HomeMy WebLinkAboutNative Events/Country FestKen Reeves
Recreation Superx'isor
Town of Southold
970 Peconic Lane
P.O. B0x 267 ~ ~', ~_..d
Peconic, NY 11958 ,
631.765.5182
Ken. Reeves@town.southold.ny.us
TOWN OF SOUTHOLD
RECREATION DEPARTMENT
APPLICATION FOR USE OF SOUTHOLD PARKS FACIILITIES
PLEASE PRINT LEGIBLY
APPLICATIONS DUE AT LEAST TWO (2) MONTHS BEFORE EVENT
TODAY'S DATE:
REQUESTING ORGANIZATION:
APPLICANT'S NAME:
ADDRESS: ~ ~/
HOMEPHONE: ~/J~ ,~J~' ~9.,Q,~ BUSINESS:
CELL: ~/)'/-~*~'
E-MAIL ADDRESS:
FACILITY DESIRED:
DA (S) AND DATE OF USE:
REQUESTED TIME FOR FIELD/PARK/COURT USE:
FROM: ~'A~" ~o) .f-// TO:
REQUESTED TIME FOR LIGHTS TO BE ON OF APPLICABLE):
FROM: TO:
NOTE: LIGHTS MUST BE TURNED OFF BY 10:00 P.M.
REASON FOR USE (PLEASE BE SPECIFIC AND GIVE DETAILS):
IS ADMISSION BEING CHARGED? YES ~'~' NO
IF YES, HOW MUCH IS BEING CHARGED? ~ ~' ~)
PLEASE PROVIDE A DETAILED EXPLANATION OF HOW THE PROCEEDS ARE
TO BE USED:
APP.CANT'SSIGNA ,
HOLD HARMLESS AGREEMENT
The applicanl/group/organization agrees to indemnify and hold harmless the Town of
Southoid, its officials, employees, and/or agents from all claims, lawsuits, hosl~toi and/or
doctor b'dls, actions, proceedings, and habilitie~ for the l~as or damage to property, or any
injury, the death of a person, including any expenses incurred by the Town of Southold
defending any claims, lawsuits, or action that may arise as a result of the conduct, actions,
including the negligence of the applicanl/group/organization to the fullest extent permitted
by applicable 1aw.
I have read the attached "SOUTHOLD TOWN FACILITY
REGULATIONS" and agree to abide by them.
NAME OF ORGANIZATION: A'/~'~' ~ t'Ce ~-:~t'~ 7~s
PLEASE PRINT
RULES AND
DATE PLEASE PRINT (PRINCIpA~AUTHORIZED REPRF~ENTATIVE)
APPLICANT'S SIGNATURE: ~/~--~T/-~-' ~
FOR O ICE USE ONLY
FACILITY IS: REQUEST IS:
AVAILABLE { } APPROVED { }
NOT AVAILABLE { } DENIED { }
CERTIFICATE OF INSURANCE REQUIRED?
YES
Recreation Depach~ent
Supervisor
Fees for use of town fields must be paid in advance as follows:
TIER # TIER DESCRIPTION FACILITY USE FEES
Tier 1 Town of Southold, Little leagues, non-
profit groups, civic organizations, local No Charge
schools,
charitable groups, etc.
Tier 2 Resident For Profit $25/1/2 day
Groups that charge fees (up to 4 hours)
$50/full day
(up to 8 hours)
$200/week fiat fee
Tier 3 Non-Resident For Profit $50/1/2 day
Groups that charge fees (up to 4 hours)
$75/full day
(up to 8 hours)
$300/week fiat fee
Tier 4 Non-Resident Groups, $25/1/2 day
Schools, Leagues, etc. (up to 4 hours)
$50/full day
(up to 8 hours)
$200/week fiat fee
Kind regards,
Ken
Ken Reeves
Recreation Supervisor
Southold Recreation Department
970 Peconie Lane
PO Box 267
Peeonie NY 11958
631.765.5182
Page 1 of 2
Rudder, Lynda
From: Tomaszewski, Michelle
Sent: Friday, April 08, 2011 9:46 AM
To: Rudder, Lynda; Flatley, Martin; Cochran, Carlisle
Subject: RE: Special Events Applications
Chief Cochran has reviewed the request for the Old Schoolhouse Park event and has no objection to
the approval. A hard copy of the cost analysis will follow by interoffice mail. Estimated cost of the
event will be $150.00.
Chief Cochran has reviewed the request for the Country Festival and cannot approve the event due to
the lack of sufficient information provided on the Recreation Form. Please contact William Quinones to
supply all information that is usually provided on the correct application form. Chief will then review
it again at that time and make a determination.
Michelle L. Tomaszewski
Secretarial Assistant
$outhold Town Police Dept.
631- 765-2758
From: Rudder, Lynda
Sent: Thursday, April 07, 2011 3:54 PM
To: Tomaszewski, Michelle; Flatley, Martin; Cochran, Carlisle
Subject: Special Events Applications
I know this is not: usually the way x~)e do t, his but; I just explained to Ken the right way.
Please provide cost analysis if applicable for bothl and approval or disapprowd. Thank
you
From: Reeves, Ken
Sent: Thursday, April 07, 2011 3:52 PM
TO: Rudder, Lynda
Subject: Applications
Here you go...I sent these to Martin Finnegan already.
From: Rudder, Lynda
Sent: Thursday, April 07, 2011 3:29 PM
To: Reeves, Ken
Subject:
Need to talk to you regarding field usage resolutions
Lynda uddec
4/8/2011
Event: Community Yard Sale
Date(s): July 16, 2011
Location: Old Schoolhouse Park, Rt. 25, East Marion
Patrol Allocation for Event
Reg Hours OT Hrs Hrly Wage Total Comments
Police Officers
Special Patrol
Reg Hours OT Hrs Hrly Wage Total Comments
CRU
Bicycle Patrol
K-9 Unit
Highway Patrol
Marine Units
Traffic Control
Reg Hours lOT Hrs Hriy Wage Total Comments
~ ~ 0 ..... 8~ $15.83 $126.64
TC Officer
TC Officer
TC Officer
TC Officer
Equipment Costs
I
Total Department Cost for Event = $ $126.64
Prepared by Capt. M Flatley 4/11/2011,~
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