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Home My WebLink About2007 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT for PUBLIC DISPLAY OF FIREWORKS 1, 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: VITO C. ITALIA PERMIT FOR THE PUBLIC DISPLAY OF FIREWORKS by Vineland Fireworks Company, Inc. in accordance with the provisions of Section 405.00 of the Penal Law &the State of New York on WEDNESDAY~ JULY 4~ 2007 at 9:00 P.M. on the property of the VITO C. ITALIA at 4505 Mill Lane, Mattituck, 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 feet 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 &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 into such lake or body of water; that any fireworks that remain unfired a~er 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 beheld 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 last 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 separated points as possible within the actual area of the display. (Town Seal) Dated: June 29, 2007 · Elizabeth A. Neville, Town Clerk Town of Southold Suffolk County, New York THIS PERMIT IS NOT TRANSFERABLE POLICE DEPARTMENT TOWN OF SOUTHOLD CARLISLE E. COCHILhN, Jg.. Chitf ~g'Policc Tolephone Emergency Dial 911 TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr.~'~g--/' June 29, 2007 Request for Special Permit - Fireworks Permit - Vito Italia Wednesday, July 4, 2007 I have reviewed the above request for a special permit. I have no objection to the approval of this permit. cc: Capt. Martin Flatley 41405 Routc25 · P.O. Box 9ll · Pcconic, N.Y. 11958 Administrative(631) 765-2600/2601 · Fax (631) 765-2715 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: From: Dated: Re: Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector ~ ' o,~ ~/ ~; Melissa Spiro, Land Preservations- ~/zg/o 7 Linda J. Cooper, Deputy Town Clerk June 20, 2007 Fireworks Permits for Vito Italia Transmitted herewith are applications for Fireworks Permits for Vito Italia. Please advise if the permit may be issued. Thank you. cc: Southold Town Board From: Lynda Bohn ~ Deputy Town Clerk Peter Harris Vineland Fireworks Companyinc. Re: Permit Application Date: June 19, 2007 Hi Lynn: I'm sending you a fireworks application for July the Fourth at the Vito Italia residents at 4505 Mill Lane in Mattituck. I had the Fire Inspector- Bob Fisher meet me there this morning to get his approval for the site, before I even submitted it to you for approval. I'm sending you the permit application and the site diagram. I will bring you a copy of the certificate of insurance as soon as I receive it from Vineland Fireworks. If you have any questions, call me at the office. Thanks Pete ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION 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 BE SPONSORED BY PRINCIPAL OFFICE AT ~O~-' DATE & TIME OF DISPLAY . 1'1.4 EXACT LOCATION Or DISPLA-- The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition //9..c'o7 (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as fototo~ws: Manner and place of storage of fireworks prior to display: 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. NOTICE: Written permission, with signature of the Propert3' Owner~ must be submitted with the Application. ~al~f Organization Signature of Applicant Date of Application Page 1 of I Cooper, Linda From: Fisher, Robert Sent: Wednesday, June 20, 2007 3:3(~ PM To: Cooper, Linda Subject: Italia fireworks Linda I inspected the proposed site with Pete Harris. I have no reservations about the proposed Italia site, on Mill Lane, Mattituck, for fireworks 2" in diameter and smaller. Robert Fisher Fire Inspector 6/20/2007 PRODUCER Combined Specialties International, Inc. 8362 Tamarack Village Suite t19 Woodbury Minnesota 55128 INSURED Vlneland Fireworks Co., Inc 1640 Garden Road VIneland New Jersey 08360 COVERAGES FHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ,CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Underwriters, LIoyds of London INSURER B: INSURER C: IH~URER D; THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE NAMED INSURED ABOVE FOR ~-IE 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 INCLUDING, BUT NOT LIMITED TO THOSE FOLLOWING: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDITIONAL CONDITIONS AND EXCLUSIONS: 1) THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY, IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER AN "iNSURED" MAY ASSERT A CLAIM OR BRING ANY ACTION. SUBJECT TO POLICY TERMS, CONDITIONS, DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY. 2) ]'HE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSURED'S SHOOTER(S} ASSISTANT(S) OR ~.NY OTHER PERSON(S) INCLUDING ANY VOLUTEER(S) PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED 3Y THE NAMED INSURED. 3)COVERAG E DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE [NSURED*S =ALLURE TO FOLLOW NFPA OR OTHER APPLICABLE REQUIREMENTS, LAWS OR RECOMMENDATIONS, INCLUDING THOSE RELATING TO POST DISPLAY 3R SPECIAL EFFECT SEARCHES OR CLEAN UP. I LCT~O POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY} DATE (MM/DD/YY) LIMITS A GENERAL LIABILrTY 1150147479/006 July 08, 2006 July 08, 2007 --ACH ACCIDENT ~5,000,000 CLAIMS MADE VlEDICAL EXP :$5,000 any one person) :IRE LEGAL LIABILITY $50,000 .~ENERAL AGGREGATE $5,000,000 [PRODUCTS-COMP/CPS AGG $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY ANY OWNED AUTO (Per person} SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per per'~on) EXCESS LIABILITY EACH ACCIDENT $ FOLLOWING FORM AGGREGATE WORKERS COMPENSATION WC STATU- OTHER AND TORY LIMITS EMPLOYERS' LIABILITY E.L EACH ACCIDENT E.L DISEASE-EA EMPLOYER E.L. DISEASE-POLICY LIMIT THER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Vlto C. Italia as sponsor; Town of Southold; County of Suffold; Roseneck and Placente properly owners are Additional Insured as respects Ihe July 4, 2007 (RD: TBD) Fireworks Display at 4505 Mill Lane, Mail[tuck, NY CERTIFICATE HOLDER Vito C. italia P,O.Box 122 4505 Mill Lane Maltltuck, NY 11952 [CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL iMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE 2007 AC~;~v vC~'~ ~' ;FICATE OF LIABILITY INSUi~AN--~-~-~'~u' ~ ' ~--~r, eR~ (a 56) 694-2Z22. FAX (856) 694-22 ? ~ THIS G~TiFICATE IS ISSUED AS A MA ~ m ~ OF INFECTION The 'BOre11 ~ Ageacy, ~ac, ONLYAND CO~ERS NO RIGHTS UPON ~E CERTIFICATE Dutch H~I ~ Read HOLDER. THIS ;ERTIFICATE DOES NOT AMEND, E~END OR ALTER ~E COVERAGE AFFO~ED BY ~E POUCIES BELOW, Nalaga~, ND 08~2~ INauR~s AFFORDING CO~GE NAIC INSURED V~neland Fireworks Co,~nc. [640 Caede~ Road INSURER B: ' INSU~ ~OVE~GE8 , RRM OR CONDITION OF ANY GONTRACT OR OTHER DOCUMENT WiTH RESP-~ TO WH ....... RIOD I N DIC-~TED, NCYtWITHSTAN Oi N O ~I~L AG~RI~GAI~ L!NII¥ AP~LrES Pa~: ! GENERAL AGGREGATE AUTOMOBILELIAB£UI¥ CN3000691~:747 7 0~/20/2007 04/~0/200& COMilNE0$1N~LELIMIT ALL OWNED Abg'OS I (E~, ~n~ $ ~, 0 0 O, 0 00i HIRED AU¥O~ ! (P= emcon) $ NON~:~NNED AUTOS { (per a~e~ $ CANCELLATION ;, N~ 1988 L P~UC~ (856)694-2222 FAX (856)694~2279 THIS CERTIFICATE IS ISSUEd AS A ~ER OF I~FO~TION The Bore11 t Ageflcy. Znc. ONLYAND CO~FERS NO RIG~ UPON ~E CERTIFICATE HOLDE~ THIS CER~FICA~ DOES NOT AMEND EXTEND OR ~u~ch ~ ~ 1 R= ~d AL~R THE COVE~GE AFFORDED BY ~E POUC ES BELOW. ~alag=~ N3 08~28 INSURER~'AFFO~ING COVERAGE NAIC ~ COVERAGES 11'1E POLICIES OF INSURANCE Lt~TED BELOW HAVE BEEN ISSUED TO'i~'IE INSURE~ NAMED ABOVE,:FOR THE POUCY PERIOD INDICATED. NO'Ip./~THSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT CE OTHER DOCUMENT WITH P,E~PECT TO WHICH TI'IlS CERTJFIC.~TE MAY BE laMED OE MAY PERT.NN, THE INBUP, ANCE AFFORDED BY THE POU¢IE8 DESCRIBED HEREIN IS SUBJECT TO ~ THE TERMS, E~CLUSJON$ AND CONDITfON$ OF SUCH POUCIE~. ~REGATE UMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. GENEI~ U~BIUT~ AUTOMOi,'.E LIABILITY COMBINED 6INGLE LIMIT ~tepl~y date; 3uly 4-, 2007 CERTFICA'rE HOLDER CANCELLAt.TION · PO Box [22 ~;~' ' - ~'~7 MELISSA A. SPIRO LAND PRESERVATION COORDINATOR melissa.spiro @ town.southold.ny.us Telephone (631) 765-5711 Facsimile (631) 765-6640 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (corner of Main Road & Youngs Avenue) Southold, New York MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971-0959 DEPARTMENT OF LAND PRESERVATION TOWN OF SOUTHOLD RECEIVED To: From: Date: Re: Linda J. Cooper Deputy Town Clerk Melissa Spiro Land Preservation Coordinator June 21, 2007 Fireworks Permits for Vito Italia SCTM #1000-107-4-2.4 Location: 4505 Mill Lane, Mattituck JUN 2 I 2007 Southolcl Town Clerk This parcel is not preserved land within the Town of Southold; therefore, I have no comxnent on the fireworks permit application for the Italia property. /md cc: Southold Town Board