HomeMy WebLinkAbout2004 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 Southold for this purpose, do hereby
GRANT TO:
BAY FIREWORKS & DOMINIC FLORIO
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 8:30 PM and 11:00 PM~ on Saturday~ August 7~ 2004 on the property of Raphael Vineyards
Main Road~ Peconic~ 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
separated points as possible within the actual area of the display.
Elizabeth A. Neville, Southold Town Clerk
Suffolk County, New York
(Town Seal)
Date: July 30, 2004
THIS PERMIT IS NOT TRANSFERABLE
PYRO ENGINEERING, INC
110 ROUTE 110, SUITE 102
HUNTINGTON STATION, NY 11746
631-549-0900 OFFICE
631-549-3151 FAX
~yro At-~s
Nurr her of Pages
Inc!uding Cover
Date:
From:
August 3, 2004
To whom it may concern,
Bob Fisher, Southold Town Fire Marshall, has approved the permit for the Bay
Fireworks, firework display, to be held on August 7, 2004 at Raphael Vineyard. With
that said, I feel I have no other recourse but to allow the show.
~', John Pgtrocelh
RECEIVED
AU$ 3 2004
POLICE DEPARTMENT
TOWN OF SOUTHOLD
CARLISLE E. COCHRAN, JR.
Chief of Police
Telephone Emergency Dial 911
RECEIVED
JUL 2 8 200~,
TO:
FROM:
DATE:
RE:
Elizabeth A. Neville, Town Clerk
Chief Carlisle E. Cochran, Jr. ~'~
July 27, 2004
Request for Special Permit - Fireworks Display
Raphael Vineyards - August 7, 2004
Southold Town Clerk
I have reviewed the above request for a special permit. I have no objection to the
approval of this permit.
41405 Route25 op.o. Box 911 · Peconic, N.Y. 11958
Administrative (631) 765-2600/2601 · Fax (631) 765-2715
TOWN C~.~.RK
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:
Re:
Chief Carlisle E. Cochran, Jr.
Town Clerk Elizsfl~h Pu Neville ~
Fireworks Permit application for display at Raphael Vineyards
On August 7, 2004
Date: July 23, 2004
Please review the attached request and respond to my office, in writing, with your
recommendations. Thank you.
,. :~::' ~e . : ~ Experience i Physical C'ond lion
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Federal Avietion
Administration
~50 Ardvel A ~enue
Ronkonkorn=. NY 11779
July 16, 2004
Ms. Dede Arapakis
Bay Fireworks
110 Route 100, Suite 102
Htmfington Station, NY ] 1746
Dear Ms. Arapakis:
Our office has no objections to the proposed fireworks display scheduled for
Raphael Vineyards, Southold, NY. The time of the display will be between
approximately 8:30 p.m. and I 1:00 p.m., on August 7, 2004 for a 15-20 minute duration
with no scheduled raindate. It should be noted that no shell shall exceed 900 fe,:t and
the following conditions must also be met.
1. Contact the supervisor of the New York TRACON at (516) 693-2984 at [em:t two
hours prior to your display, if the display occurs with/n 5 miles of an alrporL to
negotiate a,~y altitude limitations or time frame restrictions, if they are reqni:'ed.
Contact the New York Automated International Flight Service Station at (631) 471-
7394 at least six hours prior to the scheduled detonation of the fireworks display to
effect the issuance of a Notice to Airmen Advisory (NOTAM).
This letter disposes of the Federal Aviation Administration's interest in this mat~er, but
should not be construed as superseding or invalidating any existing rules or regulations
prom~.figated by any other federal, state, ¢otmty or municipal government, which may be
required for this display.
Sincerely,
Ron Napurano
Manager, New York AIFSS
e.A £.,:t oue,Jndekl UO~l dOt.:lO 'bO Bt toe
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_ALLIED SPECIALTY INSURANCE, INC.
104al GULF EOULEVARD. TREASURE ISLAND: FL. 33706
Toil Free 1-800-237-3355 National
CERTIFICATE OF INSURANCE FIREWORKS DISPLAY
Enolneerin~.. ,~
~)l Route fro, Suite
Hu~ti~flton 5ration, NY 1174~
?RIMARY COVERAGE
COMPANY: T.H.E. Insurance
Company
POLICY NO.:
LIABILITY LIMiT:
8I/PD OCC:
Clas~ B
Products:
POLICY
From: 0S/I~/0~
To:
ADDITIONAL INSURED:
Mt. Dominic Florio,Town of Southo. Ld,Raphael,
J. Petrocelli Wine Cellars, LLC
EXCESS COVERAGE
COVERAGE
T.H.E. Insurance T.H.E. Insurance
Company Co~x~any ,~
$1.000,000 $3~ )O0, O00
kxceS~ of ~-F:F.r~-ss' of
$~.ooo.ooo ,~,0o,ooo
$0 ~O
0S/14/04
0~/14/0~
?~ * ' - COMBINED SINGLE LIMIT
the Company ~il] endeavor t9 ~ive written notice to the party hg~
~.ertlzlcat~ Is lss~ed~ but .Failur~ to ~lve such no, ice snail [~pose no
liability or ob!J~atlon upon the company. '-
NAME ~ ADDRESS OF CERTIFICATE HOLDER:
Mr. Domiuic Florio
16 Maple Avenue
Holbrook, ATY 11741
DATE OF DISPLAY: 8/7/04
RAIN DATE: -
DISPLAY AMOUNT: ~
LOCATION OF
DISPLAY:Raphael (V±leyards) Southold
the policy that all displays be reported to. the Company
~t least 24 bour~ in advance o~ the display ~ate. '
,~ s ..ertt, ~cste neither af!:lr~mtzv'el nor ne atlvel am ,
=v=~s+~Q~ Zzfe~a~e~a£forded b2 the policy(~es) described bere(,n NOTE- In
~ne fol+ow~n~ are additional insursds: any f'air or exhibition association
.n~ured, buu only as respects accidents arisi%~ o,,+ ~ +~ .... ~ ~-- he Ngm
oc_ ~iahilit¥_ _ arisZ~G-{~. Ier_=~P~n~°£__.,. any ~allure to police or clearup the display,
Co~era,,e un,e? 'the policy is ~on6itzoned upon £ull compltance ty all insureCs
~Jth a~l app*.tcable Nat~Sna~ ~ire Protection &ssoclatio~ (NFPA) codes and
This certi[icate is not valid unless an original signature appsars below.
(copies Not Valid.)
t4.
A]3THORIZED- S~G~ATURE
,'~ ALLIED SPECIALTY INSURANCE, INC.
88I :EO '~'0 E8 InF
PYRO ENGINEERING, INC
110 ROUTE 110, SUITE 102
HUNTINGTON STATION, NY 11746
631-549-0900 OFFICE
631-549-3151 FAX
Pyro A~s
Company:
Number of Pages
including Cover
~'-/~ ~,'o
Message.:
'J~$ C-~
Date:
From:
i.d dLI :~0 ~0 B8
ELIZABETH A. NE~LLE
TOWN CLEI~f
KEGISTIt~R OF VITAL STATISTICS
~IAGE OFFICER
RECORDS IVlA~IAGEMENT OFFICER
FREEDO~VI OF INFO~TION OFF%CER
Town Ha.I. 53095 Main Road
P.O_ Box 1179
Southohl, New York 11971
Fax 16~1) 765-6145
Telephcne (631) 765-1800
southold ;own.north fork.net
OFFICE OF THE TOWN CI.F. RK
TOWN OF SOUTHOLD
INSTRUCTIONS FOR DISPLAY OF FIREWORKS
/
1.
Name of body sponsoring fireworks display.
Thc date and time of day at which the fireworks display is to be held.
The exact location planned for the fireworks display.
The age, experience and physical characteristics of the persons who are to
do the actual dischar~ng of the fireworks.
The number and kind of fireworks to be discharged.
The manner and place of storage of such fireworks prior to thc display.
A diagram of the grounds on which the display is to be beld, showing the point at wh ch 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.
10.
Such other infbrmation as thc Southold Town Clerk may deem necessary to protect persons and proper'ry.
An inderrmity insurance policy with liabihty coverage and inden'mity protection o5 $I,000,000.00 per
person ['or bodily injury; $1,000,000.00 per accident; $1,000,000.00 property damage.
The To;vn Clerk of the Town of Southold must have the insurance policy in her pcssession before the
fireworks permit is issued. The named insured must read: TOWN OF SOUTI.-IOLD.
11. Application for a fireworks permit must be made at least five days in advance of the Cate o f the fireworks
display.
aoeve msrrucuons are m accoroance w~ti'l the Penal Law, Article 405 - Licensing and other provisions
relating to fireworks.)
dSI :MO ~0 E~