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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 Fox (631) 765-6145 Telephone (631) 765-1800 southoldtown.north fork. 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 Southold for this purpose, do hereby GRANT TO: GREENPORT FIRE DEPARTMENT THIRD STREET~ GREENPORT 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 PM on Wednesda¥~ July 4~ 2007 and Saturda% July 7~ 20071 Rain Dates: July 5 and 8~ 2007 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 fil~y 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 &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 them 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 Se~) Date: June 21,2007 THIS PERMIT IS NOT TRANSFERABLE , ELIZABETH A. NEVILLE TOWN CLERK Rl~GISTRAR 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. York, being an officer purpose, do hereby GRANT TO: A PERMIT by said organization State of New York at 10:00 Rain Dates: July 5 and 8~ 2007 side Front Street Town Clerk of the Town of Southold, Suffolk County, New designated by the Town Board of the Town of Southold for this FIRE DEPARTMENT GREENPORT THE PUBLIC DISPLAY OF FIREWORKS with the provisions of Section 405.00 of the Penal Law of the 2007 and Friday~ July 8~ 20071 of GREENPORT PUBLIC SCHOOL~ north New York. ON CONDITION THAT the bond (indemnity the Town of Southold, and PROVIDED that the two hundred feet from the nearest building, feel from the nearest above at such display shall be restrained behind lines at fireworks are discharged and only persons in active fireworks that fire a projectile shall be so set up vertical direction, unless such fnreworks are to they may be directed in such manner that the falling e in full force and effect in favor of the fireworks are to be fired shall be at least or railroad, or other means of travel, and at least fifty trees or other overhead obstruction; that the audience one hundred and fifty feet from the point at which the display shall be allowed inside these lines; that all will go in the air as nearby as possible in a )r other large body of water, then uch lake or body of water; that any fireworks that remain unfired after the zs~onducted shall be immediately disposed of in a way safe for the particular type of fireworks remaining; that no fl~works display shall be held during any wind storm in which the wind reaches a velocity of more than thirty reliever hour; that all persons in actual charge of firing the fireworks shall be over the age of eighteen years, competent ~t~d physically fit for the task, that there shall be at least two such operators constantly on duty during the discharge'~nd that at least two soda acid or other approved type fire extinguishers of at least two and one-half gallons call,city each shall be ke'pt at such widely separated points as possible within the actual area of the display. ~ . .......... .............. Elizabeth A. Nevill~ Southold Town Clerk Suffolk County, New York (Town Seal) Date: June 21, 2007 THIS PERMIT IS NOT TRANSFERABLE POLICE D iPADTI ENT TOWN OF 60UTHOLD CAIkLISLE E. COCHILhN, JR. ChicfofPolicc Telephone Emergency Dial 911 TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochrat~ Jr.~ June 6, 2007 Request for Special Permit - Fireworks Permit for G-reenport Fire Department Thursday, July 5 and Sunday, July 8, 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 l~.outc25, P.O. Box 911 · Pcconic, N.Y. 11958 Adminisn'atixc (631) 765 2600/2601 ° Fax (631) 765-2715 Page 1 of 1 Cooper, Linda From: Spiro, Melissa Sent: Thursday, June 07, 2007 3:36 PM To: Cooper, Linda Subject: fireworks permit for greenport fire department Hi Linda, Greenport School is not Town of Southold preserved land. Therefore, I have no comment in regard to the Fireworks Permit application for Greenport Fire Department at Greenport High School on July 5th and July 8, 2007. Melissa Spiro Land Preservation Coordinator 6/7/2007 Page I of I Cooper, Linda From: Fisher, Robert Sent: Thursday, June 07, 2007 11:24 AM To: Cooper, Linda Subject: Greenport FD Fireworks 7/4 & 7, 2007 Linda I have no objections. I spoke to P Harris, the location is the same as in May 2007 and I told him about the s/b/I of the property is going to be on the application. Robert Fisher Fire Inspector robert.fi~her@t0wn, southold, ny. us 6/7/2007 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 Fox (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.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 DATE & TIME OF DISPLAY ,.~ , E~CT LOCATION O~DISPLA~- ~~ ~0~L ~c ~ t ' The following persons ~re te be in c[arge ef the ~ctual shoetmg of the firewerks: me Age Experience Physicnl Cendition (Addftional n~es ~d info~atio~ may be submitted on ~ attached sheet Number and ~pe of fireworks is as follows~ Manner and place of stora/~ of fireworks prior to display: ~/P~c,~/a/'.~ 6~/// ~ 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. Signature of Applicant Date or'Application 06/05/2007 17:~3 FAX 856 697 9557 VINELAND FIRE~¥ORKS CO, ~002 The BoPtl]~ Agency, i~u~DV~n~I'"-"~nd F~eworK~, ZnC. 06/0.5/2007 17:53 FAX 856 697 9557 YII',!ELAIVI) FIREWORI[S CO. ~]003 JUN. 5. 2007~10:50'AM , , , NO, 952 .... '-~ORD~ CERTIFICATE OF L~BILITY INSU~NCE I ~E~ THIS ~E~FICA~ DOES NOT ~END, ~N~.~ ~R ~E CO~GE AFF~ED BY~E ~LI~IES INSU~S ~FO~DiNG COVE~GE .AGORO 2s ACORD , CERTIFICATE OF LIABILITY INSURANCE PRODUCER (856)694-2222 FAX (R56)694-2279 THISCERTIFICATEISISSUEDASAMAI~t:i~OFINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Bo re1 1 i Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dutch Nil] Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nalaga,, N1 08328 INSURERS AFFORDING COVERAGE NAIC # INSURED Vineland Fireworks Co. ,Inc. INSURERA: National Cont~nenta~ Ins. Co. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COMMERCIAL GENERAL LLABILITY PREMISES lea occumnce} AUTOMOBILEUABIMTY CN30006912747 7; 04/20/2007 04/20/2008 COMBINED SINGLE LIMIT $ (Ea accident) Display date; 3uly 4th & 7th, 2007 ain date; CERTIFICATE HOLDER CANCELLATION Greenport Fire Dept. 212 Knapp Place Greenport lI, NY 11944 ACORD 25 (2001108) 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.north fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To; Dated: Re: Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation Linda J. Cooper, Deputy Town Clerk June 5, 2007 Fireworks Permits for Greenport Fire Department Transmitted herewith are applications for Fireworks Permits for Greenport Fire Department at Greenpon High School Please advise if the permit may be issued. Thank you. cc: Southold Town Board 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 OFSOUTHOLD 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 ~.0. DATE & TIME OF DISPLAY EXACT LOCATION OF DISPLAY CoFe~,a~rJt- ~, ~ ~c-/xoc~ !- ~4dc~l~-~;a. ~-~ RAIN DATE & TIME dc~y The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: Physical Condition Manner and place of storage of fireworks prior to display: ;7~e ~f//~.~ ~J~,,~ t'~?/// ~- 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. t~of Organization By . Signature of'JEpplicant Date of A~plication 06/03/2007 13:45 FAX 856 697 9557 VINELAND FIREWORKS CO, ~002 CO ~E OF INSUR~CE POLI~ NUMB~ CATE (M~DD~ DATE (M~D~ . ~MBiNED 8~LE LIM~ ~ ~NED AUTO (Per (Per ~n) EXCESS ~ILI~ ~CH A~CIDE~ =OLLOWING F~M AGGREGA~ $ 06/03/2007 13:45 FAX 856 697 0557 VINELAND FIREWORKS CO. ~003 ACORD CERTIFICATE OF LIABILITY INSU..I _ NCE ' FAX 8;6 694 2279 ITHI$ct:Kli~i~ATEISISsUEDA~S-'A'MAII--~-O-F-/N~F~R'M~ON PROOLI~ER $56)694-2222 ( ) - O CONFE~ NO RIGHT~ u~N 1 ( ONLY AN O The Bore114 Agency, ~nc. ~LDER.~ISCERTIFICA~DOESNOTAMEND,~N OR ~ AL~R ~E CO~GE AFFORDED ~ ~E ~UCIES BELOW. Vineland, N3 01360 I~al aga,, N3 08328 INSURERS AFFORDING COVERAGE COVERAGES THE POUCIES OF iNSURANCE UsYED BELOW ~e~VE BEEN iSSUED TO THE INSURED HAMED A~OV~ FOR THE POLICY pERIOD INDICATED. NOI~MTHSTANDING ANY REQUIREMENT. ~ERM OR CONDIllON OF ANY CONTRACT OR OTHER DOCUMENT ~ITH RESPECT TO WHICH THIS CERTIFICATE MAY ~ ISSUED OR MAY P~RTAIN. THE INSURANCE AFFORDED BY THE POUCIE8 DESCRIBED HEREIN IS SUBJECT TO ALL ME TERMS, EXCLUSIONS AND CONDmONs OF SUCH DEOUCTIBLE RETENTION $ ~C7~3S-~01113-O17 04/01/2007 Hsplay date; 3uly 4th & 7th, 2007 o4/01/20o8 S00,00~ 500.000 CANCELLATION CERTtFICATE HOLDER Greenport F~re Dept. ZXZ Rnapp place Gree~port LX, NY 11944 ACORD 25 (2o01/08) Aco CO 'ORA O 00/03/2007 13:46 FAX 856 697 9557 VINELAND FIREWORKS CO, ~004 ACOR'..D: CERTIFICATE OF LIABILITY INSURANCE ' - THIS CERTIFICATE IS I~SUED AS A MA[~i=t~ OI~ NFORMAllON ~ou~R (s56)694-22zZ FAX (856)69~-2279 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The 0ore11{ Agency, Znc. Dutch Mil~ Road Halng~,, N3 08328 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. INSURERS AFFORDING COVERAGE INSURER D: ~AIC # COVERAGES THE POLICIES OF INSUR^NCE LISTED BELOW HAVE BEEN I~UED TO THE IN~URED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOI~NITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ~ CONTRACT OR OTHER DOCUMENI' WITH RF.~PECT TO ~ICH T~S ~R~FI~ ~Y BE ISSUED OR ~y ~TNN, THE INSU~CE ~FORDED BY T~ POUCIES DESPISED HE~IN IS SUBJE~ TO ALL ~E TE~S, ~C~O~ ~D CONDI~O~ OF SUCH POUCIES, ~RE~ UMITS SHO~ ~Y ~ SEEN ~UCED BY PAiD C~MS. CN3000G9~2747 04/20/Z007 04/H0/200B A~TO ONLY: AGG Eh, CH OCCURRENCE DEDUCTIBLE HOLDER CANCELLATION Bur FAILURE TO MAIL SUni AU~ ~A~ / I A¢ORD 25 (2001/08) 06/03/2007 13:46 FAX 856 697 9557 VINEI~kND FIREWORKS CO. ~005 85/'21/2f~1~7' 116: 36° 4043055572 ASQ 530 PAGE Federal Aviation A~m~n~stt a~lon Bou~ern R~gi~n 1701 Columbia Ave r_411~lq Park, GA 30337 May 21, 2007 Ms. p. aquel L. Flowers 0~.~ M~nager riceland Fireworks Co, 1640 Garfl~o. Road Vineland, NJ 08560 Kc: Fireworks Display from ~port I-ligh School Grounds, Crrce~po~t. NY Dear Ms. Flowers: We received your letter regarding you~ proposed fireworks display in Gr~nport, NY. The ti~e o£the displays will. be approximately 10:00 pm, duration 10-15 minutes, ol~ July 4 & 7, 2007, No rain dates have beau scheduled- Our office ha~ no objectiou provided the maximum shell height do~s aot excoed 600 feet above ground level and the following conditions axe met: Coatact thc Lo~khoed Martin Flight Service Stafiun, 877-48%6867, at ica.st si:( hours p~ior to the scheduled time of the fireworks di~lay to afloat thc i.~suaa~e of it Notice to Airraoo Advisory. l'his letter disposes of tho Federal Aviation Administration's interest in this matter but should not be construed aa superseding or invalidating any existing rilles or regulatiorls promulgated by any other federal, state, county, or murgcipal govemmaut, which may be required for this display. Sincerely, Mark D. Ward Manager, System Support Branch ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM ()F INF()RMATION OFFICER Town Hall, 53095 Mai-n Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone 16311 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 Southold for this purpose, do hereby GRANT TO: GREENPORT FIRE DEPARTMENT THIRD STREET, GREENPORT 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 PM on Saturday, September 1, 2~007; Raindate: Sunday, September 2, 2007 on the property of GREENPORT PUBLIC SCHOOL Athletic Field, 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 ob the Town of Southold, and PROVIDED that the actual point at which the fireworks are to be fired shall be at lea~ 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 &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 al~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 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. (Town Seal) Elizabeth A. Neville, Southold Town Clerk Suffolk County, New York Date: August 23, 2007 THIS PERMIT IS NOT TRANSFERABLE POLIC DI PADTMI NT TOWN OF c OUTtlOLD CAIUJSI.E E. COCHIL{N, IlL ChirfofPolire Telephone Emergency Dial 911 TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr~ August 22, 2O07 Request for Special Permit - Fireworks Permit - Greenport Fire Department Saturday, September 1, 2007 I have reviewed the above request for a special permit. I have no objection to the approval of this permit. Capt. Martin Flatley 41405 Routc25* P.O. Box 911 * Pcconic, N.Y. 11958 Administrative (631) 765 2600/2601 "Fax (631) 765 2715 Page 1 of 1 Cooper, Linda From: Doroski, Melanie Sent: Wednesday, ^ugust 22, 2007 11:04 ^M To: Cooper, Linda Subject: fireworks permit for Greenport Fire Department Linda: Greenport School is not located on Town of Southold preserved land. Melissa Spiro, Land Preservation Coordinator, has no comments regarding Fireworks Permit application that you received from the Greenport Fire Department at GHS for 9/1/07 (RD 9/2/07). Melanie Doroski Sr Administrative Asst Land Preservation Dept 8/22/2007 Page 1 of 1 Cooper, Linda From: Fisher, Robert Sent: Wednesday, August 22, 2007 3:14 PM To: Cooper, Linda ' Subject: Fireworks sites Linda, I have no problem with the Greenport site for Sept 1, 2007 or with the Mattituck H.S. site for Sept 15, 2007 as per the papers you sent to me. Robert Fisher Fire Inspector robert.fisher@town.southold,ny us 8/22/2007 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER To~vn Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor th fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ro~ From: Dated: Re: Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation Linda J. Cooper, Deputy Town Clerk August 21, 2007 Fireworks Permits for Greenport Fire Department Transmitted herewith are applications for Fireworks Permits for Greenport Fire Department at Greenport High School Please advise if the permit may be issued. Thank you. cc: Southold Town Board ELIZABETH A. NEVILLE TOWN CLERK REGISTtLAR 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 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 speci~ed: ,. _ DISPLAY IS TO BE SPONSORED BY Cc~ C-¢~o_m ~D~ CJk- ~L~ f~._ ~~& DATE & TIME OF DISPLAY ~c~O~/~ '5.oo~c~w,~C Ii NV - l~ t° ~ EXACT LOCATION OF DISPLAY ~_~C-~ Dc. ~J~ ~c-~, ~'~[ ~d2~/C ~,~e~g The following persons are to be in charge of the actual shooting of the fireworks: Age Experience P~sical ~ondition (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: Manner and placq 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 pernfission, with signature of the Propertv Owner~ must be submitted with the Application. (N~. ~of Organization. Signature of Applicant 'Date o£ Application 08/16/20~.7 13:~3 FAX 856 697 9557 VINELAN~ FIREWORKS CO. ~007 ~E ~SOfl~ ~ NOT ~R C~ ~ ~ILY ~RY OR PR~R~ D~GE ~ ~E ~EO INSURED~ S~ER(S} ~SISTA~(~) ~ A~ O~ER PE~Ot ~S) ~C~D~G A~ VOL~EER(S} pART~IPATING ~ ~IY WAY ~ ~Y DI~Y ~ SPECIAL EFFE~ ~RF~D ~ ~EC~D ~ ~PE ~ I;~SO~NCE POLICY N~BER DATE (M~D~ DATE (M~D/~ L~ ~ GENE~ LI~ IL~ 11~14747~7 J~ ~, ~7 ~ly 08, 20~ ~CH AGCIOE~ ~CH ACCIDE~ ~F~A~ ~L~ ~R C~CEL~T~N GREENPORT PUBLIC SCHOOLS 720 Front Street Greenport, NY 11944 APPLICATION FOR USE OF SCHOOL FACILITIES The Administration is responsible for the use of all school facilities in order that they ma3 consider~yot~r request for such use, kindly complete the following: I. Facilities Use Request (Organization) (~.q-,? .,,,r,J~o ~--7--' /~; /~. _'~'~.' requests the use of ,t~)T?'.~t~_ C,, ~_'2"c', :/~,'e ~?~ /~t/4t~ ]t~ .~/~:: /z. ~t Greenport Public Schools .... for the purpose of /'"' / /:~,~. /.LJ o ~: I¢x' ( g'~"~tZ on (date) Cc.' ~--'~' ! . '2~,m~7 5'~.~' '7...- at (time) /C) 7 ,x~ Will ac'[ivi/y be op'en to the public? c/~ X. Admission of Af-O will be charged; proceeds will be used for Does applicant agree to submit financial records for examination upon requests? Does applicant agree to conform to the regulations of the Board of Education and all laws regulating to the use of school property including Section 414 printed on the reverse side of this application? Name -- - Address Telephone # _~',~ (" - ~ ~ ~(-~' of the person responsible on this occasion. A certificate of insurance of at least $1,000,000 public liability per occurrence and $2,000,000 aggregate liability insurance and $50,000 property damage shall be submitted at least three days in advance of the event and must designate both the using organization and the Greenport Union Free School District with ISO endorsement CG2026. The absence of such a certificate will preclude use of the facility. The policy must contain a 30-day guarantee notice of cancellation. The user agrees to indemnify the district for any applicable deductibles. III. Rules Governing Use of Facilities A. No smoking is allowed in the building or on the grounds. The organization using the facility is responsible for enforcement. B. No drinking of alcoholic beverages is permitted. C. Activity shall be restricted to that area for which permission is granted. D. Activity shall not extend beyond hours approved by district. E. Programs shall not interfere will regular school schedule. F. Organization shall be responsible for moving its equipment into and out of the building. G. The supervisor of the activity shall be present before it is due to start and remain with the group until all have left. H. In the absence of administrative personnel, the custodian is charged with the responsibility of the building. 1. School authorities must have fi'ee access to all rooms at all times J. A carefifl examination will be made after use of the area by the applicant who will promptly make good on any loss or damage, which might have occurred. No school property or equipment is to be altered or removed fi.om the premises. This license is revocable at any time by school authorities. No reservation will be made until this application is returned and approved by the district's Chief School Administrator. IV. Rental Fees Other Fees or Conditions: Auditorium for performance $100 Auditorium for practice $ 50 Gymnasium for performance $100 Gymnasium for practice $ 50 When an approved activity takes place outside the normal hours of school operation, the organization will be charged $40.00 per hour for personnel services for a minimum of 4 hours. This all must be paid seven days in advance and is not refundable unless the district receives notification of cancellation at least 48 hours in advance. I agree on behalf of the above-mentioned organization that all members and guests will observe the regulations and that we, individually, and as an organization, will assume all financial responsibility for any and all damages done to the Greenport School property during the above- indicated period of use. We also agree that our organization will at all times hereafter indemnify the above-named school against any loss, damage or expense of any kind, which said school may sustain or incur because of the use of the above-mentioned building by our organization, and we further will hold said school harmless for loss of any kind in connection herewith. AppliCant ' ~ Denied Superintendent o~--~f S~ols~g/je '~ Date: Specific Details of Use: EXCERPTS FROM SECTION 414 OF THE EDUCATION LAW "...The Board of Education of each district may...permit the use of the school house and rooms therein, and the grounds and other property of the district, when not in use for school purposes, for any of the following purposes: 1. For the purpose of instruction in any branch of education, learning or the arts. For holding social, civic and recreational meetings and entertainments, and other issues pertaining to the welfare of the community; but such meetings, entertainment and uses shall be non-exclusive and shall be open to the general public. For meetings, entertainments and occasions where admission fees are charged, when the proceeds thereof are to be expended for an educational or charitable purpose; but such use shall not be permitted if such meetings, entertainments and occasions are under the exclusive control, and the said proceeds are to be applied for the benefit of society, association or organizations of veterans of the military, naval and marine service of the United States and organizations of volunteer firemen." Revised 9/1/200I 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.north fork.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 Southold for this purpose, do hereby GRANT TO: GREENPORT FIRE DEPARTMENT STAR HOUSE CO. #3~ THIRD STREET~ GREENPORT 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 PM on Saturday~ May 26~ 20067 Raindate: Sunday~ May 27~ 2007 on the property of GREENPORT PUBLIC SCHOOL Athletic Field~ 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 at~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 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 Yoik (Town Se~) Date: May 15, 2007 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. ~ May 10, 2007 Request for Special Permit - Fireworks Permits for Greenport Fire Department Saturday, May 26, 2007 I have reviewed the above request for a special permit. I have no objection to the approval of this permit. Please have Mr. Semorg or his representative, contact Capt. Martin Flatley as soon as the Town Board grants approval to coordinate traffic control. Capt. Martin Flatley 41405 Route25 * P.O. Box 911 * 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.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To; From: Dated: Re: Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Of- y~q'~ ? Melissa Spiro ag( Linda J. Cooper, Deputy Town Clerk May 9, 2007 Fireworks Permits for Greenport Fire Department Transmitted herewith are applications for Fireworks Permits for Greenport Fire Department at Greenport School grounds on May 26 at 10:00 PM (fid 5/27) Please advise if the permit may be issued. 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.nort hfork.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: DISPLAYIS TO BE SPONSORED BY -~C~r ~)~ C~, '~ DATE & TIME OF DISPLAY ~ }/~ -- /C ~ E~CT LOCATION OF DISPLAY/ ~Cm e~:% ,~f/~ ~N DATE & TIME ~,~ ~ --/;) The following persons are to be in charge of the actual shooting of the fireworks: Na~ / Age Experience Physical Condition -J % ' 4 (Additional n~es ~d info~ation may be submiUed on ~ attached sheet ~umber and ~pe of fireworks is as follows: Manner and place of storage of fireworks prior to display: bo_l~de,-( J 40 ?.,'~--e_ ~o~, Att~e~ed ~eteto ~.d m~de ~ ~tt of ~ereof is ~ diagram ~f the ~ro..ds ~ ~hi~ t~e ~i~l~ is t~ ~e ~el~. ~so attached is a certificate or policy of insurance coverage. Nme of Orgmzation Silage of Applic~t ~c of Application / ,¥ 05/02/2007 12:33 FAX 856 697 9557 YINELAND FIREWORKS CO, ~002 ~URED (~ ~ ~n) ~D A~ ~DiLY ~Y ~K~S ~PEN~ ~ STATU- OTHER AND ~Y ~0~ LI~IL~ E.L, ~H A~ E.L, DB~E-~ ~LOYER 05/02/2007 12:$3 FA,[ 856 697 9557 ¥I~LA.ND FIP. EWO~,E$ CO. ~003 'ACORD CERTIFICATE OF LIABILITY INSURANCE *m 05/01/2007 Pw:]ou(::~H (S56)694-22Z2 FAX (aS6)694-2279 ~ISC~FICA~EDASA~II~K~INF~TION ONLY AND C~F~ NO RIGHTS U~N THE CER~CA~ The Bore11 ~ Agency, Znc. HO~ ~ C~F~A~ ~ES NOT ~END, ~ND OR ; u t c b ~ ~ 11 R o a d AL~R ~E CO~GE AFFORD BY ~E ~UC~5 BE~W. ~ a 1 a g a, , N ] 0 ~ ~ 28 INS~E~ AFFORDI~ ~GE ~IC g Star Hose CO. # 3 GreeflpoP: Fire Dept. 222 KRapp Place C. ERTIFIGATE HOLDER CANCELLATION eu~ ~A~U~ ~o lUUL. suc~ ~o~ce s.~u_ mPo~ ~ ~'noN oR O~ ANY KIHO uI~r~E IN~IJ~I~ IT~ A~ C)R RE~A~IV~ ACORD 25 (2001/08) /~CORD CORPORAllON 05/02/2007 12:33 FAX 556 697 9557 VINELAND FIREWORKS CO. ~004 · ACORD. CERTIFICATE OF LIABILITY INSURANCE ~c~R CS 5~) 694-2222 F~ (~ $6) 694:22 ?g ~lS G~F~ ~ I~D AS A ~'~ I =~ OF ~F~ON The Bore11 ~ Agency, Inc. O~YAND CONFERS ~ RIGH~ U~N ~E C~F~A~ ~ ~S CER~FICA~ ~ NOT A~ND, ~ND OR Dutch ~ ~ 1 1 Road AL~R THE CO--GE ~OR~D BY ~E ~UC~8 BELOW. IN~UR~S A~ORDJNG C~GE NAIC GOVBRAGES "[1.IE POI_lC;ES OF INSURANCE ~; t r:u EEl. OW HAVE BEEN ISSUE~ TO ~ INSURED NANIED ABOVE FOR ~ POLICY PERIO0 O,,fDI~ATED. NOI~'~'[HSTANOING ANy REQU~E'NT, 'I'ERM OR CONDmON OF ANY GONTRACT OR O'ITIER DOC~ WITH RESPECT TO WH~ ~ ~ ~Y ~ ~D.~ .. MAY PERTAJN, THE INSURAHCE AFFORDED BY THE POLIC~E~ DF_$C~ED HEREIN IS ~q~JECT TO AU. THE TERMS, EXCLUSIONS AHO CONOIllON~ OF SUCH pOLK~F_~. AGGREGATE LIMITS b-~HO~N MAY HAVE BEEH ~ BY PAJD CEJ~MS, WOP, K~SCCmIF. NSA'Tt~XNO WC71IS-10Zll3-OI7 04/01/Z007 04/01/z0o1 CERTIFICATE HOLDER AOORD 2S (2001/08) _ · Page 1 of 1 Cooper, Linda From: Sent: To: Spiro, Melissa Thursday, May 10, 2007 10:01 AM Cooper, Linda Subject: fireworks permit for greenport fire department Hi Linda- Greenport School is not Town of Southold preserved land. Therefore, I have no comment in regard to the Fireworks Permit applications for Greenport Fire Department at Greenport School on May 26, 2007. Thank you for referring the application to me for review. Melissa Spiro Land Preservation Coordinator 5/10/2007 · . . . Pagelofl Cooper, Linda From: Fisher, Robert Sent: Thursday, May 10, 2007 3:12 PM To: Cooper, Linda Subject: GFD Fireworks Linda I looked at the site today. I have no problem with the permit being granted, Bob Fisher Fire Inspector 5/10/2007