HomeMy WebLinkAbout357 i -
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BOARD MEMBERS QF SOU Southold Town Hall
Leslie Kanes Weisman,Chairperson O� pl 53095 Main Road- P.O. Box 1179
O Southold,NY 11971-0959
Eric Dantesee Office Location:
Gerard P.Goehringer y Town Annex/First Floor,Capital One Bank
George Horning 0 i� 54375 Main Road(at Youngs Avenue)
Kenneth Schneider �ycoUNTY,� 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
5 -
2300 _,Main Road
Cutchogue,NY 11935
Attn. John W. Larsen
Re: Event Permit#WP357 -wedding
Dear Mr. Larsen:
Enclosed is the Special Event Permit covering the event planned for September 22, 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.
*Kesqeism
esn
Chairperson
Encls.
Copies of Event Permit to:
Town Building Department
Town Police Department
Fire Inspector, Building Department
14an
d preserved through the sale of development rights to the county of Suffolk with a permit issued by
Suffolk County Farmland Committee.ood is to be served, it must be catered and prepared off-site by food vendors who hold a perm4%tKEIVED
rate issued by the Suffolk County Bureau of Public Health Food Protection Unit
APR 7 2017
APPLICATION FOR A PERMIT TO HOLD A
SPECIAL EVENT ZONING BOARD OF APPEALS
Please provide ALL of the information requested below.Incomplete applications WILL NOT be
reviewed.
Special Event Permit# /
Date of Submission Name of Event 1PCr 1 S �7� e Anz
,'�•` l� ���j-yr°�S
SCTM#'s 1000-Section / 07 Bllock- Lots)
Dates of Each Event: -1 ��^ 17 ,
Nature of Event: `�/P ;`r r g S (Please attach a detailed description to this application)
Time Period(Hours)of Event: From ' 3 O to
Maximum Number of Persons Attending At One Time: Number of cars expected i
Is a Tent or other temporary structure being used? [x]Yes [ ]No If yes provide size(s)
30 � So SOx30
Will food be served?[ Yes [ ]No If yes provide number and name(s)of food vendor(s)
Suffolk County permit#(s)
Will other vendors be on the premises duringthe event?[ ]Yes [ ]No If yes how many? Z Describe
type of vendor(s) 944p(/v le S f
Contact Person and Contact Tel.#�, o pr 4/. 7 34 41/ZI X 2-0 �
Event Location: Street-Hamlet Address: �Z-3 O 0
Mailing Address to Send Event Permit to: 59 M
Have any of the development rights been sold to the Town of Southold [ ] Yes [),dNo and/or Suffolk
County? [ ]Yes f7q 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
Vi,
A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of
the subject property.INDICATE ON THE PLAN ALL of the following information:
A parking/event plan showing:
(1) The size of the property and its location in relation to abutting streets or highways.
(2) The size and location of any existing building(s) or structure(s)that will be in operation
during the course of the event and any proposed building, structure,or signs to be erected
temporarily for the event.'
(3) The location of the stage or tents,if any.
(4) The designated areas of use for spectators, exhibitors,vendors, employees and
organizers.
(5) Location of all exits.
(6) The location of all fire extinguishers and other fire safety equipment.
(7) The location of all temporary utilities to be installed for the event, if any.
(8) The layout of any parking area for automobiles and other vehicles and the means of
ingress and egress for such parking areas. The parking spaces must allow for 300 sq. ft.
per car.
(9) A traffic control plan for vehicles entering and leaving the site for the proposed event.
(10) Plan-for the use of live outdoor music,loudspeakers and other sounds which will be used,
if any, and the type and location of speakers and other audio equipment.
(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
pertainT* ,to the activities under this event.
q 9f f . �a
Print name of Owner Signatur ner
Print name of Authorized Person filling out Signature of Aut o e erson 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, a
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 jWtLr$VfiD/ be displayed not longer than thirty (30)
days before this event, and removed immediately after the event. Directional parking signs shall be adequately
displayed. APR 7 2017 f
ZONING BOARD OF APPEALS 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 parkine, 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/eeress/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 STED HEREIN WILL
TERMINATE THIS PERMIT.
Date Issued: APR 19 2017
PROVE15, ZBA Chairperson
ZBA Town of Southold
v,2 f4�S, Office Location:
54375 Main Road(Capitol One 1"floor)
RECEIVED PO Box 11971-0959
Southold,NY 11971-0959
2017 Tel: (631)765-1809(press 5012 at voice recording)
Updated August 2013 A?R 7 Fax(631)765-9064
ZONING BOARD OF APPEALS
4
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Pellegrini Winery&`•vineyards
23005 Maintoad
:
Cutchogue,NY 1.1935
- 631-734-4--@.'l
Main Road YF t
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'"• _ _ - APR 7 2017 SITE
INFORMA1101i
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13
ZONING BOARD OF APPEALS
co,�icRr� �yi,sco2E A F lsa l fC O � ���G SP-2
GGtrr� — —
ZONING BOARD OF APPEALS
DATE(MMIDO/YYM
ACORO® CERTIFICATE OF LIABILITY INSURANCE
Iii' 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 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 A T
NAME:
Farm Family Casualty Insurance Company PHONE 631-727-7767 FAC Ne;631-727-7941
18 First Street Cr L eric.kirk@farm-famlly.com
Riverhead, NY 11901 INSURERS AFFORDING COVE RAGE 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP U6TIT8
POLICYNUMBER MWDD D
A
X COMMERCIAL GENERAL LIABILITY 31521_6607 5/25/2017 5125/2018 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE FX OCCUR 3152L6608 6/15/2017 6/15/2018 PREMISES(Ea omnence) $
X Ligour Liabillty MED EXP(Any one arson) $ 5,000
PERSONAL$ADV INJURY $ 1,000,000
GEN'LAGGRGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000
X POLICY F—]PRO. LOC PRODUCTS-COMPIOP AGO $ 1,000,000
E
OTHER: $
AUTOMOBILEUABILITY COMBINeDtSINGLELI $
ANY AUTO BODILY INJURY(Per parson) S
OWNED SCHEDULED BODILY INJURY(Per sccklent) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTYDA OE $
ALTOS ONLY AUTOS ONLY Per accident
A X UMBRELLALIAB HOCCIR 3152BB064 05/03/201705/03/2018 EACHOCCURRENCE $ 3,000000
EXCESS UAB CLAIMS-MADE AGGREGATE $
DED X FETENTION 10,000 $
WORKERS COMPENSATION ER -
AND EMPLOYERS'LIABILITYYEN TA E ER
ANYPROPRIETORIPARTNERIEXECUTIVE ' (^J EL EACH ACCIDENT $
OFFICE(Mandatory
in N REXCLUDED7 N l A V� REC WMEASE-EA EMPLOYEE $
(Mandatory in NH)
It res,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
APR 7 2011
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Addidonat Remarks fthsduls,may be attached If mora spam
Certificate holder is listed as additional insured.
Wedding Dates:
06/17/2017, 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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
• i
Owner: Pellegrini Holdings LLC/Pellegri File M W{357
Address: 23005 Route 25
Code: 06LKW
Agent Info
John W. Larsen
Pellegrini Vineyards
23005 Route 25
Cutchogue, NY 11935
Phone: 631 734-4111 X2-7
Fax:
Email:
p4co Town of Southc;, .. 4/11/2017
jo oy� 53095 Main Rd
CM 2 . Southold,New York 11971
wo
Zoning Application Information
File Number: WP357 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-wedding Sept. 22, 2017 for approximately 180 people from 5:30 to 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
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;- < ..... ; .. RECEIVED
WP355.: $150.00
Pellegrini: Viney.a�d ;.;� '3.4529
. . <.��.
APR 1 1 2017
Southold Town Clerk
WP356 Pelleg"rim Vineyards'' 34529 $150.00
:F -�,:;'
11VP357 :F�ealeg�n 'Vineyar,'ds 34529 $150.00
_ WP358 Pellegrini Vineyards ;- 34529 $150.00
WP359 Pellegrini Vineyards 34529 $150.00
WP360 Pellegrini Vineyards- 34529 $150.00
WP361' Pellegrini Vineyards 34529 $150.00.
$1,050.00
By: Ic
�l
* * * RECEIPT * * *
Date: 04/11/17 Receipt#: 217970
Quantity Transactions Reference Subtotal
1 Public Events WP355-361 $1,050.00
Total Paid: $1,050.00
I Notes:
Payment Type Amount Paid By
CK#34529 $1,050.00 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-WP355-361