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Home My WebLink AboutMattituck/Cutchogue Fund for Students ELIZABETH A. NEVH.LE 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 the Town of Sunthuld for this purpose, do hereby GRANT TO: MATTITUCYdCUTCHOGUE FUND FOR STUDENTS 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 on FRIDAY~ AUGUST 26~ 2005 AT 10:00 P.M.~ on the property of the COUNTY OF SUFFOLK, managed by THE TOWN OF SOUTHOLD, known as 'STRAWBERRY FIELDS", Sound Avenue, 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 arc to bc fired shah be at least two hundred fcct from thc nearest building, public highway or railroad, or other means of travel, and at least fifty feet from the nearest above ground telephone or telegraph linc, 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 bc so set up that the projectile will go in the air as nearby as possible in a vertical direction unless such fireworks are to bc fired from thc shore or a lake or other large body of water, then they may be directed in such meuner that the falling residue from thc dcflagrafion will fall into 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 fircworl~ remeining; 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 fn-ing the fireworks shall be over the age of eighteen years, con~etent and physically fit for the task, that there shall be at least two such operators constantly on duty during thc 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: August 10, 2005 Elizabeth A. Neville, Town Clerk Town of Southold Suffolk County, New York THIS PERMIT IS NOT TRANSFERABLE POLICE DEPARTMENT TOWN OF SOUTHOLD CARLISLE E. COCHRAN, JR. Chief of Police Telephone Emergency Dial 911 TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr. ~ August 9, 2005 RECEIVED Southold Town Clerk Request for Special Permit - Fireworks Permit Mattituck/Cutchogue Fund for Students - Friday, August 26, 2005 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 Route25 oP.O. Box911 · Peconic, 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.nor thfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: From: Dated: Re: Chief Cochran, Southold Town Police Department Linda J. Cooper, Deputy Town Clerk August 8, 2005 Fireworks Permits Mattituck/Cutchogue Fund for Students Transmitted herewith are applications for Fireworks Permits for the Mattituck/Cutchogue Fund for Students to be held at Strawberry Field on August 26, 2005. Please advise if the permit may be issued. Thank you. ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICI~R RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, Ne{v York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION for PERMIT TO DISPLAY FIREWORKS APPLICATION IS HEREBY MADE, pqrsuant to the provisions of Section 405.00 of the Penal Law o.f the State of New York, for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSORED BY Mn{-~-{~',~ek/Cul-~_hoc'U~ Fund For PRINCIPAL OFFICE AT DATE OF DISPLAY TIME OF DISPLAY RAIN DATE & TIME P.O. BoX 122 Mattituck-Attention Vito Auqust 26, 2005 10 PM. .-None Students Italia The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition Peter Harris 53 33 years Good Stanley Harris 82 ~8 years Good Tony Volinski III 45 25 years Good Number and type of fireworks is as follows: There will be a total of 583 Class B Fireworks Shells, fired. The sizes range from 2½ inches up to 5inches in diameter. 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. Vineland Fireworks Company Inc. Name of OFganization Signature of Applicant August 3, 2005 Date of Application __ 08/05/2005 09:37 FAX 856 697 9557 AU,O.T~-2~, 5(~ON) lO:e9 ~I HEINIZ VINI~LAND FII~WOP-.KS ¢0, (F^×)7~ 559 7a65 ~002 -.-= ........... ~,~:~:. ........................ ~,,,:~-~ ~ ___ :_~ - ..................... l~u~a~.~ PROD~ THIS C~Ht ~'~T~ ~ ~UED ~ A ~ ~ ~RMA~ Q~Y AND ~RS NO ~ UPON THE ~FI~A~ ~ ~ CE~FICA~ C~ ~a~ Im~t~n~t, In= ~ N~ AMEND, ~ENO ~ ~ ~E ~E~GE AF~RDED BY ~E ~ T~ VIIl~e ~ ~L~. ~SURER N U~ ~ ? I~UR~ ~R~ B; I~O ~er~n R~ NDI~- ~H~NG ~ RE~IR~E~, ~ ~ C~D~ ~ ~Y ~A~ ~ OTHER b~E~ ~ REJECT TO WHICH 3ER~R~TE MAY BE I~E~ ~ ~Y ~TAIN, ~E ~ AFFO~O BY ~ ~u~ ~GRIBED H~EIN ~ S~ffCT TO ~ THE ~CLU~Q~ AND COND~NS ~ SUCH pQ~ES ~ING, B~ NOT klMffED ~O ~E F~OW~G= ~ S~WN MAY ~VE ~EN ~EDUCED BY ~D ~1~. ADD~O~ COND~ ~D ~1~= 1 ) ~E I~U~E ~IDENCED BY THIS ~RTI~A~ IS M~IL~ I~GE ~NLY, ~ ~O~BILE U~ ~ ~ SCHED~ ~S ~DILY INJURY ~ED AUT~ ~R~ER~ DA~E (Per ~) .... WC ~A~ O~ER AND EMPLO~ LIABIL]~ ~ ~CH ~IDE~ E.E DI~E~ ~YER EL D~E-POLI~ ~CRI~ON OF ~AT~A~EH~ -~C~ ADD~ aY EN~EN i i~ PROV~I~S 08/05/2005 09:37 FAX 855 697 9557 VINELAND FIREWORKS CO. ~003 N0.357 ?, 1/2 A'J~. 2,2005- 9:22At~ I II A~/~ CERTIFICATE OF LIABILITY INSURANCE ONLY AND ~NFE~ NO R~N~ ~ON The lore1 1 t Ag~,cy. Zn=. HO~ THI$ CE~F~A~ ~S NOT ~. ~ND OR Dutch H411 Road AL~R ~E ~GE AFFO~ED BY~ POUCI~ ~alaga,, N3 01~8 INSU~~~GE N~C~ P~CIES. AGG~ glMl~ SHO~ ~Y ~ B~ ~ BY PAID R~ Nattt;a;k/Cutchugee ACC)RD 25 08/05/2005 09:37 FAX 856 697 9557 VINELAND FIREWORKS CO. [~004 NO, 357~ 2/2 ~. c;~K I iFICATE OF LIABILITY INSURANCE ~Y ~D ~NFE~ NO ~G~ U~ ~E C~ Agency, ~he. ~DE~ ~ C~ ~ ~T~D~ ~D OR 01~Z8 ~U~RS A~O~G CO--GE COVERAGES THE pOUCIE$ OF INSURANCE Li&TED BELOW'HAVE ~ IBS~D TO ~ IN~ ~ A~ FOR ~ P~Y A~ ~, ~ ~ ~ON ~ ~ ~T~ ~R OTHER ~ ~ ~OT ~ ~CH ~S ~R~TE ~Y ~ I~ OR ~Y ~T~, T~ INSU~CE ~ORD~ ~ ~E POU~ D~ ~ IS ~BJECT ~ ~ ~E ~S. ~IONS ~ C~DI~ONS OF SUCH CERllFICAT~ HOLDER 212 K~&pp Place ACORD 28 (Z001198) OA~OELLATION