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HomeMy WebLinkAboutRide for Hope 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 SPECIAL PERMIT A Special Permit is hereby granted, in accordance with Chapter 205, Section 205-1-B of the Code of the Town of Southold, to Vineyard 48, to hold a "Ride for Hope", to raise funds for the Children of Hope Foundation, on Sunday, September 9, 2007 at the Vineyard 48, 18910 Route 48,Cutchogue, New York, provided they file with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming the Town of Southold as an additional insured. Dated: September 7, 2007 Elizabeth A. Neville Southold Town Clerk (Certificate of Insurance on file) cc: Chief of Police Cochran Supt. of Highways Harris Building Department *Note - If a tent is to be erected, a permit must be obtained from the Southold Town Building Department. POLICE DEPARTMENT TOWN OF SOUTHOLD Telephone Emergency Dial 911 CARLISLE E. COCHRAN, JR, Chicf of Policc TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr. O_.f2/~ September 7, 2007 Request for Special Permit - Ride for Hope Sunday, September 9, 2007 - Route 48 Vineyard I have reviewed the above request for a special permit, I have no objection to the approval of this permit. ce: Capt. Martin Flatley 41405 Route25 op.o. Box 911 · Peconic, N.Y. 11958 Administrative (631) 76S-2600/2601 ° Fax (631) 765 2715 MEMORANDUM TO: FROM: DATE: RE: Linda J. Cooper, Deputy Town Clerk Chief Carlisle E. Cochran, Jr. September 7, 2007 Request for Special Permit - Ride for Hope Sunday, September 9, 2007 - Route 48 Vineyard I have reviewed the above request for a special permit. I have no objection to the approval of this permit. cc: Capt. Martin Flatley 07/09 '07 FRI 13:53 FAX 631 765 6145 SOIITROLD TOWN CLERK ~001 *** TX REPORT *** ********************* TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST. TIME USAGE T PGS. SENT RESULT 3857 PD Admlnlst 07/09 13:53 00'35 1 OK 97342319 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICEI% RECORDS MANAGEMENT OFFICER FREEDOM OF iN'FORMATION OFPICEE Town Hail, .53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 766-1800 southoldto wn,nor t]ffork, net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SPECIAL PERMIT A Special Permit is hereby granted, in accordance with Chapter 205, Section 205-1-B of the Code of the Town of Southold, to Vineyard 48, to hold a "Ride for Hope", to raise funds for the Children of Hope Foundation, on Sunday, September 9, 2007 at the Vineyard 48, 18910 Rome 48,Cmchogue, New York, provided they file with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming the Town of Southold as an additional insared. Dated: September 7, 2007 Elizabeth A. Nevillc Southold Town Clerk (Certificate of Insurance on file) 07/09 '07 FRI 13:52 FAX 631 765 6145 SOUTHOLD TOWN CLERK ~001 *** TX REPORT *** TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST. TIME USAGE T PGS. SENT RESULT 3856 07/09 13:52 00'33 1 OK 97346763 ELIZABETH A. NEVILLE TOWN CLEP,.K REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (681) 765-6145 Telephone (631) 765-1800 southaldtow~.north £ork.net SPECIAL PERMIT A Special Permit is hereby granted, in accordance with Chapter 205, Section 205-1-B of the Code of the Town of Southold, to Vineyard 48, to hold a "Ride for Hope", to raise funds Ibr the Children of Hope Foundation, on Sunday, September 9, 2007 at the Vineyard 48, 18910 Route 48,Cutchogue, New York, provided they file with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming the Town of Southold as an additional insured. Dated: September 7, 2007 Elizabeth A. Neville Southold Town Clerk (Certificate of Insurance on file) Application WP # __ Revised per TB 7101 WINERY PERMIT TO HOLD AN OUTDOOR PUBLIC EVENT Name of Winery ~,/;.~-~ ~' Max. ~of Pemon~At Ope Tim: *~ ~ Con~ Pemon and,C~ Te~ ~ ~ ~q ~ ~t~ ~G -~ Date of Event: ~/O~ -~ Wlnew Panel ~000- ~ ~ - ~- ~ TimePerlod(Hou~)~ From ~ to ~p~ Stm~ Add~gLocatlon: ~ ~% ~ ~ ~ ~ ~ ,. ~ ~ ~ Add~ to Send Event P~lt to: ~-~.~tN':{~ ~ ~I-~N--~~ Nature of Event: ~~ ~ ~ " ' is a Tent being us~? [ ] Yse ~ No (Location plan a~ched). I am the ~ner of Pmpe~ where ~is event is ~ ~ held and do ag~ to comp~ w~h the I~S, rul~, ~uledons, coodifions, and ~ulmmen~ of ~e C~e ~ ~e T~n ~ ~u~old, Including but n~ Ilml~d to the conditions II~d below, se well as all other applicable a~ ~les and ~qlations pe~ining to th~ ~ti~iti~ under this ~st. ~ PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLI-OWING CONDITIONS: 1. By acceptance of this permit, Applicant agrees to adequately supervise and direct all parking to be on this site, and Applicant agrees to provide additional traffic controls necessary for this event. 2. One "on-pramlses" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed Immediataly after the event. Directional perking signs shall be adequately displayed. 3. Applicant Indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses Including but not limited to attorney's fees arising from activltlse under this permit. A Certificate of Liability naming the Town of Southold as an additional Insured In the amount of One Million ($1,000,000.00) Dollars is hereby filed by Applicant, and said Certificate must remain In full force and effect during this entire event. 4. Tent proposals must receive prior written approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 5. This permit Is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will raquira a separate permit application, fee, and related documents for review, etc. at least 45 days prior to this event. 6. Adequate temporary sanitary facilities must be provided by applicant for this event, and Applicant agrees to remove the t~mporary facilities from the premises within 48 hours of the day of the event. 7. No on-~ite food preparation Is permitted, although food may be catered subject to all health regulations. 8. Events for three hundred (300) or more people require submlselon and approval of a traffic control plan, acceptable to the Town. 9. Violations in connection with this event will terminate this permit. 09/06/200? 12:58 631424§82? LKF PARTNERS LTD PAGE 83/83 ACORD. CERTIFICATE OF LIABILITY INSURANCE :~_~-3 / 09/06/07 THI~ Cea~ieiCAT~ ~ I~UED ONLY ANO ~N~ NO ~G~ UP~ ~E CERT~ICATE H~DER. T~B CE~F~A~ ~ NOT ~, E~END OR ALTER ~E ~GE ~FORD~ BY ~E ~L~I~ BEL~. Jos~h Paul Winer~ Zno PO ~x 914 Cutchogue NY 11935 IbI~U~ER8 AFFORDING COVERAGE NNC# I ~.AC' OCCUnnE~C~ : 1000000 35046~03 03/14/07 03/14/00 $1000000 73534698 03/14/08 99647569 03/14/07 r~o ;x~ I.~,v ;,e .~s,n) s 10000 ~'~SOr~,L s ~w~,.~y s 1000000 ~s-c~*~ t 1000000 Ben 1000000 C~o s~ ~ s 1000000 ~0,000 Prope~t'y -$SO00ded 35046203 Certificate Holder is ~10~1 Znsuz%~/A~ Bldq#l 324,480 Cnt8 #1 189~2E0 One day charitable even: on 9/9/07: children o£ Nope ~oundation, Ride for Hope. CheriP~ble ev~n~ fo~ Children of Nope Foundation CI;RTIFI,CATE HOLDER Town o[ Main gouthold N'/' 11971 ACORD Z5 ~ACORO CORPORATION 1~88