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HomeMy WebLinkAbout358 t BOARD MEMBERSOF $�U Southold Town Hall Leslie Kanes Weisman,Chairperson ��� ryQl 53095 Main Road- P.O.Box 1179 Y O Southold,NY 11971-0959 ` Eric Dantescs Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning �Q • YO 54375 Main Road(at Youngs Avenue) Kenneth Schneider CQ�My,� Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD APR 19 2017 Tel.(631) 765-1809- Fax(631) 765-9064 Pellegrini Vineyards 23005 lMain Road Cutchogue,NY 11935 Attn: John W. Larsen Re: Event Permit#WP358 - wedding Dear Mr. Larsen: Enclosed is the Special Event Permit covering the event planned for September 23, 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. QS' ce ly, Leslie Kanes Weism Chairperson Encls. Copies of Event Permit to: Town Building Department Town Police Department Fire Inspector, Building Department f, -land preserved through the sale of development rights to the county of Suffolk with a permit issued by r 3 the Suffolk County Farmland Committee. RECEIVED If food is to be served, it must be catered and prepared off-site by food vendors who hold a A ilto 2017 operate issued by the Suffolk County Bureau of Public Health Food Protection Unit APPLICATION FOR A PERMIT TO HOLD A ZONING BOARD OF APPEALS SPECIAL EVENT Please provide ALL of the information requested below.Incomplete.applications WILL NOT be reviewed. Special Event Permit# 601'0,3,5-P Date of Submission Name of Event �P[+�`ws S' q7L 2elleS1_1'171f' y"crgi'�S SCTM#'s 1000-Section f 0 7 Block- Lots) 6, 7 Dates of Each Event: Nature of Event:�/.P ;qtr g S (Please attach a detailed description to this application) Time Period(Hours)of Event: From _.5--!30, to 'aG Maximum Number of Persons Attending At One Time: Number of cars expected it Is a Tent or other temporary structure being used? L4 Yes [ ]No If yes provide size(s) 3o ,� so j so � �� Will food be served? A Yes [ ]No If yes provide number and name(s)of food vendor(s) Suffolk County permit#(s) Will other vendors be on the premises during the event,?!X Yes [ ]No If yes how many? Z Describe type of vendor(s) 13awJ Contact Person and Contact Tel.# —le y pt y/. �k✓Sc7�z �-7 �/ X 7 Event Location: Street-Hamlet Address: 2_3003_ -3O03_ e, Mailing Mailing Address to Send Event Permit to: -e Have any of the development rights been sold to the Town of Southold [ ] Yes [),dNo and/or Suffolk County? [ ]Yes jjq 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 Parlcine/Event 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. r 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 perta' ing to the activitiesPunder this event. 6AL�IL qJ. e t"i Print name of Owner / Signatu Owner 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. 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 E� feet in size may be displayed not longer than thirty (30) days before this event, and removed immedi��[�, arer the event. Directional parking signs shall be adequately displayed. 29W p35B APR 's 3 c� ZONING BOARD OF APPEALS 4 Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, Butts 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 structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without apermit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s)on the property,to a public way or remote safe area,shall remain open and unobstructed at all times. 13. Owner assures-that all fire,safety,building,and other laws will be complied with. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. ADDITIONAL CONDITIONS: ANY V''IOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. Date Issued: APR 19 200 P APPROVED, ABA Chairperson ZBA Town of Southold RECEIVED Office Location: 54375 Main Road(Capitol One V floor) APR 7 2017 PO Box 11971-0959 Southold,NY 11971-0959 ZONING BOARD OF APPEALS Tel: (631)765-1809(press 5012 at voice recording) Updated August 2013 Fax(631)765-9064 4 \\\ r •V F/!^k? ° 4" \\ i /f '`,t $' Y�, , Y5 � � v ':i �".. p a��UU��,,,_� ..t -:1•'r x y..•y; • a n50 yt ��,�\>,�\�pi_K`i:.ti1ti _QC. ry,`{` 1\u ,i: ", :1 �>, cd . �,.-'`- °+,, y z a m •Fyj'w'4'V''`�.•s^:t t' jv i' •r1 q,':�'a� 3� a4hM; � r�r a ,\t^5� 3 ,r,Y >, ' � #,��( #� 5 ♦s 4 , �d�,. o a eS>~ t t« � <,�Ff �•,�., ♦a Y �l t h• ',P'4i,�A.�`.4 1'"i� z fn .;� ,�:. �J ,e;. a j1 t,sdd T?Ta- ',5��t�' r \ '\ti;` \\. 4 ,•.i;x^ \,.'fE. n t�' '' *t<, f Qi', r�tr�. „^. •`\ a >�l \`>�\\�'1S ��� ��\�� \'?�a 1, i 4 Y � c� �+ 'r f4' _ '`l'��1M�r°Sa'S ems•/L;'flr ,^`� Rtt�'} .a ♦ \\ �._ ,�•'[��`�:\\\ \ ,{�,. ♦ \\ `�� ♦\\`\ \\�\• \\\��.� ������. \�\��r��5•�� r \ '� rbc ly.�', ���`'. �• l �`' ,�',,�j. \\�� � � � . \ � � �.♦�. \',3-.. d 4�.. �Y„, r�H ti t '�lS.��r�`aLs�"t.. �l•t'"t 't IN \� �?'•l�-�St��C't-� fq'ii rr ♦��\ \�,\��\\ @`\t' t�jU$�,\41 6 �� ` d •,, fi'ditC , py r: ;3G \\`•\ \ \�\i\ �`�, �♦ yy ,, `f\,4,\ ,. � "'` k,.>ti. �4�4f�i•4�';�9r. t p ,'�r t6, a� -.i }1 ilrz tF V4'�'i�\\�\\�\�\ �♦ ., `ll`�va ,G��"w�•(' yt•.��r(Pl`"C'lytnl9..� t�J, �'v�,�y4 !�.*•. .'Y���, S�b S�.p1�irD�(Y•�`�,r � a d F 4 A '` [.�r'FI r >kF 'C' � \\�\\\' \' \ \\�1.5\1\,`4+r � N ,�•�1 , ` -y +-d F t�.tl _{, 7 Y+r �.r:i� s '+ 5 n�.r iY c t,lst,'- \ `\�. \ ,\\ �..\ \'fi=n^ :'✓ �.r � .� �t �4 { L. 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OF APQEAIS `>;; - ZONING BOARD - _ PROPERTY OWNERS; .• oa w•y® •oma •aa tw p.n 4. - _ �®� •IIJJ•f'Ot1P •U,P RY�• - • `, fr ���� '�, lam_\^. `��l � .® ; /� J �\, \ ,.�..e. •� � Q o� i" IC�; %?===_' �t�'� 'lam/, '.%:'r;�.�....';' i •/ •. ,1 1` .O�_ ¢,- fj^__ -_` _-- iif "`-ti✓ XII. /j�/"•f\. W O » t.•t.G� ., a.t..,�. .s' {�'-.Yf � .•�:–r-"� .i;p{�z1,�-sR'�Iti•; ;• ., :✓�/. ,,. �., -,'/ '/ � w ��. \ + r i u .ea.•o•a mmr caoe T.t..nt 1 Y'• �>':��;y`:-`tJ'��1% '4 r,.L' .`,� /• :x. J -• .• i�"f�'I.•r�•,/��� ® Z i •t..•.tN.a a.tta. �..�• ,\ a ,-I• ./.�',Jr'•'.i-'' `(,f�f• .:.\1�j:.�Vi'�^ti"� c00 w ,.>..t.,r.l•.+�T.io-,•.�t. ..� C—J"�.`_. a KEY (gPLAN i.1/vtNa..rte.c�}e�f6ss rc.eidlcd ' : owe. •ty�► '��� "' .y+.t nr�•a�,..wul.w �^ 1 �Me11+�T ,� aws \^a!N'•0' rMMaC!WL{ ��-�N 14... .I.;t+� T 4 .Cf Le..E:..e.W x i ,,- ry �+� '•,� PARKING CALULATIONS SITE DATA T s.: L'JCr-GTc p+!t. I ` • � 1 c:rRI hwf ]•1.: l.,::Ni v .,f vi.t-� .�..�.•tap. a. l,r.!tw.v-v.itw �♦ �,,t 'kr , C eU—ma` olc I •.•.,siW :�^.r �.•. N.u t.N•ra. u e..r: usma-.J�-ti:ulmt i. tl • a (q•AM.L1'CO �'1�� LOO•tY•cTi� ieL 1 J.tca.M� I',a N \.••lM.t �.N Yw. Yr ��t�.w.tiwi NU•.l ��\ �"�GI`' Fp•VEN��1J'i D�°r'All. t`yw• .•ur t.•t w.t s.aw+.. t.s t,C '+' ac to,f_rsCURSING DETAIL ' �jTn',t•r' 1 wr.w.l�........,w..urt tit ._..��-_.. ,�•,». J/ RECEIVED LOCA71ON MAP r v-N 4ftrr .6stn�. .�.,...rt{ �7 i�r .�...:.. .r �....�a,o � T •.V.•I•.I�••9,•••K 0.r: u/t./�. 1 1 'y� - n'w.. f••4 r W� °_ _ _ APR 7 2017;57 1 ra u.a•r r - LOP, 1 11935 Z{ .. t, SITE / A _ INF Oq MAT 10 11 �._ � e�- d � .� •tr w,....it�R...«... / ZONIN%BOARD OF APPEALS j Cj'_.' L'.c•-y ,-Il.k. I t:r`..�`i ii: •r rSP /r:z,\-T Sc02F- e- �-o'j'T O�� 4'1�n/, t� ��I _ 6 'I 2 Is.. ... _ 'i J) 1 I � v ' ZONING BOARD Of:APPEALS I i I Ac0 CERTIFICATE OF LIABILITY INSURANCE DATE 04 0712017 Y) oaro7r2o17 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 CONTACT NAME: Farm Family Casualty Insurance Company PHONE 631-727-7767 FAC N,;631-727-7941 18 First Street E4"L erie,kirk@farm-family.com Riverhead, NY 11901 INSURERS AFFORDING COVERAGE NAICN 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 AbUL aR POLICY EFF POLICYEXP LIMITS LTRWVnPOLICY NUMBER MM/DD M DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X 31521_6607 5/25/2017 5/25/2018 DAMAGE TO CLAIMS-MADE �X OCCUR 3152L6608 6/15/2017 6/15/2018 PREMISES S X LigourLiabillty MED EXP(Any oneperson) $ 5,000 JQ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RECEIV ED GENERAL AGGREGATE $ 2,000,000 X JE O- LOC PRODUCTS•COMP/OP AGG $ 1,000,000 POLICY 0 OTHER 4pp ,7 2n17 $ AUTOMOBILE LIABILITY COMBINE(EaDoentSINGLELIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED ZONING BOARD F APPEA BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIREDNON-OWNED PROPERTY DAMAGE $ .AUTOS ONLY AUTOS ONLY (Per accident A X UMBRELLA LIAR OCCUR 315288064 - 05/03/2017 05/03/2018 EACH OCCURRENCE $ 3,6DO 000 EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATIONPER AND EMPLOYERS'LIABILITY YIN TA E ER ANYPROPRIE.TOR/PARTNERIEXECUTNEE.LEACHACCIDENT $ OFFICER/MEMBEREXCLUDED? " N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Romarks Scheduia,may be attached If more space Is required) 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 ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Owner: Pellegrini Holdings LLC/Pellegri File M WP358 Address: 23005 Route 25 Code: 06LKW Agent Info John W. Larsen Pellegrini Vineyards 23005 Route 25 Cutchogue, NY 11935 Phone: 631 734-4111 x207 Fax: Email: , �gUFFO( o Town of Southc�,_. 4/11/2017 =o Gy` 53095 Main Rd c,. x Southold,New York 11971 y ® �� �l1pl Zoning Application Information File Number: WP358 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. 23 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 'Wpl," �, � - ',:��• - - .......... ;� ;�: �.��.. r ' . , . • � ,IIS` i � �' �• I� "E: ERIN / N ' '� `►��' � `� �; tr �ry�i�j,}�*5�,� -•��,��,��j.➢:."�•.•::Ki•.'�` • �O�aA�,�.'�''�'9�'s.a��a,�' r'e�`��-As`:�f'.d� V a�•/1pF'L_Q a`����� AY .�=.TH.. �> t b � �• ��:'���• dna-1. :� p � •;'%•r 4.'F��l•4�.$•y r.. :� 4 f� �/..)4V .J �-b oil t ' �,� .3.!!�^� < .y„�, �'"O! .O G�'w ,"' ".r ti-.:r..:F 3t P.<t ct.}`y g. S I•'s'�i': •J S► v,��y '•�Ss� DE 0 y�'�.00Q ;�:..,� s:.•o'�rb$G,' m,. _ i' 'c>' > o .. �- _ '�„•i• r.v �...'- i!t o,\ .r;who. ����'!,•d• e�yoa �y, �A ,y,� s)t•.' #] � :. t.y '�air...ta,�'',; .. a. v FiLr'i` ::�'7�•� o '44' S v ry'4"¢-i°? ;: :�/,�. '?.�� !:, ' •job �i;yw +•`;=;;+s- ':, ,ff ,��. �,f'�� A �?•' -0 .r ;'sv"`se:r,i•=.i.T._r`se•Q' .r,.V°r� 4 0, o- i �} `r fr. $b O a?' it ,•a„� ;: v •� w"- . L 7A u a+ v►.{ � r'.•: -s -� ttA i. ?�q.�'6ip6,�AA�,• �' 4', '� .lyv0 tP• -t�nyA V•:�`6wQ,.Gt�f'tt'�Jo�P,d�}0"'' �u 4:j• o ,;5,=:�.-•;'�,<DO s{Y to � � •'d d'� ,'1 tr :•=�,.t•'•..,r:7�.. `- �T'{ Y+Q��'!°V:', `' �a'•',I.:'F: '�".Y'9 ' _ ' ! QQ' •{! �{� i�xy v [� i +r.c 'Y r�.A d � z. �"%x ♦••.d�# Tp� 6 t .i I Ytj k( d1 t ./ _ :2. t f Fi 1• L � y s Z'.. I, �„ I �� ,•1 is ti ..���3.•d74�`��{"'1�5• /�..•:.-.r P� I '1 •i '` t•1 '{r VIII � 'F+��� �II.-� � � S ,.,i'�. � �'��p�?Y` ::a. '�:+:,y _ STw�'��ifCA:k'Tl•� Rti'1: .lr�..'.� { yn ������� 1120345'29u' 40 2 140.7r9 1. 21: 1L2 40 06295,11 RECEIVED 3.4529 $150.00 WP35.5, Pellegxrini: Vineyard": R 1 2017Southold Town Clerk WP3.56 Pellegrini Vineyards'° 34529 $150:00 f.::. WP357 .Fellegrn `'Vineyards -34529 $150.00 - x r ' > 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 ro I * * * RECEIPT * * * Date: 04/11/17 Receipt#: 217970 Quantity Transactions Reference Subtotal 1 Public Events W P355-361 $1,050.00 Total Paid: $1,050.00 ' Notes: Payment Type Amount Paid By CK#34529 $1,050.00 Pellegrini, Vineyards I Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 i � I I I I I I i Name: I Pellegrini, Vineyards 123005 Main Rd. i Cutchogue, NY 11935 I Clerk ID: SABRINA Intemal ID-WP355-361