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Home My WebLink About2011ELIZABETH 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 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 propose, do hereby GRANT TO: MATTITUCK LIONS CLUB STRAWBERRY FESTIVAL 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 on FRIDAY, JUNE 17~ & SATURDAY~ JUNE 18~ 2011 AT 9:30 P.M., on the property of Eugene Burger 8500 Old Sound Avenue, Mattituck, 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 feet 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 into such lake or body of water; that any fireworks that rem~m 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 beheld during any wind storm in which the wind reaehas a velocity of more than thirty miles per hour; that all persons in actual charge of £uing 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 last 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, Town Clerk (Town Seal) Town of Southold Dated: June 14, 2011 Suffolk County, New York THIS PERMIT IS NOT TRANSFERABLE RESOLUTION 2011-445 ADOPTED DOC ID: 6931 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2011-445 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 7, 2011: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to the Mattituck Lions~ for fireworks displays on June 17 and June 18~ 2011 in conjunction with the Mattituck Lions' Strawberry Festival~ at 8500 Sound Avenue~ Mattituck, upon 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 and subject to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Christopher Talbot, Councilman SECONDER: Albert Krupski Jr., Councilman AYES: Ruland, Orlando, Talbot, Krupski Jr., Russell ABSENT: Louisa P. Evans Certificate of Insurance 101466 Issue Date: 61612011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATI'ER OF Deborah Merlino INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT Combined Specialties International, Inc. AMEND, EXTEND OR LATER THE COVERAGE AFFORDED 205 San Matin Drive, Suite 5 BY THE POLICIES BELOW. Novato, California 94945 INSURERS AFFORDING COVERAGE INSURED Display LLC INSURER A: Underwriters, Lloyd's London American Fireworks P. O Box 980 INSURER B: Oxford, NY 13340 INSURER C: INSURER D: CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (DDIMM/YY) DATE (DD/MM/YY) A GENERAL LIASlLITY CSI-127845-11 3/17/2011 3/17/2012 EACH ACCIDENT $5,000,000 CLAIMS MADE MEDICAL EXP (any one person) $5,000 FIRE LEGAL LIABILITY $50,000 GENERAL AGGREGATE $5,000,000 PRODUCTS-COMPIOPS AGO $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Eacfl accident) ANY OWNED AUTO SCHEDULED AUTOS BODILY INJURY (Per Person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per pemon} EXCESS LIABILITY EACH ACCIDENT FOLLOWING FORM AGGREGATE WORKERS COMPENSATIOI, WC STATUTORY OTHER LIMITS AND EMPLOYERS' LIABILITY E.L EACH ACCIDENT E.L. OISEASE-EA EMPOYER E.L. DISEASE-POLICY LIMIT OTHER DEECR~PTION OF OPERATIONS/i. OCATIONS/VE HIC LES/EXC LU SlONS ADDED BY ENDORSEMENT/~PEClAL PROVISIONS Blue Sky Amusements, Town of Southhold, Burger Construction and Mattituck Lions Club are additional insureds as respects the June 17 and June 18,2011 fireworks displays at 8500 Old Sound Avenue, Mattituck, NY REVISED RECEIVED JUN 14 2011 CERTIFICATE HOLDER c,~ ~ ^~,o~ Blue Sky Amusements ~)0ulh0ld Town ............ , .......... 83 Shaffer Street Islandia, NY 11749 AUTHORIZED REPRESENTATIVE Town of Southold P.O Box 1179 Southold, NY 11971 Date: 06/03/11 * * * RECEIPT * * * Receipt: 105139 Transaction(s): 1 1 Fireworks Reference Subtotal Strawberry $100.00 Check~: 7068 Total Paid: $100.00 Name: Mattituck, Lions Strawberry Festival Mattituck, NY 11952 Clerk !D: LINDAC Internal ID: Strawberry Festival To: From: Date: Re: Chief Cochran, Southold Town Police Department Robert Fisher, Fire Inspector Melissa Spiro Southold Town Board Town Clerk Elizabeth A. Neville~/~ June 3, 2011 Fireworks Permit Application of Mattituck Lions Club forStrawberryFe~ival June 17, & [8, Transmitted herewith is the application for the Fireworks Permit for the Mattituck Lions Club Strawberry Festival. The certificates of insurance and the pyrotechnis certificate will forthcoming on Monday June 6th. Neville, Elizabeth From: Sent: To: Subject: Fisher, Robert Tuesday, June 07, 2011 9:i3 AM Neville, Elizabeth RE: Mattituck lions Club Strawberry Festival Fireworks Permit Application & Special Permit Apl Betty Yes I have conferred with Ben and the Mattituck Fire Chief. Bob Robert Fisher Fire Inspector Office - (631) 765-1802 ext §028 Fox- (631) 765-9502 )Aobile - (631) 786-9180 Ernail - robe~t.fisher~town.southold.ny, us From: Neville, Elizabeth Sent: Friday, June 03, 2011 2:21 PM To: Cochran, Carlisle; Fisher, Robert (Robert. Fisher@town.southold.ny.us); Spiro, Melissa ([vlelissa.Spiro@town.southold.ny.us); Doroski, Melanie (Melanie. Doroski@town.southold.ny.us); ehaas@mattituclcfd.org; Al Krupski; Andaloro, Jennifer; Christopher Talbot; Evans, Louisa; Finnegan, Martin; Krauza, Lynne; Orlando, Vincent; Phillip Beltz; Russell, Scott; William Ruland; Woodhull, Ruthanne Subject: Mattituck Lions Club Strawberry Festival Fireworks Permit Application & Special Permit Apl These applications were received in my office at :1:45 P.M. today. I understand from Ben Suglia that all concerned parties have inspected and approve of the fireworks location. There will be a resolutions on the 6/7/1:1 Town Board agenda. Betty Neville Elizabeth A. Neville, RMC, CMC, MMC Southold Town Clerk PO Box :1179 Southold, NY :1197:1 Tel. 631 765-:1800, Ext. 228 Fax 631 765-6145 Cell 631 466-6064 Neville, Elizabeth From: Sent: To: Subject: Fisher, Robert Tuesday, June 07, 2011 9:17 AM Neville, Elizabeth RE: Complaint re fireworks_20110603144423.pdf Betty No it doesn't change my comments. Next year hopefully the display will be Friday only and on the festival grounds. Robert Fisher Fire Inspector Office - (631} 76§-1802 ext 5028 Fax- (631) 765-9502 Mobile - (631} 786-9180 Email - robert.fisher~town.southoid.nv.us From: Neville, Elizabeth Sent: Monday, June 06, 2011 10:34 AM To: Bob fisher; Cochran, Carlisle Subject: FW: Complaint re fireworks_20110603144423.pdf Linda received this on Friday and sent it to the Town Board ,but was not sure if she copied you, too. Does this in any change your prior approval of the fireworks? Please advise. Betty Neville From: Cooper, Linda Sent: Monday, June 06, 2011 10:30 AM To: Neville, Elizabeth Subject: Complaint re fireworks_20110603144423.pdf Neville, Elizabeth From: Sent: To: Subject: Spiro, Melissa Friday, June 03, 2011 3:32 PM Neville, Elizabeth; Cochran, Carlisle; Fisher, Robert; Doroski, Melanie; 'ehaas@mattituckfd.org'; 'Al Krupski'; Andaloro, Jennifer; Christopher M. Talbot - Forward; Evans, Louisa; Finnegan, Martin; Krauza, Lynne; Orlando, Vincent; Beltz, Phillip; Russell, Scott; William Ruland; Woodhull, Ruthanne RE: Mattituck Lions Club Strawberry Festival Fireworks Permit Application & Special Permit Apl The location (a 2 acre private property) is not a Town preserved property. Therefore, I have no comment on the application. Melissa From: Neville, Elizabeth ~ent: Friday, June 03, 2011 2:21 PM To: Cochran, Carlisle; Fisher, Robert (Robert. Fisber@town.southold.ny.us); Spiro, Melissa (Melissa.Spiro@town.southold.ny.us); Doroski, Iqelanie (Melanie. Doroski@town.southold.ny.us); ehaas@mattituckfd.org; Al Krupski; Andaloro, .lennifer; Christopher Talbot; Evans, Louisa; Finnegan, Martin; Krauza, Lynne; Orlando, Vincent; Phillip Beltz; Russell, Scott; William Ruland; Woodhull, Ruthanne Subject: Mattituck Lions Club Strawberry Festival Fireworks Permit Application & Special Permit Apl These applications were received in my office at 1:45 P.M. today. I understand from Ben Suglia that all concerned parties have inspected and approve of the fireworks location. There will be a resolutions on the 6/7/11 Town Board agenda. Betty Neville Elizabeth A. Neville, RMC, CMC, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631 765-1800, Ext. 228 Fax 631 765-6145 Cell 631 466-6064 Neville, Elizabeth From: Sent: To: Subject: Cochran, Carlisle Monday, June 06, 2011 8:46 AM Neville, Elizabeth RE: Mattituck Lions Club Strawberry Festival Fireworks Permit Application & Special Permit Apl I have no ob. jection to the issuing of this permit. Carlisle E. Cochran Jr Chief Southold Town Police PO Box 911 Peconic, NY 1:1958 Hqs Phone 631-765-2600 Admin Phone 631-765-2671 Admin Fax 631-734-2315 Main Fax 63:1-765-2715 The information contained in this e-mail message is intended only for the personal and confidential use of the designated recipient named above. This message may be a Law Enforcement communication that is security sensitive and confidential. If the reader of this message is not the intended recipient, you are hereby notified that you have received this message and any attached documents in error, that any review, dissemination, distribution, or copying of the message and documents is strictly prohibited. If you have received this message in error, please notify us by e-mail or telephone immediately and delete it and any accompanying documents, From: Neville, Elizabeth Sent: Friday, ]une 03, 2011 2:21 PM To: Cochran, Carlisle; Fisher, Robert (Robert. Fisher@town.southold.ny.us); Spiro, Melissa (Melissa. Spiro@town.southold.ny.us); Doroski, Melanie (Melanie. Doroski@town.southold.ny.us); ehaas@mattituckfd.org; Al Krupski; Andaloro, ,lennifer; Christopher Talbot; Evans, Louisa; Finnegan, Martin; Krauza, Lynne; Orlando, Vincent; Phillip Beltz; Russell, Scott; William Ruland; woodhull, Ruthanne Subject: Mattituck Lions Club Strawberry Festival Fireworks Permit Application & Special Permit Apl These applications were received in my office at :1:45 P.M. today. I understand from Ben Suglia that all concerned parties have inspected and approve of the fireworks location. There will be a resolutions on the 6/7/11 Town Board agenda. Betty Neville Elizabeth A. Neville, RMC, CMC, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631 765-:1800, Ext. 228 Fax 631 765-6145 Cell 631 466-6064 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 thfi~rk.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 /v'],4~' ~.~f Iv ~ ~o.,j C l,~ DATE & TIME OF DISPLAY E~CT LOCATION OF DISPLAY SUFFOLK COUNTY TAX MAP NUMBER FOR SITE [ ~IN DATE & TIME Thc following persons arc to bc in charge of the actual shooting of the firework: Name Age Experience Physical Condition (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: ! r 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 Application. By Nam~~ S~gnature of Applicant Date of Application Old Sound Ave Mattituck, NY 11952 June 1,2011 RE: 2011 Strawberry Festival Fireworks Display Elizabeth A Neville, Southold Town Clerk Town Hall P.O. Box 1179 53095 Main Road Southold, New York 11971 Dear Elizabeth A Neville, Town Clerk, Please accept this letter as permission for the Mattituck Lions Club to use my property located at Old Sound Ave, Mattituck (SCTM# 1000-121-5-4.3) for their 2011 Strawberry Festival fireworks display. The dates of the fireworks are Friday, June 17th and Saturday June 18th, 2011. Respectfully, Mr. Eugene ~t 3o ~ STATE OF NEW YORK DEPARTMENT OF LABOR DIVISION OF SAFETY AND HEALTH LICENSE TO DEAL IN OR MANUFACTURE EXPLOSIVES American Fireworks Disptay PO Box 980 Oxford, NY 13830 Kevin Jon Fritschler EXldm~; 4/30'2012 THIS UCENSE MUST BE POSTED IN YOUR PLACE OF BUSINESS Licmme No D-S1?1 tnduee~l Cede Rule~. AnY cha~e in the c~xlltton~ under wM~ tNs #emme Il gnmted miy'cauM it to be revoked. the I'L'I. MEm TYPE and QU,eWTITY of mlE/,oMms SOLD. [y~J~'RED m GNEN. Nole: No Iben~ b /Jdng ~nlJque feeem~ m mt~l:~l m' mMea~ IMmof. Howev~. ~ MUSI' p~t ~1t m=clt tmn~:lfo~ m 2) Ifle DATE OF EACH SALE, D~LIVERY or GIFT. 3) the N/~ME, LICENSE NUMBER, and BUSINESS ADORF_.~S of the purct~r, donee, or per, on to wtmm 4) the NAME, ADDRESS, aim LICENSE NUMBER of lhe ~ TAKING THE EXPLOSIVES AWAY fro~ ~ se#er m diner. SH-862 (5-~) STATE OF NEW YORK * DEPARTMENT OF ~ EXPIRES 0~13 NYC & NYS CERTIFICA*TION~ REQUIRED IN NYC STATE OF N~W YORK - OEPARTMENT OF LABOR EX-I:~S tQ/12 NYC & NYS CERTIFICATION~ RL=QU~RE~ IN NYC