HomeMy WebLinkAbout2012ELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAI, STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 1197]
Fax/6311765-6145
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 purpose, do hereby
GRANT TO:
PECONIC LANDING (~, SOUTHOLD
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
SUNDAY~ AUGUST 19~ 2012 AT 9:00 P.M.~ on the property of
Peconic Landing, 1500 Brecknock Rd., Greenport, New York
(Town Seal)
Dated: July 31,2012
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 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 beheld 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 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 of Southold
Suffolk County, New York
THIS PERMIT IS NOT TRANSFERABLE
ELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 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 Flatley, Southold Town Police Department
Robert Fisher, Fire Inspector
Melissa Spiro, Land Preservation
Linda J. Cooper, Deputy Town Clerk
July 24, 2012
Fireworks Permit sponsored by Peconic Landing
Transmitted herewith is an application for a Fireworks Permit for S-atmday,
Sunday, August 19 on the Peconic Landing property.
Please advise if you have any objections to a permit being issued.
Thank you.
cc: Southold Town Board
RECEIVED
JUL 2 4 0t2
Southold ~~slL[~ ~" I,~VlLI~, MMC
TOWN CI~RK
REOIHTRAR OF VITAL STATISTICS
MA~P,2[AGE OFFICER
RECORDS OF MANAGElv~NT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Mai~ l~ad
P.O. Bm 1179
Southold, NewYork 11971
F~x (631) 765-6145
Telephone (631) 765-1800
southol drown.nor thforlr net
OFFICE OF THE, TOWN C!,EP.K
TOWN OF SOUTHOLD
APPLICATION
PERMIT TO DISPLAY FIREWORKS
APPLICATION IS HEREBY MADE, pursuant to the provisibns of Section 405.00 of the Penal Law of the
State &New York, for a permit to display fireworks as hereinafter specified:
DISPLAY IS TO BE SPONSORED BY Peconic Landing @ Southold Inc.
PRINCIPAL OFFICE AT 1500 Brecknock Road, Oreenport, NY 11944
DATE & TIME OF DISPLAY August 19, 2012 approx: 9: 00 pm,
EXACT LOCATION'OF DISPLAY Peconic Landing properi:y
SUFFOLK COUNTY TAX MAP NUMBER FOR SITE
RAINDATE&TIM~ Aut~ust 20, 2012 9:00 pm
The following persons are to be in charge of the actual shooting of the fireworks:
Name Age Experience Physical Condition
Edward Metz 54 yrs 10 year~ n~°!th ~EY-ccllent
David Belling 31 yrs 10 years Helath-Excellent
(Additional names and information may be submitted on an a~aehed sheet
Number and type of fireworks is as follows:
(1.3G) 2.5 to 3 inch=684, total Cakes=20
Manner and place of storage of fireworks prior to display:
Delivery will be 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 eertiflcate or policy of insurance coverage.
NOTICE: Written permission, with signature of the Property Owner~ must be submitted with the
Application.
Peconic Landing at Southold Inc.
See policy';fo~ additional information
~Oate ~ppli~ation
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED A~ A MATTER OF INFORMATION ONLY AND CONFESS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPO~<~ ANT: If the cmtlflcate holder Is an ADDITIONAL INSURED, the pollcy(is~) must be endomed. If SUBROGATION IS WAWED, sub]ec~ to
certificate holder i~ lieu of lur. h endorsernent~s).
~,o=uc~ Allied Specialty Insurance, Inc. ~:c~rrAc"r
10451 Gulf Boulevard ~,t~o,e F~X
Treasure Island, FL 33706-4814
1-800-237-3355
?~su~Eo Pyro Engineering, Inc.
dba: Bay Fireworks ~.su~. c:
400 Broadhollow Road, Suite 3 ~N~U~O:
Farmlngdale, NY 11735
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NNdED ABOVE FOR THE POLICY PI~]OD
INDICATED. NOTWITHSTANDING ANy REQUIREMENT, TERM OR CONO~TION OF ANY CONTRACT OR OTHER DOCUMENT W;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. LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
A -~(;;ENEP'~J~ UA~UTY COMME~C~LGedERAC UABILrTY ri CPP010t284-02 05/14/2012 05/1~"]: CiAMA~TORENTEDF'~VC}~ OCCURP'EN<~E I $~,000j000
~s~s ~ ~ $100,000
-- ~ & A~V~,.U~ $1,000,000
,~'~. ~C~;C.~T; $ 2,000,000
COUeO~ S*~U~ ~ t 1,000,000
A .~u~7o~omu~cc, m,m~, CPP0101284-02 D~14~2012 05t1,1~2013
~OEU~S'u~rY YIN WC123842 )5/14/2012 05/14/20t3 X
~PTI~N OF OPERAT~ON~ ba~w E,C. DI~ - FOUC'Y LI~IT
CERTIFICATE HOLDER CAN¢I::![~,TiON
Peconic Landing ~ Southold, Inc.
1500 Brecknock Road
Greenport, NY 11944
CERT #1878
ACORD 25 (2010105)
O 1988-20t0 ACORD CORPORATION. All rlght~ r~m'ved.
The ACORD name and logo are registered marks of ACORD
America's World Class Fireworks Leader
FIREWORKS DISPLAY AGREEMENT
Display Date: August 19, 2012
AGREEMENT made February 13, 2012 by and between Pyro Engineering, Inc., whose address is 400 Breadhollow Road, Suite 3,
Farmingdole, NY 11735 (hereinafter "PEr'); and Peconic Landing, 1500 Brucknock Road, Greenport, NY 11944
(hereinafter "SPONSOR").
WHEREAS, PEI designs, produces, and conducts fireworks displays; and
WHEREAS, SPONSOR wishes to engage PEI to design, produce and perform a fireworks display on the temps and conditions
hereinafter set forth;
NOW, THEREFORE, in consideration of the terms, conditions and covenants hereinafter set forth, the parties hereto do
mutually agree as fctlows:
f. FIREWORKS DISPLA Y: On, August 19, 2012 (hereinafter 'the Display Date'), PEI shall provide the fireworks and equipment
for the display at the Fireworks Display location. The display will be under the supervision of a PEI trained technician. It is agreed that
PEI shall be the sole fireworks supplier and producer for the event contracted for herein. (Note: The actual start and stop lime of
the display will be determined by the governmental authorities having jurisdiction over the display).
ALTERNATE DATE: None
2. COST AND PA YMENTS:
r I'iKI=WORKS DISPLAY PRICE:
The total (Fireworks Display Price plus alt other applicable charges) sum of $
a. The sum of: $ upon execution and delivery of this contract.
shall be due and payable as follows:
b. The Balance of: $ 'which includes any taxes that may be applied to this sale) shall be paid by Official Bank
Check made payable to Pyro Engineering, Inc. not later than fifteen (15} days odor to the Display Date.
Please Note: SPONSOR is responsible for the payment of all govemmental fees and taxes, including, but not limited to, sales,
use, excise, license, permit, entsrtainment, or other fees, taxes or surcharges imposed or otherwise applied to this exhibition. Also,
please see Section 16(c) heiow.
3. POSTPONEMENT/RESCHEDULING: If the display of the fireworks is postponed/rescheduled by reason of inclement weather or by
determination by the governmental authority having jurisdiction, or for any other reason beyond the control of PEI, same shall be re-
scheduled to the Alternate Date set forth above. In the event a postpenement/rescheduling is necessary due to inclement weather or
by determination by the govemmenlal authority having jurisdiction, or for any other reason beyond the control of PEI a
postponement/rescheduling fee will be based on the table below.
% of Fireworks Display Price
5%
15%
2O%
Additional Costs
Any 3'= Party Vendor Expenses
Any 3~= Party Vendor Expenses
Any 3m Party Vendor Expenses
rDescription
if notified by 12:01 AM on 08/t8/12
If notified after 12:01 AM on 08119112
Once Bay Fireworks Techs Arrive on Site
Any request made by SPONSOR for rescheduling/canceling shall be directed to hel~beyfireworks.com or by phone (516) 233-
4132. It is understood and agreed that PEI shall have no obligation to reschedule a display except as required by inclement weather or
reasons beyond the control of PEI.
4. SPONSOR'S AGENT: Ms. Diane Radigan CELL PHONE: shall be designated as SPONSOR'S agent to
whom all questions and inquiries shall be relayed. Sponsor's agent shall be the only agent of SPONSOR authorized to make
decJsions on behalf of SPONSOR or to request rescheduling of the tireworks display on the part of SPONSOR.
Please in,al eac~ page.
EEl
STATE OF NEW YORK - DEPARTMENT OF LABOR "~
~' W~N~...~ OTECHNICS
NYC & NYS CERTIFICATIONS REQUIRED IN NYC
STA~. r~ ~' HEW YONK I;~-PAE¥~ENC ~DF I ABOR
P¥1.%,t'~ . :C~I-~.C;~,PTP:IC... 'EC~i 0~. .'it_ .~IF
NYC & N~ CERTIFICATION~ REQI,,flRED IN NYC
Town of Southold Vendor Code: 000041
Invoice No. Description Date Amount Discount Withheld Net Amount
PermitFrwk 07/19/201~ 100.00 0.00 0.00 100.00
Check Date:, - - , 107/19/20121 CheCk #: Iooooo6828o Totals :l. O0. O0 O. O0 O. 0(~ 100. OC
Tips for Preventing Check Fraud
No service or feature can entirely eliminate check fraud. However, measures can be taken to greatly reduce the
risk of check tampering or duplication. Following are suggestions for preventing check fraud.
1. Avoid leaving large blank spaces in the convenience dollar amount or legal dollar amount lines on the
checks you write. Additionally, avoid leaving large blank spaces on the "Pay to the Order of" line.
2. Immediately report to your bank if checks payable to you are stolen.
3. Protect your account records and any documents containing personal identification information.
4. Close unnecessary accounts and destroy any checks for closed accounts.
5. Inform your bank about the status of your accounts.
6. Store your unused checks in a secure area.
7. Secudty features contained in this laser check stock deter counterfeiters and forgers.
Town of Southold
P.O Box 1179
Southold, NY 11971
Date: 07/24/12
* * * RECEIPT * * *
ReceiptS: 139810
Transaction(s):
1 1
Fireworks
Reference Subtotal
8/19/2012 $100.00
Check#: 68280
Total Paid: $100,00
Name:
Clerk ID:
Peconic, Landing
P. O. Box 430
1500 Brecknock Rd
Greenport, NY 11944
LINDAC
Internal ID: 8/19/2012
Page 1 of 1
Cooper, Linda
From: Spiro, Melissa
Sent: Tuesday, July 24, 2012 6:41 PM
To: Cooper, Linda; Finnegan, Martin; Fisher, Robert; Flatley, Martin
Cc: Al Krupski (alkrupskitown@yahoo.com); Christopher M. Talbot - Forward; Doherty, Jill; Louisa Evans
(Ipevans@flshersisland.net); Russell, Scott; William Ruland; Doroski, Melanie
Subject: RE: fireworks appl by Peconic Landing
Hi Linda,
This is not preserved land.
Therefore, not reviewin§ or makin§ comments.
Thanks,
Melissa
From: Cooper, Linda
Sent: Tuesday, .]uly 24, 2012 2:36 PM
To: Finnegan, Martin; Fisher, Robert; Flatley, Martin; Spiro, Melissa
Cc: Al Krupski (alkrupskitown@yahoo.com); Chris Talbot (christptal@yahoo.com); Doherty, .]ill; Louisa
Evans (Ipevans@fishersisland.net); Russell, Scott; W. Ruland (rulandfarm@yahoo.com)
Subject: fireworks appl by Peconic Landing
7/25/2012
cooper, Linda
From:
Sent:
To:
Cc:
Subject:
Flatley, Martin
Tuesday, July 24, 2012 6:36 PM
Cooper, Linda
Blasko, Regina
RE: fireworks appl by Peconic Landing
i have no objections to this fireworks display being held
..... Original Message .....
From: Cooper, Linda
Sent: Tue 7/24/2012 2:35 PM
To: Finnegan, Martin; Fisher, Robert; Flatley, Martin; Spiro, Melissa
Cc: A1 Krupski (alkrupskitown~yahoo.com); Chris Talbot (christptal~yahoo.com); Doherty,
Jill; Louisa Evans (lpevans@fishersisland.net); Russell, Scott; W. Ruland
(rulandfarm~yahoo.com)
Subject: fireworks appl by Peconic Landing
Page 1 of I
Cooper, Linda
From: Fisher, Robert
Sent: Thursday, August 02, 2012 3:10 PM
To: Cooper, Linda
Subject: Fireworks
Linda
Just offthe road.
Fireworks for Peconic Landing for August 19 L~ 9PM. I have no reservations. I approve.
Fireworks for Strawberry Fields for the Volunteer Firemen's Memorial fundraiser for August 25 @ 10PM.
I have no reservations. I approve.
Sorry for the delay.
Bob
Robert Fisher
Fire Inspector
robert.fisher@town.southold.ny.us
(631) 765-1802
From: Cooper, Linda
Sent: Thursday, August 02, 2012 10:57 AM
To: Fisher, Robert
Subject: Fireworks
I know you said you were going to try and check out Peconic Landing yesterday; were you able to make a
determination? Also I still have the fireworks at Strawberry Fields for the Volunteer Firemen's Memorial
fundraiser pending.
Sorry to be a nag.
Thanks!
L/nda ~.. 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 might as well dance!
The difference between try and tdumph is a Itttle "umph"!
8/2/2012