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