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Home My WebLink About2003ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER 1~~'~• ~A ~'O h~0 ~~ W ~1 # ~ ae a~ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT For PUBLIC DISPLAY OF FHtEWORKS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net I, ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold, Suffolk County, New York, being an officer duly designated by the Town Board of the Town of Southold for this purpose, do hereby GRANT TO: GREENPORT FIRE DEPARTMENT by said organization in accordance with the provisions of Section 405.00 of the Penal Law of the State of New York at 10.00 p m on Wednesday July 2, 2003 and Friday, July 4, 2003; RainDate: Saturday. July 5, 2003 on the property of GREENPORT PUBLIC SCHOOL, north side Front Street and east side Moores Lane. Greenport ,New York. ON CONDITION THAT the bond (indemnity insurance) required shall continue in full force and effect in favor of the Town of Southold, and PROVIDED that the actual point at which the fireworks are to be fired shall be at least two hundred feet from the nearest building, public highway or railroad, or other means of travel, and at least fifty feel from the nearest above ground telephone or telegraph line, trees or other overhead obstruction; that the audience at such display shall be restrained behind lines at least one hundred and fifty feet from the point at which the fireworks are discharged and only persons in active charge of the display shall be allowed inside these lines; that all fireworks that fire a projectile shall be so set up that the projectile will go in the air as nearby as possible in a vertical direction, unless such fireworks are to be fired from the shore or a lake or other large body of water, then they may be directed in such manner that the falling residue from the deflagration will fall in to such lake or body of water; that any fireworks that remain unfired after the display is conducted shall be immediately disposed of in a way safe for the particular type of fireworks remaining; that no fireworks display shall be held during any wind storm in which the wind reaches a velocity of more than thirty miles per hour; that all persons in actual charge of firing the fireworks shall be over the age of eighteen years, competent and physically fit for the task, that there shall be at least two such operators constantly on duty during the discharge and that at least two soda acid or other approved type fire extinguishers of at least two and one-half gallons capacity each shall be kept at such widely separa~edpoints as possible within the actual area oft a display. --- - - - ---- -~ °--- - r Elizab A. Neville, Southo d Town Clerk - Suffolk County, New York ,(Town Seal) D&t~: . , =July 2, 2003 ELIZABETH A. NEVII.LE TOWN CLERK REGISTRAR OF VITAL STATISTICS upuurpGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER h~o~SO1:FOC,~~o ~ ~~ ~ 2 u- ~ 'F ~°y~,ol ~ ~aoe OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Chief Carlisle E. Cochran, Jr. From: Town Clerk Elizabeth A. Neville L~~ Re: Greenport Fire Dept. July 511i Fireworks Date: June 24, 2003 Town Hall, 53096 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 76b-1800 southoldtown.northfork.net Please review the attached request for the above, and respond in writing, with your recommendations. Thank you. OB/19/200a 11:25 FA% 858 897 9557 VINELAND FIREWORKS CO. f~j002 06i16i~003 ~ 15:06 Ft~12FlLLON f~SOCIR7E5 1,18566979557 N0.477 D01 . C~YtT~~ATE ~~'~ SITRAI~1'C~; . LSSI)E nATB strata 16, taott rggp~ It CBa7kMCATEI9MSURaABAMA fllkNFOMfATIONONLYAND a9 , naceBroker~ d H h S l Li 7 a lt " ~~ AAt&rm TB~~~ NO n OWa sa ump rey arp re nea ne r Y e v BNDOBf.ATro THe Farallon Assacfatn IaEUrNnce Brokers 400 Montgomery Street SaiTe 500 1NSURER9 AFFOBWNG COVERAGE San Francl8oo, CA 94104 INSURES Al UadenrrKere, Llayde of London !188~791-1053 INSURED OVSURER9: Viacland FirewoTto Co., inc. 1640 GeYdenBaad I1V&RR6k C: VhTelakfd NJ 08360 , 1NSt,Re~lnl covsRwol~s tNT9 r6 To ceanw TMATTxe ooLtc+n: aP wauaANCe ttaTeO eflatY 1fAM seer rssum TO TNe NATfEA iNOUaen Reeve roaTNe !alma tNOteATm. laTwmfsrANOlNa ANT tlqumewewr, TlnN aN CeNOritON Or ANY mxrNAeT eR omeA aaC1111afYr Ylrrx NE9PCCT TO MII[ex 7Mr! m-t*sYeAte wAV Ne Tesfleo oN NAY rrrtAaa TNe aauNAN® Alfeaam er TNe IDUCrro oeGCAiem NefgfiN m awiecr m A« Txe Teaws, ftt(ai~ wxe NlmaYmflB a! felt NOr LSNlIL~ t0 YIfOBE fOLlO1NMa1 NNiTt/ pfOTYN NAY IfAVe aeeN RInuG60 BY !Ate OLT16. 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CU LT9 7YR0laNUPANCe NNNrvNBNrR ePriCI1Vt< BA'R (MMANMIT IOIir.Y miMM taTel IM[i5 GENERALIdAlndlY s IAOCm[SMT i 0 [YwlMB lxAnc 8 1 Q N8/300 MBa1CALLrP °" S 9JIro A, DMGLtNOZ0084 1Z0 2 OTl0 7 3 LBGAL UArILiTY 5 Pf;B90NAL•A1fY INJU9.Y 9 I,ACGaeCATP Sl,ee0,00t PAODUCISCOMPlOP'S AGG S 1,OBQOee COEfefNrASQiGLI:LIMrr s AVrOMOB1Le LYAB1.LfTY IBe aaNatl ~ ANY AtJtO AOOILY INn1aY B O aNYawNeaAUros l...w~n ^ scttetul[.eoAkrl'os k klT,amv S ^ NipE0Atk1'OB D NoN4wNenworos ! arvnAMAae s a1"P4C WABALlfY '~~ ~~.~ p FOLIAW[NGeVAM an r 07Aa/1003 ' DMGLVYOZOOW NAR l4 A«:escATe seaoE,eao WCSI'ATW OTTT WOaN6:N.90oltlEN4AT10N TONY LIMBS Rc B Rk Entll.ovees' L1AalLITY 69i:ASe.Bw MPt.0YE6 S B,L ISCAiL-OLfCY LBbR e OTneR D6SCRiP7'ION OF OP'ERATIONSM.OCATkONBNEBkCLi'9~6ICCLL1810N9 ADOBD hV BNDOli66114ENIY9PECGIL PA.OV/S{ON9 1] Phenix .4 ~elief~oee Coropany of Grnooport Fire Departmoat 2) Gt~eon Fire bepardaeut 3) Villago of Greeaport 4) Tava of Southold S) CTreenport PaWic Scdoola 6) SilYer Dollar Showe ore Addltlorlsl YReareda Os respects 9 Fireworks Display on duly Z, 2003 (stain bate duly 4 or 5, 2003) at Greenport HiEh schflal Groaafte, Greenport I.on= TBlaud, ATY. C£RT7 k 7'E IiOl.DHA CANC&LLATION PhemiY ~ Relief Have Company Of _ IL ~D Yk1 f4a ~7~D91 ~ ~ A p RL ro ' L6A ~ OY ,4 A 18 Y~IIOM C ANYw 1 A D ON TOMA N nsaeol,Tert T GrmnpareFirel)epartfnent CEMTpMAT4MWLpCNNA1xEpT'OtHEk.ElT.6 Ap.W~eYOMwILEVCNNOTTCE911ALLIhmoEEND ' 212 Knapp Place 1 naatlpvsmtYw7lvrs, api.wwTwNOa T.WiLT11'oF ANY1idND a ANY, 17 GrEeaperi Long IiBlaild, ~ i.><944 AVI1fORllge guars TA77v6 56~~~~ ~,,rz.w~:VS r:r~~5 L3 {~ r.z4. UU ~~~ S~~,o~ I ruin ~. s ~an c~ ~~ ~"~~ 06/19./2003 11:23 FAX 856 897 9557 VINELAND FIREWORKS CO. f~j003 --JUN.;16.2003-11:§6AN~ ~ N0.982 P. 1 ,,..,.(MwPCnYm ACORD CERTIFICATE OF LIABILITY INSURANCE D6~1s~2DD3 A OF INF O AX [856)694-2279 THN3 CERT1 1 A (e s 0) s9+- 2 z zz ONL7 AND CONFERS NO RIOHT$ UPON 71iB CERTIFICATE ee BarelTi Agen<y, ]Cnc. HOLDER,THISCERTTFICATEp0E9NOTANRJiO,EXTENDOR .etch Hill Road ALTER7HECOVERAGEAFFORD6DBYTHEFOLICIESBELOW. ial aga , , N 7 08328 IN9URER& AFFORDING COVERAGE NAIL # INeuRER A: NRti opal Cepsinantal dUIUla Viealand F rlworka Co.,scc- NBURERO~ Liperly NUSOaI Seauralce co. 16d0 Carden Eosd ~~0, V9eelAlld, N7 0>1360 ,.,Q~p~n. c00.1MERCIAL G8IERAL DABILrtT ~l ~agMepE ~ OCCUR POLIOY ~ ~ ~ I LOG )( I ANY AUTO ALL OWNED AUT09 SCMEOULFP AUTOS A x HRtEO AUTOS Y NONONJVFI)AUTOS ANV AUTO F](CF.aSelanRELLA UABaT7Y OCCUR ~ OIpSA9 MME OEOUGfBLE RETf3A'N1N a _-.. __- CN700069Y2747 WCs-3 D ~~~am+en~ie~ExCem u'nuE Kr~°cna°Ber" ovlsro`lu eet,. splay date? 7Rly 2, 2008 in dacc; ]u7y 4th or Sth, 2003 Phonic ! Rolie4 Nesc CoaPanY aP CreenperY Fi rn Dept. 212 annPP Pl aca creenpor! Y.z, NY 118A4 ACORD 25 TO W1iIC1 THE TF-RA LICY PERIfN) INDICATED. NO'f WITNBTANDIN I THIS CERTIFlGAT'E MAYBE 155UED OR I$, EXClU610N9 AND CONDITIONS OF SUCH ulins Encn ocarwENCe s , Raaeeute ~ NED EKP Wyors Gerwn) a p6RSONN.a AOV INJURY i OENHtAL AGGGt=GATE S PpOlrilGfe-COMPATP AOG 3 a1C~.E LIMIT S (~ ~~) 5.000,000 @OORY N~NJR'I a pMp~ i M R a ~ A e S oddo,q ~ AUfO ONLY-EA ACGIOENT S 6AAOC ~ S AUTO ON JJfO S EACH OOCURRaICE S A06Rfi~1TE a 9 TOl:rums E~EACITAGCIGENT S 50D 000 E,L,oISEASE-EAedPln`fE s sao goa e.L.01sEASE-POUCYtAaT s saD DoC Er>NRAtION HATE TXEJIEOF.TNB IfiSI11NG e16URERV71u-~Y~TG fie' OPANY 181 08/1&/2003 11:23 FA% 856 697 9557 VINELAND FIREWORKS CO. ~uN.:~6.2ao3-~~:56A~ ACORD CERTIFICATE OF LIABILITY INSURANCE AX (6 SS)694-2279 77iN3 CERTI 1 A ~ ~° (656)694-2222 oNLY MID CONFE7d5 NO WOHTBI The Barelli A9eacY, Inc. ALOI'ER7'HECOVERAGEAF ORDfi Dutch Mill Road Rala9a„ N] 083x6 IN9URERSAFFORDIryaCOVE1QAGE Tne. INBUReRA: National eoaciaeneal INCURwVieelend FirfNerks Ce., MffiBtERB~ IahaMev Rutnel Incur 1640 Carden Read V;upland, N7 Oa360 OF ANY CAM BY 7'FE POLL Y N4~/6 O~7i cohfMERtut G8IERAL LWBILRY -~ cua+st~ ~ occuR RJ 003 ES BELOW. NAIL # Co. SUCH IS s PoLxrr ~ we eN7000s912747 04/2D/2003 04/20/2004 SNGLe LUnrc ~ s AuTOMDenELweluri ~ x ANr MfIO DORY Ma~NRM B i ALL pNTV~AlTtD9 ~ oT sCNeouteD AUTOS BOPILT 9Ul1RY " A x Hit6O AUTOfi (Pba0ddo10 x NoNOwN~AVros PROPERn DAMAC6 6 leer euido,el AUTO ONLY-FA ACCIOQaT i OA RAb`E WBILTTY 6AACC ~ i ANYAOIO AUTO ON AOO S 6AON OOCURRlNCE 4 o[ C65SIOY~0.LA LOOIQLIY A66RGRAT6 e OCCUR ~ ~~ MAC i S D~uclele RETaNtION i 13 04/01/2003 04/01/2004 IBpnON AIaT ' Ncs-335-303113-0 ~~ i wO NERS pCMp@ R EL Fy ANY pLOY0Ti6' LIABVTY PROPRI(:'TORIFARTNERIE>~cDTI~ B.L. oISEPSO-Ea EMPIDYE 8 B OFF ICERrtdEM00R F]((:LUOED? EL DISEASE-PDUCY LaOT i KyP ({pE 5 eeac,bn anWr f,I"L PRONSIONS Mlow splay date) 7oly 2, 2003 in date; ]uly 4th or Sih, 2003 PAon5a f Rolief Nece COePanY aP Greeaport Fire Dept. 212 xnaPP Place CreenPort LT, NY 11844 ACORD 25 (2001/08) fiNW1A AllYar Tl,ewemre aa,.oe<.....---_ Bp+alAT10R MTE 7RPREOF, TIE N#OIN9 fia:YREn. VJaiHaaE0.VORNMRR ~-~_____, IO J(~ c NOtp[RMAMBD70T11B LM~i'~ ~A j~F~7MArd OBL.16aTION OR LIA9LRY BOf r/MI.UR.pfIV I~ML eLIC I 1R1 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER i~~~gUFF!)(~-CG y< w x ~~io * ~ao~~4 OFFICE OF. THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION Town Hall, 53095 Main Road P.O: Box 1179 Southold, New York 11971 Fax (516)766-1823 Telephone (516) 765-1800 for PERMIT TO DISPLAY FIREWORKS APPLICATION IS HEREBY MADE, pursuant to the provisions of Section 405.00 of the Penal Law of the State of New York, for a permit to display fireworks as hereinafter specified: DISPLAY IS TO B PRINCIPAL OFFIC DATE OF DISPLAI TIME OF DISPLAY RAIN DATE E TIN The following persons are to be in charge of the actual shooting of the fireworks: ame 1.. ,r ~• \: c~ s cs ,, Age Experience _~ y 3GyeaJ~S a~ tom.; arc ~:. ;v~, Number and type of fireworks is as follows: P sical Condition ~d c ors c~ The fireworks will be stored in a covered truck prior to shooting on the grounds. Attached hereto and made a part of hereof is a diagram of the grounds on which the display is to be held. Also attached is a certificate or policy of insurance coverage. 4ZE~. e ~> ~ll'0~ -~ Date of pplication POI,ICI'a DEP111~TM1'aNT TOWN OF SOUTI-TOLD Telephone Emergency Dial 911 RECEIVED JUN 2 7 2003 Southold sown CIer1 CARLISLE E. COCHRAN, JR. Chief of Police To: Town Clerk Elizabeth A. Neville From: Chief C.E. Cochran Jr. C L Date: June 26, 2003 Ref.: Fire Works application, July 5th Greenport Fire Department Society I recommend that the Fve Works application for July 5th requested by the Greenport Fire Department be approved. 41405 Route 25 • P.O. Box 911 Peconic, N.Y. 11958 Administriti~~e (631) 765-2600/2601 • Fax (631) 765-2715