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HomeMy WebLinkAbout2014 ELIZABETH A.NEVILLE,MMC ��► r/y Town Hall,53095 Main Road TOWN CLERKo= P.O. Box 1179 H 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145 MARRIAGE OFFICER jp� RECORDS MANAGEMENT OFFICER �! �a� Telephone FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov 765-1800 www.southoldtownny.gov 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: Osprey Dominion Vineyards, Ltd. 44075 Main Road, PO Box 198, Peconic,New York 11958 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 9:45PM, Saturday, July 19, 2014 at Osprey Dominion Vineyard, 44075 Main Road, Peconic, New York 11958. 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 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 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. (Town Seal) Eli beth A.Neville Southold Town Clerk Suffolk County,New York Date: 7/15/2014 THIS PERMIT IS NOT TRANSFERABLE �,�gUffU��-G4 ELIZA13ETH A.NEVILLE,MMC �© �/,� Town halt,53095 Main Road TOWN CLERK = P.O.Box 1179 4 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS d MARRIAGE OFFICER Fax(631)765-6145 '�' �� Telephone(631.}765.1800 RECORDS OF MANAGEMENT OFFICER Oj �� p FREEDOM OF INIFORMATION OFFICER southoldtown.northfork.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 Mr. Bill Tyree PRINCIPAL OFFICE AT 20 Shore Oaks Drive, Stonybrook, NY 71790 DATE&TIME OF DISPLAY July 19, 2014 Time of display: 9:45 pm EXACT LOCATION,OF DISPLAY Osprey's Dominion Vineyard, Peconic, NY SUFFOLK COUNTY TAX MAP NUMBER FOR SITE "I5_—/ —oZ,O�� oZ O --! RAIN DATE&TIME none The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition Christopher Racioppo dob: 9/16/89 5 yrs + 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=480, 4 inch=-165plus illuminations Manner and place of storage of fireworks prior to display: Delivery day of display from our. Westhampton Facility. 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. Mr. Bill Tyree FEE: $100 _ See policy-for additional information Name of Organization B Signature of p ' ant Date o Application Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday,July 15, 2014 3:03 PM To: 'Jo-Anne Triolo' Subject: RE: Emailing: Fireworks Osprey Dominio_20140715132312 You will have to take that up with them. I only notify them of the event and request their approval. Elizabeth A. Neville, MMC Southold Town Clerk PO Bok 1179 Southold,NY 11971 Tel.631 765-1800.Fxt. 228 Fax 631 765-6145 Cell 631 466-6064 From: Jo-Anne Triolo [mailto:joanne0bayfireworks.com] Sent:Tuesday, July 15, 2014 2:45 PM To: Neville, Elizabeth Subject: Re: Emailing: Fireworks Osprey Dominio_20140715132312 Thank you very much. We would like to request a"pumper" on site during the display. Sincerely, Jo-Anne On Tue, Jul 15, 2014 at 2:39 PM,Neville, Elizabeth<E.NevilleLa)town.southold.n�us>wrote: Emergency#is, of course 911 But,the non-emergency number is 765-3385. From: Jo-Anne Triolo [mailto:ioanne@bayfireworks.com] Sent: Tuesday, July 15, 2014 2:30 PM To: Neville, Elizabeth Subject: Re: Emailing: Fireworks Osprey Dominio_20140715132312 Thank you.. 1. Do you have the phone number of the local FD that will be on site during the display? On Tue, Jul 15, 2014 at 2:26 PM,Neville, Elizabeth<E.Neville@town.southold.ny.us>wrote: Joanne, Attached,please find "Fireworks Permit" for Osprey Dominion Vineyard, Ltd. for Saturday, July 19, 2014. Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold,NY 11971 Tel. 631 765-1800, Ext. 228 Fax 631 765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Fireworks Osprey Dominio_20140715132312 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Jo Anne Triolo New address,and phone number: Pero Engineering tnc.dha Sae Fireworks 999 South Oyster Bay Road,Suite 111 Bethpage,NF 11714 516-597-5500 Phone 516-597-5507 Fax 2 e CHIEF OF DEPARTMENT rr Peggy Killian a l ��Q PrIjartmicut FIRST ASSISTANT CHIEF P.O. Box 1469 SECRETARY James H. Rich III 55135 Main Road Teresa Rich Southold,New York 11971 SECOND ASSISTANT CHIEF (631) 765-3385 • Fax (631) 765-5009 TREASURER Craig Goldsmith Chiefs' (631) 765-1240 Ronald Butkovich July 15, 2014 RECEIVED Mrs. Elizabeth Neville Town Clerk JUL 15 04 Southold Town P.O. Box 1179 uuthold Town Cled Southold,New York 11971 Dear Mrs. Neville, I have received a copy and an amendment to the application for the fireworks requested by Bill Tyree and I have no objection to this event taking place. Thank you. Sincerely yours, Pa^l- PeggyIlian Chief Southold Fire Department Neville, Elizabeth From: Fisher, Robert Sent: Tuesday,July 15, 2014 9:29 AM To: Neville, Elizabeth Subject: RE:Amendment to fireworks permit for 7/19/14 1 have no objections to this event Robert Fisher Fire Marshall robert.fisher@town.southold.nv.us (631) 765-1802 office (631)786-9180 cell CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information.It 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 From: Neville, Elizabeth Sent: Thursday, July 10, 2014 5:24 PM To: Flatley, Martin; Fisher, Robert; Finnegan, Martin; 'pki11710@optonline.net' Subject: Amendment to fireworks permit for 7/19/14 << File: Fireworks Permit amendme_20140710155700.pdf>> I received an amendment to the fireworks products to be used for the Bill Tyree fireworks display on 7/19/14. Please review the attachment and send me your written approval. Thank you, Betty Neville Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 1 Neville, Elizabeth From: Flatley, Martin Sent: Friday,July 11, 2014 8:05 AM To: Neville, Elizabeth; Fisher, Robert; Finnegan, Martin; 'pki11710@optonline.net' Subject: RE:Amendment to fireworks permit for 7/19/14 1 have no objections to this event taking place. w4eme 9&*# Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 From: Neville, Elizabeth Sent: Thursday, July 10, 2014 5:24 PM To: Flatley, Martin; Fisher, Robert; Finnegan, Martin; 'pki11710@optonline.net Subject: Amendment to fireworks permit for 7/19/14 << File: Fireworks Permit amendme_20140710155700.pdf>> I received an amendment to the fireworks products to be used for the Bill Tyree fireworks display on 7/19/14. Please review the attachment and send me your written approval. Thank you, Betty Neville Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 1 r Neville, Elizabeth From: Neville, Elizabeth Sent: Thursday,July 10, 2014 5:24 PM To: Flatley, Martin; Fisher, Robert; Finnegan, Martin; 'pki11710@optonline.net' Subject: Amendment to fireworks permit for 7/19/14 2d Fireworks Permit amendme ZD14... I received an amendment to the fireworks products to be used for the Bill Tyree fireworks display on 7/19/14. Please review the attachment and send me your written approval. Thank you, Betty Neville Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 1 O��gUFFO(,�co ELIZABETH A.NEVILLE,MMC y► r/y Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 ti 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .� Fax(631)765-6145 MARRIAGE OFFICER 'y0! Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �.( `;j►a v v�v.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 8,2014 Chief Peggy Killian Southold Fire Department 55135 Main Road Post Office Box 1469 Southold, New York 11971 Dear Chief Killian; The Southold Town Board adopted Resolution 2014-584 on July 1,2014 approving the issuance of a fireworks permit to Bill Tyres,for a fireworks displays on Saturday,July 19, 2014 at Osprey's Dominion Vineyard, Peconic, New York. The issuance of a Fireworks Permit is subject to the approval of the Fire Chief of the District in which the display will take place. All other approvals from the Town Fire Marshall,Chief of Police,Town Attorney have been received. I have enclosed a complete copy of the file for your review. Please send me your written recommendation at your earliest convenience. Thank you. Very truly yours, O. Elizabeth A. Neville Southold Town Clerk Enclosures(17) ®� RESOLUTION 2014-584 ADOPTED DOC ID: 9933 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-584 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 1,2014: RESOLVED the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Mr. Bill Tyree, for fireworks displays on Saturday, July 19, 2014 at Osprey's Dominion Vineyard, Peconic 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. Approval is for this event only. Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell 0710912014 12:21 5165975507 BAY FIRFWORKS PAGE 01101 Bay Fireworks 999 South Oyster Say Rd. Suite 111 I Bethpage, NY 11714 PHONE: (516) 597-5500 FAX., (516) 597-5507 FIREWORKS www.bayfireworks.com RECEIVED Fax JUL 560WA Town-Clevt To Elizabeth Neville.,_... . __. Frons: Jo-Anne Triolo Southold Town Clerk E-Mail: joanne@bayfireworks_oom Farm 631-765.6145 Pages: 1 E-Moll: Phone: 631-765-1800 x 228 Date: 7/9/14 Re: Bill Tyree fireworks display 7/19/14 cc, ❑Urgent ❑ For Review ❑Plans&Comment I]Please Reply ❑Please Recycle 0 Comments; Good afternoon, Please note the slight change to the fireworks display product list for the Billy Tyree event scheduled for 7/19/14. • 2-3inch=512,4 inch=164. Cakes=10(illuminations) Sincerely, Jo-Anne Triolo RESOLUTION 2010-474 *w®,�►� ADOPTED DOC ID: 6016 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2010474 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 29, 2010: RESOLVED that the Town Board of the Town of Southold hereby adopts the following POLICY regarding 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 comparable 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 diagram showing location of fireworks discharge and minimum separation 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 Marshal before being presented for approval by the Town Board. 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 Penal Law. 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: 6/30/2010 10:43 AM by Lynda Rudder Page 2 O��gUFfO(,�co ELIZABETH A.NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 COD 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 5 .F Fax(631)765-6145 MARRIAGE OFFICER 'y� 0� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �.� `�►� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD INSTRUCTIONS FOR DISPLAY OF FIREWORKS 1. Name of body sponsoring fireworks display. 2. The date and time of day at which the fireworks display is to be held. 3. The exact location planned for the fireworks display, including TAX MAP NUMBER. 4. The age, experience and physical characteristics of the persons who are to do the actual discharging of the fireworks. 5. The number and kind of fireworks to be discharged. 6. The manner and place of storage of such fireworks prior to the display. 7. A diagram of the grounds on which the display is to be held, showing the point at which the fireworks are to be discharged, the location of all buildings, highways and other lines of communication, the lines behind which the audience will be restrained and location of all nearby trees, telegraph or telephone lines or other overhead obstructions. 8. Such other information as the Southold Town Clerk may deem necessary to protect persons and property. Written permission of the property owner is required. 9. An indemnity insurance policy with liability coverage and indemnity protection of $1,000,000.00 per person for bodily injury; $1,000,000.00 per accident; $1,000,000.00 property damage. 10. The Town Clerk of the Town of Southold must have the insurance policy in her possession before the fireworks permit is issued. The named insured must read: TOWN OF SOUTHOLD. 11. Application for a fireworks permit must be made at least five days in advance of the date of the fireworks dis la . (The above instructions are in accordance with the Penal Law, Article 405 - Licensing and other provisions relating to fireworks.) A R ® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDIYYYY) J05/0812014 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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must bB endorsed. If SUBROGATION IS WAIVED,subject to I the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Allied Specialty Insurance,Inc. CONTACT 10451 Gulf Boulevard PHONE FAX _.(NC No,Ext) .... - _....._ ...... _.__.(A/C,No);__. _._......._.__.. Treasure Island,FL E-MAIL 33706-4814 ADDaEss: 1-800-237-3355 INSURERIS}AFFORDING COVERAGE NAIC# .. ..................... NSURERA:T.H.E.Insurance Company 12866 INSURED Pyro INSURER B Engineering, Inc. dba; Bay Fireworks IrtsuRgR.c.:_ 999 South Oyster Bay Rd.,Suite 111 lrI'lllsuaEa o Bethpage, NY 11714 INSURER E ...-- ........__ INSURER F: 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 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 REDUCED BY PAID CLAIMS. INSR. -_-__ - ..........--rADDL(Sli�R _.... _. _._............ ...._._.... POLICY CFF POLICY EXP LTRTYPE OF INSURANCE INSR MD POLICY NUMBER (MM/DOfYYYY)�(MMIDDfYYYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE 51,000,000 GPP0101284-04 0511412014 05114/2015 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY + CLAIMS-MADE x... OCCUR - j RRFMlSES(Fa ocrurrencej S 100,000 --- I MED EXP IAny one..pPrson) 5 _........... ........ _... ........ PERSONAl6ADV INJURY !51,000 000._ -- --- GENERAL AGGREGATE 5 - + -_... . _.._ ... .. . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG'$2,000,000 PRO. I _. ....__-- -------.. ..___., ' POLICY' rECT I LOC AUTOMOBILE LIABILITY t A GOSINGLE LIMITICPP0101284-04 D 1 000 000 511412014 05/1412015 iEa cca;dder Jdert) _ � , ANY All'r0 ALL OWNED SCHEDULED nC.ILY INJURY(Pe;person) $ AUTOS X AUTOS BODILY INJURY(Por a—dent) S - .... X HIRED AUTOS NON-OWNED PRODDAMAGE # AUTOS PROPERTY DAMAGE accident $ .. UMBRELLA LIAR X --- A OCCUR ELP0010292-04(VL) '05/14/2014 05/14/2015 EACH OCCURRENCE 54,000,000 J( EXCESS LIAR CLAIMSMADE AGGREGATE 154,000,000 -..E l7EU RETENTION$ WORKERS COMPENSATION - A AND EMPLOYERS'LIABILITY �� , 'C STATU, ...._ 0FTBH.' Y!N QS/14J2Q1$ iTQBY11MLTb.ANY PROPRIETO /PATNERXECUTIVE I ON!A' °L.EACH ACCIDENT $1,000,000FFICERIMEMBER EXCLUDED? if yes,describe(Mandatory in and E L DISEASE EA EMPLOYEES$1,000,000 DESCRIPTION Of OPERATIONS below ; E.L. 11 11 DISEASE-POLICY LIMIT $1,000,000 A EXCESS LIABILITYIOCCUR ELP0010296-04(GL) 05/14/2014 105/14/2015 EACH OCCURRENCE$9,000,000 i AGGREGATE$9,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schaduie,if more space is required) ;Display Date: 07/19/2014 Rain Date: None Location: Osprey's Dominion Vineyard,Peconic,NY RE:General Liability,the following are named as additional insured in respects to the operations of the named insured only: Osprey's Dominion Vineyards,Ltd.;Town of Southold,NY;Frederic Koehler(property owner);Barbra Tyree(property owner);Jacqueline Tyree Kos(property owner); Barbara Tyree Ross(property owner);Tamara Tyree Kauffman(property owner) CERTIFICATE HOLDER CANCELLATION Osprey's Dominion Vineyards,Ltd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 44075 Main Rd, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O, BOX 198 ACCORDANCE WITH THE POLICY PROVISIONS, Peconic, NY 11958 AUTHOIji'i<ED I�EPRESENTATIVI" "T Cert#1592C ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD u ' Oaprey'e Dominion Vineyarde, Ltd, 44075 Main Poad, Peconic, NY 11958 Phone (6131) 765-6188, Fax(631) 766-1903 mnvw.ospreytdomitaion.com May 7, 2014 To Whom it May Concern: Please be advised that we,the Co-Owners of Osprey's Dominion(both property and business) give Pyro Engineering;999 South Oyster Bay Rd,Suite 111, Bethpage, NY the following: -Permission to use our site for a firework display the evening of July 19, 2014 RZ oil Thank you, Frederic Koehler Barbara Tyre , OSPREYS DOMINION 4" MAX SIZE SHELLS 350` RADIUS FD BRUSH TRUCK ON Y}' STANDBY t f yl�III,�I; 41 02 53 N 72 27 08 W � 4 i * * * RECEIPT * * * Date: 06/13/14 Receipt#: 171923 Quantity Transactions Reference Subtotal 1 Fireworks 07/19/14 $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By CK# $100.00 Tyree, Joyce Name: Tyree, Joyce 20 Shore Oaks Drive Stony Brook, NY 11790 Clerk ID: LYNDAR Internal ID:07/19/14 ,C R :aNN c�. I r ,P STATE OF NEW YORK A DIVISION OF DEPARTMENT OF LABOR SAFETY AND HEALTH LICENSE TO DEAL IN OR MANUFACTURE EXPLOSIVES Expires: 12131/2014 Pyro Engineering, Inc.dba Bay Fireworks 999 South Oyster Bay Rd, Ste 111 THIS LICENSE MUST BE Bethpage, NY 11714 POSTED IN YOUR PLACE OF BUSINESS Dennis P. Brady Jr. License No D-5731 s hereby licensed to deal in or manufacture explosives in compliance with the requirements of the Labor Law and Industrial Code Rules. Any change in the conditions under which this license is granted may cause it to be revoked. Eileen M.Franko,Acting Director FOR THE COMMISSIONER OF LABOR Every person selling,delivering or giving away any explosives must keep at the principal place of business within the state,a record of each transaction,including: 1) the NAME or TYPE and QUANTITY of explosives SOLD,DELIVERED or GIVEN. Note:No license is needed to purchase smokeless powder,or black powder in quantities not exceeding five pounds for use in firing antique firearms or artifacts or replicas thereof However,dealers MUST post all such transactions on the"Dealer-Mantitacturer Report of Explosives Transactions" 2) the DATE OF EACH SALE,DELIVERY or GIFT. 3) the NAME,LICENSE NUMBER,and BUSINESS ADDRESS of the,purchaser,donee,cr person to whom the explosives were delivered and the firm,if any,represented by such person. 4) the NAME,ADDRESS,and LICENSE NUMBER of the person TAKING THE EXPLOSIVES AWAY from the seller or donor. SH-862(5-98) DEPARTMENT OF JUSTICE 1 Bureau of Alcohol,Tobacco, Firearms and Explosives Martinsburg,WV 25405 April 14,2014 Tyro Engineering Inc 901090:CRR/KCU Dba Bay Fireworks&Intntl Pyro Importer(IPI) 5400 999 South Oyster Bay Rd Suite 111 File Number: 6-NY-00129 Bethpage,NY 11714 Premises Address;999 South Oyster Nay Rd Suite 111,Bethpage,NY 11714 Dear Sir/Madam: This letter acknowledges receipt of your timely application to renew your Federal explosives license/permit. The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) is not able to process your application prior to the expiration date of your license/permit. However, Federal law allows you to continue operations under your current license/permit until such time as ATF completes processing your application. See 5 U.S.C. § 558. This letter, or as explained below, a follow-up letter, will serve as your license/permit until we complete action on your renewal. It is referred to as a Letter of Authorization(LOA). Since we have not completed processing your application, you may supply a copy of this letter to other licensees/permittees, e.g., your distributors, for the next six months (or until we complete action on your renewal, if that occurs in less than six months) as evidence of your licensed/permitted status. If we have not completed processing your application for renewal within six months of the date of this letter, we will send you another letter, which will also be valid for six months (or until we complete action on your renewal, if that occurs in less than six months). This is of course contingent upon your remaining entitled to continue operations under your current license/permit. Please direct questions or concerns regarding this letter to Susan Clark at 877-283-3352. Sincerely, Christopher R.Reeves Chief, Federal Explosives Licensing Center ATFweb address: �k�vN_at1 ,,ov tS.DepartmentnfJustice Federal Explosives License/Permit 13 beau of'Alcohol,Tobacco,Fireanns and Fxplosives (1 S U.S.C Chapter 40) t tu»aura ria n train.;�t~a ;�.. rr accordance With the provisions of•I'itle XI,Organized Crime Control Act of 1970,and the regulations issued thereunder(27 CPR Part 555),you may engage in "hc activity specified in this license or permit within the limitations of Chapter 40.Title 18,United States Code and the regulations issued thereunder,until the cxpiratinn date show7i. '' :t ' "��r s '-,., j.,t ``t L P 3l3r &;iy_r,,_1E Sec"WAItNINOS"and"NOTICES"on revere. )trect AZT ATI Chief FELC i I Xmc:Per nit a; orre.;pc,rdenee To 244 NcedyRoad titunbct e $ 1 §;•y a, Martinsburg,WV 25405-9ti+l .' ` •" href.}' Jt al Explosives Licensing Center(i•r:LG` Lxp,tauor. Date "'illne DBA BAY FIREWORKS & INTNTL PYRO IMPORTER(IPI) PrernisesAddress(Chang,-saNA;tythGFEI'!Aleist 10 da sbicreth.rmo,c 999 SOUTH OYSTER RAY RD SMITE 111 BETHPAGE NY 11714- pe of l,icen,e or Permit 51-IMPORTER OF EXPLOSIVES` - Purchasing Certificauun Statement Mailing Address(Chat,ges''' "'"btth the FELC of any changes.} w licensee or pennittee named above shall use a copy.°of this license or p�tnd to;assist a 1 r aursferor of explosives to verify the identity and the licrn,cd statue of thv 6ev,tbra or:_. pnn9inceasprovided by27CFRPart 555. The srtatatureoncath opymust btanor�ttr"taf hyROENGiNEERfI`'JGINC ippantre. A fit sed,scanned or e-mailed copy ofthe liceuea or fcmitt 1vith a blpt.iiure ,)t,11&(l to be_11 original sip ature is acceptable. 'Ihl:rtepaturc rnlst tie that of the F;doral DBA BAY FIREWORKS & INTNTL PYRO IMPORTER ,\hlosivec Licensee(FEL)or a responsible person oftl'e FEL i—rtlft that thi`;r•,,atrue (IPI) ulr�of a li epee or Pell rill issued tc the licensee or permute;:nam r ahe c r..utgai•m lit u 999 SOUTH OYSTER BAY RD SUITE 1 1 1 lness or operation. specified above undtT"Type t f Licmr•c or i Or n BETHPAGE, NY 11714- L.iccnseePermitteeResponsible Person Signature Position Cala Printed Name Late a •%7'1,11111�CllYlt$1 ixONiolete Ai BOiNC"N[EAIM"u IAC:99➢9OLta OriltA 9.11AO SUITE III.Itt/9,4M949949-4F49199 Yry 1,>on 51{MPCARADKfrPiC,14F5 R'.n.1sed ouohf_)ii Federal Explosives License(FEL)Customer Service Information Federal Explosives Licensing Center(FELL) Toll-free Telephone Number: (877)283-3352 ATF Homepage:www.atf Roe 244 Needy Road Fax Number (,I(W)6164401 '",lariinsburg,`,'`rV25405-9431 Li-mail: FELC(eatfgov .Itange of Address (27 CFR 555.54(a)(1)). Licensees or permittees may during the terra oftheir current license or permit remove their business or operations tt a %k location at which they intend tegulzrly to carry on such business or operations. The lic--nsee or permin'ee is required to give notification ofthe new location of the ueine.;s or operations not less that: 10 days prior to such removal with the Chief.federal P plosives Licensing Center. The license or permit will be valid for the ,rnainder of the term of the original license or permit. (The Chief,FELC,shall,if the licensee or permittee is not qualified,refer die request for:upended license Jr permit to the Director of Industry Operations for derdidin accord ancewith§555.54.) :Idioght of Succession (,2?CT-R 555.59). (a)Certain persons other than the licensee or permittee may secure the right to carry ori the same explosive materials I:sins or operations at the same address shown on.and for the remainder of the term of,a current license or permit. Such persons are: (1)The surviving spouse of child.or executor,administrator,or other legal representative of a deceased licensee or permittee;and(2)A receiver or trustee in bankruptcy,or all assignee for cnctit oterechtors. {b)In order to secure the right provided by this section,the person or persons continuing the business or operations shall furnish the liccrrse or canal 1'or for that business or operations for endorsement of'such succession to the Chief FFLC,within 30 days from the dale on which the successor begins to carry on ilio business or operations. Cut Here`eG {C'Dnrirated nn rPvi!rSe sr` ______________ ___ __ __ ___ mI Federal Explosives License/Pcrinit(FEL)hiforation Card 1 I i.:Icense'PermitNattte:PYRO ENGINEERING INC t 1 t ;u iness Nat it: DBA BAY FIREWORKS&INTNTL PYRO IMPORTER(IPi) 1 T,icensL Pennit Number:6-NY-059-51-4E-00129 I t i LicensePermit Tvpe,51-IMPORTER OF EXPLOSIVES t t I Lixpiration: May 1,2014 1 1 � l Please Note: Not Valid for the:,ale or Other Disposition of Explosives. I Llistern servicr:tenter 1701 C'oiumbia,l%e. t' S. Depurhnem Operations Support(iroup Cofle<<Park,GA 30337 Imil poriation MV-1?2 April. 18, 2014 Pyro Engineering, We received your letter regarding your proposed #ireivorks display for: Billy"F'yree( DaLifTltter Wedding) Date: 7-19-2014 Rauf Date: PlIN'sical Location: Peconic NY 1P6C at ATC Facility: Steps to be taken by Firework Company: l.Contact Lockheed Martin Flight Service at(877)487-6867 at 1;ast 48 hours( but no more than 72 hours ) prior to the event to issue a Notice to Airmen (NOTAM ) + Fireworks stall-should remain vigilant to ensure that no aircraft are in the area prior to beginning the fireworks display. Our office has no objection to this event provided all the above notifications and precautiati,are met. This letter disposes of the Federal Aviation Administration's interest in this matter but should not be construed as superseding or invalidating an} existing ruled or regulations promuls=awd.by any other federal,state.county, or municipal government,which may be required for this display. Please be sure to include on all future display r-etluest accurate locations or longitude and latitudes for display. If 3'011 have any questions concerning this event-please contact David Phillips at(404)305-5574. Since -:IT)-" r ichael Vermuth Manager Tactical Operations'Team Eastern Servico Area Air Traffic Organization CHIEF OF POLICE APPROVAL Neville, Elizabeth From: Rudder, Lynda Sent: Thursday,July 03, 201412:31 PM To: Neville, Elizabeth Subject: FW:July 4 and July 19 Attachments: matt env_20140617075043.pdf;tyree 20140617075129.pdf -----Original Message----- From: Flatley, Martin Sent:Thursday,July 03, 201412:00 PM To: Rudder, Lynda Subject: FW:July 4 and July 19 1 have no objections to either of these fireworks displays taking place. Martin Flatley Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 -----Original Message----- From: Rudder, Lynda Sent:Tuesday,June 17, 2014 9:01 AM To: Doroski, Melanie; Finnegan, Martin; Fisher, Robert; Flatley, Martin; Kiely,Stephen; Kruszeski, Frank;Spiro, Melissa Subject:July 4 and July 19 Please approve/disapprove the attached two (2)fireworks permits. thanks 1 FIDE MARSHALL APPROVAL Rudder, Lynda From: Fisher, Robert Sent: Wednesday, June 18, 2014 9:43 AM To: Rudder, Lynda Subject: RE:July 4 and July 19 Linda I have no objection to these two firework displays. Robert Fisher Fire Marshall robe rt.fisher@town.southold.ny.us (631) 765-1802 office (631)786-9180 cell CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It 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 -----Original Message----- From: Rudder, Lynda Sent: Tuesday,June 17, 2014 9:01 AM To: Doroski, Melanie; Finnegan, Martin; Fisher, Robert; Flatley, Martin; Kiely, Stephen; Kruszeski, Frank; Spiro, Melissa Subject:July 4 and July 19 Please approve/disapprove the attached two (2)fireworks permits. thanks -TOWN ATTORNEY APPROVAL Rudder, Lynda From: Finnegan, Martin Sent: Tuesday, June 17, 2014 2:29 PM To: Rudder, Lynda Subject: RE: July 4 and July 19 Ok by me. -----Original Message----- From: Rudder, Lynda Sent:Tuesday,June 17, 2014 9:01 AM To: Doroski, Melanie; Finnegan, Martin; Fisher, Robert; Flatley, Martin; Kiely, Stephen; Kruszeski, Frank; Spiro, Melissa Subject:July 4 and July 19 Please approve/disapprove the attached two (2) fireworks permits. thanks 1 INSTRUCTIONS FOR DISPLAY OF FIREWORKS A,! Name of body sponsoring fireworks display. The date and time of day at which the fireworks display is to be held. �. The exact location planned for the fireworks display, including TAX MAP NUMBER. ;4: The age, experience and physical characteristics of the persons who are to do the actual discharging of the fireworks. The number and kind of fireworks to be discharged. The manner and place of storage of such fireworks prior to the display. 7/ A diagram of the grounds on which the display is to be held, showing the point at which the fireworks are to be discharged, the location of all buildings, highways and other lines of communication, the lines behind which the audience will be restrained and location of all nearby trees, telegraph or telephone lines or other overhead obstructions. F Such other information as the Southold Town Clerk may deem necessary to protect persons and property. Written permission of the property owner is required. rq° An indemnity insurance policy with liability coverage and indemnity protection of $1,000,000.00 per person for bodily injury; $1,000,000.00 per accident; $1,000,000.00 property damage. The "Town Clerk of the Town of Southold must have the insurance policy in her possession before the fireworks permit is issued. The naned insured must read: TOWN OF SOUTHOLD. Ll: Application for a fireworks permit must be made at_least five days in advance of the date of the fireworks display. (The above instructions are in accordance with the Penal I.,aw, Article 405 - Incensing and other provisions relating to fireworks.) LAND PRESERVATION Rudder, Lynda From: Spiro, Melissa Sent: Wednesday, lune 18, 2014 12:22 PM To: Rudder, Lynda; Doroski, Melanie; Finnegan, Martin; Fisher, Robert; Flatley, Martin; Kiely, Stephen; Kruszeski, Frank Subject: RE:July 4 and July 19 att Env. is I have no comment on this permit request. The firework request for tyree is on the Osprey Dominion property which is subject to County Development Rights. I am not aware of past permit requests for fireworks within land subject to County Development Rights, so I'm not sure if this is permitted. I have forwarded the application to the County for review. Melissa -----Original Message----- From: Rudder, Lynda Sent:Tuesday,June 17, 2014 9:01 AM To: Doroski, Melanie; Finnegan, Martin; Fisher, Robert; Flatley, Martin; Kiely, Stephen; Kruszeski, Frank; Spiro, Melissa Subject:July 4 and July 19 Please approve/disapprove the attached two (2)fireworks permits. thanks Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday,July 15, 2014 2:26 PM To: joanne@bayfireworks.com Subject: Emailing: Fireworks Osprey Dominio_20140715132312 Attachments: Fireworks Osprey Dominio_20140715132312.pdf Importance: High Joanne, Attached, please find "Fireworks Permit"for Osprey Dominion Vineyard, Ltd.for Saturday,July 19, 2014. Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Fireworks Osprey Dominio_20140715132312 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday,July 15, 201411:06 AM To: joanne@bayfireworks.com Cc: Rudder, Lynda Subject: Osprey Dominion Fireworks 7/19/14 Tracking: Recipient Delivery Read joanne@bayfireworks.com Rudder,Lynda Delivered:7/15/201411:06 AM Read:7/15/201411:10 AM Joanne, I just spoke with the Chief of Southold Fire Dept.they have approved it. I should receive the letter later today and tomorrow morning.As soon as I have it in my hand, I will e-mail the permit to you. Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold,NY 11971 Tel. 631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 i