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HomeMy WebLinkAbout2004 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF HqFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfor]Lnet OFFICE OF THE ' NN CI,I~,RK TOWN OF S¢ ~ [OLD SPECIAL. txVIIT A Special Permit is hereby granted in accord Code of the Town of Southold, to the Ori, "Annual Church Fair"~ on Saturda¥~ July church grounds located on the Main Road, O~. Town Clerk a One Million Dollar Certificate Southold as an additional insured. with Chapter 27, Section 27.1 B of the ?onereeational Church to hold their -~004 at 9:00 a.m. to 1:00 p.m. on the New York, provided they file wi~ the .:~bility Insurance naming the Town of Dated: July 8~ 2004 ~.~, ).~g~ Elizab '{eville ~- . Southw ~'n Clerk (Certificate of Insurance on File) cc: Chief of Police Superintendent of Highways - Building Department ,~ ~. *Note - If a tent is to be erected, you n~ Department. Please contact them for an apl obtain a permit fi.om the Building :~s soon as possible, if this is the case. Jul-08-04 12:17P Southold Police POLICE DEPARTMENT OF SOUTHOLD 631 765 2715 Telephone En~ergenc¥ Dial 911 P.01 CARLISLE E. COCI-IKAN, IlL ( ;biff uf Police IV~_~ORANDiJ~ TO: FROM: DATE: RE: Elizabeth A. Neville, Town Clerk Chief Carlisle E. Cueltran, Jr. ~ June 17, 2004 Request.for Special Permit - Oriem Congregational Church Annual Chun:h Fair - Saturday, July 10, 2004 I have reviewed thc above request for a special permit I have no objection lo the approval of this permit. Please have Ms. Bogden, or her mpi~sentative, conU~ct Capt, Flaflcy within ten (10) days afar Town Board approval to coordinate traffic control, c~: CaPt. Martin Flatley 41405 Koute25 ·P.O. Box 911 · Peconic, N,Y. 11958 Administrative (631) 765-2600/2601 * Fax (631) 765-2715 Jul-08-04 12:17P Southold Police 631 765 2715 P.02 ELIZABETH A. NEVILLE TOWI~ CLERK REGISTHA~ OF VITAL 'I~[A I~.IAGE OFF/CE~ ~CO~s MANAGEMENT OFFICER FREEDOM OF ~FO~ATIoN OFFICE OF THE 7' TOWN CLERK OWN OF SOU.i,HOLD '£owll ii.Il, 53095 Main Road P,O./~ox 1179 Southold, New York 11971 .F~ (631) 765-6145 Tol~phune (631) 765-1800 ~outholdto~.~ortlffurk.net To: From: lie: Date: Chief c~iisle E. Coehran, Ir. Town Clerk Elizabeth A. Nev//j~~ ' Special Permit fo , r Or/em Co Saturday, .run l0 ~nnA ng~'egat/ona! Chun-k ,,- .... "'~ ...... "*~,nnual Church Fab' on JUne 15. 2004 Please review thc attache, d recommendations. Thank you_ request and respond to my office, in wr/t/ng, v~ith yO ur ELIZABETH A. NE~qLT,~ 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 F A X To: From: Re: Date: Pages: Orient Congregation Church Elizabeth A. Neville Special Permit July 8, 2004 1 including cover To follow is your Special permit for July 10, 2004. I will forward a hard copy by mail. Please notify Capt. Flatley at 631-765-1800, for traffic control. 'POLICE DEPARTMENT TOWN OF SOUTHOLD Telephone Emergency Dial 911 CARLISLE E. COCHRAN, JR. Chief of Police RECEIVED JUN 17 2004 TO: FROM: DATE: RE: Elizabeth A. Neville, Town Clerk Chief Carlisle E. Cochran, Jr. ~ June 17, 2004 Request for Special Permit - Orient Congregational Church Annual Church Fair - Saturday, July 10, 2004 ~uthold ]'own Clet~ I have reviewed the above request for a special permit. I have no objection to the approval of this permit. Please have Ms. Bogden, or her representative, contact Capt. Flatley within ten (10) days after Town Board approval to coordinate traffic control. cc: Capt. Martin Flatley 41405 Route25 op.o. Box 911 · Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 · Fax (631) 765-2715 ELIZABETH A. NEVTLLI~, TOWN CLERK REGISTHAR 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 To; From: Re: Chief Carlisle E. Cochran, Jr. ~ Town Clerk Elizabeth A. Nevi~ ~ ~ Special Permit for Oriem Congregational Church "Annual Church Fair on Saturday, July 10, 2004 Date: June 15, 2004 Please review the attached request and respond to my office, in writing, with your recommendations. Thank you. Ann M. Sutton, Pastor rien! ongregaliona! hnrch Box 425, Orient, NY 11957 · Tel, (631) 323-266} RECEIVED JUt'~ 1 5 June 14, 2004 %uthold fown der[ Southold Town Clerk PO Box 1179 Southold, NY 11971 Good Morning, We are requesting a permit for our Annual Church Fair to be held on the church grounds on Saturday, July 10, 2004, from 9:00am - 1:00pm. A Certificate of Insurance naming Southold Town as additional insured with respects to the fair is enclosed. The fair will not include any parades or tents. Please call if you need further information. Sincerely, SharonC. Bogden Eric. ACORDJ CERTIFICATE OF LIABILITY INSURANCF 2 '£ PRODUCER Willis of Ohio, Inc. BP Tower 200 Public Square, #3760 Cleveland OH 44114 Phone: 800-437-8830 INSURED Orient Congregational Church PO Box 425 Orient NY 11957 COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURERA: Federal Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I POMCY EFFECTIVE POLICY EXPIRATIOk LTR TYPE OF INSURANCE POMCY NUMBER DATE (MNVDD/YY) DATE {MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL MABILITY 3576-75-21 01/01/04 10/01/04 FIREDAMAGE(Anyonefire) s300,000 ] CLAIMS MADE ~] OCCUR MED EXP (Ar~y one person) $25,000 PERSONAL & ADV INJURY $2,000r000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG $ 4 ~ 000 ~ 000 PRO POL,CVl JEC ]LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) __ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) __ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $  ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ~ OCCUR [] CLAIMS MADE AGGREGATE $ $  DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND I TORY LIMITSI I°EI~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE . POLICY LIMIT $ OTHER DESCRIPTION OF O P E RATIONS/LOCATIO NSNE HIC LES/EXC LUSION S ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED ONLY AS RESPECTS INSURED~S CHURCH FAIR HAPPENING JI/LY 10, 2004 FROM 9 AM TO I PM. CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: __ CANCELLATION TOWN OF SOUTHROLD MAIN ROAD PO BOX 1179 SOUTHOLD NY 11971-0959 TOWNSOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO} DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '~ 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ,R;;O.;; 7ts,uTy OE 7N THE ,.SURER, ,'_S ENYS O. ACORD 25-S (7/97) ©ACORD CORPORATION