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
SPECIAL PERMIT
~ Special Permit is hereby granted, in accordance with Chapter 27, Section 27-1-B of the Code
of the Town of Southold, to the Southold Historical Socie~. to hold their "Annual Ice Cream
Social" on the Southold Historical Society grounds, Main Road and Maple Lane, Southold, New
York, on Saturday~ August 6~ 2005 from 1:00 p.m. to 4:00 p.m. (Rain Date: Sunday, August
8, 20~) 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: August 3, 2005
Elizabeth A. Neville
Southold Town Clerk
(Certificate on File)
cc: Chief of Police Cochran
Superintendent of Highways Hams
Building Department (tents)
* If a tent is to be erected, you must obtain a permit from the Southold Town Building
Department.
Please contact Captain Flatle¥ at the Police Department at least ten (10) days prior to this
event. Thank you.
POLICE DEPARTMENT
TOWN OF SOUTHOLD
CARLISLE E. COCHRAN, JR.
Chief of Police
Telephone Emergency Dial 911
TO:
FROM:
DATE:
RE:
Linda J. Cooper, Deputy Town Clerk
Chief Carlisle E. Cochran, Jr.cLc2.~
July 29, 2005
Request for Specia] Permit - Southold Historical Society
Ice Cream Soda] - Saturday, August 6, 2005
I have reviewed the above request for a special permit. I have no objection to the
approval of this permit.
Capt. Martin Flatley
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
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.nor th fork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
ro~
From:
Dated:
Re:
Chief Cochran, Southold Town Police Department
Linda Cooper, Deputy Town Clerk
July 27, 2005
Southold Historical Society's Ice Cream Social
Transmitted is request of Southold Historical Society to hold its annual Ice Cream
Social. Please review and advise of your recommendations.
Thank you.
i tori£M o£ietp
54325 Main Road
P,O. Box 1
Southold, Long island, NY 11971
(631) 765-5500
July 25, 2005
Russell Thomes
President
Maureen Ostermann
I st Vice President
Robert Pettit
2nd Vice President
Karen Martinez
Joan Latham
Acling Asst. Treasurer
Ann Ristuccia
Herb Adler
Melissa Andruski
Susan Barnes
Lee Cleary
Klaas Honig
Joan Latham
John Nobile
Mel Phaff
Ron Rossi
Rosemary Stadler
Elyse Wruck
$igne Youngberg
Geoffrey K. Fleming
SuM C Young
Elizabeth Neville
Southold Town Clerk
P.O. Box 1179
Southold, NY 11971
Dear Ms. Neville,
RECEIVED
$o-':t~clc: lbwn Cleric
The Southold Historical Society plans to hold an Ice Cream
Social on their grounds at the corner of Main Road and Maple Lane on
Saturday, August 6 from 1 to 4 p.m. The rain date is Sunday, August
7, 2005.
We are requesting a permit for this event and enclose a diagram
of the grounds and placement of tents. An insurance form should be
on file with you.
Sincerely,
ssell F. Thomes --~
President
RFT:scy
Enclosure
On The Web at; Genera/Etna#: Director's Email:
www. southoldhistoricalsociety, org ~ sohissoc@optonline.net ~ shsdirec@optonline.net
6.?-'
OPID -
ACORD. CERTIFICATE OF LIABILITY INSURANCE so -o 07/=:9/0.
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
~arshall & Sterling u~state HOLDER. THISCERTIFICATEDOESNOTAMEND, EXTENDOR
300 Route 23B ALTER THE COVERAGE AFFORDED BY TNE POUCIES BELOW.
Leeds 1~ 12451
Phone: 518-943-3900 INSURERS AFFORDING COVERAGE NAIC #
Southold Historical Society INSURER¢
54325 Main Rd. POB Box i INSURERD
Southold WY 11971
COVERAGES
A X ~' C~OMM~C~ALGENERALLI,a~ILrTM 8502-qS269074 09/17/04 09/17/05 ~'"'~= '~'"="':~' $100000
' POLICY i~ JECT
DESCRIPTION OF OPERATI,QNS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
With respects to special events, the Certificate Holder is included as
Additional Insured.
CERTIFICATE HOLDER CANCELLATION
To~ of Southold
Main St
Southold NY 11971
ACORD 25 (2001/08)
O ACORD CORPORATION 1988