 100 INSURER D Plainview,NY 11803 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: HOU-002720197-02 REVISION NUMBER:6 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 /NSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDmYY MM%DD� LIMITS LTR A X COMMERCIAL GENERAL LIABILITY GLO 8376157-21 07101/2016 07/0112017 EACH OCCURRENCE $ 2,000,000 DAMAGE 10 RENTED CLAIMS-MADE rfl OCCUR PREMISES Ea occu ence $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- JET F—]LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY BAP-8376159-21 0710112016 07/01/2017 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOSAUTOS AUTOS NON-OWNED PROPERTYDAMAGE $ X1AUTOS Per accident B X UMBRELLA LIAR X OCCUR AUC 9300308-15 0710112016 07/01/2017 EACH OCCURRENCE $ 10,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 DED I I RETENTION$ $ A WORKERS COMPENSATION WC 8376109-21 0710112016 07101/2017 X STATUTE] OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A E L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDO (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ C Property MCB787839-15 07101/2016 07101/2017 Limit 145,737,558 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re*8th Annual Healing Heart 5K,11120/2016,Cutchogue,NY Town of Southold is/are Included as Additional Insured,except on Worker's Compensation and Property,as Owner of premises leased or gratuitously offered for the American Heart Association,Inc.off premises events,but only with respect to operations of the American Heart Association,Inc. k)P3YD CERTIFICATE HOLDER CANCELLATION Town of Southold SEP 2 6 2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 ZONING BOARD OF APPEALS AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukher)ee �Caupo►.: @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ` T AGENCY CUSTOMER ID: 010207 LOC#: Dallas A� ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA,Inc. American Heart Association Founders Affiliate POLICY NUMBER 125 East Bethpage Road,Suite 100 Plainview,NY 11803 CARRIER NAIC CODE EFFECTIVE DATE: _ ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The property policy evidenced above-MCB787839-15 with Axis Insurance Company contains various sublimits and is subject to deductibles speck to various penis covered.If you would like additional information regarding these sublimits or deductibles,please contact Kada Lott(214)303-8207(kada.lott@marsh.com),at Marsh USA Inc. Other property deductibles may apply per policy terms and conditions. RECEIVED SEP 2 6 2016 ZONING BOARD OF APPEALS ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 212 345-5000 9/16/2016 5:22 :22 PM PAGE 2/00;q,— Fax Server DATE I7-D/YYYY) ACC>RAD CERTIFICATE OF LIABILITY INSURANCE �.. 09!1612016 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 pollcy(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 Marsh USA,Inc PHONE FAX 4400 Comenca Bank Tower AIC No Ext) A/C No 1717 Main Street- E-MAIL Dallas,TX 75201-7357 ADDRESS Attn*Dallas Certs@marsh com Fax 212-948,0519 INSURERS AFFORDING COVERAGE NAC# INSURER A.Zurich American Insurance Company 16535 INSURED INSURER B American Guarantee and Liability Insurance Company 26247 American HeartAssociahon Founders Affiliate INSURER C Axis Insurance Company 37273 125 East Bethpage Road,Suite 100 INSURER D Plalnwew,NY 11803 INSURER E. INSURER F COVERAGES CERTIFICATE NUMBER: HOU-002719561-02 REVISION NUMBER:9 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 5UBR POLICY EFF POLICY PCP LIMBS LTR POLICY NUMBER MMIDD/YYYY MMMDIYYYY A X COMMERCIAL GENERAL LIABILITY GLO 8376157-21 07/0112016 07/0112017 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE M OCCUR DAMAGE TORENTED PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY�JECPROT ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X OTHER' $ A AUTOMOBILE LIABILITY BAP-8376159-21 .07/01/2016 0710112017 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPER DAMAGE $ Per acc XHIRED1 AUTOS AUTOS ident B X UMBRELLA LIAB X OCCUR AUG 9300308.15 07101/2016 07/012017 EACH OCCURRENCE $ 10,000,000 EXCESSLIAS CLAIMS-MADE AGGREGATE $ 10,000,000 DED I I RETENTION$ $ A WORKERS COMPENSATION WC 8376109.21 07101/2016 07/0112017 X AND EMPLOYERS LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NE L EACH ACCIDENT J$ 1,000,000 OFFICERIMEMBER EXCLUDED? MIA (Mandatory In NH) E L DISEASE-EA EMPLOYEd$ 1,000,000 It yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ C Property MCB787839-15 0710112016 07/0112017 Limit 145,737,558 DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE 8th Annual Healing Heart 5K,112012016, Cutchogue,NY and Blh Annual Healing Heart 5K RuNWdk Malhluck-Cutchogue School District included as Additional Insured,except on Worker's Compensation and Property,as Owner of premises leased or gratuitously offered for the American Heart Association,Inc off premises events,but only vnth respect to operations of the American Heart Association,Inc RECEIVED CERTIFICATE HOLDER CANCELLATION Mathtuck-Cutchogue School District 2 6 2016 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P 0 Box 1179 ON' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold,NY 119717. ACCORDANCE WITH THE POLICY PROVISIONS. ONING BOARD OF APPEALS AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashl Mukhertee ti �4Ata .cfx i.,v ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD c 212 345-5000 9/16/2016 5 :22 :22 PM PAGE 3/003 Fax Server AGENCY CUSTOMER ID: 010207 LOC#: Dallas ACo,R©) ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED Marsh USA,Inc American Heart Association Founders Affiliate POLICY NUMBER 125 East Bethpage Road,Suite 100 Plainview,NY 11803 CARRIER NAIG CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The property policy euldenced above-MCB787839-15 wth Axis Insurance Company contains vanous subluruls and is subject to deductibles specific to vanous penis covered If you would like additional information regarding these sublimils or deductibles,pl ease contact Kada Loll(214)303-8207(kada loll@marsh com),at Marsh USA Inc Other property deductibles may apply per policy terms and conditions RECEIVED SEP 2 6 2016 ZONING BOARD OF APPEALS ACORD 101(2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD American American HeartI Stroke Association, Associatione life is why- , , . .. . . . . . . ....... .. .. . ..... . . . • . .. . .. .. . ... . . . .. ... .,. . .. .. ... . . . . . " Founders Affiliate 125 East Bethpage Road, Suite 100 Plainview, NY 11803 J www.heart.org J Town of Southold Attn: Board of Directors Q- All R° �c Town Clerk's Office, 53095 Route 25 �� X41 P.O. Box 1179 �o Southold, New York 11971-0959 September 15, 2016 Dear Board of Directors: The American Heart Association has submitted the permit to hold its annual Healing Heart 5k on November 20, 2016 at Pugliese Vineyard. I am requesting that the board waive the permit fee as this 5K raises critical funds that go towards funding educational programs and research about cardiovascular diseases and stroke. Right now, heart disease is the number 1 killer of Americans. Stroke ranks fourth and is a leading cause of severe adult disability. Each year,these diseases kill more than 811,000 Americans and one of every three adults is affected by some form of cardiovascular disease. The mission of the American Heart Association is to build healthier lives free of cardiovascular disease and stroke. We are working towards improving the cardiovascular health of all Americans by 20 percent, and reducing deaths from cardiovascular diseases and stroke by 20 percent, by the year 2020., Thi'sz51(brings people of all ages out to get active and healthy by running or walking. We're dedicated to creating a culture of health in our community so that people can live life to its fullest." ;; Life is why we do what we do. If you have any questions or concerns regarding the event or the work of the Am'e'rican Heart Association please feel free to contact me at 516-962-0799. Best Regards, ' Nora Donnelly _ Event Coordinator American Heart Association "Building healthier lives, , free of cardiovascularlife Is Why- es por la vida?M ` TMP" diseases and stroke." Please:rememhor the American Heart A,socjh1iun in your�dt, l Fuentes, Kim From: Nora Donnelly <nora.donnelly@heart.org> Sent: Monday, September 19, 2016 12:21 PM To: Fuentes, Kim Cc: Barbara Poliwoda Subject: Materials for Healing Heart 5K Event permit Attachments: permission form from Cutchogue school.pdf,Tent Layout.pdf, route map.pdf,AHA COI for Town of Southold.pdf Hi Kim, Please see attached documents for our permit to hold the Healing Heart 5K on November 20, 2016. If you could forward this email to Lucille that would be great, I do not have her email. Attached Permission from Cutchogue to use parking lot Tent/Event Layout Route Map R�CEr►�� COI naming Town of Southold as add. Insured 2a�6 SES � �,ys Let me know if you have any questions! Of gpP L PLEASE NOTE OUR PHONE #'S HAVE CHANGED! Nora Donnelly Event Coordinator Healing Heart 5K—May 15, 2016 Golf& Tennis Classic—June 20, 2016 Long Island Heart Walk—September 18, 2016 125 East Bethpage Road, Suite 100 1 Plainview, NY 11803 Nora.Donne lly d)_heart.org I www.heart.org P 516-962-0799 1 F 516-752-2050 Living life to the fullest is why American Anirice Heart, trok ,. Association., Associatibno 1 iela why- CONFIDENTIALITY NOTICE This communication may include confidential information and is intended only for the use of the addressee(s). If you are not the intended recipient,please notify the sender immediately and do not disclose,store,or copy the e-mail,or any related attachments. 1 FOR USE OF MATTITUCK JR/SR FOR USE OF CUTCHOGUE EAST HIGH SCHOOL (} J � ELEMENTARY SCHOOL Please submit form to: r J Please submit form to: RECEIVED Jr./Sr.High School Principal Elementary School Principal Mattituck Jr/Sr.High School S L F 2 6 2016 Cutchogue East Elementary School 15125 Main Road 34900 Main Road Mattituck,NY 11952 Cutchogue,NY 11935 (631)298-8460 20NINO BOARD OF APPEALS (631)734-6049 (631)298-8544 Fax (631)734-4299 Fax REQUEST FOR USE OF SCHOOL FACILITIES Part A ' Date Submitted 1. Name of Organization Requesting Facility American Heart Association 2. Individual Responsible for Organization Barbara Poliwoda 3. Address 125 East Bethpage Rd.Suite 100 Tel#631-335-1817 City/State/Zip Plainview,NY 11803 4. Facility Requested: Building Parking Lot Purpose Parking for 5K at pugliese Room or Roms Cutchogue East Elementary Parking Lot Other 5. Time of Use: Date 11-20-16 Is the date a non-school day?R YES 0 NO i Hours 7:30am-2:00pm If yes you must complete Part B# 1 6. Is the activity open to the public? M YES 0 NO If the activity has 50 or more participants or the activity is of a physical nature(i.e.basketball,wrestling,etc.)you must complete Part B#1 &2. 7. Is admission being charged?0 YES N NO If yes please provide detailed explanation of use of proceeds. , 8. Does the activity require bringing other equipment into the facility or moving existing equipment or furniture on the , facility? L'YES 0 NO If yes,please fill out Part B#1,2,and 3, i 9. Is anyone associated with this activity receiving a stipend? ❑ YES 0 NO Part B If you have been requested to fill out Part B,all or some of the items may apply to you. 1. If you have requested to use the facility on a non-school day,a$35.00 per hour use of building fee for a custodian to open and monitor the building will be charged. There is a two(2)hour minimum for this charge.If there is a need for more than one custodian the fee will be an additional$35.00 per hour for each custodian.See the Use of Facilities Policy that is attached for specific fees. 2. For the protection of your organization and the District from and against any Iiability,loss or damage, in the course of your organization using the facilities,the organization will,at its own expense,carry insurance which may be required to provide the necessary protection against such loss or damage.(See #5 Insurance Requirements of the Use of Facilities Policy that is attached), i t,tg P 3qz) RECtIVED SEP 2 6 2016 ZONING P>OARO OF APPEALS All few must be paid and proof of insurance must ust b,a I provided five day's prior to the activity.Please make oU check payable to the:Mrs"ituck-Cutchogue UFSD 3. PIM.P'v,da dic D,,tn.L with a detailed..plarcul-A of your liong'ala,your need for toollittrim fadion the district personnel,ach—tic d.-n&ifivicamany,..it.It.oFchaperines ,WeRI dil...nw—.&IQIP.co—ov (1faiddiflonal space is needed plans,outooth another sheet) 4 Chaperones 4 2 5 3 6 (If necessary,scbma additional tuarinca) no undungaW Is avv 21 yeah Hefth-gicut be cespowble to me Ikuna —.1 it agree the use and—11the 1hoilloes FWsha on beMlf of then arganivaon does hereby .it unney'.N.) bodily I.Jy hunag.to bacst.at perIo defend,indemnify ovd hold humlesa the Diuncl tram end vgninn any and all nin.ble by Sam arising--I fInn,damage,alums.,,,—nortion with the i a aobul.,prop•arcd.—Milft'property. aritVor services by their cirgia,in on slipastat. Title Meet- Approvenh �Pl-rvon nultarig tippl—t—) (B ]Ing principal) Disapproved Data it- F Profit"weekday:ch - fee and a.custodial fee .w.-.eiyusage e wags and custodial fm "For N..-Psar,V'weekday:charge—fees Non -Profit"weekendiholiday charge-1youshodialfle Commenu You have the right,if disapproved,to appeal to the Board ofBilaccuon whom decisnan is final. 1 e �� �fir.t�• _ •1•�"• :Y .r lb a 1& • 4 10 A t < 1Y - } � 1 s r F } Aw r. 06 i ob s 4v-� h,,," •I.. 101 I OK B ed *eWCliars `SIY Google P li id'vine■va 4 � � 1 1 ROUTE MAP 4 � s t '" ` • + Bedell Cellars w f Google ti `��_ Pugliese Vineya W-12-98 SEE SEC NO 085 SEE SEC NO 085 _-_µ_ �4 ,•Y -f F4 _ - - _ - _ -__ - _ _„ .• -_ _ ., , , 016-97 2N318062MATCH UNE MATCH UNE MATCHLN —I MATCH 30LINE 12-0699 11_29-00 MArcH�FOR_PCLuNNEO''a �"b "" s - - -=• - —�,_ `~F_-__�— FOR PCL NO 02-26°1 w 41r 12 7 sr, 12 12 .� �GF 7p 7'. 'TT> SEE SEC NO ' / '8> 0es0z-orae 0 1 cl FOR PCL NO FOR PCL NO a FOR PCL NO OS-1601 48A 2 9A $ q/eJ 08602-010 3/ PPI, ' '°°°s 11 P� SEE SEC NO 11.i\C_J SEE SEC NO SEE SEC NO d (TOWNOFSOUTHOLD �7-�1•/�.�� 37 a 1 ' 085-01008 08603-0122 085-03-0104 0`-16°1 J I DEVELOPMENTRIGHTS) l\ h\1 14A - 09-21-01 18 4 'W ry0P 10-0101 I 133A •T� ry 4' a 8 3�cl 4 061603 (TOWNOF SOU7HOLD � 1Pl 09-03-03 I DEVELOPMENTRIGHTS) S, 78 $ d g4 5 3 yE y N N 10.09.03 �, Sq/q y° °� �`° m q C� S 0422-04 c I nt 3 , ,�,P`c\ S, ,O -' 07-21-04 O I $ ', _ 2: m Q' 4 k d) LP 40604 w a, 0 M' � 116 �Ton,E e. ° •;p 118-04 LU m LU I v 7�2 ° M d 1 a 2-6A(G)6A(c) m183 Otl 5 g' n a ,w 01.27-06 1 I 112:89 0 1 BA a` 'B �g` 1 9 2A(c) w 6 S cl 040108 I A� 1 1A ,d, A ee° 06-0607 c� $ °�O 7owN of 15 ;� 11 5 '� 21 10-1607 I $ /, v SOUTHOLD ` '� 2 y m 22A(°) b' O 0624-09 = I ) _ 17A 00-17-09609.10 I _ 18 22 •C��r ,q+ 7 0 8 .n'+ 11.7 w '3 O a� 17A 7'I 10-22-10 ® I d 131 , •1� 4 'e9 26A(c) a c 20A(e) 233p,\cl q° ® 11V,10 cn 112 rt 2 9A .p° 5 ma a 1s 1'°3°1 a 190P o� 530A 1210 ° 10A(c) •° 1 (COUNTYOFSUFFOLK I 31A y ' 2.1A(c) 2 dj0 ,�p�y{LOPtpB(,((a •Q 0� DEVELOPMENTRIGHTS) �• O RR � •� ' N 113 c 25�o 118 114 26A(c) 5� t0 24A 3 5A(c) 221 y tl ea0 �E f1a �O Z $ ,� 215A(c) 17AA 119 g 14P1D1 23 14 '510) 1�gP 91 O I >' UNION FREE SCHOOL DIST NO 9 20A ��////,, Uw 210P 11 5 9 1 a t.KJ� nl O ,,, 'y 8'm21 �• 1s dP ( '77,q/OJ •(t, 10 6 5A 1 '' 18 9 ,v `e° s 9 'p, 1�• \ 5 4;' 7 2 % 34A IUJ �OP a. 117a � : ° \�•\ � R nl 16$ ,�, �, W- \ '`0 A 77'2 ,�' % , '9 8 112-1as A (3) 3 3A �88P x y 13P1c\ 1s28A p J -..f' r ? 's 'y, .m ,a •s 7 S �c U!I C,O$ „a 7.9 ,o0 3so °"' 2 18.1 4.7A m 6 s 164P % 8 Z I s �a, m ,� Ga>a 5 ty 12 •s 7 s '$ 18 J I 7 1 9A S 187 w'7.171� _ 1.8 1. P ,° Q ^h •Oq/cJ % I , -9A 3 PI 3 3A 46A 70 4P�7� a sq/cJ xp a 9° ° >�a i\a&\° CP 708 II 707 7 ?2 6 i,8 >w s a, , ,y mo -_J �aA�� 1 7A(c) -, q/cJ 104 m 21 20 10 OA 3 9 g2 •p° 77- ,(5 I I O 3- ` ._ .202 1 =19 S 316 ,°° q(J ;7 •�, I z 765 I` 1 II 18A 10� g1 O p s $ a TS I SA(0) 1 06 ) 763 16 a \� �` d l• l .-1 201 w Ac 2 170 �a' '°e° ,m ' J 32P 1` �M Ir '°.$ ,L •° �O I w '`g m N --J ° ,� 314 `U ;P ;L 103 U.1 I 3„ '� ,f qs �3a� a1: EUGENES s �� +m r�8 T9 ` 20 ,°1 8 m 1 BA N3 �1 1A(c) °D I 1p6 -� 7?q 3 "a ,01 \ 23A _ ° \-_ 262 2T c� 315 '1 ,P 3fA(c) "��`° ,°4 y'b 1 11A 13P1c)w�v 18A 26 z B \ tw 'f 111 7p7 0� 2 -~� RO• rt s n ,�F)a 12 u�e L '� •3q 9R B O 4+a�' 3 7 \ 90 7.1 117 2 `➢ aw A ,°a o m F •'\ , G A(°) 11 m 1., a � a, 2•f- 347A(c) 10 6A(c) L 8 h: m lLly/� 312 21 7At' `• rj0t 1 �"� I U 2s +a o sq� m 'fls g a s �� O & 26.4 ' (TOWN OF SOUTHOLD EAST \ / / ap q S 1 S o �y $ DEVELOPMENTRIGHTS) '9' Ba° G �� �• \ /• / a, S 8 ps = tsf $ - a - m CREEK - B 10 o01 S� u' •tP 4 % / T >o� •pet 15 ,a° t°t 26 6 a 4,so $ 8 `4, ,M1 i ,`t w LU m, 3�q a ' ,� -b a 7 9�i,p �/ ANTLER LA 13 1.$ ,e4 83 ,8 (I o ` FOR PCL NO ''e ^0P �y v y ?o�o g 4v `PN„7dn1 a ,w .1,n 16's U2 r 2 3P 267 �� �i�, .h`=26_` ,q k at 'Y, 11 `LeA'1 z ,� bb ° SEE SEC NO ,a Ii --" FOR PCL NO Y7 I 8 $ m s 12 rat c ,w 3 m aae �I r2 j Sp 7 F,o r ed ,o, 16 •� 103-01-0193 �l SEE SEC NO 1 1 _ W N374282 �,�� v 103.02001 °'a,r +" ao° $w � ,. 2 x 2 6_r _ep°�?5 n°, �a4, .oiaii 9 ,w OR ___ §1 9 m 8 i ,•p _23 S 15 , N 314 292 w MATCH —�-- UNE $ $ rj MA7CH—�—UNE �1,et 193 m ,N MATCH UNEN'_ 71AjcJB ,e>rw3 ZZ Zz EQ�N ' W - ¢ !pt mo 1„t 9 ,A o ___ AVITCH LIN m LV m v 5,72 /,yo' g 10 g 11 F,V 1n N 1 8 SEE SEC NO 103 pOl n> m t ,4 nE nt ,°o p'I13j,sx 24: i L Pngary>RWl6m SUE4Mebn ltl Ha „a 91aef Lbm, Snm,Qwin Lb,e --SP1-- HrenM Onl°C Om --M-- UNIEEE e,MY.N OTNEfNNEE PLL PRCPERfIEE E oa,m,m came,c.aa, —�— s,m.m,e�uEl°°w (21) Emw O F.a,>ama� --F-- 9r�meon,a°a. --R-- ARE WTwNTHEFa°oWRc usrn�c,s NOTICE .� � COUNTY OF SUFFOLK © E 084 085 088 TOWN OF SOUTHOLD SECTION NO G E 2 SCHOOL 59 E—R ,AAND MAINTENANCE ALTERATION SALE OR Real Property Tax Service Agency Y ueewom W lw — ———- 0°N Oemam n --u— ——W—— Hab.d plied Lem ——HET—— DRE 2829 NYdUNf rS� P ''J � ! DISTRIBUTION T ANY PORTION O THE VILLAGE OF 97 E ucHr a4A5 YNTER "O' CountyCenter Riverhead,N Y 11901 �7 SImmISMs '- so��,m as r^""O U"° -- Lgtn pyR,LL,n —L-- eaw®omM uro--A-- RyK 90 gEFyEE SUFFOLK COUNTY TA%MAP IS PROHIBITED �•• M 098 097 098 N 'S SCALE IN FEET 103 Parml N° 23 aea 121 A(d)or 121A Ta..,tom --- Pan¢v.e lne --P-- 4ewatw,nn4a ua°--Ww-- AMBUUWCE Y S,ENg1FR V4THOUT WRITTEN PERMISSION OF THE /fy� 2m 0 2m am /{ 139 D REAL PROPERTY TAX SERVICEAGENCY ��°• p 1, 103 103 104 DISTRICT NO 1000 PROPERTY MAP 121A(c) Yeaee tme ----- S,.a acus tFm —— —— y 13 13 CONVERSION DATE AM 12.2011 RECEIVED P� SEP 19 2016 ZONING BOARD OF APPEALS S JIM -W 3i __pll� "Y M JAS _ �r .afilaf ia._�;q.� ,� .vx:?T t °.".wi.i.'�' S'�r ir;fi„�,` �;gai •,+-,.�. :.Vi'µ ,,� i >�' �' �� ��_ iir +� �-: .a}n. ��, �.�'. q ft- W4 'e )4 '.r+ -^'� 'Sa •t;!¢� <"�-... >5.. a• �}' 4,�. „t- u^, �j,� �t-..f'6 '°.t:;' s.'isi' .Jc•',,`>,�F..ns.-S Wv&tl KIN Vtl WK, man, r ? —ee, g�p T *u, vgo 91� �.�'"sr'�}a_,rt"�t�i��M. % r. 4g�g—n WW �'�,bT"b.-�=C;+�a'{' U�� "'s,., '4 ,,. ;`�, -'iia.+�,!`.� ,'t .A,.�,',� _ .>:u' A" 5M loel k z w Me m -p vIN p� 0�t � ' V A K' Google earth fee, 2000 meters 700 SEP 19 2016 I u ZONING BOARD OF APPEALS -3 a r �Y. ;t �y,j.-y,,wy..�v r. \ ,*t� •- i'k� `1 `�1• s �a,•�^r if>eA:A ° r�-i' c "� `� ;�,. ..«., ;7: �,x"q.�.�'�',,':�, � '�,����{ fin. , '�:*r' :'�`-' � {, 4�+�'t�,� ••6}„�. y s6. 46 4N` 3. 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' .� ••,� `-�c� � -PU��--..Q /,,,��{����# - - `:gid .� `��, " .,yar.- •"r"+�` if'.}.: •"!G+'iNs' rr'+' '<. �k jF•s tA. � eft' � �T` � +.�•t^� ,1 <;,,'�•. _� \'�, ^ ��.�r � •• �_ t z '` - _ •�.. ;�„ �� t✓f"""f,��,,•• .*`a„ „ ^, :"ll �°' L ..., _ �y,�. ,�s�.wR'`'>•w, �s� � f f c.+-�,, � � ,,� ,o . `fi' `�, Er `',�Y:,�i�l o' earth feet 800 meters y� 200 RECEIVED z- SEP 19 2016 ZONING BOARD OF APPEALS Fuentes, Kim From: Barbara Poliwoda <Barbara.Poliwoda@heart.org> Q Sent: Wednesday, September 21,2016 4:14 PM To: Fuentes, Kim Cc: Nora Donnelly C�-- Subject: tax map for Healing Heart 5k Attachments: route map.pdf, 201609211406.pdf Hi Kim, Thank you for your help with the permit. I asked my husband who is good at reading the maps to help me with the numbers and he said the numbers are (I hope I have this right): 97 12.1 _17— 1 1;' )0 — VG,11�' v ��1� 13.3 3—, 1 — �� -- � ,6��PIJ IDJ—P6 I think there are more but for now that is what I think. Thank you q"�- } } .�. �q �cr5� ('u ►� S. �a. `�etc` a Sa ?� Best tp �'+�-� Barbara 7� - i�, w 3 jc 'w(( VJ� fOv ... Barbara POCtwoda Regional Director, Hamptons Heart Ball, Healing 5k, Heart Ride 125 E. Bet Rd I Plainview, NY 11803 ggqara. o iwo Mrt.orq I www.heart.org (631)734-2804 ------------------------ My Family is why -------------------------------------------------------------- _ Lnr� Leo Nw-' American -American � 0- H'e4� Stroke �- 1- I ksso�ciation I Association o cl late is why- CONFIDENTIALITY CONFIDENTIALITY NOTICE: This communication may include confidential information and is intended only for the use of the addressee(s). If you are not the intended recipient, please notify the sender immediately and do not disclose, store, or copy the e-mail, or any related attachments. Ls pt2K—. T'40defk-1 rjrowpi +3*cb 1-ofprbv'— ;_.:; o:r�•k."°�' m-tssr uxs _ uArpt uw unci ux wrcx____.�—_ uxs xno.�4S _ _yz` ._+ t_. ----cam---- w— ---- FFFFo�oa � ' > � " <`?- ��BB w e reA rct.w ea °rA 4 r°x xx xa ~' \ron aeaw �ez�axa iu R'We / mswa�rai ` a aaK° a mms.msm msm6taa massm I r�y( 1 nw*drown° 4 t a•a �µa $ lht�`A m I. .C4}�••r1 o°mow..rar-xrs '�Y� i l�-C N E �'� 6 x� t��few �� �Y ,g � ]meq a s'•r= ao r 'tt�aeot /a/ tza Qy� 1 ezA(a of-a°e /�J tow ���JJJezi `u a,]ADa C) AFl ITA VA tore-w I p�JS \ut a aDKa v.t �,�.tt�,p fri/1 F + � au .�J''t^Zy� Q�aea tdAA(U 7 ttA 1x 1 °�"tpM10 �O `t• � � I l at31(9 iTAA t1D W41 nip' a gI 1 UNIW FRffSCNOOto�SVN0.➢ w O 2w w n a�f�' � Y m 11 I zauca �ut x °' ti6°it �• a�+� �� I cw14I l)A p aq 1 tt4T 6] , 'g'ry 2t aDA 6tD ai I Im f �, tAca IV rdct14 Lpq r a a zk ria aa6azA uKU 6 ua \ l tot ee, wa qWACO ra] ill atz I L� I revr4 w aorA '- J yaa i Ix ' I , v '`� • � � o � / w eta aP .� 0 _„i0i�- _~ �, r g �4 y�r(`N` $� � � r� f umstwi G pt• M 1B �� �o P '�T ° �r``.a' �P a An � rasa-ere] ! vF� wro.—�—ue � a � R � � —z?--- `,Z�` •°f� �• yp� • � � N 10 � hw P a 6EEeEC.N0.t0 � aae o` x., ______ --o— NOTICE COUMYOF SUFFOLK L © x s w awntotn tECTIox tro <� G•.y...+a. _--� (aU O -- _ _ "`"� x.,,,°,xpr..tn.Axexra Real Property Tex 3ervlte AganCY Y eeuo6o 97 __ "" mpwiAr/otrrtonaxiovvo cwwwc.rw�.r,NYMea m 1. � f Fuentes, Kim From: Fuentes, Kim Sent: Friday, September 23, 2016 3:38 PM To: Leslie Weisman Forward Cc: Cappabianca, Lucille; Sakarellos, Elizabeth Subject: RE: October RM agenda - Heart Association 5 K Attachments: October 6, 2016 Reg Mtg AGENDA.doc Please see amended agenda adding Kofinas for possible deliberation. Leslie, FYI, I met with Melissa Spiro earlier today who was able to provide us with a GIS map showing all preserved properties surrounding Pugliese Vineyards (5K Run event). We discussed easements and possible routes the run can consider, which may access a town road. The use of the Town Road would require Town Board approval (via special event application to be submitted to the Town Clerk's office). We telephoned the applicant's agent, Barbara Poliwoda, today and informed her of the GIS map that Melissa produced for her convenience. She will pick up same from our office and I will point out the lands preserved. I informed her that if I receive additional helpful information, I will be happy to forward same to her. Moments ago, Kenneth Poliwoda (her husband) picked up the GIS maps and we briefly discussed possible 5K run routes which may include the County and State Roads ( & LIRR tracks). I told him I'm not aware of procedures for using non-town highways, and that he may need to seek information from those agencies. In addition, I gave him a copy of the County's email of April 2016 prohibiting use of their lands and a copy of the Town Board special event application. Kim E. Fuentes Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road Southold,NY 11971 631-765-1809,Ex. 5011 E-mail:kimf@southoldtownny.gov From: Leslie Weisman Forward Sent: Friday, September 23, 2016 12:49 PM To: Fuentes, Kim Subject: FW: October RM agenda Opps I forget we have to ad Kofinas as possible draft for deliberation. Can you please contact the assigned member (Ken)to let him know we need the draft decision from him before then and make the addition to the agenda and send it back to me?Thanks From: Leslie K Weisman [mailto:lesliekweisman@gmail.com] Sent: Friday, September 23, 2016 12:44 PM To: Fuentes, Kim Subject: October RM agenda I think this is the current agenda so far, right? No virus found in this message. Checked by AVG- www.avg.com Version: 2016.0.7797/Virus Database: 4656/13068 - Release Date: 09/23/16 2 �a �lk�o Town of Southold 9/27/2016 o, Gyp 53095 Main Rd z ' Southold,New York 11971 Zoning Application Information File Number: WP340 Master Parcel: 97.4-13.1 Assignment Code: 06L Owner Name: American Heart Assn Healing Heart 5K @ Pugliese Location: 35205 Route 25 - Cutchogue Status: OPEN Description: Special Event 5K run/walk Nov. 20,2016 for approximately 200 people from 8 am- 1 pm Notes: DATES Sent to Town Clerk: 9/27/2016 Sand W: Decision Date: CoPL: PB: Sent to LF: LWRP: Trustees/DEC: Page 1 of 1 Owner: American Heart Assn Healing H File M WP340 Address: 35205 Route 25 Code: 06L Agent Info Barbara Poliwoda c/o American Heart Association 125 East Bethpage Road, Suite 100 Plainview, NY 11803 Phone: 631734-2804 Fax: Email: �4 t - ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: 9/27/16 1 ZBA# NAME CHECK# AMOUNT_ TCD TE STAMP Rv f American Heart Assn. j WP340 Healing Heart 5K 2923 $150.00 SES• 2016 RunMalk ' t Southold Town Clerk I i f $150.00 :- -mss _ ,. }I r vrn,�tV` ;� , 1 swat, r,, 'sa"t,�;o 3, x�;°`v `lr_,.�+` ,3c-%'{,�z' 'v.'.t`�.` "�3��''ei .1'_�� �$ �y "�' " 9• _ lilt E`i+��yy (�DQC;IVIC4I�A �r '_,$ rr I+ { N'�,�{�',Tqk� �ffm C TV R Gemafir ' -' F a "�.'• �<,:*+ ._fir - fflO.�,. x; *-' i rr �' =c*� t �' '�„ ,-.� y�r ,•'�'��''.pt, r L"> - r � ``�` tr, 7 t a, `t,��•twr� t�_; rr �* x�';� �r•''�;;y i�' � ;� C�S ;X..�=`' '` - n't*�, {, t°E=�; ",`• �_� ,i+,.1.` `v.,.�"`Y r�r h`�'S':x'l"= g w„4:'>,�, ���y,7� :��.r�:r •>"z•..-'S_�'�n.,yT,�J'++. C„M (y,'`��'Y?y i S�Ou. �1 <�`�J`��.t ;4:� ••^i'rr •;r �a -•,''.'r" '�• -� i, �"``�"•�' •4•.�J�_.,`•,-�'�E,U',0118"'a*�,�,z..:rw:.', t car..cwii,•- , r�F R-. �+,=z:cd' -:��vys.:s:a y�':i: .,, '.7�,'a-:s-#"•,'S;v::a�;,,'r-.va•.�.,.ne::x-.` t� �..>i.... { ;�,,.�• -r stt�tr, ";�gs:�,,-�;.I P;t'•`t3t,.i.-^.5e 2F��;, � _;'4.' �.�j� j' �r%`r-^� �:.^-' '•'3��.. _'`` - _ ���*'x���,.�.- '�.� .. .5,".':•. „fir .n•,r;s,..-�°,�., �x9 Capital One,NA 1{ ��For -Ileileid peme ISLAND BREEZES® �, � * * * RECEIPT * * * Date: 09/28/16 Receipt#: 213552 Quantity Transactions Reference Subtotal 1 Public Events WP340 $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#2923 $150.00 Poliwoda, Barbara Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: American, Heart Association 7272 Greenville Avenue Dallas,TX 75231-4596 Clerk ID: SABRINA Internal ID:WP340 ' T f Fuentes, Kim From: Fuentes, Kim Sent: Tuesday, September 27, 2016 12:43 PM To: 'Andrew Amakawa'; Glew, Claire; Flatley, Martin; Lanza, Heather;Webster, Kevin; Tauretta Fischer';Weisman, Leslie; 'Melissa Kangas'; Spiro, Melissa; Fisher, Robert Cc: Cappabianca, Lucille; Duffy, Bill Subject: Special Event at Pugliese Vineyards - Nov. 20, 2016 - Healing Heart 5K Run Walk Attachments: 20160927113142.pdf Please see the attached Special Event application for your review and comments. The applicant has designed a run route to best avoid preserved lands that may prohibit uses other than agriculture, and has requested access to the school district across the street to park attendees vehicles.See certificates of insurance liability. I was informed yesterday that the applicant will be applying to the Town Board for the use of the town road (Bridge Lane). Kim E.Fuentes Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road Southold,NY 11971 631-765-1809,Ex. 5011 E-mail:kimf@southoldtownnv.aov i r Fuentes, Kim From: Fisher, Robert Sent: Tuesday, September 27, 2016 3:58 PM To: Fuentes, Kim Subject: RE: Special Event at Pugliese Vineyards - Nov. 20, 2016 - Healing Heart 5K Run Walk Kim I have no problem with this event. Bob Robert Fisher Fire Marshall, Town of Southold robert.fisher@town.southold.ny.us (W) 631-765-1802 - (C) 631-786-9180 PRIVILEGED AND CONFIDENTIAL COMMUNICA TION CONFIDEN7TALI7YNO7T'CE• This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential infortriation 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 transmission in error,please notify the sender immediately by e-mail and delete the original message. From: Fuentes, Kim Sent:Tuesday,September 27, 2016 12:43 PM To: 'Andrew Amakawa' <andrew.amakawa@suffolkcountvny.gov>; Glew, Claire<Claire.Glew@town.southold.nv.us>; Flatley, Martin<mflatlev@town.southold.nv.us>; Lanza, Heather<heather.lanza@town.southoId.ny.us>;Webster, Kevin <kevin.webster@town.southold.nv.us>; 'Lauretta Fischer'<Lauretta.Fischer@suffolkcountyny.gov>; Weisman, Leslie <lesliew@town.southold.ny.us>; 'Melissa Kangas' <Melissa.Kangas@suffolkcountynV.gov>; Spiro,.Melissa <Melissa.Spiro@town.southold.nv.us>; Fisher, Robert<Robert.Fisher@town.southold.nv.us> Cc: Cappabianca, Lucille<lucillec@town.southold.nv.us>; Duffy, Bill <billd@southoldtownny.gov> Subject:Special Event at Pugliese Vineyards- Nov. 20, 2016- Healing Heart 5K Run Walk Please see the attached Special Event application for your review and comments. The applicant has designed a run route to best avoid preserved lands that may prohibit uses other than agriculture, and has requested access to the school district across the street to park attendees vehicles.See certificates of insurance liability. I was informed yesterday that the applicant will be applying to the Town Board for the use of the town road (Bridge Lane). Kim E.Fuentes Secretary to the Zoning Board ofAppeals Town of Southold 54375 Main Road Southold,NY 11971 i Fuentes, Kim From: Glew, Claire Sent: Thursday, September 29, 2016 10:30 AM To: Fuentes, Kim Subject: RE: Special Event at Pugliese Vineyards - Nov. 20, 2016 - Healing Heart 5K Run Walk Kim, The Assessors have no objection to this event. Claire From: Fuentes, Kim Sent:Tuesday, September 27, 2016 12:43 PM To: 'Andrew Amakawa'<andrew.amakawa@suffolkcountyny.gov>; Glew, Claire<Claire.Glew@toWn.southold.nv.us>; Flatley, Martin <mflatlev@town.southold.nv.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Webster, Kevin <Icevin.webster@town.southold.ny.us>; 'Lauretta Fischer'<Lauretta.Fischer@suffolkcountyny.gov>; Weisman, Leslie <lesliew@town.southold.nv.us>; 'Melissa Kangas'<Melissa.Kangas@suffolkcountyny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; Fisher, Robert<Robert.Fisher@town.southold.nv.us> Cc: Cappabianca, Lucille<lucillec@town.southold.nv.us>; Duffy, Bill<billd@southoldtownny.gov> Subject:Special Event at Pugliese Vineyards- Nov.20, 2016- Healing Heart 5K Run Walk Please see the attached Special Event application for your review and comments. The applicant has des'i'gned a run route to best avoid preserved lands that may prohibit uses other than agriculture, and has requested access to the school district across the street to park attendees vehicles.See certificates of insurance liability. I was informed yesterday that the applicant will be applying to the Town Board for the use of the town road (Bridge Lane). Kim E,Fuentes Secretary to the Zoning Board ofAppeals Town of Southold 54375 Main Road Southold,NY 11971 631-765-1809,Ex 5011 E-mail:kimf@southoldtownn .gov i Fuentes, Kim From: Kangas, Melissa <Melissa.Kangas@suffolkcountyny.gov> Sent: Thursday, September 29, 2016 12:17 PM To: Fuentes, Kim Cc: Fischer, Lauretta;Amakawa,Andrew Subject: RE: Special Event at Pugliese Vineyards - Nov. 20, 2016 - Healing Heart 5K Run Walk _ Attachments: 20160927113142.pdf Hi Kim, We do not have objections to the special event at Pugliese Vineyards as long as the adjacent County PDR property is not being used for parking, improvements and activities associated with this event as was stated in your email Thank you, Cissa Xangas �j' �� ' , Planning Aide ?®�6' D Suffolk County Dept. of Economic Development&Planning Division of Planning&Environment 100 Veterans Memorial Highway,2"d Floor Hauppauge,NY 11788 631-853-4910 Tel 631-853-4044 Fax k AND M. practiceGlREEN Save a tree Read,don't punt,emads CONFIDENTIALITY NOTICE: This electronic mail transmission is intended solely for the use of the individual/entity to whom it is addressed and may contain confidential information belonging to the sender. 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 transmission in error,please notify the sender immediately by e-mail and delete the onginal message From: Fuentes, Kim [ma iIto:kimfC�southoldtownny.gov] Sent: Tuesday, September 27, 2016 12:43 PM To: Amakawa, Andrew; Glew, Claire; Martin Flatley; Lanza, Heather; Webster, Kevin; Fischer, Lauretta; Weisman, Leslie; Kangas, Melissa; Spiro, Melissa; Fisher, Robert Cc: Cappabianca, Lucille; Duffy, Bill Subject: Special Event at Pugliese Vineyards - Nov. 20, 2016 - Healing Heart 5K Run Walk Please see the attached Special Event application for your review and comments. The applicant has designed a run route to best avoid preserved lands that may prohibit uses other than agriculture, and has requested access to the 1