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HomeMy WebLinkAbout2013 o~~gUFFO(,~co ELIZABETH A. NEVILLE, MMC h~ ~ Town Hall, 53095 Main Road TOWN CLERK C ~ P.O. Box 1179 H Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS `"py ~ Fax (631) 765-6145 MARRIAGE OFFICER ~ Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER `~a wwwsoutholdtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 22, 2013 Mc Kenneth White 240B 6`h Avenue Greenport, NY 11944 Dear Mr. White: Enclosed please find the fireworks permit that you had applied for. Please contact Captain Kruszeski at the Police Department, as soon as possible, to coordinate traffic control. If you have any questions please contact me at the Town Clerk's office at 631-765-1800. Good Luck with your event. Sincerely, Lynda M Rudder Deputy Town Clerk enc o~~g~FFO(~-c ELIZABETH A. NEVILLE, MMC OGy Town Hall, 53095 Main Road TOWN CLERK o= ~ P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS p • .tC Fax (631) 765-6145 MARRIAGE OFFICER y~ 0~ Telephone (631) 765-1500 RECORDS MANAGEMENT OFFICER 0.(~ `>).a www.southoldtownnygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT For PUBLIC DISPLAY OF FIREWORKS 1, 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: EAST END SEAPORT & MARITIME FOUNDATION 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 9:00 PM on Saturday, September 21, 2013 on the GREENPORT HARBOR, 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 aze 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; [hat any fireworks that remain unfired after the display is conducted shall be immediately disposed of in a way safe for the particulaz 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 [ask, that there shall be at least two such operators constantly on duty during [he 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 sepazated points as possible within the actual area of the display. • ~ Elizabeth A. Neville, SoutholJ Clerk Suffolk County, New York (Town Seal) Date: August 22, 2013 THIS PERMIT IS NOT TRANSFERABLE * * * RECEIPT * * * Date: 08/22/13 Receipt: 157904 Quantity Transactions Reference Subtotal 1 Fireworks 9/12113 $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By CASH $100.00 East, End Seaport & Marine Fdn. Name: East, End Seaport & Marine Fdn. P.o. Box 624 Greenport, NY 11944 Clerk ID: LYNDAR Internal ID: 9/12/13 Rudder, Lynda From: Finnegan, Martin Sent: Tuesday, August 20, 2013 1:05 PM To: Rudder, Lynda Subject: RE: Fireworks permit Yes which is why I have no objection to the application. Seriously, though, it looks to be in order in terms of certifications and insurance. I would defer to the Chief on the other issues. From: Rudder, Lynda Sent: Tuesday, August 20, 2013 1:03 PM To: Finnegan, Martin Subject: RE: Fireworks permit That is so wrong!!! You know you'll be there From: Finnegan, Martin Sent: Tuesday, August 20, 2013 12:42 PM To: Rudder, Lynda Subject: RE: Fireworks permit NFW From: Rudder, Lynda Sent: Tuesday, August 20, 2013 12:25 PM To: Finnegan, Martin; Flatley, Martin Subject: Fireworks permit Awaiting your response regarding fireworks permit for Maritime Festival t Rudder, Lynda From: Flatley, Martin Sent: Tuesday, August 20, 2013 12:54 PM To: Rudder, Lynda Subject: RE: Fireworks permit I have no objections to the fireworks permit being issued, and I'm assuming since we don't charge the Village of Greenport for our services you won't need a cost analysis for our coverage? 7Kant[~c 3lat~ Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 From: Rudder, Lynda Sent: Tuesday, August 20, 2013 12:25 PM To: Finnegan, Martin; Flatley, Martin Subject: Fireworks permit Awaiting your response regarding fireworks permit for Maritime Festival t Rudder, Lynda From: Spiro, Melissa Sent: Monday, August 19, 2013 8:58 AM To: Rudder, Lynda Subject: fireworks permit for East end seaport H i, Received above-mentioned fireworks application. This is not preserved land so I am not reviewing or making comments. Melissa 1 Rudder, Lynda From: Fisher, Robert Sent: Tuesday, August 20, 2013 12:13 PM To: Rudder, Lynda Subject: East End Seaport Fireworks Linda I have no objections to this fireworks display. Robert Fisher Fire Marshall robert.fisher(catown.southold.nv.us (631) 765-1802 office (631) 786-9180 cell CONFIDENTIALITY NOTICE: This communication with ds contents may contain confidential and/or legally privileged information. Il is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication t o~QgofFO[~-~o ELIZABETH A. NEVILLE, MMC r/,y Town Hall, 53095 Main Road TOWN CLERK o= ~ P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS p • yC Fax (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1500 RECORDS MANAGEMENT OFFICER ~~j ~ `~.a wwwsoutholdtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Martin Finnegan, Town Attorney Chief Flatley, Southold'Cown Police Department Robert Fisher, Fire Inspector Melissa Spiro, Land Preservation From: Lynda M. Rudder, Deputy Town Clerk Dated: August 16, 2013 Re: Fireworks Permit for East End Seaport & Maritime Foundation Transmitted herewith is an application for Fireworks Permit for East End Seaport & Maritime Foundation, Greenport on September 21, 2013 Please advise if you have any objections to a permit being issued. Thank you. cc: Southold Town Board o~~gyfFO[~-c0 ELIZABETH A. NEVILLE, M11iC h~ Town Hall, 53095 Main Road TOWN CLEIi.H p P.O. Box 1179 H Z Southold, New York 11971 REGISTRAR OF VPI`AL STATISTICS p .1e Faz (631) 765-6145 RECORDS OFF MANGAGEMENT OFFICER 1 Telephone ( y'L6Ce FREEDOM OF IATFORMATION OFFICER O T a eoutholdtown.a r'Z~ifork net OFFICE OF THE TOWN CLERK AUG 1 3 2013 TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS SoutSoid Town Clerk 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 East End Seaport 6 Maritime Foundation PRINCIPAL OFFICE AT PO Box 624, Greenport, NY 11944 DATE & TIME OF DISPLAY 9 / 21 / 13 @ 9:00 pm EXACT LOCATION OF DISPLAY Greenport Harbor (site map attached) SUFFOLK COUNTY TAR MAP NUMBER FOR SITE RAIN DATE & TIME N/A The following persons are to be in charge of the actual shooting of the Tireworks: Name Age Experience Physical Condition Michael Lamm 28 yrs 5 years + Health: Excellent Edward Metz 55 yrs LO years Health: Excellent (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: 1.3G Fireworks 2-3 inch=300, 4 inch=105, 5 inch=65, 6 inch=l8. Total Cakes=l0. Manner and place of storage of Tireworks prior to display: Delivery day of display to barge location-Costello Marine. 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 wverage. NOTICE: Written permission, with signature of the Property Owner, must be submitted with the Application. _ i~~-K~-s~l~ ~a •2i ~ /11A2~ ` o Cot~N1~A l'to/J FEE: b100 Name of Organization See policy--for additional information ~ ~,r Signature of Applicant .~1~~ucs i3 Zo~~ Date of Application ~~"'~'y~ RESOLUTION 2010-474 ADOPTED DOC ID: 6016 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION N0.2010-474 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NNE 29, 2010: RESOLVED that the Town Board of the Town of Southold hereby adoats the followine POLICY reeardine the issuance of fireworks permits: 1. The Town may grant a permit for the display of fireworks by municipalities, fair associations, amusement parks, persons or organizations of individuals. Penal Law Section 405.00(2). 2. An "organization of individuals" is a religious, civic, or compazable organization. Op. Atty. Gen No. 2007-3. 3. Fireworks permits shall indicate that the display must be concluded by 10:00 p.m. if held Sunday-Thursday, 11:00 p.m. if held Friday or Saturday, and there shall be no time restriction if held on July 4. 4. No person shall engage in or allow the manufacture, assembly, storage or display of any fireworks or pyrotechnics display without first obtaining a permit issued by the Town Clerk. A completed application for display of fireworks must be received by the Town Clerk a minimum of 30 days prior to the date of display. The permit application for any fireworks or pyrotechnics display shall be accompanied by the following: (a) a copy of a valid certificate of competency as a pyrotechnician for the individual supervising the firing of the display; (b) Certificate of Insurance naming the Town of Southold as additional insured with coverage Limits of $2,000,000 for public liability and $2,000,000 for property damage; (c) Detailed diagrazn showing location of fireworks dischazge and minimum sepazation distances in accordance with the applicable requirements of Penal Law Section 405(2); (d) A copy of the contract with fireworks display company; and (e) All applications shall require the approval of the Fire Chief of the District in which the display will take place and the Fire Mazshal before being presented for approval by the Town Boazd. Resolution 2010-474 Board Meeting of June 29, 2010 5. All applications for a fireworks permit shall be subject to an application fee in an amount of $100.00, together with a processing fee in an amount to be determined by the Town Board to cover the Town's costs for monitoring and enforcing compliance with the Pena] Law. Eq, Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Albert Krupski Jr., Councilman SECONDER: Vincent Orlando, Councilman AYES: Ruland, Orlando, Talbot, Krupski Jr., Russell ABSENT: Louisa P. Evans Updated: 6/30/201 0 1 0:43 AM by Lynda Rudder Page 2 A CERTIFICATE OF LIABILITY INSURANCE osier izo,N s~'~YI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. ff SUBROGATION IS WAIVED, subject to the terms and condhlons of the policy, certain policies may require an endorsement A statement on this certifcate does not confer rights to the certifrate holder in lieu of such endorsement(s). PRODUCER P a., CONTACT Allied 5 eeial Insurance, Inc. NAME: 10451 Gulf Boulevard PHONE _ _ _ iac Ner. EaEaL Treasure Island, FL 337061814 AooRESS___-_ _ 1-$00-237-3388 _ INSURER~SI AFFORDING COVEMGE NAIC;Y INSURER A: T.H.E. InE:UranCe Company 12866 INSURED Pyro Engineering, Inc. INSURER a: dba: Bay Fireworks INSURERD: wsuRER D 400 Broadhollow Road, Suite 3 INSURERE: Farmingdale, NY 11735 INSURERE: _ _ - _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAV 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 REDUCED BV PAID CLAIMS. INSR rypE OF INSURANCE ADDL SUER POLICY NUMBER NAV~ EFF M~CY EXP LNNTS LTR A GENERAL DABILITY CPP0101284-03 05114/2013 05/74/2014 EACH OCCURRENCE $1,000,000 __~GOMMERGIAL GENERAL LIABILITY i I DAMAGE TO RENTED x PREMISES aoccurtence)_ f1OOr000 CIAIMSMAOE ~ OCCUR MED EXP (Any one Parson) E PERSONAL 8 ADV INJURY E 1 rOOO,OOO _ _ ' GENERAL AGGREGATE E 2 OOO OOO GENY AGGREGATE LIMIT APPLIEB PER: PRODUCTS-COMP/OP AGG E2r000,OOO ~I POLICY PRO- LOC E -AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT 1,000,000 A CPP0101284-03 OS/14I2013 0511412014 eoDl vlawu"v (Per person) E ANY AUTO ALL OWNED SGHEDULEO BODILY INJURY (Par acddenQ E J AUTOS x AUTOS X NON-OWNED I PROPERTY DAMAGE : HIRED AUTOS X AUTOS Per accident E I f _ - A UMBRELLALIAB X OCCUR ELP0010296-03 0511412013 05I1M2074 EACH OCCURRENCE $ 9r000,OOO ii X EXCESS LIAB I CLAIMS-MADE A_G_G_REGATE E9,000,000 ' DEO RETENTION $ E A WORKERS COMPENSATION x WC STATU- OTH- AND NPLO RS' DABRm' Y / N Nandatp In NN iWC134166 0511412013 OSI1M2014 M ANV PROPRIETORIPARTNERIE%ECUTIVE E.L. EACH ACCIDENT - E1r000,OOO i OFFICERIMEMBER EXCLDDED? N / A Iye ) E.L. DISEASE-EA EMPLOYE E1r000,o00_ ' IOESCRIPTION OF OPERATIONS blow EL OIBEASE-POLICY LIMR E 1 rOOO,OOO I DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ANaah ACORO 101, Atldkional Remarks Schedule, N more space Is required) DISPLAY DATE: 9/21/13 RAIN DATE: None LOCATION: Greenport Harbor, NY RE: GENERAL LIABILITY, THE FOLLOWING ARE NAMED AS ADDITIONAL INSURED IN RESPECTS TO THE OPERATION OF THE NAMED INSURED ONLY: East End Seaport 8 Maritime Foundation; Town of Southold; Village of Greenport; Suffolk County; Costello Marine; Greenport Yacht and Shlp Building Co., Inc. CERTIFICATE HOLDER CANCELLATION East End Seaport & Maritime Foundation Thirty (30) Days Notice of Cancellation Applies SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 624 7HE EXPIRATK)N DATE THEREOF, NOTICE WILL BE, OEW~R IN Greenport, NY 11944 ACCORDANCE WRH THE POLICY PROVISIONS. CERT #2363 (Revised 8/7/13) wtrrxalD~D sE ATWE i/ 2 ©1988-2010 ACORD CO PORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SPONSOR: East End Seaport & Maritime Foundation Fireworks Comnanv Pyro Engineering, Inc. 999 S. Oyster Bay Rd., Suite 111 Bethpage, NY 11714 Show Date(s): 9/21/13 Raio Date(s): N/A Location: Creenport Harbor (site map attached) 1. Total number of Class B shells being used: 2-3"=300, 4'=105, 5"=65, 6"=18. Tota] Cakes= 10. Sizes between: 2 inches and 6 inches in diameter. 2. All shells are DOT approved. 3. Display will be fired electrically and manually. 4. All displays will comply with all requirements as set forth in NYS Penal Code 405 and NFPA 1123, 1124. 5. Pyro Engineering, Inc. has complete understanding of all rules and regulations governing public fireworks displays and this display will be in accordance with those rules and regulations. 6. Personnel representing fireworks display company: Lead: Mike Lamm (NYS DOL #PR-342) and/or Edwazd Metz (NYS DOL # PR-2) 8. Technician(s): tba Signed~~~~,~~7LC~ ~7.i1L~~ Fireworks Company Representative ~ 1 ~ 9. „ l y~ y .0~~~'.i • A ~ , 1 Jh Y ~ • \ reenport,.,NY•. 1 t ~ ~r, ~ i~,,.1 ~ .1 f" ~ ~ .f -f .r-.W 1F i _ 1 1 M ti q~~. ! a f ~ ~ i ~ • ~ ~ ic~~ a ~v~. r c~~ t~ r w}• • rah ti.~ a 1 • A 4,~ ~ ' ~00 ft radi~,s ~ inc mad' L~ i . 4~~~ w d i ~ ~ Y Sys ~ \ ~ W ' ~ ` ~ 41-05-55 N / 72-21-18 W ~ ~ a .i. , s Y~ . ~ _e. _ _,~~00~ C n ' , U.S. Depervnent of Justice '-"`YiOO' ~ `~O a"a-`~+ma., a a-. auu Bureau ofAlcohol, Tobacco, Firearms end Explosives (I t4 U.S: L' Chapter 40) r;aearur~nrrr .uvao ma In accordance whh the provisions of Title Xf, Organized Crime Comma AU of 1970, and the regulations issued iheteunda (27 CFR Part 555), you may engage in the adiviry spceiLed in this license or permit within the Ihnitationa of Chapter 40, Title I8, United States Code end the regulations issued thereunder, until the czpimtion dale shown. TIHS 1.lCENSE IS NOT TRA NSk'P, itA RL_E UNDER 27 CFR 555.53. See "WARNINGS" end `NOTICES" on rcverac. Direst ATF ATF-Chief,FELC LimnselPertnit Cortcspondence To 244 Needy Roed Number a 1 • ~ 1 1 • Martinsbur , W V 25405-9431 Chief, FcdcrelE bsivcs Licensing Center (FTiL Ezpinfion 1 0' Date 1 2 . Name l49'C ~~~~YYY DBA BAV FIREWORKS &INTNTL PYRO IMPORTER (IPI) Premises Address (Changes? Notify dre FF.LC u ieut 10 days befac the owvc ) 999 SOUTH OYSTER BAV RD SUITE 111 FARMINGDALE NY 11735- Typc of License or Permit 51-IMPORTER OF EXPLOSIVES Purchasing Certification Statemem Mei]ingAddress (Changes? Notify the FELC of any changes.) The licensee a permines named above rha0 use a Dopy ofihu lirnru a pertnil to assist e truufera of <xpbsivmto vaE'y the idemdy end Poe Eceosed flatus plebe Ikaues a permutes upresided by 27 CFR Part 555. The sieradp<an earl rmvmua hen onmrra] pyRO ENGINEERING INC si A taxed scumed a emsiled copy ofthe licaru a pamd wish a ugnaNrc imendedto be an arigmel fi(grabae iaaaeplebk. The sigtehtremuA Le that of the Federal DBA BAY FIREWORKS &INTNTL PYRO IMPORTER E~losives Lieeoaes (FEL) a a resporatible perms d'the FEL I cvtgy Wu tltis u a W e (IPI) copy of a license a Pramil issued to the licenses a permhtes roused ebwc to mgage m 1h< busmeaaopermiansspecsed above uoda "lypedLicroseaPermn." BAB SOUTH OYSTER BAV RD SUITE 111 FARMINGDALE, NV 17735- LicenscePermittce Responsible Person Signature Pos~[ion)Titic I'rintcd Namc Datc A7F Fran sroo. tasarn i s Pa, I Prcvieus Edaim pObwlae nerrrroawanpaanna ureurtniainaararane+ena.,,.mmrmnewmrwaa lim'iutl Onabe 1011 Federal Ezploslvu License (FEL) CWstan<r Service Informatitn Federal Explosives Licensing Cema (FELC) Toli-free Telephone Number. (877)283-3352 ATF Romepage: wwetatCgw 244 Newly Road Fax Number: (304) 616-0401 Martinsburg, WV2 54 0 5-94 3 1 E-mail: FF.LCrdatfgov CTange of Addrxss /27 CFR 333.34(y Licensees or pertnOtces may during the term of their curtart Iimax or pemul remmro [heir business or opentions to a new location et which they intend regularly to carry on such business or operations. The licenses or permutes is required m gh~c natiEutioo of the new Iecetion of the business or operations not less [hm 10 days prior to such remove! whh the Chief Federal Explosivrs Licensing Cents. The Gceose or permit will be valid for the remainder of the term oCthe original license or pcmtit. (The Chief, FELC, sha@, if Bee Etmses or prsmithe is not qualified, reRr Bre request for upended Ecrnu or perlNt to the 1Xrector of Industry OperaBOns for derdil ht accordance with § 555.54.) Right of Succeasioa (37 CF72 335.39). (e) Certain persons ratio [hen [he Iirxnaes or permittce may sceure the right to carry on the same explosive mricrials business or operriions ri the same address shown on, and for the remainder of the term oC, a current hcensc or permit. Such persons ere: (1) The surviving spouse or child, err executor, adminirirrior, or mhor lagal mpresente0ve of a deoceeed Geensce or pcrtnittce; and (2) A rrceivtt or trustee in hankmp[cy, or an assignee for brncfit at creditors. (b) In order to secure the right provided by this section, the peroon or persons continuing the business or opcruions shall Cornish the license or permit for for that business or operations for rndonement of such succession to the Chief, FELC, within 30 days from the drie on which the successor begins to cem. on the business or opcrriions Cut Here ~G (Connnued on reverre nde) ~__________________________________I ~ Federel Hzplostvu Liceaae/Permtt (FEL) Iaformatioa Card ~ I I LiccnsNPertn@ Neme: PYRO ENGINEERING INC ~ ~ I ~ Business Name: DBA BAY FIREWORKS b INTNTL PVRO I IMPORTER (IPI) ~ I LicensdPermit Number: 6NY-0.59.51JE-00729 ~ I I I ~ Liccnse/Permit 7ype:51-IMPORTER OF EXPLOSIVES ~ I I I Expiration: May 1, 2074 I I I t I PlesseNde: Na Valid fa the Sale aOlha Dispoahim d'Explosives. 1 Eastern Service Center 1701 Columbia Ave. U.S. Department Operations Support Group College Park, GA 30337 of Transportation AN-E2 REQUEST FOR FIREWORKS DISPLAY Date: 7/ 26/ 13 Company Name: Pyro Engineering 400 Broadhollow Rd. Suite 3 Farmingdale, NY 11735 Email Address of Person Requesting the Show: ioanne(ct~bayfireworks.com Event Name: Maritime Festival 2013 Display Date: September ,u~ 2013 Rain Date: none Display Start Time: 9:00 pm Duration of Fireworks Display: 10 minutes Max Height of Fireworks: 700 Feet City or Town and State (Physical Address): Greenport, NY Latitude: 41.05.55 N (North) Longitude: 072.21.18 W (West) Location or Special Notes: Shelter Island Sound Please email your request to: 9-ATO-ESA-OSG-fireworks@faa. qov