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ELIZABETH A.NEVILLE, MMC �� y Town Hall,53095 Main Road
TOWN CLERKP.O.Box 1179
ca Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p ` Fax(631)765-6145
MARRIAGE OFFICEROl �aO! Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 24, 2014
Transfiguration of Christ Greek Orthodox Church
PO Box 1162
Mattituck,NY 11952
Dear Sir:
The Special Permit for Greek Festival is enclosed. If you feel it is necessary,
please contact Captain Flatley at 765-2600, to coordinate traffic control. Good
luck with your event.
Very truly yours,
Lynda M. Rudder
Deputy Town Clerk
Enc.
ELIZABETH A.NEVILLE,MMC ��� l/y Town Hall,53095 Main Road
TOWN CLERKC P.O. Box 1179
COD = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICEROl Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER 19 www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SPECIAL PERMIT
A Special Permit is hereby granted in accordance with the Code of the Town of Southold, to the
Greek Orthodox Church of the Transfiguration of Christ, 1950 Breakwater Road,
Mattituck, New York to hold their "Greek Festival", on the church grounds at Mattituck, New
York, on Friday, July 25, Saturday, July 26, and Sunday, July 27, 2014, provided they file
with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming the Town of
Southold as additional insured.
Dated: June 24, 2014
Elizabeth A. Neville
Southold Town Clerk
cc: Chief of Police Flatley
* If a tent is to be erected you must obtain a permit from the Southold Town Building
Department.
** If fireworks are going to be displayed a separate permit is needed from the Town Clerk's
Office
Please contact Captain Kruszeski at the Police Department immediately to insure traffic
control (765-2600). Thank you.
Southold Town Board - Letter Board Meeting of June 17, 2014
RESOLUTION 2014-522 Item 4 5.4
ADOPTED DOC ID: 9872
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-522 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
JUNE 17, 2014:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to the
Transfiguration of Christ Greek Orthodox Church to hold its Annual Greek Festival on July 25,
26 and 27 (Friday, Saturday and Sunday), 2014, 3:00 PM ? 11:00 PM on Friday and Saturday,
12:00 PM -7:00 PM on Sunday, provided they adhere to the Town of Southold Policy for Special
Events on Town Properties and Roads. All Town fees for this event,wit4t the
€1rmnzprBe}ies , are waived.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Jill Doherty, Councilwoman
SECONDER:William P. Ruland, Councilman
AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell
Generated June 20, 2014 Page 15
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ELIZABETH A.NEVILLE,MMC �� r/y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
co
CA 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS & • .F Fax(631)765-6145
MARRIAGE OFFICER y 0� Telephone(631) 765-1800
RECORDS MANAGEMENT OFFICER ��( `>J►a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
RECEIVED
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD JUN 5 2014
Southold Town Clerk
APPLICATION FOR A PERMIT TO HOLD A
SPECIAL EVENT
Please provide ALL of the information requested below. Incomplete applications WILL NOT be
reviewed.
Date of Submission iv F--
Name
Name of Event \'Poll—
Name of Organization: t(L(��SE��vnhTlol�Of �S i �2 ��121�Oh�X ��
Is this a Not-For-Profit Event? Yes/No YILJ
29� —
Contact's Name: MNt,1\3F L=� S r 1�F S�%9
Mailing Address: \9�� ����,,�c�-��Zp�-� \7,-)('
Contact's Phone Number:
Contact's Email Address: Vy�P,�J. `�`�� ��• ���
Event Location and Site Diagram: �,AtLvJPs'��� \"N��(C�
(Use additional paper if necessary)
Event Date(s): y'`y ZS ,Z ,-L1 , 2p .24�
(Include set up and shutdown times and dates)
Nature of Event: C�J2CN �JN�� \S�Z
(Please attach a detailed description to this application)
V--Q—\ - 3pM \\ ?M
Time Period (Hours)of Event: From >P T- 3 to \\ QrA
-5 J r,1 - \-L -1 4M
Maximum Number of Expected Attendees: Zoy
Specify any special requirements (i.e. road closure, police presence): tlhrJF
If a Tent or other temporary structure will be used please contact the Southold Town Building Department
at 631-765-1802 \
Mailing Address to Send Event Permit to: �• • �U7C ���,Z , 1\l1(� 1'ri� , may
Fees:
$250 for events with less than 1000 expected attendees ✓
$350 for events with 1000 or more expected attendees
$250 or more Clean-up deposit V,
NOTE: Additional deposit may be required (see attached regulations)and shall be made in an amount
determined prior to issuance of the permit based upon the estimated direct costs attributable to additional
police, highway and cleanup costs associated with the event. The deposit will be used to cover such costs
and any unused monies will be returned to applicant.
CERTIFICATE OF INSURANCE REQUIRED: Not less than $2,000,000 naming the Town of
Southold as an additional insured.
Additional information and requirements may be required as deemed necessary by the Town Board.
�A ATF L�S -\ f21 O C>F S
Print name of Authorized Person filling out Sign tore of uthorize Person filling out application
application --p r2-A S0 -p,Lr--s ,r>F��
*Upon the request by applicant, the Town Board may waive in whole or in part any of the application
requirements.
o ` 40
2
I /4eot Re DATff JMWD&YYYY,-
11%� CERTIFICATE OF LIABILITY INSURANCE 6/5/2014
THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES
BELOW_ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 7HE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: It the certificate holier is an ADDITIONAL INSURED,the policy(iss)must be endorsed. It SU®ROGATION IS WAIVED,subject to
the terms and condition of the policy,certain Policies meg require an endommn*r(t, A stalwnw of on this certificate does not confer rights to the
cortlflcate holder In lieu of such*odorsenWgS).
PRODUCER^ NAME Steven Or
Teetrales Insurance AgenrsyE (516)228-0134AtI (51s1228-c3,e4
'377 Oak Street
14th !•loon INSUR S DING COUNDA12rNac
j C,ardar. City NY 11530 � IN URERA Ameriaaa Al t4?rnative Ina,Corn.
IN$JMD INSURER
9.
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Greek Orthodox Church of the Transfiguration , IIEI3a.
of Christ INSURM 91;
PC Qox 1162 INSURER L:
Mattituo]c NY 11952 INSUM r
COVERAGE.$ CERTIFICATE NUMECR:d1465041Qa REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAC"i OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 81 ISSUED OR MAY PERTAIN, THE INSURANCE A"ORCED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHCMIN MAY HAVE BEEN R®UCED 3Y PAID CLAIMS,
LTRTYPE OP INeuRANORAMRN MBER Y rim
LIMITS
GENERAL LIABILITY
MONQ0C,JRRENCF 3 11000,000
X COMMERCIAL GENERAL L"LITY 1 �3I To RrQTEff — 3 100 OOD
A CLAIMSAMDE 11 OCCUR X MCP0000094-01 /25/2014 /75/2019 p P ) S 5 000
X yaBtorai LLWAlit ONAL4AOVINJURY $ 11,000,000
GENERAL AGGREGATE t 3,000,000
0CN'L AOOR60ATE LIMB APPLIES PER MgWCTS-COMP/OP Atom $ 3,000,000
K P LICV PRD- LOC
AUTOMOBILE LIABILITY R mm
i Q
ANY AUTO WDILf INJURY(Pr PWBWI S
A AL Oros WED tT
RA ED 059030CA1415 /25/2014 /x5120.15 WDILY NrURY(Per+odamq s �--
X HIRED AUTOS x AUTOS%A1ED OPE, OhMA ;
. B
UMBRELLA LUIMx OCcuR EACH OCCURRENCE 1 b00 000
A :R tiiWM WAS CLAIMS-MADE I AG(IRECATE js 1,000,000
TI 91L2Irl000002.5-01 /25/2014 /25/2013
P/ORKSESCOMPENeATION TWA G
AND IMPLOY111"UMUTY
r ER
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ANY PROPRIWARr
TNERMXECUIM Y'- 'N
ETC7,N/A E.L.EACH ACCIDENT S
OFFICER/YBNBEF:EXCLUDED?
(Mardrmry In NN) f E.L.DISEASE EA EMPLOYEE S ,.
r dluaribs wider
DanB07ION OF 0*1MATIONS b6aw E.L.UNEASE-POLICY LJMIT
t
0=1011PTION OF OPERATIONS I LOCATIONS I VEHICI.Ef(AINeh ACOA0 9427,AsdNbnY RemaRa S42MdWo,N monpse
as Is required)
Islz: Church PundraiseJr on church grouadx at 19BO Breakwater Road Hattituck, NY 7/24/14-7/27/14 The Town at
Southold is included as an additional insured as required by written contract.
CERTIFICA HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Town of Southold
Town Hal]
53095 Nails Read auTNOIU2EC REPREBENLAT(Yk
VO box 1179
Southold, MY 11971
Gua ToffaLlem/STEVE -�
ACORD 2612010m) ®1968.2010 ACORD CORPORATION. All rights reserved,
IN8026(2010m)-al The AWRO name and I"a St's registered mallei of ACORD
Cooper, Linda
From: Flatley, Martin
Sent: Friday, June 06, 2014 7:48 AM
To: Cooper, Linda
Cc: Blasko, Regina; Kruszeski, Frank
Subject: RE: Greek Festival request
I have no objections to this event taking place. We do not commit any resources to the festival so there is no cost to our
department
%ll
Chief of Police
Southold Town Police Department
41405 State Rt. 25
Peconic, N.Y. 11958
631-765-3115
From: Cooper, Linda
Sent: Thursday, June 05, 2014 2:53 PM
To: Flatley, Martin
Cc: Blasko, Regina; Kruszeski, Frank
Subject: Greek Festival request
i
�o�oSUFFot,�oo
ELIZABETH A. NEVILLE,MMC r/y Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
CD
COD Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICERTelephone y� `►
RECORDS MANAGEMENT OFFICER Q! �a0
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
765-1800
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Chief Martin Flatley
From: Linda J. Cooper, Deputy Town Clerk
Dated: June 5, 2014
Re: Greek Festival
Transmitted herewith is a request by the Transfiguation of Christ Greek Orthodox
Church to hold its Annual Greek Festival.
Please review this request and send me your recommendation and cost analysis.
Thank you.