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Home My WebLink About2006 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 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 Southold for this purpose, do hereby GRANT TO'. GREENPORT FIRE DEPARTMENT STATION NO. 1~ 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 0fthe State of New York at 10:00 PM on Saturday~ July 1, 2006 and Monday, July 3~ '2006~ Rain Dates: July 2 and 4, 2006 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 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 o~ 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/k. Neville, Southold Town Clerk Suffolk County, New York (Town Seal) Date: June 6, 2006 THIS PERMIT IS NOT TRANSFERABLE MEMORANDUM RECEIV;'D Sout~iok~ T~wn Clerk TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr. June 2, 2006 Request for Special Permit - Fireworks - Greenport Youth Activities Fair July 2 and July 4, 2006 I have reviewed the above request for a special permit. I have no objection to the approval of this permit. cc: Capt. Martin Flatley 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 Linda J. Cooper, Deputy Town Clerk June 1, 2006 Fireworks Permits Greenport Youth Activities Fair Transmitted herewith are applications for Fireworks Permits for the Greenport Fire Department to be held at the Crreenport School's Athletic Field on July 2 and 4, 2006. 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.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 specified: DISPLAY IS TO BE SPONSORED,,~BY PRINCIPAL OFFICE AT DATE & TIME OF DISPLAY EXACT LOCATION OF DISPLAY Ce~ C~oq~x~e~¢~'-~)t~ol~C. ~aJl- It~.[~J~c_ ~"J~L~ The follow~g persons are to be in charge of the actual shooting of the fireworks: Age Experience Ph~ical Condition (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: \ ' -- I t · .... ~J ~I~nner and place of storage of fireworks prior to display: /3¢//?,ee~/~ ~.'f,'~t.~ g.f~e ~)/ 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. // / N3m%o f Organization. By Y~/~...~v~ Signature of Applicant ~)ate bf Application Certificate of Insurance 370194 issue Date: 04/13/'2006 =RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATfON ONLY AND ~ombined SpechaflJes International, Inc. 3ONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE 3362 Tamarack Wllage 3OES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED BY THE ~uite 119 POLICIES BELOW. Noodbuf'J Minnesota 55125 INSURERS AFFORDING COVERAGE INSURER A: Underwriters, uoyds of London INSURED FNSURER B: ¢ineland Fireworks Co., Inc INSURER C: LTR DATE (MM/DD/YY) DATE (MM/DD/YY) iPer person) ACORDTi CERTIFICATE OF LIABILITY INSURANCE BA ,MM,BD , 04/12/2006 PRODUCER (856)694-2222 FAX (856)694-2279 THIS CERTIFICATE IS lSSUED AS A MATTER OF INFORMATION The Bore11 i Agency, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Du t c h M i I 1 Ro ad ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Malaga,, N3 08328 INSURERS AFFORDING COVERAGE NAIC # INSURED Vlneland Fireworks, ThC. INSURERA: Liberty Mutual Insurance Co. 1640 E. Garden Road INSURERB: Vineland, N3 08360 INSURERC: iNSURER D INSURER E 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY} LIMITS GENERAL LIABILITY EACH OCCURRENCE $ I CLAIMSMADE [] OCCUR PREMISES(Eaoccurenco) ~ POLICY[~ JECT ~ LOC ~ OCCUR [] CLAIMS MADE AGGREGATE $ $ WORKERS COMPENSATION AND "C5-33S-301113-015 04/01/2006 04/01/2007 ITORYL'M'TSI ~isplay date; 3uly 1, & 3 2006 :ain date; luly 2 & 4, 2006 CERTIFICATE HOLDER CANCELLATION Greenport Fire Dept. 212 Knapp Place Greenport Long Isl., NY 11944 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL [ 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, THOR/ZED REPRBUT FAILURE TO!~MAIL S H NOTICE SHALL~sIMPOSE E~~NT~TI1NO OBLIOAIION OR LIABILI~ AU~.r_~'~O 'URER, 1~ AGE TS OR REP SENTATIVES. ~ACORD ~R~RATION 1988 ACORD 25 (2001/08) ACORDM CERTIFICATE OF LIABILITY INSURANCE DATEIMM,DD , 04/12/2006 PRODUCER (856)694-2222 FAX (656)694-2279 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Sore11 i Agency, [nc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR gu t c h N i l l Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Malaga,, N3 08328 INSURERS AFFORDING COVERAGE NAIC # INSURED Vineland Fireworks, Thc. INSURERA: National Continental Inc. 1640 E. Garden Road INSURERB: Vineland, N3 08360 INSURERC INSURER D: INSURER E 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 INSR ~DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE iM M/DD/Yy) DATE tMMiDD/Yy} LIMITS GENERAL LIABILITY EACH OCCURRENCE $ CLAIMSMADE [] OCCUR UEDEXP(Anyoneperson) $ AUTOMOBILE MADIMTY CN300069127476 04/20/2006 04/20/2007 COMBINED SINGLE LIMIT 5,000,000 ~ OCCUR [~ CLAIMS MADE AGGREGATE $ Display date; 3uly 1, & 3 2006 CERTIFICATE HOLDER Greenport Fire Dept. 212 Knapp Place Greenport Long Isl., NY 11944 ACORD 25 (2001/08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 {) 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 UPO INSURER, ITS A NTS OR REP SENTATIVES. AUTHORIZED REPR ATIVE ELIZABETH A. NEVILI,F. 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 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 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., 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 p.m. on Saturday, May 27, 20067 Raindate: Sunday~ May 28~ 2006 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 defiagration 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 (Town Seal) Suffolk County, New York Date: May 23, 2006 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: Lynda M. Bohn, Deputy Town Clerk Chief Carlisle E. Cochran, Jr.~ May 9, 2006 Request for Special Permit - Strawber~ Festival, Matlituck Friday, June 16 to Saturday, June 17, 2006 and Greenport Fire Depashaent - Saturday, May 27, 2006 I have reviewed the above request for a special permit. I have no objection to the approval of this permit. Please have Mr. Harris, or his representative, contact Capt. Martin Flatley within ten (10) days after Town Board approval to coordinate traffic control. cc: Capt. Martin Flatley 41405 Route25 op.o, Box 911 · Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 · Fax (631) 765-2715 ELIZABETH A. NEVILLF,, 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: Chief Carlisle E. Cochran, Jr. FROM: Lynda M. Bohn, Deputy Town Clerk RE: Fireworks permits Date: February 17, 2006 Transmitted are the requests of the Vineland Fireworks Company for a fireworks permit in Greenport and Mattituck Please review this request and send me your recommendations in writing. Strawberry Festival, Mattituck Greenport Fire Department 6/16-17/06 9:45 pm 5/27/06 10:00 pm RD: 5/28/06 10:00 pm 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 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 S+CLC ~Ju:k%e ~--~oox~/~:g~ PRINCIPAL OFFICE AT C"'~ ('¥'earlFDoc'al~ ~':C~. ~. t DATE & TIME OF DISPLAY--~'~OoJ ~4n i~.Om . ~o~,~ ~18.t/oq~?~ !Oo~ [OCA IO OISe[A G The following persons are to be in charge of the actual shooting of the fireworks: Name Experience Age 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: - / ' t /' 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. ~q~F/d/~'~/~ ~O~t~9~-~ .~c- · y °3.mz Signature of Applicant Da~e of ~pplication __05/08/2006 09:07 FAX 856 697 9557 VINELAND FIREWORKS CO. ~003 ,~-L~K~(~RI) 15:54 ~I H~INIZ (FAX)763 559 7485 p.[¢[¢1/1¢~ LC~ ~