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HomeMy WebLinkAbout2005 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 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 bercby GRANT TO: MATTITUCK LIONS CLUB 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~ JUNE 17~ & SUNDAY~ JUNE 18~ 2005 AT 9:30 P.M.~ on the property of the COUNTY OF SUFFOLK, managed by THE TOWN OF SOUTHOLD, known as 'STRAWBERRY FIELDS", Sound Avenue, Mattituek, New York. ON CONDITION THAT the bond (indemnity insurance) required shall con, hue 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 fi.om the nearest building, public highway or railroad, or other means of travel, and at least feet fi.om the nearest above ground telephone or telegraph line, trees or other overhead obs~uction; that the audience at such display shall be restrained behind lines at least one hundred and fifty feet fi.om 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 ak as nearby as possible in a vertical direction unless such fireworks are to be fired fi.om the shore or a lake or other large body of water, then they may be directed in such manner that thc falling residue fi.om the deflagration 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 fireworks remaining; that no fireworks display shall beheld during any wind storm in which thc wind reaches a velocity of more than thirty miles per hour; that all persons in actual charge of firing the firewurks 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 last two soda acid or other approved type fire extinguisbers 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: June 8, 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 MEMORANDUlVl RECEIVED MAY 2 5 2005 TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr.~.~..- May 24, 2005 Request for Special Permit - Fireworks Permits (3) Greenport Fire Department - May 28, 2005 Mattituck Lions Club - June 16 and June 17, 2005 Greenport Fire Depactment - July 2 and July 4, 2005 Southolcl Town Clerk I have reviewed the above requests for special permits. I have no objection to the approval of these permits. Please have the appropriate representative from each organization, contact Capt. Martin Flatley within ten (10) days after Town Board approval to coordinate traffic control. cc: Capt. Martin Fiaticy 41405 Route25op. O. Box911 ° Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 · Fax (631) 765-2715 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS IVLARRIAGE 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 southaldtown.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 May 18, 2005 Fireworks Permits (3 applications) Transmitted herewith are applications for Fireworks Permiis for the following: Greenport Fire Department, 5/28 Mattituck Lions Club, 6/17 & 6/18 Greenport Fire Department, 7/2 & 7/4 Please advise if these permits may be issued. 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 PRINCIPAL OFFICE AT DATE& TIME OF DISPLAY ' [~CT LOCATION OF DISPLAY ~N DATE & TIME The following person~ are to be in charge of the actual ~hooting of the fireworks: N~ t~ ~r~2g Age Experience Phy~eal Condition (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as fol[ows~ -- ~ ,, 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 P~,?~n'tl'Owner, must be submitted with the Application. ~~t~ ~ 2~¢o./~ ~ ~r~/~' ~ ~ RECEIVED ~ ~ or ~ c, ~e~f Organization~ 1,~Ix¥ : 7 ,' ,3 B ~ Si~at~ of Applic~t Southold Town Clerk .. ~ /~1 2~ ~ate of Application 05)09/200~ 15:29 FAX 856 697 9557 VINELAND FIREWORKS CO, ~006 PoucY Ee~CTNE ~,OUCY EXPIRATION LW~T$ co 'i'Y~ OF INSURANCE ~OUCY NUMBER OATE (MI~ DATE (MM~D~ OWNED AUTO $CF~I3ULEO AUTO~ HIRED .ccld.~ ~JTOS NK3N-OWNEDAUTO$ ~DIL¥1NJURY(Parpe~1 $ ~) EXCESS U~aiUTY FCX. LOW~S FOm~ ~ACH N..~ r-.l~,T s ~:,L OISEAS~.-POUCY Lean' $ O'TH~R 05/09?2005 15;29 FAX $56 697 9557 VINELANI) FIREWORKS CO. ~005 ACORD CERTIFICATE OF LIABILITY INSURANCE OS/O4/ZO0le P~O~UC'ER (& 56) 694-2222 FAS (~56)6gq-Z27~l THIS CI~KTIEICAT~ IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Bo re11 i Agency, Xnc. HOLDER. THiS CERTIFICATE DOES NOT AMEND, Ex-rEND OR Butch N~11 Road ALTERTHE COVERAGE AFFORDED BYTHE POUCIES BELOW. INSURERS AFFORDING COVERAGE NAIC # COVERAGES THE POLICIES OF INSURANCE LIB?ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A~OVE FOR TH£ POUCY PERIOD INDICATED. NOTWITHSTAN[~NG ANY REQUIREMENT. TERM OR CONDmON DF ANY CONTRACT OR OTHER DOCUMENT V~ITH RESPECT TO V~rlICH 11-115 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. 'ri,IF INSURANCE AFFORDED BY THE POLICIE~ DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERM$. EXCLU$1ON~ AND CONDmONS OF SUCH POLICIES. AGGRECaATE UMIT$ SHOWN MAY HAVE BEEN REDUCED DY pAID CLAIMS. ~ ~ ~n,Eo~lt~u~.tK:e - I,OUcYmJMeER bA~(M~ DA~EIMM~]O/YY) I UMII~ CERTIFICATE HOLDER CANCELLATION ACORD 26 (2001/08) //