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HomeMy WebLinkAbout2004 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGi~MENT 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 hereby GRANT TO: MAT]ti'FUCK LIONS CLUB PERMIT FOR THE PUBLIC DISPLAY OF FIREWORICq by said organization in accordance with the provisions of Section 405.00 of the Penal Law of the State of New York on SATURgAY. ~JNE 18. & SUNDAY. JUNE 19. 2004 AT 10;00 P,M. on the property of the COUNTY OF SUFFOLK, managed by THE TOWN OF SOUTHOLD, known as 'STRAWBERRY FIELDS", Sound Avenue, 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 feet from the nearest above ground telephone or telegraph line, trees or other overhead obstruction; that the audience at ~uch 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 oftbe 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 dire~ion 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 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 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 last 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. (fown se ) Dated: June 17:2004 Elizabeth A. Neville, Town Clerk Town of Southold Suffolk County, New York THIS PERMIT IS NOT TRANSFERABLE ':~ D ii!iiii i:i:::::~::::::::::. :::::::::::::::::::::::::::::::::::::::::: · . : ~ ::.: .................. BU~t'EtE~"~HD ...... : ':: :':::':'::: ':::::::-:::::' :" ::r::::: : '- ===================================================================== ................. E;+.,~.:~-~:::: I::::: I I I ~ I I ~ ':1:::::::::: ...... :::::::::::::::::::::::::::::: : ' : :I:'I~''~C:I?I'~':::::: :::::~"'T"TTI:::~:: :::::::::::: ::::::::::::::::::::::::::::::: · ............ [ .... , , ..... ,'" Illlllllllllllllll ::::::::::::::::::::::::::::::::::::::::: :'::::'.-" POLICE DEPARTMENT TOWN OF SOUTHOLD CARLISLE E. COCHRAN, Chief of Police Telephone Emergency Dial 911 RECEIVED JUN 7 2004 TO: FROM: DATE: RE: $outholcl Town Clerk Elizabeth A. Neville, Town Clerk Chief Carlisle E. Cochran, Jr. ~.--~;~'- June 4, 2004 Request for Special Permit - Fireworks Permit for Vineland Fireworks for Mattituck Lions Club - Strawberry Festival 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 Route25 op.O. Box911 · Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 ° Fax (631) 765-2715 Page 1 of 1 Cooper, Linda From: Cooper, Linda Sent: Friday, June 04, 2004 2:42 PM To: Harris, Peter Subject: Fireworks permit I called over to PD and they tracked it down. It was sitting on the Captain's desk. Pat Garsik emailed me a copy of the approval. So technically, its approved and Betty will do the paperwork when she comes back. You'll have you permit in time. 6/4/04 TO: FROM: DATE: RE: MEMORANDUM RECEIVED ~11~ ~ JUk' 4 2004 Elizabeth A. Neville, Town Clerk Chief Carlisle E. Cochran, Jr. June 4, 2004 Southold Town Clerk Request for Special Permit - Fireworks Permit for Vineland Fireworks for Mattituck Lions Club - Strawberry Festival 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 OFFICEt{' 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 Elizabeth A. Nevill~ t-~g~' Fireworks Permit June 18 &19, 2002Ft~y Vineland Fireworks Co., [nc for Mattituck Lions Club Date: May 21, 2004 Please review the attached request and respond to my office, in writing, with your recommendations. Thank you. OFFICE OF, THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, Ne~v Y?rk 11971 Fax (516) 766-1823 Telephone (516) 765-1800 RECEIVED APPLICATION for PERMIT TO DISPLAY FIREWORKS MAY 2 1 2004 SeUthold Town Clod APPLICATION IS HEREBY MADE, pqrsuant to the provisions of Section ~.05.00 of the Penal Law of the State of New York, for a permit to display fireworks as hereinafter specified: D,SPLA Y ,S BE SPONSORED .Y PRINCIPAL OFFICE AT DATE OF DISPLAY ._f,,.~ j~ / TIME OF DISPLAY /~f~ RAI~ DATE ~ TIME The following persons are to be in charge of the actual shooting of the fireworks: ~/~//~/. ~,.,, ~.~ Age Ex~rienc. Ph~Condition The fireworks will be stored in a covered truck prior to shooting on the grounds. 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. /'"'-R~e of Organ.iz. ation -Signature ~ Applicant ~Date ~ Application May 18, 2004 RECEIVED BAY 2 1 20~ Pete Harris Mattituck Strawberry Festival 212 Knapp Place Greenport Long Island, NY 11944 Subject: June 18ta & 19ta, 2004 Fireworks Display Dear Pete: I have enclosed the following documentation covering your event: 1. Original General Liability/Automobile and Workers Compensation Insurance Certificates. 2. FAA Approval Letter. If you have any further questions, please do not hesitate to contact me at 856-697-1023. Sincerely, Raquel L. Cantoni '~-' ........ ~ Office Manager ~, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Combined Specialties International, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE 8362 Tamarack Village DOES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED BY THE Suite 119 POLICIES BELOW. Woodbury Minnesota 55125 INSURERS AFFORDING COVERAGE INSURER A: Undem/riters, Lloyds of London INSURED INSURER B: Vineland Fireworks Co., Inc ~NSURER C: 1640 Garden Road Vineland New Jersey 08360 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE 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 INCLUDING, BUT NOT LIMITED TO THOSE FOLLOWING: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAiD CLAIMS. ADDITIONAL CONDITIONS AND EXCLUSIONS: 1 ) THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY, IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER AN "INSURED" MAY ASSERT A CLAIM OR BRING ANY ACTION. SUBJECT TO POLICY TERMS, CONDITIONS, DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY. 2) THE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSURED'S SHOOTER(S) ASSISTANT(S) OR ANY OTHER PERSON(S) INCLUDING ANY VOLUTEER(S) PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED BY THE NAMED INSURED. 3)COVERAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE INSURED'S FAILURE TO FOLLOW NFPA OR OTHER APPLICABLE REQUIREMENTS, LAWS OR RECOMMENDATIONS, INCLUDING THOSE RELATING TO POST DISPLAY OR SPECIAL EFFECT SEARCHES OR CLEAN UP. CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) ~. GENERAL LIABILITY CLAIMS MADE 1060182367/003 July 08, 2003 July 08, 2004 EACH ACCIDENT $5,000,000 MEDICAL EXP (any one $5,000 person) FIRE LEGAL LIABILITY $50,000 GENERAL AGGREGATE $5,000,000 PRODUCTS-COMP/OPS $1,000,000 AGG AUTOMOBILE LIABILITY ANY AUTO ANY COMBINED SINGLE LIMIT (Ea $ OWNED AUTO SCHEDULED AUTOS HIRED iaccident) AUTOS NON-OWNED AUTOS ~ODiLY INJURY (Per person) $ ~ODILY INJURY (Per $ ~rson) $ ACORDM CERTIFICATE OF LIABILITY INSURANCE D*,EIMM,DD , 04/~.2/2004 PRODUCER (6S6) 694-2222 FAX (856)694-2279 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Bore11 i Agency, Znc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dutch lqil 1 Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. lqa~aga,, N3 08328 INSURERS AFFORDING COVERAGE NAIC # INSURED Vineland Fireworks Co.,Thc. INSURER~ National Continental 1640 Garden Road INSURERB: Liberty Mutual Tnsurance ¢o. Vlneland, N3 08360 INSURERC: INSURER D: ~NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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, AUTOMOBILE LIABILITY CN30006912747 04/20/2004 04/20/2005 COMBINED SINGLE LiMiT $ $, 000,000 A I OCCUR [] CLAIMS MADE AGGREGATE $ $ WORKERSCOM,ENBATIONAHO k/£S-33S-301113-014 04/01/2004 04/0~./200S ITORYL'M'TEI Hsp~ay date; 3une 18th & 19th, 2004 CERTIFICATE HOLDER CANCELLATION lqattituck lions Club Leis 3. Newton & Sons 212 Rnapp Place Greenport L.I., NY 11944 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lB .DA~ INMJ~PE ~Q~C~ TO ~1~ ~TI~ H OLDER NAM ED TO TH E L EFT AUTHORIZED REPRESENTATIVE ; ~. Pres. ©ACORD CORPORATION U.S. Department of Transportation Federal A¥iafion Adminisfmfion New York Automated International Flight Service Station 150 Arrival Avenue Ronkonkoma, NY 11779 April 14, 2004 Mrs. Rose Pacitto Vineland Fireworks Company, Inc. 1640 Garden Road Vineland, NJ 08360-1867 Dear Mrs. Pacitto: Our office has no objections to the proposed fireworks display scheduled for the Mattituck Strawberry Fest, Green Pastures Farm, Greenport, NY. The time of the display will be 9:00 p.m. on June 18, 2004 for a 20-22 minute duration, with a scheduled raindate of June 20, 2004. It should be noted that no shell shall exceed 600 feet and the following conditions must also be met. 1. Contact the Supervisor of the New York TRACON at (516) 683-2984 at least two hours prior to your display, if the display occurs within 5 miles of an airport, to negotiate any altitude limitations or time frame restrictions, if they are required. 2. 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 matter, but should not be construed as superseding or invalidating any existing rules or regulations promulgated by any other federal, state, county or municipal government, which may be required for this display. Sincerely, Ron Napurano Manager, New York AIFSS ELIZABETtt A~ NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICI~R RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, Near.York 11971 Fax (516) 765[1823 Telephone (516) 765-1800 OFFICE OF, THE TOWN CLERK TOWN OF SOUTHOLD RECEIVED APPLICATION for PERMIT TO DISPLAY FIREWORKS V, AY 2 1 200~- Southold Town Cled~ APPLICATION IS HEREBY MADE, pu. rsuant to the provisions of Section u~05.00 of the Penal Law o.f the State of New York, for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSORED BY ~C~,'~-~,'.L- Li()/.! '~ C'/(~ PRINCIPAL OFFICE AT DATE OF DISPLAY .~C~ ?/9 ',~' TIME OF DISPLAY RAIN DATE & TIME The following persons are to be in chat'ge of the actual shooting of the fireworks: .~j~l/x/. ~f£,,~~_~f' Age/ Experience 2/L/~//~_ K Phy~cal(. ~*-/'C°nditi°n Numbec, and type of fireworks~is as follows: .' - ' ' ', . ~ ~K ~ ', The fireworks will be stored in a covered truck prior to shooting on the grounds. Attached hereto and made a part of hereof is a diagram of the grounds on which the display is to be held. Also atta&hed is a certificate or policy of insurance coverage. /"~e of Organjz, at~on -Signature df Applicant ~'Date df Application