Loading...
HomeMy WebLinkAboutLI Antique Power - Ride for a Cause Vendor No. Check No: Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by Long Island Antique Power Assoc c/o Susan Young 3637 Sound Avenue Audit Date Vendor Telephone Number Riverhead, NY 11901 Town Clerk Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2025-425 5/28/25 250.00 250.00 Clean-up Deposit T1.030' Total 250.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as th r 'n stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and t t t es from which the Town is exempt are excluded. or discre nci noted,and payment is approved. Sign ture '"itle:DL)er)utv Town Clerk Signarme;)e Company Name Date Title:Deputy Town Clerk Date Town of Southold P.O=-Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/07/25 Receipt#: 338691 Quantity Transactions Refere ce Subtotal 1 Clean-Up Deposit 05(04126 $250.00 Total Paid: $2i50.00 Notes: Payment Type Amount Paid By ; CK#2277 $250.00 LI Antique, Power Association Inc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 I i I I Name: LI Antique, Power Association Inc 3637 Sound Ave Po Box 1134 Riverhead, NY 11901 Clerk ID: DIANAF Internal ID: LIAPA-1 .:•�i:ti'Ek�'. Town,Board - Letter Board Meeting of May._2&;.2025 RESOLUTION 2025-425 Item # 5.34 ADOPTED DOC ID: 21343 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-425 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 28, 2025: WHEREAS the following groups have supplied the Town of Southold with a refundable Clean- up Deposit fee, for their events and WHEREAS the Southold Town Police Chief, Steven Grattan, has informed the Town Clerk's office that this fee may be refunded, now therefore be it RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in the amount of the deposit made to the following: . Name Date Received Amount of Deposit L I Antique Power Assoc. 4/7/2025 $250.00 c/o Susan Young 3637 Sound Ave Riverhead,NY 11901 Bicycle Shows U.S. 2/12/2025 $1,500.00 c/o Glen Goldstein 230 Smith Hughes Road Narrowsburg,NY 12764 CAST 2/4/2025 $1,500.00 c/o Erica Steindl 53930 Main Road PO Box 1566 Southold, NY 11971 GTG American Legion Post 803 3/18/2025 $250.00 c/o David DeFriest PO Box 591 Southold,NY 11971 The Orient Fire Dept. 3/27/2025 $250.00 c/o Burke Liburt 23300 Main Road Orient, NY 11957 Generated-May 28, 2025—. ___.-_. __,_ , Page 53_, _,.,_. Southold Town Board- Letter Board Meeting of May,28, 2025 Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilperson SECONDER:Anne H. Smith, Councilperson AYES: Mealy, Smith, Doherty, Evans, Doroski, Krupski Jr Generated May 28, 2025 r. _ __._. --:-_.:Page 54 s CI TC Checklist for Parade/5KY/Bicycle*/Town Property/Road Closure Special Events Applications -1 I� jW Name of Organization: Ouse- �� Name of Event: Q, al Date(s) of Event: �N2S *No 5K and Bicycle events during the period of June I to November lY Event fee check(or request to be waived) V Road clean-up check (CANNOT BE WAIVED) Current Insurance certificate Application sent for approvals to the following Depts.: PD Hwy V Land Pres. TA Records Mngmnt/TC JApproval from Chief of Police J Cost Analysis from Chief of Police Approval from Land Preservation Approval from Highway Dept. TB Resolution for approval (once approval and cost analysis comes from Chief of PD) Town Board Reso. #: 00913 Approval letter to Organization's contact person w/copy of TB resolution After Event: Confirmation from Chief of PD to release clean-up fee TB Resolution to refund clean-up fee TB Clean-up Reso. #: Voucher and copy of TB clean-up Reso. to Accounting Dept. Whole application file to Records Management (include copy of voucher& reso.) RECEIVED APR -7 26 DENIS NONCARROW Town H0,§W"doT@wn Clerk TOWN CLERK O' P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER !f' Qe' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®,( `�► ' www southoldtownnygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVI NT Plense'nrovide ALL of the information requested below.Incomplete annlications'WILL NOT be reviewed. Date of Submission Name of Event l /2 Laux 1'eyL.LW �}hJ a-- /1 !t/-I 4 Name of Organization: / T Is this a Not-For-Profit Event?Yes/No Contact's Name: Ir, - Mailing Address: ,),ID3tf i 190 Contact's Phone Number: 440 4-0270'F Contact's Email Address: i1 c 1d1 a r cCZ Q 0n 0) • 012 f, Event Location and Site Diagram: _ (Use additional paper if necessary) Event Date(s): 14 l l m ., (Include set up and shufd6vn times and d es) Nature of Event: /Yn p` � kA w (Please attach a detailed description to this application) Time Period(Hours)of Event: From Fam to 11 2 m Maximum Number of Expected Attendees:. 0�0 Specify any special requirements(i.e.road closure,police presence): If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Q Mailing Address to Send Event Permit to: o mil soh D�Qn l l 4 o - Event Fees: -$250 for events with less than 1000 expected attendees $500 for events with 1000 or more expected attendees Clean-up Fees(Can NOT be waived): $1,500.00 Clean-up for Bicycle and/or Running Special events(ONLY) $250 or more Clean-up deposit all other events CERTIFICATROF INSURANCE REOUIRED: Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE ATTACHED REVISED,-ADOPTED TOWN f POLICY*** 4 Additional information and requirements may be required as deemed necessary by the Town Board. S.4,cl VOI,WG Print name of Authorized Person filling out Signature of Authorized Pers filling o application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 HOLD HARMLESS AGREEMENT The applicant of this Special Permit shall defend, indemnify and hold harmless the Town of Southold, its officers, employees,and representatives from and against any and all damages, liability,judgments,losses, and expenses, including but not limited to attorney's fees, including damages arising from injuries or death of persons and damage to property which arise from or are connected with the event or events authorized by resolution of the Town Board of the Town of Southold, or caused by the negligent misconduct, and/or omissions under this Agreement and that of applicant's agents, servants and/or employees. If this Agreement is being executed in a representative capacity,the individual executing this Agreement hereby represents that this action has been authorized. Dated: Signature: Name: ,Authorized Agent -�-e.)fe- Ind O LPN E& I On behalf of: t1 9) Pw�A4:�� (Name of Business Entity) Dates of event(s): Sworn to before me this Day of 20A!!� . Susan Youn Notary Public State of M York No.RY06209293 Qualified in Suffolk County Commission Expires 07/27/20W ava 6 We will leave the LI Antique Power Association property at 5950 Sound Avenue at 8 a.m. We will then travel east to Bergen Ave. Bergen to Cox Lane in Cutchogue.Then to Oregon. Oregon West towards Wickham.Then 48 West back towards Cox Neck.-Cox Neck North to Bergen. Bergen back to Sound Ave. and west back to the club property. I believe this is the route. If any questions, contact Dan Young at 631-965-7789 1)�patunanl of ilia, Tiew-111g �Ij' B[I� tncennof Rovanu seeslec P.O.. Box 250s In reply refar to: 0752261763 C1nainnat'i E'aa✓ 2]p 2018 C.TR 41680 0 11-55253259 00000.0 '00 c3 EMS TE LomG %sLAND ANTIQUE P,014ER ASSOCIATION t SUSAN YOUNG , pa BDX 1136 RIVERHE?AD MY 11901-0901 nnos3� Employer 0 number: ll-325S259 Form 990 required'. Yes Dear Tn%pnyer we're responding to your request dated May 10, 201Rc about your tax-exempt status. tie issued you a determination letter in lAuqus t 1997 reap.gCtlmin.9 you .as tax-exempt :uneder Internal Revenue Code CIRC) Section 5®M0 la also show youare not a private foundation as defined under IRC Section 509(a) beesuse yorsare described in 19r. Sec-t ans 509693('l) and L?t3 tb�) f�3 tA3 esfa� . Vonors can deduct contributions they make to, ,you as. provided iri IRC Section 370. Vou3re also qualified to receive talc deductible b.6quests, aeseciesp devisesr transfersi or gifts undeO IRC Seeti©ng 2093, 2196, acid 2522. In the headin.f; of -this letter; we indicated whether you 'Must 'Pils an annual infar matioti return. I'f yqulr9 required to file a retuf`Av YDu music file ape of the following by the ISth day of the 5th Month after the and of your annual acrouTiting :Period: - Form 990r Return of Grganimation Exempt From .income "tax Form 990EZ, Short Farm Return of OrOaniaation Exempt From income Tax Form 990-H6 Eiect:°t nic Notice 4e-f'ostcarrD far Tav-Sueni Pt Organizations 140-t Ranuired to File Forte 990 or r=orm 990-EZ Form 990-PFP Return of Private Foundation or Section 4947fa3(1) Trust 4rsBtad as Private Faon€1ation According to IRC Section A@35£j).➢ *If you don't file a required annual. indormatie'R 1rGtUf10 or notice, or 3 consecutive years;4 w-p'll r.evnlce your tax-exempt Status on he 'gue date ©f the 3rr1 re:e3uat�ed return os notice. you can @at IRS forms op pa.blirat ens V@u need froim @u:r WObs'+ta at ��ww;�rsoGfaQtfsar+ma-pUbs or f3V' ca3ic� EO:QPTA7t-i=pRji g85Q-�2 - 6?G3. & a.m. and E I.M. etv�ees� If you have questions a call M-BZ9-5506 b . , i. May 2L, 2019 LTR 4168C 0 00 LONG 1SUND AOTME POWER ASSOCIATION ra SUSAN YOUNG po Box 2154 nIVERHEAD MY 12901-0901 a coal tide, Monday through Friday (Alaslem and list-iaii T'0210W Pacific Th.mnlc you fop your cooperation. sincorely YDUPSP Tar! N. Johnson aparmt-ions manager, AN Gas. Franke, Diana From: Franke, Diana Sent: Monday,April 7, 2025 2:07 PM To: Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven;Johnson, Benjamin; McCullough, Lillian; McGivney,Julie; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Squicciarini,James; Stype,John Cc: Born, Sabrina; Mudd,Jennifer . Subject: Special Event: LI Antique Power Association, Inc Attachments: 05-04-25.pdf Importance: High Good Afternoon, Please see attached the Application for a Special Event Permit from,LI Antique:Power__sso�received on 04/07/2025. Provide approval or disapproval and cost analysis. Thank you so much, �ra�ra p�ianke Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1 i Franke, Diana From: styoung@optonline.net Sent: Thursday,April 10, 2025 9:12 AM To: Franke, Diana Subject: Liapa Route Attachments: 20250410_091730.pdf Diana, Waiting for the insurance company for the updated i isurance. But here is the route. Hope this makes sense. Thank you for all your assistance. Susan Young ATTENTION:This email came from an external source. Do not open attachments or click!on'links from unknown senders or unexpected emails. 1 Long Island.Anti.que Power Association,rouie for Ride for a CAuse o. Leave cl.ubpope4y (5950 Sound Ave.)at 8 a.m, heading east o " Left onto Bergen Ave., Bergen io,Cox Neck. o Cox Neck to 48 Left on to 48, 48 East to'Cox Lane Left on Cox Lane to Oregon Rd.. ®: Oregon Rd, westlo:.Mill Rd. ® Mill Rd:,to,Wickham s. Wickham back to 48 48 to­;Cox:Neck Ln w, Cox Neck Lane to Bergen Bergen back to-Sound Ave West back to LIAPA property l Franke, Diana From: Grattan, Steven Sent: Tuesday,April 15, 2025 2:36 PM To: Franke, Diana Subject: RE: Special Event: LI Antique Power Association, Inc - Revised Attachments: LI Antique Power Ride for a Cause.xls No objections. Attached is my cost analysis. From: Franke, Diana<dianaf@town.southold.ny.us> Sent:Tuesday,April 15, 2025 10:56 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan,Steven<sgrattan@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McCullough, Lillian <liliianm@southoldtownny.gov>; McGivney,Julie <juliem@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Squicciarini,James <jacks@southoldtownny.gov>; Stype,John <johnst@southoldtownny.gov> Cc: Born,Sabrina <sabrina.born@town.southold.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Subject: RE: Special Event: LI Antique Power Association, Inc- Revised Importance: High Good Morning, Please see attached the revised Certificate of Liability Insurance and the Route. Thank you so much, Maria c9rr"i'a Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 From: Franke, Diana Sent: Monday,April 7, 2025 2:07 PM To: Blasko, Regina <rblasko Ptown.southo Id.nv.us>; DeChance, Paul <pauld southoldtownny.gov>; Goodwin, Dan <dang southoldtownnv.govv>; Grattan,Steven<sBrattan southoldtownnv.govv>;Johnson, Benjamin <beniamini@southoldtownny.>ov>; McCullough, Lillian <lillianm@southoldtownnv.gov>; McGivney,Julie <iuliem southoldtownnv.gov_>; Noncarrow, Denis<denisn@southoldtownnv.govv>; Norklun, Stacey <Stacev.Norklun town.southold.ny.us>; Orientale, Michael<michaelo southoldtownny.Bov>; Squicciarini,James <iacks@southoldtownny.gov>; Stype,John <iohnst southoldtownny.gov_> Cc: Born, Sabrina<sabrina.born(a)town.southold.nv.us>; Mudd,Jennifer<iennifer.mudd town.southold.nv.us> Subject:Special Event: LI Antique Power Association, Inc Importance: High Good Afternoon, 1 i� 'lam Town of Southold Police Department Special Event Cost Analysis Event: LI Antique Power Association Ride for a Caus Date(s): May 4, 2026 Location: Matticuck Patrol Allocation for'Event. _; Reg Hours OT Hrs Hrly Wage Total Comments ;Police Officers Sergeant $0.00 Police Officer $0.00 , Reg Hours OT Hrs Hrly Wage Total Comments - "C�RU PO Chenche v. $0.00 PO Sanders $0.00 ffi67y Paa1 $0.00 $0.00 $0.00 $0.00 ffifflghwayPatrol : PO Onufrak $0.00 .PO Flatley 2 $79.82 $159.64 M rme Units i i Traffif.-Antrol Reg Hours OT Hrs Hrly Wage Total Comments I - Equ.pment Costs' PD Vehicles #of vehicles Hours $/hr Total 1 2 $20.00 $40.00 Command Van I Marine Patrol Boats Total Department Cost for Event= $199.64 Prepared by Chief S. Grattan 4/15/2025 Pagel 2 V / I . Franke, Diana From: styoung@optonline.net Sent: Tuesday,April 15, 2025 8.48 AM To: Franke, Diana Subject: LIAPA Insurance Attachments: 20250415_085302.pdf Diana, Attached please find our updated insurance certificate. Thank you. Susan Young 631-404-2708 l ATTENTION:This email came from an external source. Do not open attachments or click;on links from unknown senders or unexpected emails. � I i i I Franke, Diana From: Franke, Diana Sent: Tuesday,April 15, 2025 10:56 AM To: Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven;Johnson, Benjamin; McCullough, Lillian; McGivney,Julie; Noncarrow, Denis; Norklun, Stacey;:Orientale, Michael; Squicciarini,James; Stype,John Cc: Born, Sabrina; Mudd,Jennifer Subject: RE: Special Event: LI Antique Power Association, Inc - Revised Attachments: COLI & Route.pdf Importance: High Good Morning, Please see attached the revised Certificate of Liability Insurance and the Route. Thank you so much, Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 From: Franke, Diana Sent: Monday,April 7, 2025 2:07 PM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan,Steven<sgrattan@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>; McGivney,Julie <juliem@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun,Stacey <Stacey.Norklun @town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Squicciarini,James <jacks@southoldtownny.gov>; Stype,John <johnst@southoldtownny.gov> , Cc: Born, Sabrina <sabrina.born@town.southold.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Subject:Special Event: LI Antique Power Association, Inc Importance: High I� Good Afternoon, Please see attached the Application for a Special Event Permit from LI Antique Power Association received on 04/07/2025. Provide approval or disapproval and cost analysis. Thank you so much, �la>`ta p�i-mrke Account Clerk Southold Town Clerk's Office 1 I Franke, Diana From: Johnson, Benjamin Sent: Tuesday,April 15, 2025 11:10 AM To: Franke, Diana Subject: RE: Special Event: LI Antique Power Association, Inc - Revised Follow Up Flag: Follow up Flag Status: Flagged i Insurance sufficent, thank you. From: Franke, Diana <dianaf@town.southold.ny.us> Sent:Tuesday,April 15, 2025 10:56 AM To: Blasko, Regina<rblasko@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>;iGoodwin, Dan <dang@southoldtownny.gov>; Grattan,Steven <sgrattan@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>; McGivney,-Julie <juliem@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun,Stacey; <Stacey.Norklun@town.southo Id.ny.us>; Orientale, Michael<michaelo@southoldtownny.gov>; Squicciarini,James <jacks@southoldtownny.gov>; Stype,John <johnst@southoldtownny.gov> Cc: Born,Sabrina<sabrina.born @town:so utho Id.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Subject: RE: Special Event: LI Antique Power Association, Inc- Revised Importance: High Good Morning, I Please see attached the revised Certificate of Liability Insurance and the Route. I Thank you so much, O�Avu p�rartke Account Clerk i Southold Town Clerk's Office (631)765-1800 Ext 1228 I From: Franke, Diana Sent: Monday,April 7, 2025 2:07 PM j To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>;1Goodwin, Dan <dang@southoldtownny.gov>; Grattan,Steven<sgrattan@southoldtownny.gov>;Johnson, Benjamin <beniamini@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>; McGivney„Julie <iuliem@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey) <Stacey.Norklun@town.southold.nv.us>; Orientale, Michael <michaelo southoldtownny.gov>; Squicciarini,James <iacks@southoldtownnv.gov>; Stype,John<iohnst@southoldtownny.gov> I Cc: Born, Sabrina<sabrina.born@town.sout'hold.ny.us>; Mudd,Jennifer<iennifer.mudd@town.southol'd.ny.us> Subject:Special Event: LI Antique Power Association, Inc Importance: High 1 i k�� ,outhold..Town Board - Letter Board.Meeting of April 29, 2025 RESOLUTION 2025-318 Item # 5.6 ADOPTED DOC ID: 21243 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-318 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 29, 2025: RESOLVED that the Town Board of the Town of Southold hereby grants permission to LI Antique Power Association to hold a Fundraiser Tractor Ride on Sunday, May 4th, 2025, provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Events. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval. All Town fees for this event, with the exception of the Clean-up Deposit, are waived. This approval is for this year only as the Town Board is evaluating all Special Events. Applicant to contact Chief Grattan to coordinate Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Greg Doroski, Councilperson SECONDER:Anne H. Smith, Councilperson AYES: Mealy, Smith, Doherty, Evans, Doroski, Krupski Jr Generated April 30, 2025 Page 21 DENIS NONCARROW �� �G.y Town Hall,53095 Main Road TOWN CLERK C2 P.O.Box 1179 y 2 Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS Q Fax(631)765-6145 MARRIAGE OFFICER 'y RECORDS MANAGEMENT OFFICER ��,� .�a� Telephone oldt nny.gov FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD L.I.Antique Power Equipment Association. May 1st,2025 Susan Young 3637 Sound Ave. Riverhead,New York 11901 Dear Susan, _ The Southold Town Board at its regular meeting held April 29th,2025 granted permission to The L.I. Antique Power Association Ride for a Cause, Sunday May 4'2025.A certified copy of the resolution is enclosed. An insurance policy naming the Town of Southold as additionally insured has been filed with this office. Please contact Captain Grattan at the Southold Town Police Department as soon as possible to set up traffic control. If you have any further questions,please do not hesitate to contact the Town Clerk's office at(631)765- 1800. Best of luck with your event. Aince7ri , Denis Noncarrow Town Clerk Enc.