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Home My WebLink About2006 ELIZABETH A. NEVILLE TOWN CLERK REGISTP~kR 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: Robert Fisher, Fire Inspector Linda J. Cooper, Deputy Town Clerk July 19, 2006 Robins Island Fireworks Permit Here is a copy of the complete file for the fireworks display at Robins Island. It makes me realize that you should be sent a copy of the application for comment anytime someone applies for a permit. If it's alright with you, henceforth, we will request approval from you as well as the Police Department for Fireworks Permits. Let me know if that is okay with you. Thank you. 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 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 thc Town of Southold for this purpose, do hereby GRANT TO: BELVEDERE PROPERTY MANAGEMENT LLC A PERMIT FOR THE PUBLIC DISPLAY OF FIREWORKS 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 Saturday~ July 29~ 2006 on a barge off Robins Island, New Suffolk, 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 obslruction; 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 afier the display is conducted shall be immediately disposed of in a way safe for the particular type of fireworks remaining; that no frreworks 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 separated points as possible within the actual area of the display. Elizabeth A. Neville, Southold Town Clerk Suffolk County, New York (Town Seal) Date: June 23, 2006 THIS PERMIT IS NOT TRANSFERABLE Page 1 of 1 Cooper, Linda From: Cochran, Carlisle Sent: Friday, June 23, 2006 11:56 AM To: Cooper, Linda Subject: Fireworks permit Belvedere Property Management I recommend the approval of the Fireworks permit for the Belvedere Property Management LLC on July 29, 2006 at 10:00 P.M. Carlisle E. Cochran Jr, Chief Southold Town Police PO Box 911 Peconic, NY 11958 Hqs Phone 631-765-2600 Admin Phone 631-765-2671 Admin Fax 631-734-2315 Main Fax 631-765-2715 6/23/2006 ELIZABETtl ;EVILLE TOWN RK REGISTRA]~ OF' STATISTICS MA1, !IA ,' ICER RECORDS M.~N,. ,'NT OFFICER FREEDOM OF INFO1 '~TION 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 Re: Chief Cochran, Southold 't'own Police Department Linda J. Cooper, Deputy 'lown Clerk June 20, 2006 Fireworks Permits Belvedere Property Management LLC Pleas. d herewith are applications for Fireworks Permits for Belvedere Aanagement LLC on July 29 2{)06 at 10:00 PM isc if the permit may be issued 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 southaldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD £ECEIV~D INSTRUCTIONS FOR DISPLAY OF FIREWORKS 1. Name of body sponsoring fireworks display. 2. The date and time of day at which the fireworks display is to be held. 3. The exact location planned for the fireworks display. 4. The age, experience and physical characteristics of the persons who are to do the actual discharging of the fireworks. 5. The number and kind of fireworks to be discharged. 6. The manner and place of storage of such fireworks prior to the display. 7. A diagram of the grounds on which the display is to be held, showing the point at which the fireworks are to be discharged, the location of all buildings, highways and other lines of communication, the lines behind which the audience will be restrained and location of all nearby trees, telegraph or telephone lines or other overhead obstructions. 8. Such other information as the Southold Town Clerk may deem necessary to protect persons and property. Written permission of the property owner is required. 9. An indemnity insurance policy with liability coverage and indemnity protection of $1,000,000.00 per person for bodily injury; $1,000,000.00 per accident; $1,000,000.00 property damage. 10. The Town Clerk of the Town of Southold must have the insurance policy in her possession before the fireworks permit is issued. The named insured must read: TOWN OF SOUTHOLD. 11. Application for a fireworks permit must be made at least five days in advance of the date of the fireworks display. (The above instructions are in accordance with the Penal Law, Article 405 - Licensing and other provisions relating to fireworks.) ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS 3ZtANAGEMENT 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.north fork. 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 spe~fied: DISPLAY IS TO BE SPONSORED BY PRINCIPAL OFFICE AT ~o,~c ..~'_~ ~ar, cl: ,tL].,~'. ' / "~ DATE & TIME OF DISPLAY ~_~t~[_~, ~q: ,9.oO(o - EXACT LOCATION OF DISPLAY ~N DATE & TIME The follow~g persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: 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 Property Owner~ must be submitted with the Application. Nan)c~ rganizationt By Signature of Applicant Date of Application 06/16/2006 '13:27 FA[ 856 697 9557 VINE[AND FIREWOI~KS CO. t~00Z u~-!o-L'~d~l~) l~:b6 C~I I~EINTZ (FAX)763 558 74~ p.~z~/~ .... ~,,~ ........... ~,,' i ........ ,=~- .~,, ............., ~i,,'E.'~ ~g2:~7.-I.' ..... . ., .. ~. ~.. ................ ~ .:~..., = ...-"'~ ~.. ...... n~ Pfl~ ~ CEflTIR~ ~ ~UEO ~ ~ ~ OF ~ ~y ~ ~ ~-~ vi~ ~1~ B~W, ~ ~,, M~ THIS ~ TO ~TTHE ~IES ~ ~ LI~D ~ HA~ BE~ ~ TO ~E ~ ~SURED ~ ~R ~E ~D ~ ~. ~, ~S ~ ~ THE ~ ~LY ~ ~ ~D ~AIN~ ~ ~ ~ ~lk~.~J ~Y ~ ~) fl~ ~ V~J PA~PA~ ~ ~ WAY W ~y D~Y ~ ~I~ ~T ~FO~ ~ ~ FAI~ ~ ~W ~A ~ ~HEfl ~ ~IR~ ~ O~ ~DA~. ~ T~ flE~ TO ~ "'' ' A ~~ 11~7~ ~ Ju~ ~, ~ I~H A~D~ ~ ~ ~0 ~D~Y ~RY N~ ~ ~ ~lt ~G ~R~ ..... ~ ~A~ WC~ ~ ~ TO~ ~ITS ~e~ P~ ~ ~ ~ ~ OF THE ~E ~C~ ~ ~ ~.L~ ~RE ~E ~ATI~ ~ ~ ~k. NY 11 g~ ~ t ~ ~ ~ TO ~E LE~. B~ FAI~RE TO ~L ~ ~TI~ ~ IM~SE ~ 06/16/~006 13:28 FA.[ 856 697 9557 ,A. CORD., CERTIFICATE OF LIABI ($~6~694-2Z~Z ~A)( (&i~)$g4-Z279 Dutch N~T1 ~oad COVERAGES N~=URED NAMED ABOVE FOR ~ POUGY' PF-R~OD IND{C~I'~J~ NOTWITHSTANDING )OCtJM~l" ~ ~$PF.C~ TO ~CH THI~ ~RTJPlCATE MAY BE ISSU~ OR IEI~E]N IS ~U~ECT TO ALL 'I~'IE '1~M8, E~:J. U.~ION$ AND CONDYnON; OF ~qUCH PKR$OHAL & AZN'INJURY CN30OOG9127~T! 04/20/2006 ~E R11FICATE HOLDER , New Suffalk, NY 219~6 ACORD 2S CANCELLATION 06/16/~006 13:28 FAX 856 697 9557 VINELA~ FIREWORKS CO. JUN. 13. 2006- 8:28A .............. 'A¢~,~. (,;I-i~! IIFICATE OF LIABI ~004 ~0, ~0~ ~. 9/1~ [LITY INSURANCE I /z l *1*]'lis CEK~pIC~TE IS)~$UEDA~AMA'n'F. ROF NPOIRMAT[ON ONLY AND GONFERS NO PJGHTS UPON THE O~T~FIGATE HOLDER. T~8 CERllHCATE DOES NOT AMEHD~ EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCHES BELOW. INSURFJ~S AFFORDING COVERAGE ~MC # DOCUMENT Vd'I'H RF~;PE~ 'to w~ ~,,4 THIS ~ ~lF~ ~Y ~ ~U~ ~ H~N IS S~4EGT ~ ~L T~ ~, ~LU~S AND ~ND~ON~ oF SU~ ANY A~'O 0;/gl/290; 0~/01/2007 F_L. IX~A~. ~A ~MI,LOyE z ~O0.00G ~- L~ DI~--A~ -; OLl~f I~&~i' ~1 500.000 ~play datel 3uly 2E; 200G date; To be determined CER11FI~ATE H, OLDER AGORD 2S (2001108) NORTH Cutchogue Harbor RACE ROB~N5 IC~LAIVD TOWN OF SOUTHAMPTON