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HomeMy WebLinkAbout2007 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 Feux (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: MATTITUCK FIRE DEPARTMENT PIKE STREET~ MATTITUCK 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 9:00-9:30 P M on Saturda¥~ September 8~ 20(Igon the property of MATTITUCK PUBLIC SCHOOL Athletic Field~ 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 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 filly 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. ......... ............... (Town Seal) Elizabeth A. Neville, Southold Town Clerk Suffolk County, New York Date: AUGUST 23, 2007 THIS PERMIT IS NOT TRANSFERABLE POLICE DEPAI TMENT TOWN OF <~OUTHOLD Telephone Emergency Dial 911 CAKLISI,E E. COCHIL>tN, JR. Chief qf' Police TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochratk Jr. ~ August 22, 2007 Request for Special Permit - Fireworks Permit - Mattimck Fire Department Saturday, September 15, 2007 I have reviewed the above request for a special permit. I have no objection to the approval of this permit. em: Capt. Martin Flatley 41405 Routc25" P.O. Box 911 · Peconic, N.Y. 11958 Administrative(631) 765-2600/2601 ° Fax (631) 765-2715 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 Page 1 of 1 Cooper, Linda From: Doreski, Melanie Sent: Wednesday, August 22, 2007 11:12 AM To: Cooper, Linda Subject: fireworks permit for Mattituck Fire Dept Linda: Mattituck High 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 Mattituck Fire Department at MHS for 9/15/07. Melanie Doroski Sr Administrative Asst Land Preservation Dept 8/22/2007 ELIZA:~ETH A. NEVILLE TDWN 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 ro~ From: Dated: Re: Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation Linda J. Cooper, Deputy Town Clerk Augu~ 21,2007 Fireworks Permits for Mattituck Fire Department Transmitted herewith are applications for Fireworks Permits for Mattituck Fire Department at Mattimck 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 M~-RRIAGE 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 ~-~.~c ~ ~ ~)~ . . PRINCIPAL OFFICE AT ~,©. EXACT LOCATION OF ~N DATE & TIME The following persons arc to be in charge of the actual shooting of the fireworks: Na Age Experience Physical Condition (Additional names and information may be submitted on an attached sheet Nmnber and type of fireworks is as follows.,: Manner and place of storage of fireworks prior to display: ~o-_k,~4,~' --~ ~'~ ~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. /~of Orgmzation Si~mure of Applic~t Date of Application 08/16/2007 13:11 FAX 856 697 9557 YINELAND FIREWORKS CO. ~002 CO ~E OF' ~gU~NGE ~L~Y N~BER DA~ (M~D~I DA~ {M~D~ ~5,~.0~ L~ mattituck, NY,Pike Street - Google Maps Address Pike St Mattituck, NY 11952 Page 1 of 2 http://maps.google.com/ 8/16~2007 FOR USE OF MA2'I'ITUCK JR/~R HIGH FACZLITY FOR USE OF CUTCHOi~UE F./~T FACILITY Please subm/t form to: Please submit form to: Mr. Shawn Pe~'etti SrJSr. High School Principal Matttuck Jr/Sr. High School 15235 Main Road Mat'dtuck, NY 11952 (631 ) 298-8460 (631) 298-8544 Fax M_rs. Anne Smith Elementary School Principal Cutchogue East Elementary School 34900 Main Road Cutchogue, NY 11935 (631) 734-6049 (631) 734-4299 Fax REQUEST FOR USE OF SCHOOL FACILrrIES Par~A Date Submitted Individual Responsible for Org~ni~,ation .~z~ i~'~ ~-~" ~ .~')~.~ ~-'-~- Address ~ ~7~' Tel# City/State/Zip Facility Requested: Building ~'~,~- O Room or Rooms Other Time of ~s~ ~./ Date O ) Is the date a non-school day? Yes ~No__ Hours ~'~,~ g //d~D-~ If yes you must complete Part B # 1 Is the activity open to the public? Yes i~ No __. If the activity has 50 or more participants or the activity is of a physical nature (i.e. basketball, wrestling, etc.) you must complete Pan B # 1 & 2. Is admission being charged? Yes __ No ~ If yes please provide detailed explanation of use of proceeds. Does the activity require bringIng other equipment into the facility or moving existing equipment or furniture on the facility? Yes [,'" No __ If yes, please fill out Pan B # 1, 2, and 3. PanB If you have been requested to fill out Pan B, all or some of the items may apply to you. If you have requested to use the facility on a non-school day or require the services of a custodian, a use of building fee chaxge will be assessed. The fee is $25.00 per hour. If there is a need for more than one custodian the fee will be an additional $35.00 per hour for each custodian. 2. For the protection of your organization and the District fi.om and against any liability, loss or damage, in the course of your organiTation using the facilities, the organization will, at it's own expense, carry insurance which may be required to provide the necessary protection against such loss or damage. eeUEST FOR USE OF SCHOOL FACILrlIES CONllNUED: s must be paid and proof of insurance must be provided five days prior to the activity. make all check payable to the: Mattituck-Cutchogue UFSD Please provide the District with a detailed explanation of your program, your need for assistance from the dis~ict personnel, schematic drawing, if n~cessary, and a list of chape~'ones. - (If additional space is needed please attach another sheet) 4. Chaperones: I. J'/,t~ ~,~c- 4. (If necessary, submit addition~l names) We, as duly authorized representatives of the organization filling tiffs application, have read and agreed to the hales and regulations and will guarantee that they are complied with. Siguature ,~"',~~ ' Approved: ~ak.ing apphealion) / Title Disapproved: Date: You have the right, if disapproved, to appeal to the Board of Education whose decision is final Copies forwarded to: use of facilities,doc