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Home My WebLink AboutNorth Fork Reform Synagogue Vendor No. .C..4"k No < ": ':::: Town f Sou thold, tho ld New York Paym ent Vo ucher her Vendor Name Vendor Address Enteiedby . ,::::::..::,.".. h Fork Reform Synagogue Nort PO Box 105 Telephone Number Y 11939 VendorTele East Marion N P 917-903-4228 bwn:Clerk....... Vendor Contact Ellen Zimmerman Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount ClaimedNumber Description of Goods or Services General Ledger Fund and Account Nutnber ; 2025-669 9/9/2025 $250.00 $ 250.00 Beach Services ..:.....,...:..................:,......,...... 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 therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signature . Deputy Town Clerk signature Comp y Name So hold Town Clerk Date 9/15/2025 Title Deputy Tow Clerk Date 9/15/2025 DENIS NONCARROW Town Ha]I,53095 Main Road P.O. TOWN CLERK 10{7ff{_ Box 1179 pt Southold,New York 11971 Fax ? (631) 765-6145 Telephone(631) REGISTRAR OF VITAL 765-1800 STATISTICS MARRIAGE OFFICER �' +�' ''� wwwsoutholdtowimy.gou RECORDS MANAGEMENT OFFICER FREEDOM OF {�. INFORMATION OFFICER4U� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-669 WAS ADOPTED AT THE.REGULAR.MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 9.,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 refunded.Now therefore be it, RESOLVED that the Town Board.of the.Town of Southold hereby authorizes a refund to be issued in the amount of the deposit made to the following: Name Date Received Amount of Deposit Cutchogue-New Suffolk Historical Council& 6/17/2025 $250.00 Museum PO Box 714 Cutchogue,NY 11935 North Fork Reform Synagogue 5/22/2025 $250.00 PO Box 105 East Marion,NY 11939 Cutchogue Fire Department 7/16/2025 $250.00 260.New Suffolk Rd. Cutchogue,NY 11935 American Legion Post#803 6/18/2025 $250.00 PO Box 534 Southold,NY 11971 Denis Noncarrow Southold Town Clerk. RESULT: Adopted MOVER: Councilwoman Smith SECONDER: Councilman Mealy AYES: Councilman Mealy, Councilwoman-Smith, Councilwoman Doherty, Justice Evans,Councilman Doroski, Supervisor.Krapski, Jr. NAYES: None TC Checklist for Parade/5K*Bicyc1e*/Town Property/Road Closure Special Events Applications Name of Organization: 1w, 6 Name of Event: � c V Y 1� Date(s) of Event: J 1 3 l oZ 15 No 5K and Bicycle events during the period of June 1 to Novem er 1 JEvent fee check (or request to be waived) Road clean-up check(CANNOT BE WAIVED) J/ Current Insurance certificate Application sent for approvals to the following Depts.: d ,� PD Hwy Land Tres. TA Records Mngmnt/TC Approval from Chief of Police Cost Analysis from Chief of Police Approval from Land Preservation Approval from Highway Dept. V TB Resolution for approval (once approval and cost analysis comes from Chief of PD) Town Board Reso. #:Approval letter to Organization's contact person w/copy of TB resolution lei) 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 co of TB clean-up Reso. to Accounting Dept. PY p Whole application file to Records Management(include copy of voucher&reso.) /V 'F fir,&11.1 SVA/Q- 0 � DENIS NONCARROW Town Hall,53095 Main Road TOWN CLERK P.O.Box U79 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS :: Fax(631)765-6145 MARRIAGE OFFICER ' RECORDS MANAGEMENT OFFICER ,P Telephone 765-18o0 FREEDOM OF INFORMATION OFFICER. wwwsoutholdtldtownnpgov RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAY 22 2025 APPLICATION FOR APERMIT TO HOLD A Southold'Torn Clerk SPECIAL EVENT Plelse riroviete;ALL of tihe iufarruation requested lrelovi Incom�Ietc apuIho�as"VSTG7 NOT be reviewed. Date of Submission May 21., 2025 ... Name of Event North Fork Reform Synagogue Beach Services Name of Organization: North Fork Reform Synagogye Is this a Not-For-Profit Event?Yes/No YES Contact's Name: Ellen.Zimmerman Mailing Address: ,PO Box 105 East Marion NY 11939 Contact's Phone Number: 917-903-4228 _. . Contact's Email.Address: ezimmerman@naremco.com Event Location and Site Diagram: Kenny's Beach (Use additional paper if necessary) Event Date(s): June 27, July 11 &25,August 8 and 22,5:00 pm-8:00 pm (Include set up and shutdown times and dates) Nature of Event:.Religious Service preceded by short picnic. (Please attach a detailed description to this application) Time Period(Hours)of Event: From_ 5:00 pm to 8:00 pm Maximum Number of Expected Attendees:_ 35 _ ... Specify any special requirements(f.e. road closure,police presence): Allow parking for cars that have"NFRS Beach Service"placard displayed in window of car. 1 on/ f v0 If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-18022 Mailing Address to Send Event Permit to: PO Box 105, East Marion, NY 11929 Event Fees: X .. .S250 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) x $250 or more Clean-up deposit all other events CEI?;TIFICTE OF INSCII2ANC ItEQ )IRIuD:_ Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE.ATTACgED.RQ SED.,ADOPTED.TOWN. POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board:, Ellen Zimmerman Print name of Authorized Person filling out' Signature'of Autho{i Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 Noncarrow, Denis To: Special Events PD Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Mudd,Jennifer, Franke, Diana; Norklun, Stacey, Douglass,Janet Subject: NF reform Synagogue Attachments: N FReform_20250522111613.pdf Please comment as needed. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownnv.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 Noncarrow, Denis From: Douglass,Janet Sent: Thursday, May 22, 2025 11:13 AM To: Noncarrow, Denis; Blasko, Regina; DeChance, Paul; Franke, Diana;Goodwin, Dan; Grattan, Steven; Mudd,Jennifer, Norklun, Stacey; Orientale, Michael; Born, Sabrina Cc: Born, Sabrina; Mudd,Jennifer, Franke, Diana; Norklun, Stacey Subject: RE: NF reform Synagogue Thank you. No concerns from the Recreation Dept. From: Noncarrow, Denis<denisn@southoldtownny.gov> Sent:Thursday, May 22, 2025 11:08 AM To: Blasko, Regina<rblasko@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Franke, Diana <dianaf@town.southold.ny.us>; Goodwin, Dan<dang@southoldtownny.gov>; Grattan,Steven <sgrattan@southoldtownny.gov>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Noncarrow, Denis <denisn@southoldtownny.gov>; Norklun,Stacey<Stacey.Norklun@town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Born,Sabrina<sabrina.born @town.southold.ny.us> Cc: Born,Sabrina<sabrina.born@town.southold.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Franke, Diana <dianaf@town.southold.ny.us>; Norklun,Stacey<Stacey.Norklun@town.southold.ny.us>; Douglass,Janet <janetd @southoldtownny.gov> Subject: NF reform Synagogue Please comment as needed. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn @southoldtownn y.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 05/22/25 Receipt#: 340224 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 6/25,-8/22/2025 $250.00 1 Event Fee 6/27-8/22/2025 $250.00 Total Paid: $500.00 Notes: Payment Type Amount Paid By CK#6072 $500.00 North Fork Reform Synogogue Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: North Fork Reform Synogogue Po Box 1625 Southold, NY' 11971 Clerk ID: DENISN Internal ID:6/27-8/22/2025 Noncarrow, Denis From: Grattan, Steven Sent: Thursday, May 22, 2025 12:02 PM To: Noncarrow, Denis Subject: RE: NF reform Synagogue No objections.We will mark the dates on the calendar and ensure that patrol and TCOs are aware of the services. From: Noncarrow, Denis<denisn@southoldtownny.gov> Sent:Thursday, May 22, 2025 11:08 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Franke, Diana <dianaf@town.southold.ny.us>; Goodwin, Dan<dang@southoldtownny.gov>; Grattan, Steven <sgrattan@southoldtownny.gov>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Noncarrow, Denis <denisn@southoldtownny.gov>; Norklun, Stacey<Stacey.Norklun @town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Born,Sabrina<sabrina.born @town.southold.ny.us> Cc: Born,Sabrina<sabrina.born@town.southold.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Franke, Diana <dianaf@town.southold.ny.us>; Norklun,Stacey<Stacey.Norklun@town.southold.ny.us>; Douglass,Janet <janetd @southoldtownny.gov> Subject: NF reform Synagogue Please comment as needed. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownn v.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 HOLD HARMLESS AGREEMENT The applicant lVoarp- t--04Y- /Ze R' rU' 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 On behalf of: (Name of Business Entity) Dates of event(s):Sworn to to before me this 7-2- Q. Day of j'?//,t , 20 2� Notary ublr c S a eno New Vbck No.01006224106 Qualified in Suffolk County MY Commission ExPires June 2f,2Q? r' 4 Noncarrow, Denis To: Ellen Zimmerman Cc: Mudd,Jennifer Subject: Special event resolution HI Ellen Here is the resolution for your special events. Any questions give me a call. North Fork Reform Synagogue Beach Sevices RESOLVED the Town Board of the Town of Southold hereby grants permission to the North Fork Reform Synagogue to hold picnics followed by worship services at Kenney's Beach,Southold on the following Fridays:June 27,July 11,July 25,August 8 and August 22, 2025,from 5:30 PM to approximately 8:00 PM; parking permit requirements shall be waived for participants who do not have Southold Town Beach Parking Permits; placards to be placed on the vehicle's dashboard should be provided by the synagogue to those participants who do not have parking permits.The clean-up deposit will be returned to the applicant provided the area is deemed clean following inspections by a town representative. Motion By: Councilwoman Smith Seconded By:Councilman Mealy Motion Yes/Aye (5) No/Nay (0) Abstain (0) Absent Adopted Supervisor Krupski,Jr., Councilwoman Smith, Councilman Doroski, Councilman Mealy,Justice Evans None None Jill Doherty Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is i prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 2