Loading...
HomeMy WebLinkAbout2010ELIZABETH A. NEVILLE, RMC, CMC 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 Feux (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT For 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: BAY FIREWORKS A PERMIT FOR THE DISPLAY OF FIREWORKS by said organization in accordance with the provisions of Section 405.00 of the Penal Law of the State of New York at 11:00 PM on Friday, August 6, 2010 on the property of SPARKLING POINTE~ 39750 Court .ty Road 48, Southold~ 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 feel from the nearest above ground telephone or telegraph line, trees or other overhead obstruction; that the audience at such 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 of the 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 direction, 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 in to 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 be held 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 least 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. ......... ............... Elizabeth A. Neville, Southold Town Clerk Suflblk County, New York (Town Seal) Date: August 5, 2010 THIS PERMIT IS NOT TRANSFERABLE RESOLUTION 2010-604 ADOPTED DOC ID: 6098 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2010-604 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 4, 2010: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Bay Fireworks~ for a fireworks display on August 6~ 2010~ at the property located at 39750 County Rt. 48~ Southold, subject to the payment of a fee of $100, subject to the applicant's compliance with the requirements of the Town's policy regarding the issuance of fireworks permits, as amended June 29, 2010, and subject to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Vincent Orlando, Councilman SECONDER: Albert Krupski Jr., Councilman AYES: Ruland, Orlando, Talbot, Krupski Jr., Evans, Russell ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS IJ. ARRIAGE 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 aoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS APPLICATION IS HEREBY MADE, pursuant to the provisions of Section 405.00 of the Penal Law of the State of New York, for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSORED BY guthanne Woodhull PRINCIPAL OF~'ICE AT P.0. Box 971, 210 Fifth Avenue, Mattituck, NY 11952 DATE & TIME OF DISPLAY August 6, 2010 Time: ~ EXACT LOCATION OF DISPLAY Sparkling Pointe Vineyards RAIN DATE & TINIE None The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition Edward Metz 52 7 years + Health: Excellent Elaine Metz 52 4 years Health: Excellent (Additional name~ and informalion may be submitted on an attached sheet Number and type of fireworks is as follows: 1.3G 2-2.5 inch=253. 1.4G Cakes= t0. Manner and place of storage of fireworks prior to display: Delivery of oroduct will be the day of display. 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. By Name of Organization S~ature of Applicant Date of Application 08/03/2010 ,11:31 1631390862~ BAY FIREWORKS Bay Fireworks 400 Broadhollow Road, Suite 3 Farmingdale, NY '11735 (63'1) 390.8620 (63'1) 390-8621 fax www.bayfirewotks.com ?o: '~ Fram; Jo-Anne Tr)o(o Town Clerk E~a): joanna~bayfimworks.com Fa~: 631-765~145 Pages: 1 E-~,~.=m~ Phem~ 631-765-1800 Data: 8/3/10 Ruthanne Woodhullwedding 8/6/10 CC: @ Sparkling Pointe Vineyards [] Urgent [] For Review [] Please Comment [] Please Reply [] Please Recycle · Comments: There has been a change to the technician for the lirewerks application submitted by Ruthanne Woodhull for her daughter wedding at the Sparkling Poir~te Vineyards. The technician assigned to this display will be VVilliarn RazensOn. Age: 27 years, Experience: 5 years, He holds a NYC COF License, NY State Shooters License, Class B Pyro License and a NY State Owner Possessor License. Date: 7/29/10 SPONSOR: Ruthanne Woodhull Fireworks Company Pyro Engineering, Inc. 400 Broadhollow Rd. Suite 3 Farmingdale, NY 11735 Show Date(s): August 6, 2010 Rain Date(s): none Location: Sparkling Pointe Vineyards, Sonthold 1. Total number of Class B shells being used is 253. Total Cakes= 10. Sizes between: 2 inches and 2.5 inches in diameter. 2. All shells are DOT approved. 3. Display will be fn:ed manually. 4. Delivery to site will be at approximately 1:00 -2:00 pm. Set up will take approximately 4-5 hours. 5. All displays will comply with all requirements as set forth in NYS Penal Code 405 and NFPA 1123, 1124. 6. Pyro Engineering, Inc. has complete understanding of all roles and regulations governing public fireworks displays and this display will be in accordance with those rules and regulations. 7. Personnel representing fireworks display company: Lead: Edward Metz Elaine Metz 8. Technician(s): tba ,4coRo" CERTIFICATE OF LIABILITY INSURANCE ..OOUCE. Allied Specialty Insurance, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10451 Gulf Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Treasure Island, FL 33706-4814 1 - 8 0 0 - 2 3 7 - 3 3 5 5 INSURERS AFFORDING COVERAGE NAIC # Pyro Engineering, Inc. INSURERA! T. H. E. Insurance Company dba: Bay Fireworks iNSURER B: 400 Broadhollow Road, Suite 3 .NSURE. C: Farmingdale, NY 1'1735 ~.SU~E. D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N/~MED AeOVE 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. -- ~ OCCU~.CE $1 .O00.000 OENERAL LIA6iUTY CPP0101284-00 5/14/2010 5114/2011 ~TO.~.~D A __ PERSONAL A AGV INJURy $11000t000 ' ~E,~L ~REC~*m $2~000.000 ~F-~°uomu: ~u*r~ CPP0101284-00 5/14/2010 5/1412011 CO~,;D S;,C<E U~ 1.000.000 A X ~E~ ^UTOS ~ occur [] c~s~o~ ELPOOIo~g6-o0 Sf~2OdO 5/~4/~0'11 ^G6R~6^~ S g,O00~O00 A ANOEMPLO~E~'UA~iUTY Y/N WC103315 5/14/2010 5/14/2011 Xl.oRvu~rr~t I°~ A o~,c~P~e*~ ~xc~uo=~ [] ~.L. EACH ~C=OENT SI,000,000 OT.~ ' IL D~SEAS~..OUCY uMr~ I $1.000,000 TH RESHOLD BI.UE, LLC. S~OUL~ AaYO; *HE ~OW ~SCPJem) POUClEa sE C~NC~LLEr~eE~O~mE EX~nO~ © 1988-2009 ACORD CORP~ The ACORD name and logo am registered marks of ACORD ION. All rights reserved. Sparkling Pointe 39750 County Road 48 Southold, New York 11971 Phone: 631.765-0200 Fax: 631-765-5264 mfalcetta @sparkl#tgpointe. com August 1, 2010 To: Bay Fireworks CC: Ruthanne Woodhuli This letter gives permission to Ruthanne Woodhull to hire Bay Fireworks Company to conduct a 5 minute fireworks show on Sparkling Pointe's property (39750 County Road 48, Southold, New York) on August 6, 2010 at approximately llpm during the Woodhull Wedding. All permits and Insurance are to be obtained by Ruthanne & Tom Woodhull and or Bay Fireworks. Michael Falcetta General Manager Sparkling Pointe CHIEF OF DEPARTMENT Keith Cummings FIRST ASSISTANT CHIEF William Byrnes SECOND ASSISTANT CHIEF Peggy Killian c,' 'oufl olb 7 l tre epartmertf P.O. Box 1469 55135 Main Road Southold, NcwYork 11971 (631) 765-3385 · Fax (631) 765-5009 Chiefs' (631) 765-1240 August 2, 2010 SECRETARY Teresa Rich TREASURER Ronald Butkovich Ms. Linda Cooper Town Clerk's Office 53095 Main Road PO Box 1179 Southold, New York 11971 RECEIVED AUG 3 2010 Soufholcl Town Clerk Dear Ms. Cooper, We are in receipt of your fireworks application for Friday, August 6, 2010, and have reviewed your application and find everything to be in order. Thank you for your notification. Sin!ere[y yours, 1 Assistant ChieY Southold Fire Department WB:tlr Page I of 1 Cooper, Linda From: Cochran, Carlisle Sent: Monday, August 02, 2010 4:03 PM To: Cooper, Linda Subject: Fireworks I have no abjection to the to the fireworks display at Sparkling Point on Friday August 6, 2010 at Approximately 11:00 PM. Carlisle E. Cochran Jr. Chief Southold Town Police PO Box 9 t 1 Peconic, NY 11958 Hqs Phone 631-765-2600 Admin Phone 631-765-2671 Admin Fax 631-734-2315 Main Fax 631-765-2715 Thc information contained itl this e-mail message is intended only for thc personal and confidential use of the designated recipient named above. This message may be a Law Entbrccment communication that is sccurily sensitive and confidcntiah If the reader of this message is not the intended recipient, you are hereby notified thai you have received this message and any attached documents in error, that any review, disseminalion, distribution, or copying of Ibc message and documents is slrictly prohibited. If you have received tbis message in error. {)lease not{t}/us by e-mail or telephone im~nediatcly and delete il and any accompanying documents. 8/3/2010 Page 1 of 1 Cooper, Linda From: Spiro, Melissa Sent: Monday, August 02, 2010 3~30 PM To: Cooper, Linda Subject: Firework permit Sparkling Pointe Aug 6, 2010 Linda, I have reviewed the application for Fireworks Permit for Sparkling Pointe on August 6, 2010. Sparkling Pointe Vineyards is not preserved land. Since this is not preserved land, I have no comment on this application. Melissa ' 8/2/2010 ELIZA.BETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 M~dn Road P:O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 aoutholdtown.nor~hfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS APPLICATION IS HEREBY MADE, pursuant to the provisions of Section 405.00 of the Penal Law of the State of New York, for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSORED BY Ruthanne Woodhull PRINCIPAL OFI~ICE AT P.O. Box 971, 210 Fifth Avenue, t4attituck, NY 11952 DATE & TIME OF DISPLAY August 6, 2010 T~ane: i:~ EXACT LOCATION OF DISPLAY Sparkling Pointe Vineyards RAIN DATE & TIME None The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition Edward Metz 52 7 years + Health; ~e%lent Elaine Metz 52 4 years health: Excellent (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: 1.3G 2-2.5 inch=253. 1.4G Cakes= 10. Manner and place of storage of fireworks prior to display: Delivery of vroduct will be the day of display. 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 n certificate or policy of insurance coverage. By Name of Organiza~on 'S~ature of Applicant Date o f Application CERTIFICATE OF LIABILITY INSURANCE PRODUCER Allied Specialty Insurance, Inc. THIS CERTIFICATE IS ISSUED AS A MA'n'ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE '10451 Gul~c Boule-v-ard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Treasure Island, FL 33706-4814 1 - 8 0 0 - 2 3 7 - 3 3 5 5 INSURERS AFFORDING COVERAGE NAIC # INSURED Pyro Engineering, Inc. INSURER A: T. H. E. Insurance Company dba; Bay Fireworks INSURER B: 400 Broadhollow Road, Suite 3 ~NSUReR C: INSURER D: Farmingdale, NY 11735 I INSURER E: COVERAGES THE POLICIES OF INSU P~,NCE 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. NSR ADD'I POLICY EFFECTIV~ POLICY EXPIRATION EACH OCCURRENCE $1,000,000 GENERAL LIABILITY CPP0101284-00 5/14/2010 5/14/2011 DAMAGE TO RENTED X COMMERCIAL GE NERAL LIABILITY PREMISES lea occurrencel $100,000 ~ CLAIMSMADE [~ OCCUR MEDEXP(Anyonope~on) $ A PERSONAL & ADV INJURY $1 t0001000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCT__S COMP/OPAGG $2,000,000 ~POLICY~PRO''E~T ~LOC AUTOMOBILE MABILIT¥ CPP0101284-00 5/14/2010 5/14/2011 COMBINED SINGLE UMIT $1,000,000 ANY AUTO (Ea accident) ~( SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ ~( NON-OWNED AUTOS (Per acc~denl) PROPERTY DAMAGE (Per accident) AUTO ONLY: AGG $ excess ~ UMBRELLA LIABILITY EACH OCCURRENCE__ $ 9~000~000 ~ OCCUR [~ CLAIMSMADE ELP0010296-00 5/14/2010 5/14/2011 AGGREGATE $ 9,000,000 A ^N~^"D E.PLOYE.S'U^.,L,~~O~R,E~O~^~.~.~EXEC~T~¥E Y,N WC103315 5/14/2010 5/14/2011 $1,0 A OFFiCER/MEMBER(Mandatory in NH) EXCLUDED? ~ I EL DISEASE- EA EMPLOYEE $11000,000 DISPLAY CATE: 8/6/10 RAIN CATE: NONE LOCATION: SPARKLING POINTE VINEYARDS THE FOLLOWING ARE NAMED AS ADDITIONAL INSURED AS RESPECTS TO GENERAL LIABILITY AND EXCESS LIABILITY PERTAINING TO THE OPERATIONS OF THE NAMED INSURED ONLY: TOWN OF SOUTHOLD, SUFFOLK COUNTY, THRESHOLD BLUE, LLC., SPARKLING POINTE, LLC. The above Commercial General Liability policy affords bodily injury & property damage liability coverage arising directly from a fireworks display, however, no Marine, Hull & Machinery, P&I or Pollution Liability coverage is afforded under this CGL policy arising from the use of any barge, or displays conducted from docks, piers, wharves or floating platforms. CERTIFICATE HOLDER CANCELLATION THRESHOLD BLUE, LLC. 39750 COUNTY ROAD SOUTHOLD, NY 11971 CERT # 1198 REVISED ACORO 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX PIP. ATION RECEIVED ~^TE ~.E.EO~. T.E,SSU,.G ,.SURE. ~LL E.D~VOR TO .A,L 10 .~. W.,.~. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE~, 6UT FAILURE TO DO SO ~HALL IMPOSE NO OBLI~TION OR LIABILI~ OF ANY KiND UPON THE ~NSURER frs AGENTS OR 1988-2009 ACORD CORPO~TION. All rights rese~ed. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009101)