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HomeMy WebLinkAbout354 BOARD MEMBERS OF SOU Southold Town Hall Leslie Kanes Weisman,Chairperson �o�� jyQlO 53095 Main Road- P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning �O • Y� 54375 Main Road(at Youngs Avenue) Kenneth Schneider l'Y'00m, Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS APR 19 2017 TOWN OF SOUTHOLD Tel.(631)765-1809- Fax(631) 765-9064 Pellegrini Vineyards 23005; Main Road Cutchogue,NY 11935 Attn: John W. Larsen Re: Event Permit#WP354 - weddings Dear Mr. Larsen: Enclosed is the Special Event Permit covering the events planned for May 20`h; June 10`h; June 17`h; June 24`h; July 9`h; and September 8`h, 2017'.. 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 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. Si e ly, Leslie anes Weisman Chairperson Encls. Copies of Event Permit to: Town Building Department Town Police Department Fire Inspector, Building Department I 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 '�j� operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. G(l _ RECEIVED APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT APR 7 2017 I Please provide ALL of the information requested below.Incomplete applications INMNgM OF APPEALS reviewed. Special Event Permit# ) / J �� / Date of Submission y''?'/7 Name of Event L✓e C�d i'y f e Pe/�Q 5/11 " + "t e j'411 a 5 SCTM#'s 1000-Section 0 1 Block- Lot(s) Dates of Each Event:_F/;Z 0 / -7 -/(/- -/ -1 7 -Z /7 7- 1-/7 Q-•F-1 7 Nature of Event: klQ d d 'lK S i (Please attach a detailed description to this application) Time Period(Hours)of Event: From S 3 O to ! 00 r1 Maximum Number of Persons Attending At One Time: I 9�0 Number of cars expected Is a Tent or other temporary structure being used? x]Yes [ ]No If yes provide size(s) so �� j'dx �0 Will food be sery d? ]Yes ]No If yes provide number and name(s)of food vendor(s) 4",e"­1j Suffolk County permit#(s) Will other vendors be on the premises during the event?DQ Yes [ ]No If yes how many?_2�, Describe type of vendor(s) G n _ �o'I•5 f Contact Person and Contact Tel.# 4.t G '3 ' 7 i " 411// -G 7 Event Location: Street-Hamlet Address. 9L3 00S_ /110 , / 04 C/ Mailing Address to Send Event Permit to: Sq r Have any of the development rights been sold to the Town of Southold [ ] Yes [XNo and/or Suffolk County? [ ] 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 page) 2 A Parkin"vent Plan may be a 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 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 agenc rules and regulations pertaining to the activities under this event. Punt name of Owner Signature of"Owner Jg4n- G/, �grsP� Punt name of Authorized Person filling out Signature of Au ed Person filling out application application PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the - premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,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 mayl �d not longer than thirty (30) days before this event, and removed immediately after the event. Directiona par ing signs shall be adequately displayed. APR 7 2017 10 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 ansing 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 structures) 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 T ONDITIONS SATED HEREIN WILL TERMINATE THIS PERMIT. Date Issued: AN 19 2017 to APPROVE , ZBA Chairperson RE EKED ZBA Town of Southold Office Location: APR 7 2017 54375 Main Road(Capitol One 1s`floor) PO Box 11971-0959 ZONING BOARD OF APPEALS Southold,NY 11971-0959 Tel: (631)765-1809(press 5012 at voice recording) Updated August 2013 Fax(631)765-9064 4 rP E`L,'L-E G &,-4.Ir VIN,EYAT,DS : 23005 Main'Road• Cutchogue,New York 11835 { _ i• ItE�EIVE� ,North Fork oELong Island " 634 734 4111 Fax:,631 734 4159 www.pellegrinidirieyards.com I wine@peU grinivineyards.coin- p.pF'APPEALS G.BOAR Town of Southold - ZONIN Board Chairperson Weare,respectfully requesting a waiver of the$250.00 late processing'fee fora special events permit for weddings.at Pellegrini Vineyards. We had attempted.to hire and train a wedding and event coos"dinator to'handle;the.growingamount'o f � pect of the .'winery:winery: Unfortunately things, did'not work out with the new:employee and we Have_riow found ourselves a bit further behind than,we. ' would.like. 'V1/e are'hoping.with submitting this application with over six week's notice that the late fee may be-waived., Thank you.foryour`understanding and consideration. Regards, John W. Larsen _ General Manager- ' Pellegrini Vineyards - - ' � y ` •' ` I � � -. - j-- -• '-, •� . - ''` y PROPERTY OWNERS ® (� ru..me ew O O cc .'..a.�iames� ser_rtae pie ` rA ..I owns aa,r rr nu \�®—`` ! ar ' ''��, � � �-•---.ice "" . . ra;..o=a.c.m.ar+ mu.n �i��-c-�7 t �•y � � :/�—_�-_�.f•�^—`�../' Ate" ``�, u =e•,rC'vR..+ m,•a-= .r g, '?-� ! `1t i i.' •��-`� ,..•lj. Y��l' �t ;.�i/.:„` �/ LU 11 /aim 2.cru ..tQedeS-nCMr 1 [" ?a . `t :Y 1 �, 4'' ',•1/ ' ' �^, .',�// ® Z u .riu=ua..mmr eamm % •�:' ?`�.j% 4 t' :r ±(' ,,•• '�' i _ :' .'J�•.: '/ ! u no e.a r[=[=cv,e:er.reat .®�!- ,, •' :�• t 'l � h� :� f �i j.�:�'/j', 'l, •/�.., i,' .i �. u •.eo a.aurn• .er Rtr.a.. /i;•7r;/! ` `: y. •—', �' - W LU 0 W m•Rf. . 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Pellegrini Winery&"vineyards oad Cutchogue,NY?1:1935 631-734-4 :+11 •, ':fit Main Road s IJ.lty •YM1�1'�� t RECEIVED s. s;. 1>; APR 7 2017 y: ZONING BOARD OF APPEALS } "? ® DATE(MM1001YYW) CERTIFICATE OF LIABILITY INSURANCE 04/07/2017 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 have ADDITIONAL INSURED provisions or 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 COME:NTA T N Farm Family Casualty Insurance Company PHDNE 631-727-7767 Fa 631.727-7941 18 First Street Eo cess eric.klrk@farrn-family.com Riverhead,NY 11901 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Farm Family Casualty Insurance 13803 INSURED INSURER e: Pellegrini Vineyards LLC INSURERC: 23005 Main Road INSURER D: INSURER E: Cutchogue NY 11395 �INSURERF: 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 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. rA TYPE OF INSURANCE DDL POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERALLUIBIUITY 31521_6607 5/25/2016 5/25/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR 31521_6608 6/15/2016 6/15/2017 PREMISES Ea occurrence $ X Liqour Liability MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRCT F]LOC PRODUCTS-COMP/OP AGO $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per a ddent $ A X UMBRELLALIAB OCCUR 315288064 05103/201705/03/2018 EACH OCCURRENCE s 3,000,000 EXCESS LIAa HCLAIMS-MADE AGGREGATE 5 DED I X I RETENTION 10,000 S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTNE I I E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A) RECEIVED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addltlenal Remarks Schedule,may be attached If more space Is required) Certificate holder is listed as additional insured. APR 7 2017 Wedding Dates: 5/20/2017 ZONING BOARD OF APPEALS CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 04/07/2017Y) ACORN 04/07/2017 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 have ADDITIONAL INSURED provisions or 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 certlflcate holder In lieu of such endorsemen s. PRODUCER zbwnw NAME: Farm Family Casualty Insurance Company PHONE 631-727-7767 (Afc No):631-727-7941 18 First Street EApAIL eric.kirk@farm-family.com Riverhead,NY 11901 INBURER8 AFFORDING COVERAGE NAIC0 INSURER A: Farm Family Casualty Insurance 13803 INSURED INSURER B Pellegrini Vineyards LLC INSURER C: 23005 Main Road INSURER D: INSURER E: Cutchogue NY 11395 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 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 LTR TYPE OF INSURANCE D POLICY NUMBER LSUBRl MMI ICY EFF IPMIODfOLICY EXP LOUTS A X COMMERCIAL GENERAL LIABILITY 31521_6607 5/25/2017 5/25/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR 3152L6608 6/15/2016 6/15/2017 PREMISES(Ea pm $ X Llgour Liability MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV'INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JET 0 LOC PRODUCTS-COMPIOPAGO $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY EsaBaalde t) G $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY ALTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY $ A X UMBRELLALIAB OCCUR 315288064 05/03/201705/03/2018 EACH OCCURRENCE $ 3,000,000 EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I X I RETENTION 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'UASILITY Y/N SPTER ER _ ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA " (Mandatory In NH) E.L DISEASE-EA EMPLOYE $ If yyea desrnbeunder DESGIRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more apace Is required) Certificate holder is listed as additional insured. IVpvy APR 7 2017 Wedding Dates: 06/104017 ZONING BOARD OF APPEALS CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE Kirk Associates LTD 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD F ACORO® DATE(MMIOD/YYYY) CC>11.� CERTIFICATE OF LIABILITY INSURANCE 04/07/2017 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condltlons 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 O A T NAME: Farm Family Casualty Insurance Company PHONE 631-727-7767 aC No:631-727-7941 18 First Street E.AIL eric.kirk@farm-famlly.com Riverhead,NY 11901 INSURERS AFFORDING COVERAGE NAIC0 INSURER A:Farm Family Casualty Insurance 13803 INSURED INSURER B Pellegrini Vineyards LLC INSURER C: 23005 Main Road INSURER D: INSURER E: Cutchogue NY 11395 1 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 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 ADOTYPE OF INSURANCE L 5 BR POLICYNUMBER POLICY EFF POLICY MDEXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY 31521_6607 5/25/2017 5125/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR 31521_6608 6/15/2017 6/15/2018 I E $ X Ligour Llabillty, MED EXP Anyone non $ 5,000 PERSONAL SADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEa F-1 LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER $ AUTOMOBILELIABILITY (En acd mtBINEDSINGLE I $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Par aoGdant) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPER AMAGE $ AUTOS ONLY AUTOS ONLY er a',dant $ A X UMBRELLALIAB OCCUR 315288064 05/03/201705/03/2018 EACH OCCURRENCE $ 3,000000 EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I X I RETENTION 10,000 $ WORKERS COMPENSATION CEIVED E E AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ (MaFnIdowyEInNNMREXCLUDED7 NIA ✓✓✓ APR7 201 E.LDISEASE-EAEMPLOYEE $ If yes,desMbo under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S ZONING 1111 ARD OFA PEALS DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD tet,Addillwad Remarks Schedule,may be attached If more space In racmred) Certificate holder is listed as additional insured. Wedding Dates: 06%1.7/2017;'06/24/2017, 07/09/2017, 09/08/2017, 09/16/2017, 09/22/2017, 09/23/2017, 09/30/2017, 10/14/2017, 10/21/2017 CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE Kirk Associates LTD m 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1 ' Owner: Pellegrini Holdings LLC File M WP354 Address: 23005 Route 25 Code: 06LKW Agent Info John W. Larsen c/o Pellegrini Vineyards 23005 Route 25 Cutchogue, NY 11935 Phone: 631 734-4111 x207 Fax: Email: o�c,�FFOIkCo Town of Southo!�, 4/7/2017 j oy� 53095 Main Rd N x Southold,New York 11971 Zoning Application Information File Number: WP354 Master Parcel: 109.-1-8.7 Assignment Code: 06LKW Owner Name: Pellegrini Holdings LLC/Pellegrini Vineyards Location: 23005 Route 25 Cutchogue Status: OPEN Description: Special Event-weddings- 5/20; 6/10; 6/17; 6/24; 7/9 and 9/8/17 for approximately 180 people from 5:30 pm - 11 pm Notes: DATES Sent to Town Clerk: 4/7/2017 Sand W: Decision Date: CoPL: PB: Sent to LF: LWRP: Trustees/DEC: Page 1 of 1 t7 r . ZBA TO JOWNy'CLERK TRANSMITTAL SHEET ;(Filing-of Application and Check for Processing) i" • DATE: 417/17 ZBA # NAME CHECK # AMOUNT TC DATE STAMP . .__. 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'{:Y .lya��•L�.�{^;,' ,�e+3"•A.r ..�+, �,,,• r 1• w_ � YxY'i. _� - t , `�„ is `E a i= ! m+ 'ti? ;•� �.'�F'� r `a ., ; �,'•' ,.�., .1 �rr r �� �� -7�: ';�,^' �✓,� t I '3 e �. .� a ��..�: ''-��r'_'ba:� .:,:i'd r?d�'�•'MV:4'•"�:I,r 4'r`i� f.z '.•x ~yr`�iSti��s:'���F�;:: x �'..'^-"•�'3:=r`�,r �SICiNATUflE,/ =`•:''r^ - ��S { / ..7'r'..r. rte,yf$.' y �:R; ,,,::i''. 3 .y `p:,.,`:::`r •`:r. .,l.J'.>'r'ir.a•'- /, '�• •� " .:r:.. .^\".Q''n f':'.?'y•P: �4•".,_ A._.�+i'A'1.a�1��'.�? r_Y :.'',`d: ,�:.. � h.•:�, „ 1 •.:\.r ra'r•.`eio: ',,;IYd'.`;`.,•*»ya + x ;1,a1:+B, r -.�;c:q.- .1•� ,58.., _ q t• * * * RECEIPT * * * Date: 04/11/17 Receipt#: 217914 Quantity Transactions Reference Subtotal 1 Public Events WP354 $150.00 Total Paid: $150.00 Notes: Payment Type Amount Paid By CK#34528 $150.00 Pellegrini, Vineyards Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Pellegrini, Vineyards 23005 Main Rd. Cutchogue, NY 11935 Clerk ID: SABRINA Intemal ID:WP354 ZONING BOARD OF APPEALS 0Foo- Town Hall Annex, 54375 Route 25 P 0 Box 1179 Southold, New York 11971-0959 C=) Fax(631)765-9064 Telephone(631) 765-1809 4,' TOWN OF;SOUTHOLD APPLICATION FOR A SPECIAL EVENT CHECKLIST Date: plication is being returned as incomplete' for the following reasons: Y; "p Received less than 60 business days from the proposed event date(Requires written request for pedited review stating reasons) .Vee: Application(3 pages): Detailed description of the event: Insurance Certificate: 6VDI ve'c bk-�' f —yarking Event Plan: The location(s)and width(s)of all ingress/egress to the winery property The layout for any parking areas for automobiles and other vehicles on the property and proposed additional on-site parking for the event, including the number of parking spaces and the square footages o parking areas The location(s)of adequate on site sanitary facilities (V\13 The proposed location(s)for any tents(s),Vendors,or other temporary structure(s)and the size of each Plan for use of live outdoor music, location of loudspeaker/audio equipment, if applicable Traffic control plan if 300 or more people will attend event: Information on sale of Development Rights Vendor Information: Other: FAILURE TO SUBMIT THE INFORMATION NOTED HEREIN TO THE ZBA OFFICE WITHIN FIVE(5)BUSINESS DAYS OF THE ABOVE DATE WILL RESULT IN DELAYS IN PROCESSING YOUR APPLICATION AND MAY RESULT IN A i DENIAL. (August 2013) i Wf Fuentes, Kim From: Lanza, Heather Sent: Tuesday, April 11, 2017'2:34 PM To: Flatley, Martin; Fuentes; Kim, Andrew Amakawa, Glew, Claire; Webster, Kevin; Lauretta Fischer;Weisman, Leslie; Melissa Kangas; Spiro, Melissa; Fisher, Robert Subject: RE: Special Event Application - Pellegrini Vineyard Good from Planning also. From: Flatley, Martin Sent:Tuesday, April 11, 2017 2:34 PM To: Fuentes, Kim <kimf@southoldtownny.gov>; Andrew Amakawa <andrew.amakawa@suffolkcountyny.gov>; Glew, Claire <Claire.Glew(c@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.nv.us>; Webster, Kevin <kevin.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<Rlobert.Fisher@town.southold.nv.us> Subject: RE: Special Event Application - Pellegrini Vineyard I have no objections to these events being approved, they have contained the parking to their site so far and haven't needed our asstance Martin Flatley,Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 I M From: Fuentes, Kim Sent:Tuesday, April 11, 2017 10:40 AM To:Andrew Amakawa <andrew.amakawa@suffolkcountvnv.gov>; Glew, Claire <Claire.Glew@town.southold.nv.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.nv.us>; Webster, Kevin <kevin.webster@town.southold.nv.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.ny.us> Subject: Special Event Application - Pellegrini Vineyard I The attached is one of several applications that Pellegrini Vineyards has submitted for the season. The applicant has scheduled the following dates for wedding events: 'May 20 June 10 June 17 t I Fuentes, Kim I From: Flatley, Martin Sent: Tuesday, April 11,.201712:34 PM To: Fuentes, Kim, Andrew Almakawa; Glew, Claire; Lanza, Heather;Webster, Kevin, Lauretta Fischer; Weisman, Leslie, Melissa Kangas; Spiro, Melissa; Fisher,'Robert Subject: RE. Special Event ApplicIation - Pellegrini Vineyard I have no objections to these events being approved,they have contained the parking to their site so far and haven't needed our asstance Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 i I i I r j i i I From: Fuentes, Kim Sent:Tuesday, April 11, 2017 10:40 AM To:Andrew Amakawa <andrew.amakawa@suffolkcountyny.gov>; Glew, Claire <Claire.Glew@town.southoId.ny.us>; Flatley, Martin <mflatlev@town.southold.nv.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Webster, Kevin <kevin.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.ny.us>; Fisher, Robert<Robert.Fisher@town.southold.ny.us> Subject: Special Event Application - Pellegrini Vineyard i The attached is one of several applications that Pellegrini Vineyards has submitted for the season. The applicant has scheduled the following dates for wedding events: May 20 June 10 June 17 June 24 ' July 9 September 8 September 9 September 16 September 22 September 23 September 30 j October 14 October 21 I I Fuentes, Kim From: Spiro, Melissa Sent: Tuesday, April 11, 201712:29 PM To: Fuentes, Kim Subject: RE: Special Event Application - Pellegrini Vineyard This is not preserved land. Melissa From: Fuentes, Kim Sent:Tuesday, April 11, 2017 10:40 AM To: Andrew Amakawa <andrew.amakawa@suffolkcountyny.gov>; Glew, Claire <Claire.Glew@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>; Lauretta Fischer<Lauretta.Fischer@suffolkcountyny.gov>; Weisman, Leslie <lesliew@town.southold.ny.us>; Melissa Kangas<Melissa.Kangas@suffolkcountyny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; Fisher, Robert<Robert.Fisher@town.southold.nv.us> Subject: Special Event Application - Pellegrini Vineyard ! The attached is one of several applications that Pellegrini Vineyards has submitted for the season. The applicant has scheduled the following dates for wedding events: May 20 June 10 June 17 June 24 July 9 I September 8 September 9 j September 16 September 22 September 23 September 30 October 14 October 21 i Kim E. Fuentes i Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road Southold, NY 11971 631-765-1809, Ex. 5011 E-mail:kimf@southoldtownnXa�ov ,i i i 3SH Fuentes, Kim I From: Fisher, Robert Sent: Tuesday, April 11, 2017 ,'12:33 PM To: Fuentes, Kim Subject: RE: Special Event Application - Pellegrini Vineyard I Kim i I 1 have no objections to these Special Events. Robert Fisher Fire Marshall, Town of Southold robert.f isher@town.southold.ny.us (W) 631-765-1802 - (C) 631-786-9180 PRIVILEGED AND CONFIDENTIAL COMM UNICA TION CONFIDENTIALITYNOTTCE' This electronic mail tronsmission 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 no't the intended reupient, 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, April 11, 2017 10:40 AM To:Andrew Amakawa <andrew.amakawa@suffolkcountyny.gov>; Glew, Claire <Claire.Glew@town.southold.nv.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us>; Lauretta Fischer<Lauretta.Fischer@suffolkcountyny.gov>; Weisman, Leslie <lesliew@town.southold.ny.us>; Melissa Kangas<Melissa.Kangas@suffolkcountyny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; Fisher, Robert<Robert.Fisher@town.southold.ny.us> Subject: Special Event Application - Pellegrini Vineyard The attached is one of several applications that Pellegrini Vineyards has submitted for the season. The applicant has scheduled the following dates for wedding events: i May 20 i June 10 June 17 June 24 July 9 September 8 September 9 September 16 ' September 22 September 23 1 i I V., Fuentes, Kim i From: Glew, Claire Sent: Wednesday, April 12, 2017 8:23 AM To: Fuentes, Kim Subject: RE: Special Event Application - Pellegrini Vineyard Kim, The Assessors have no objection to these events. Claire From: Fuentes, Kim Sent:Tuesday, April 11, 2017 10:40 AM To:Andrew Amakawa <andrew.amakawa@suffolkcountyny.gov>; Glew, Claire<Claire.Glew@town.southold.nv.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.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@suffolkcountyny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; Fisher, Robert<Robert.Fisher@town.southold.ny.us> Subject: Special Event Application - Pellegrini Vineyard The attached is one of several applications that Pellegrini Vineyards has submitted for the season. The applicant has scheduled the following dates for wedding events: May 20 June 10 June 17 June 24 July 9 September 8 September 9 September 16 September 22 September 23 September 30 October 14 October 21 Kim E. Fuentes Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road i Southold, NY 11971 631-765-1809, Ex.5011 E-mail:kimf@southoldtownnXaov 1 .i r Fuentes, Kim From: Kangas, Melissa <Melissa.Kangas@suffolkcountyny.gov> Sent: Wednesday, April 12, 2017 1:56 PM To: Fuentes, Kim Cc: Fischer, Lauretta; Amakawa, Andrew Subject: RE: Special Event Application - Pellegrini Vineyard Good afternoon Kim, We do not have objections to the special events at Pellegrini Vineyard, as long as the adjacent County PDR property is not being used for parking, improvements and activities associated with this event. i Thank you, Melissa .7Cangas Planning Aide Suffolk County Dept. of Economic Development& Planning Division of Planning& Environment 100 Veterans Memorial Highway,2"d Floor Hauppauge,NY 1 1788 631-853-4910 Tel 631-853-4044 Fax o f✓oc..Eia,.�,r�. *ell F O ' l � ' AwD �OUN p r a c t i c e G R E E N Save a tree.Read,don't print.emails i i i 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 original message. From: Fuentes, Kim [mailto:kimfCabsoutholdtownny.gov] Sent: Tuesday, April 11, 2017 10:40 AM To: Amakawa, Andrew; Glew, Claire; Martin Flatley; Lanza, Heather; Webster, Kevin; Fischer, Lauretta; Weisman, Leslie; Kangas, Melissa; Spiro, Melissa; Fisher, Robert Subject: Special Event Application - Pellegrini Vineyard I The attached is one of several applications that Pellegrini Vineyards has submitted for the season. The applicant has scheduled the following.dates for wedding events: May 20 I. 1 I I I June 10 June 17 June 24 July 9 September 8 September 9 September 16 September 22 September 23 September 30 October 14 October 21 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:kim-f@southoldtownny.gov i t i 2 ! ! i i