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HomeMy WebLinkAbout2011ELIZABETH 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 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork, net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT For PUBLIC 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: GREENPORT FIRE DEPARTMENT STAR HOUSE CO.~ THIRD STREET~ GREENPORT A PERMIT FOR THE PUBLIC 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 10:00 PM on Frida¥~ May 27 and Sunday, May 29, 2011 on the property of GREENPORT HIGH SCHOOL Athletic Fieid~ north side Front Street and east side Moores Lane~ Greenport ~ 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 thirly 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 tusk, 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 Suffolk County, New York (Town Seal) Date: May 25,2011 THIS PERMIT IS NOT TRANSFERABLE RESOLUTION 2011-384 ADOPTED DOC ID: 6870 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2011-384 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 24, 2011: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Star Hose Company of the Greenport Fire Department~ for a fireworks display on May 27 and May 29~ 201L at Greenoort High School's field, payment of a fee of $100, subject to thc applicant's compliance with the requirements of thc Town's policy regarding thc issuance of fireworks permits and subject to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Albert Krupski Jr., Councilman SECONDER: Vincent Orlando, Councilman AYES: Ruland, Orlando, Talbot, Krupski Jr., Evans, Russell ELIZABETH 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 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: From: Dated: Re: Martin Finnegan, Town Attorney Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation Linda J. Cooper, Deputy Town Clerk May 10, 2011 Fireworks Permit for Greenport Fire Department Transmitted herewith is an application for a Fireworks Permits for the Greenport Fire Department for 2 nights over Memorial Day weekend. Please advise if you have any objections to a permit being issued. Thank you. cc: Southold Town Board ELIZABETH A~ NE~LLE T~WN CLERK REC~Iffr I~ OF VITAL ~TATI~TICS ~CO~ ~~T O~R Town Ha~. 53095 Mare Road P.O./~x 1179 ~outhold, New York 11971 Fax {631) 765-6145 Te~phone (B31) 765-1800 southoldtown.northforknet OFFICE OF ~ TOWN CI,~RK TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS APPLICATION 1S 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 Star Hose Co~q)any (Greenport FD) PRINCIPAL OFFICE AT 2~0 6th Avenue, Greenvort. Ny I l DATE & TIME OFDISPLAY,,.Na~ 27, 2011 and Nay 29, 2011 10:00 pm EXACT LOCATION OF DISPLAY Greenport ltigh School RA1NDATE&TIME Nay_28~ 2011 and Hay 30, 2011 10:00 pm The following persons are to be in charge of the actual shooting of the fireworlu: Name Age Experience Physical Condition Dennis Hirante DOB: 8/11/50 5 years + Health: Excellent (Additional names and information may be submitted on an attached sheet Number and type of fireworks i~ as follows: 1.3G 2.5-3 inch- 364, 6 inch-51, total cakes= 5. (1.4G) Manner and place of storage of fireworks prior to display: S£orage at ~/estha~ton facility. Product delivered day of display to site. 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. Star Hose Company (Greenport FD) Nanle of Organization Si~ntm'e of Applicant -- / Dat~'o f ApPlication AJV-E2 1701 Columbia Ave. Co11¢g¢ PaL G ~ 30337 April 4. 201 I Pyro Engineering 400 Broedhollow Rd.. Suite 3 Furmingdale. NY 11735 Dear Ms. Tdolo: ~,'¢ received your letter regarding your proposed fireworks display for Star Hose Company. Loention of Show: Mom'es Lanes & Moasell Ir.. G-reenport Itigh ~1. ~ NY ~ta ~e sh~: ~ 2~ ~ ~ 29. 2011 ~in ~: M~ 2~ ~ May 30. 201 I ~p~n~ S~ T~e: 10:~ P.M. ~t~n of ~o~ ~: 7 W8 min~ H~t ~o~: ~ill n~ ~ 5~ f~t A~e Gm~ ~ve] Stem to be taken bv lrWework '-)- Fireworks staffshould remain vigilant to en~ure thal no aircraft are in the area prior beginning the fireworks display. Our office has no objection to this event provided all the above notifications and precanlions rite This letter dispo~s oftbe Federal Aviation Administration's int.'est in this matt~ but should not be construed as superseding or invalidating any existing rules or mgulatioas promulgated by any other federal state, county, or municipal government, which may be required for this display, Please be sure to includ~ on all future display request more accurate locations or longitude and latitud '~t for display. If you have any questions concerning this evenL please conlacl John Fomito al (404) 305- 6364. Sincerely, · ~'.-' ~--'5 "';' ~Y['./ ,4. / /~,. Mark D. Ward Manager. Operations Supporl Manager Eastern Se~ ice Area Air Traffic Organization Pyro Eaginectins In~ Dba Bay Fireworks & L~,.,a Pyro ~ .-~*r (Ipl) 400 Broad.How P. ond, Suite 3 Farm~-_~an~e, NY 11735- 901090:CRR/SMC 5400 File N~m~h~r: 6-NY-00129 This lctttr ac..knowlcdg~s rec~pt of ymg ~imely application to rm~v your Federal ~xplosives The Bureau of Alcohol, Tobacco, Fireanm and Explosives (ATF) is not able to process your ,q,t, licaflon prior to fl~ ~*xpimion date of your licensa/pmn~ ~eg, Fedg~ law allows you to confia~ operations und~ your ~ ficcnsc/pc~t until such ~ as ATF c~mPlet~s proc~g you~ application. 8ce 5 U.S.C. § 558. This kntn-, or ns explained below, a follo~up letter, will serve ns your liceme~ ua~] we ~ ~fion on yom' tmewnl. It iS reGa.~d to as a Let~ ofA~on (LOA). Since we have not c~npleted procenssing your application, you may supply a copy of fllJs letter to olher'ticc~mcCS/l~, e.g., your dis~'butor~ for the next 120 days (or until w~ com~letc action on your renewal, ff ~hat oo~. in Icss titan 120 days) as evidmcc of you~ lic~nsed/lx~mitt~ s~us.- ff we have not'compl~ed processing your sppli~a~on for m~val wifl~in 120 days of tl~ dat~ of thls let~, we will send you snorer le~r, wlsi~ will also 1~ valid for 120 days (or umil we comple~ actlon on your ren~'wal, if flint occurs in lr.~ titan 120 ~). Please clir~ ~ or con.ms r~ this le~r ~o $~ Cla~ 304~1(~A04 ALLIED February 4, 2011 To Whom It May Concern RE: Pyro Engineering, Inc. cE)a Bay Firewo~.s SidMadam: Pyro Engineering, Inc. dba Bay Fireworks insurance renews on May 14, 2011. Certificates with display dates after the renewal pedod will be issued as soon as the renewal policy number is assigned. Pyro Engineering, Inc. dba Bay Fireworks is in good standing with our company and has always been very professional. We are pleased to have the privilege of representing lhem. Please let me know if there is anything I can do to serve your needs. Thank you to~ your cooperation regarding this matter. Sincerely, David Gallace" Account Executive ALLIED SPECIAUT'Y INSURANCE. INC 05/25/2011 11:50 i6313908621 BAY FIREWORKS PAGE 02 AC CERTIFICATE OF LIABILITY INSURANCE P"~'u~c~.'Allied Specialty I/%suraIlce, IAC - THIS Cm~HPm~A~ IS ISSUE0 ~ A MA~ I~m OF INFOR~ON ONLY ~D CONFERS NO RIGHTS UPON THE CER~FICATE 10451 Gulf Boulevard HOLDE~ THIS GER~FICA~ DOES NOT AMEND. ~END OR ALTER ,~E CO~GE AFFORDED ,BY THE POLICIES BELOW. , Treasure Island, FL 33706-48~4 iNSURERS AFFO~ING COVE~GE NAIC ~ 1-800-,23~3355 ~sun;. Pyro Engineering, Inc. ,.su~: T. ~. ~. Insurance Company dba: Bey Flrewo~s ~su;;R ~: ~O Bmadholl~ Road, Suite 3 ~.~u~c: _ ~ INSURER D: Fa~lngdale, NY 11735 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I~UED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOO INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED 8Y THE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS, EXCLU$10N~ AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE EEE,._N~E ~UCED ew PAID CLAIMS, I~;.~.~L u~a..rrr CPP0101284-01 051t4/2011 0.5/14~20t 2 A ~RSO~, & ~'~NdU.Y $1,000,000 ] F-1 ........ ~_m'ouo~ u~wu~ CPP0101284-01 05/14/2011 0511412012 co~El.~ m.o~ u.~ $1.000.000 F. XC=SS ~ u.~^ U.~IU'~ ELP0010296-01 05114/2011 05/14/2012 ;~:. OCCU~R~CE S 9.~0_0~0_~_0 ^...mLO~.~' ~,Un ~. WC113584 05114/2011 05/14~2012 X:--J-~Y.u"IZE I A OFFICER'MEMBER ~LUDED? [] E.L EACH ACCIDENT $1 ~000~000 IHlm~l~r'] In HNI E.L. DI~E - F.A EMPLOYee S ~EC~AL PROVI~IC~ NS bd~w E.l.- D1 ~EAI~ ' laC~IC¥ LIMIT $1,000t000 .. I~P~r~ DA~E: 5/271fl 1 Sftd 5/29111 RAIN DATE: 5/2~11 ~tld 513011~ LI~cA~IB'~)N: GlRenl~)rt H~Jh SChool, Gtoenpod, NY. '~4E FOLLOWING ARE NAMED policy affords bodily i~jury & pmperb/damaRe liability coverage arising direcOy from a fireworks display, however, no Mallne, Hull & Machir~eTT, P&I er Pellu~on , Li,ai~!lity coverers i$ afl,sd u~der this CGL policy arising ~mm the use of any bafRe, o~ displays ;onduct~d fTom docks, plem, wharves et floa§n9 pl;tiS~ms. CERTIFICATE HOLDER CANCELLATION Greenpmt Fire Deparfl~mnt 141] 6th Avenue Greenport, NY 11944 CERT ~ 1364 ACORD 2S (20091D1) ~ 19MI-2b0g ACORO CORPORATION. All rights The ACORD name End logo are registered marks of ACORD AC Cf· CERTIFICATE OF LIABILITY INSURANCE ~Aliied Specialty Insurance, Inc. ONLY AND CONFI~ NO RIGHTS UPON THE CERTIFICATE 10451 Gulf Boulevard HOLD~ ~ ~GR~HCA~E DOES NOT AMEND, EXTEND OR AL~ THE COVERAGE a~Om~ S¥ THE POU~ES SELOW. Treasure Island, FL 33706-4814 1-800-237-3355 INSURERS AFFOR~XNG COVERAGE NMC# Pyro Gngi~H~ng, Inc. ~ T. ~{. E. Insurance Company dba: Bay F~ewodr~ ~ 400 Broadhollow Road. Suite 3 Farmingdals, NY 11735 POU C;E~, AGGREGATE Lt&~$ SHOWN MAy HAVE BEEH PEDUC~D BY PND CCAJMS. __~.,u.u,~t.~ 0PP0101284-00 5/14/20t0 5/14/2011 A _ ~*,. ,nm~.T~ uu,* ,~L, GS ~ ,~.o~c.s - c~,~,oe ~.c~s 2,000,000 __*~mx~.u u~un, CPP0t01284,-00 5/t4/2010 5/t4/20tl COU~E~ ,~C.~ u~m $1.000,000 ~ oc~. [] o.~.,,m ELP001020~00 ~/14;2010 5/14/2011 ,,~.~rC~TE S g,000,0~) A s .ulo mP~m~' ~ y/# WC103315 5/1,4~2010 514;2011 ~ NAJ~IED ~ ADDITIONAL IN~JI~_D AS F~°'ECI'$ TO ~ LiAbILITY P~RTAfNING TO TH50PID~XTiONS OF ]]-115 N~a~D ~RE.D ONLY: PROVIDED AS EVIDENCE (~' INSURANCE ONLY CERTIFICATE HOLDER CANCm ~ 4TION PYRO ENGINEERING, INC. DBA: BAY RREWORK~ 400 BROADHOLLOW ROAD FARMINGDAJ_E, NY 11735 CERT # ~O0(X AGORD 25 (20o9/ot) The ACORD name and logo are mg~m~d marks of ACORD Page I of I Cooper, Linda From: Spiro, Melissa Sent: Tuesday, May 10, 2011 12:10 PM To: Cooper, Linda; Cochran, Carlisle; Finnegan, Martin; Fisher, Robert Cc: Al Krupski (alkrupskitown@yahoo.com); Christopher M. Talbot - Forward; Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; Orlando, Vincent; William Ruland; Andaloro, Jennifer; Hulse, Lori; Krauza, Lynne Subject: RE: Fireworks appl Greenport School is not Town of Southold preserved land. Since this is not preserved land, I have no comment on this application. Melissa From: Cooper, Linda Sent: Tuesday, May 10, 2011 9:54 AH To: Cochran, Carlisle; Finnegan, Martin; Fisher, Robert; Spiro, rvlelissa Cc: Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (¢hristptal@yahoo.com); Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; V Orlando (vincent.orlando@town.southold.ny.us); W. Ruland (rulandfarm@yahoo.com); Andaloro, ]ennifer; Hulse, Lori; Krauza, Lynne Subject: Fireworks appl 5/10/2011 Page 1 of 1 Cooper, Linda From: Cochran, Carlisle Sent: Wednesday, May 11,2011 8:01 AM To: Cooper, Linda Subject: RE: Fireworks appl I have no objection to the fireworks permit being issued to the Greenport Fire Department for fireworks on May 27 & 28th. Carlisle E. Cochran Jr Chief Southold Town Police PO Box 911 Peconic, NY 11958 Hqs Phone 631-765-2600 Admin Phone 631-765-2671 Admin Fax 631-734-2315 Main Fax 631-765-2715 The inlbnnation contained in this e-mail message is intended only for the personal and confidential usc of thc designated recipient named above. This message may be a I,aw Enlbrceracm communication thai is sccurfiy sensitive and confidential, 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, dissemination, distribution, or copying of thc message and documents is strictly prohibited. If you have received this message in error, please notilS' us by e-mail or telephone immediately and delete il and any accompanying documents. From: Cooper, Linda Sent: Tuesday, May 10, 2011 9:54 AM To: Cochran, Carlisle; Finnegan, Martin; Fisher, Robert; Spiro, Melissa Cc: Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (christptal@yahoo.com); Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; V Orlando (vincent.orlando@town.southold.ny.us); W. Ruland (rulandfarm@yahoo.com); Andaloro, Jennifer; Hulse, Lori; Krauza, Lynne Subject: Fireworks appl 5/11/2011 Page I of 1 Cooper, Linda From: Fisher, Robert Sent: Wednesday, May 11,2011 2:44 PM To: Cooper, Linda Cc: Fisher, Robert Subject: Greenport FD Fireworks appl Linda I have inspected the site of the proposed firework display as indicated in this application. I have no reservations about this event Robert Fisher Fire Inspector Office - (63[) 765-1802 ex1' §028 Fox- (631) 765-9502 h~obile - (63t) 786-9180 Emoil - eobeet.fisher~town.southold.ny.us From: Cooper, Linda Sent: Tuesday, May 10, 2011 9:54 AM To: Cochran, Carlisle; Finnegan, Martin; Fisher, Robert; Spiro, Melissa Cc: Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (christptal@yahoo.com); Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; V Orlando (vincent.orlando@town.southold.ny.us); W. Ruland (rulandfarm@yahoo.com); Andaloro, .]ennifer; Hulse, Lori; Krauza, Lynne Subject: Fireworks appl 5/11/2011 ELIZABETH 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 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor th fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: From: Dated: Re: Martin Finnegan, Town Attorney Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation Linda J. Cooper, Deputy Town Clerk June 15, 2011 Fireworks Permit for Greenport Fire Department Transmitted herewith is an application for a Fireworks Permit for the Greenport Fire Department for Sunday, July 3 at 10:00 PM. Please advise if you have any objections to a permit being issued. Thank you. cc: Southold Town Board ELIZABETH 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 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork.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~qjhereinaft,er specified: DATE & TIME OF DISPLAY d~' ~.d ( ~t~'fld ~ ~/_ ~ SUFFOLK COUNTY 'TAX MAP NUMBER FOR SITE The following persons are to be in charge of the actual shooting of the firework: Name ~/~ 38/~ ~Dg Age Experience Physical Condition (Additional n~es ~d info~tion m~y be submi~ed on a~ ~ehed sheet Manner and place of storage of fireworks prior to 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. NOTICE: Written permission, with signature of the Property Owner, must be submitted with the l',~e of)i)rganizatior~ / D ~nature of Applicant ate of Application AdORb CERTIFICATE OF LIABILITY INSURANCE 6/ /2o1 THIS CERTIFICATE IS I$3UED AS A MATTER OF INFORMATION ONL;/AND coNFERS NO RIGHTS UPON'THE CERTIFICATE HOLDER. THIS COVERAGES CERTIFICATE NUMBER: 279~1168 REVISION NUMBER: THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE'[I~T~D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWiTHST2,NDING ANY REQUIREMENT. TERM OR CONDI~ON OF ANY CO NTP~CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESORISED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CON DIVANS OF SUCH POLICIES, UM~T$ SHOWN MAY HAVE SEEN REDUCED BY PAID C L~IiV~, Date of Display: July 2, 2011 ~d July 4, 2011_ 8~b99~, ~r~npor5 Fire DeparCmen~ and Blu~ sky Amusements. CERTIFICATE HOLDER CANCELLATION Phenix Hook & Ladder Co. and Relief Hose Co. PO Box 58 Greenport NY 11944 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT[CE ~LL IN ACCORDANCE WITH THE POLICY ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION, All rights reserved. The ACORD name and Iago are registered marks of ACORD ~d W89£:EI TTOE PT 'un£ 9iP£ 8£8 SP8 : 'ON BNOH~ ouI o3 S~0~B~IB NOIBB] : ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK ']Mwn Hall. 53095 Main Rimd P () Box 1179 ~outhldd. New York 1 I971 Fax,631) 765 6145 Tcleph~me 1631 ¢ 765- 1800 smitholdtnwn .north fork.no~ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT For PUBLIC DISPLAY OF FIREWORKS 1. FI,IZABETH A. NEVILLE, Town Clerk of the Town of Southold, Sut'fblk County, New York. being an officer doly designaled bx lhc Town Board of the Town of Southold fbr this purpose, do ]]ercb.x (;RANT TO: GREENPORT FIRE DEPARTMENT THIRD STREET~ GREENPORT A PERMIT FOR THE PUBLIC DISPLAY OF FIREWORKS bx said organization in accordance with the provisions of Section 405.00 of thc Penal Law oflhe State of Ne~s York at 10:00 PM on Saturday, ,July' 2, 2011 and l?londav, Jury 4, 2011 on the property of GREENPORT PUBLIC SCHOOL, north side Front Street and east side Moores Lane~ Greenport, N'ew York. ON CONDII'ION IliA1 the bond (indemnity insurance) required shall confinuc m full force and effect in favor oflhe l'o~n gouthold, and PROVIDE[) that thc actual point at which thc fireworks are to be fired shall bc at least two hundred l~el from thc nearest building, public highwa5 or railroad, or other means of traveh and at leasl rift,,, feel from iht nearesl, above ground telephone o~ Ic[egraph linc, irecs m olhcr overhead obstnlction: that the audience at such displ~ay shall bc reslrained behind lines at least one hundred and fi f? fket from thc point at which the fireworks are discharged and only persons in active charge of thc display shall be allox~cd inside these lines: that all fireworks that fire a projectile shall be so set up that the pr(liectile will go in the air as ~carbx as possible m a vertical dircclion, unless such fireworks are to be fired from thc shore or a lake or other large body of water, then ihcx may be directed in such manner that the falling residue from the deflagration will fall m to such lake or body of water; that an} fireworks that remain unfired after the display is conducted shall be immediately disposed of in a way safe for t~e particular !ype li~c~ot'ks remaining; that no Iirewo~ks display shall be held during an), wind sto~m in which the wind 'reaches a ,,elocitx et more that~ thirtx miles per hour: that all persons in actual charge of firing the fireworks shall be over the age of eighteen years, ~ompetent and physicallx 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 nr other approved ~pc fire extinguishers of at least two and one-half gallons'capacity each shall he kept al such x~idelx ~cparated points as possible w/thin the actual area of the display. (I ox*n Seal! Suffolk County, New York Dale: .lune21.2011 THIS PERMIT 1S NOT TRANSFERABLE ELIZABETH 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 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.north fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Wo~ Dated: Re: Martin Finnegan, Town Attorney Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation Linda J. Cooper, Deputy Town Clerk June 15, 2011 Fireworks Permit for Greenport Fire Department Transmitted herewith is an application for a Fireworks Permit for the Greenport Fire Department for Sunday, July ~ at 10:00 PM. Please advise if you have any objections to a permit being issued. Thank you. cc: Southold Town Board ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR ()F 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 APPLICATION PERMIT TO DISPLAY FIREWORKS APPI. ICATI()N IS ttEREBY 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: SUFFOLK COUNTY TAX MAP NUMBER FOR ~ITE The following persons are to be in charge of the actual shooting of the firework; ~.A- ~.o~ Age Experience Physical Condition Name ~5~ ~ (Additional names and info~ation may be submitted on ~ attached sheet Number and ~pe of fireworks is as follows: Manner and place of storage of fireworks prior to 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. NOTICE: Written permission, with signature of the Property Owner~ must be submitted with the . ~e of~rga]ization,/ ~ / ~~-of Application /tCORD . - CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 15 ISSUED AS A MA~ER OF INFORMATION ONL~ AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIR~TIVELY OR NEGATIVELY AMEND, E~END OR ALTER THE CQV~GE AFFORDED BY THE POLICIES BELOW. THI$ CERTIFICATE OF INSURANCE DOES NOT CONSTI~TE A CONTACT BE~EN THE ISSUING INSURER(S), A~HORIZED REPR~EN~ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. iMPORTANT; If the ce'~fi~te hol~r 13 an ADDITJ0NAL iNSURED, the policy(les) must ~ endomed. If SUBROGATION IS WAIVED, subject to COVERAGES CERTIFICATE NUMBER: 27911168 REVISION NUMBER: THIS i$ T0 CERTIFY THAT THE POLICIES OF INSURANCE 'LI~TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOI33ON OF ANY CONTRACT OR OTHER DOCUMENT VV~TH 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, UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS E~/~TR~I ~FPECF INSURANCE ADDL~.F~ POUC?~I~F~- --p'(~'~ ....... I CLAIMS-M~OE ~ OCCUR . _ IDa~e of Display: July 2, 2011 and July ~, 2011_ Location of D~play: Greenport High School 720 Front Stz~-~t Gr~-enport, NY 11~44. Additionally Ink.red: Certifioate Holder, TOW~ ~Scbools~,. ~r~enport Fire Deparcment and Blue sky Amusamencs. CERTIFICATE HOLDER Phenix Hook & Ladder Co, al%d Relief Hosa Co. PO Box 58 3rd Ssreet Gz'ee~lport NY 11944 ACORD 25 {2009/09} CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT[CE WILl. BE DBUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, © 1998-2009 ACORD CORPORATION. All rights ~eserved. The ACORD name and Io9o ar~ registered marks of ACORD E~ Hdg£:E~ ~TOE ~T 'unf 9&~£ 828 SP8 : 'ON ~NOHd ouI oD SM~OM~]~ NOID~q : HO~ FROM : LEGION FIREt,IORKS Co Inc PHONE NO. : E~45 B38 3476 ~Tun. 15 2011 04;48PM P1 Le ion Fireworks Co. Inc. 10 Legion Lane ~'~'~ Wappingers Falls ~"~ NY ~ 12590 Phone (845)831~8328 ~ Fax (845)838-3476 FAX COVER SHEET TO: Linda Cooper - Town of Southold FROM: Jerilyn Datres RE: Pyrotechnicians Information DATE: June 15, 2011 RECIPIENT FAX #: Number of pages including cover: 1-631-765-6145 2 Hi Linda, The pyrotechnicians that will be doing the fireworks show will be Chris DeRobertis and Gary Jobson. Chris is 30 years old and has been working with us for 3 years. Gary is 55 years old and has been with us for 20 years. Chris is also a Certified Competent shooter in New York State. His certificate number is PR-421. Attached is his certificate. Should you need any further information, piease do not hesitate to call us at the above number. Have a great day, Page 1 of 1 Cooper, Linda From: Spiro, Melissa Sent: Monday, June 20, 2011 9:48 AM To: Cooper, Linda Subject: RE: Fireworks appl Greenport School is not Town of Southold preserved land, Since this is not preserved land, r have no comment on this application, Melissa From: Cooper, Linda Sent: Monday, .lune 20, 2011 8:52 AM To: Cochren, Carlisle; Finnegan, Martin; Fisher, Robert; Spiro, Melissa Cc: Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (christptal@yahoo.com); Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; V Orlando (vincent.orlando@town.southold.ny.us); W. Ruland (rulandfarm@yahoo.com) Subject-' Fireworks appl Reminder. I need responses by tomorrow's TB meeting since the next meeting is after the event. 6/20/2011 Page 1 of 1 Cooper, Linda From: Finnegan, Martin Sent: Monday, June 20, 2011 10:11 AM To: Cooper, Linda Subject: RE: Fireworks appl Nope. If we have it Fm good. Tell Pete to have a blast! From: Cooper, Linda Sent: Monday, 3une 20, 2011 10:10 Arq To: Finnegan, Martin Subject: RE: Fireworks appl I received the cert. by fax last week. Would you like me to email you a copy? Linda J. Cooper Deputy Town Clerk Town of Southold 631-765-1800 Life may not be the party we hoped fo~ but as long as we are here, we might as well dance/ If you really want to be happy, nobody can stop you From: Finnegan, Martin Sent: Monday, June 20, 2011 9:57 AM To: Cooper, Linda Subject: RE: Fireworks appl Do we ask for the certified pyro form for public displays? From: Cooper, Linda Sent: Honday, June 20, 2011 8:52 AM To: Cochran, Carlisle; Finnegan, Martin; Fisher, Robert; Spiro, Melissa Cc: Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (christptal@yahoo.com); Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; V Orlando (vincent.orlando@town.southold.ny.us); W. Ruland (rulandfarm@yahoo.com) Subject: Fireworks appl Reminder. I need responses by tomorrow's TB meeting since the next meeting is after the event, 6/20/2011 Page 1 of 2 Cooper, Linda From: Fisher, Robert Sent: Tuesday, June 21,2011 3:20 PM To: Cooper, Linda Subject: RE: Fireworks appl I still don't have a problem. Robert Fisher Fire Inspector Office - (631)765-1802 ext 5028 Fox - (631) 765-9002 Mobile - (631) 786-9180 Emoil - robert,fisher~town.soulhold,ny,u$ From: Cooper, Linda Sent: Tuesday, June 21, 2011 3:11 PM To: Fisher, Robert Subject: RE: Fireworks appl Thank you. And actually the fireworks are July 2 and July 4. Rain date is July 3 (I didn't read the application very carefully the first time) Linda J. Cooper Deputy Town Clerk Town of Southold 631-765-1800 Life may not be the party we hoped for, but as long as we are here, we m~ght as well dance! If you really want to be happy, nobody can stop you. From: Fisher, Robert Sent: Tuesday, June 21, 2011 3'.04 PM To: Cooper, Linda Cc: Fisher, Robert Subject: Fireworks appl Linda I have no reservations about the Greenport Fire Department fireworks on the Greenport School District grounds on July 3,201 I. Robert Fisher Fire Inspector Office - (631) 765-1802 ext 5028 Fax - (631) 765-9502 /,Aobile - (631) 786-9180 Email - robert.fisher~town,$outhold.ny, us From: Cooper, Linda Sent: Monday, June 20, 2011 8:52 AM To: Cochran, Carlisle; Finnegan, Martin; Fisher, Robert; Spiro, Melissa 6/21/2011 Page 1 of I Cooper, Linda From: Cochran, Carlisle Sent: Tuesday, June 21,2011 3:20 PM To: Cooper, Linda Subject: RE: Fireworks appl OK with the PD From-' Cooper, Liflda Sent: Wednesday, June 15, 201! 1:29 PM To: Cochran, Carlisle; Finnegan, [vlartin; Fisher, Robert; Spiro, Helissa Cc: Beltz, Phillip; Neville, Elizabeth; Norklun, Stacey; Woodhull, Ruthanne; Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (christptal@yahoo.com); Louisa Evans (Ipevans@fishersisland.net); Russell, Scott; V Orlando (vincent.orlando@town.southold.ny.us); W. Ruland (rulandfarm@yahoo.com); Andaloro, Jennifer; Hulse, Lori; Krauza, Lynne Subject-' Fireworks appl Fireworks company will be faxing in a list of the employees who will be shooting the fireworks, 6/21/2011