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Home My WebLink AboutAs The World Turns POLICE DEPAMMENT TOWN Of 8OUTKOLD CARLISLE E. COCHRAN,JR. Telephone Emergency Dial 911 Chief of Police MEMORANDUM TO: Linda J. Cooper, Deputy Town Clerk FROM: Chief Carlisle E. Cochran, Jr. DATE: October 20, 2008 RE: Filming Permit No. 022 - "As the World Turns" - September 4, 2008 and September 12, 2008 The actual cost for the police detail with reference to the above permits is as follows: September 4, 2008 - $265.62 September 12, 2008 - $120.51 TDTA1.DIM, 5386.13 41405 Route 25 • P.O. Box 911 • Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 • Fax (631) 765-2715 SOF S0 ELIZABETH A.NEVILLE �� ill Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ��yIroUNTY,Nc� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Chief Cochran, Southold Town Police From: Linda J. Cooper, Deputy Town Clerk Dated: September 16, 2008 Re: Traffic Control Cost Statement Film Permit No. 022— As the World Turns In accordance with Town Code §44-A paragraph D., a statement regarding the actual cost to the town of providing traffic control and police officers must be provided by the Chief of Police. Please provide this information to this office within five (5) business days. Thank you. To: Chief Cochran, Southold Town Police From: Linda J. Cooper, Deputy Town Clerk Dated: September 16, 2008 Re: Traffic Control Cost Statement Film Permit No. 022 —As the World Turns In accordance with Town Code §44-A paragraph D., a statement regarding the actual cost to the town of providing traffic control and police officers must be provided by the Chief of Police. Please provide this information to this office within five (5) business days. Thank you. �pF S0 ELIZABETH A.NEVILLE �0� 011Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OI��+OIINTY,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD F A X To: Chief Cochran Chief Building Inspector Michael Verity Fire Marshall Robert Fisher Code Enforcement Officer Edward Forrester Superintendent of Highways Peter Harris Superintendent of Parks & Recreation James McMahon From: Lynda M Rudder Deputy Town Clerk Date: September 2, 2008 Pages: 3 including cover The attached filming permit has been issued. ELIZABETH A. NEVILLE � Of SU(/T,�QI � Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICERC4UNT`I, l southoldtown.northfork.net � �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT Issued to: As The World Turns Date(s), Time(s) and Location September 3, 2008 See Attached September 4, 2008 See Attached — L'A ti6-c-z z.j A - Ae5; "1 u Q.f.J( fc-'9 4- �i�'! S I PJ-- /'Z- Permit ZPermit No. 022 Issue Date: 9/2/08 Elizabeth A. Neville Southold Town Clerk (Town Seal) AUG 26 2008 14 : 59 FR TELEVEST - PGP 212 474 5030 TO 916317656145 P . 02iO3 LOi bio ;.v .. w—•— - ----- APPLICATION FOR FFL Mlv WG/STCLL PHOTOGRAPHY ?ERMIT NO: _ Qaa Please Prin[or Type ��.� —� APPLICATION DATE: ., NAME OF APPLICANT: -.� ��bowel �1 C MAILING ADDRESS: —�---- y PHONE: BUSINESS:-A HOME: �t NAME Of ORGANIZATION t COMPANY: MATLING ADDRESS: �A S PI4ONE: - S J2-.,q FAX: o?/d - y 7 Y - ,5D 3 C kk # •kskkFk '� Yk # kkF sM ,YeMN � * w * xe kA � kkokokF � f: MF M +Nkfcdk �ckKYiF :k � 7: # �i # # �' k � � DESCRrBE TYPE Of ACTIVITY(e,g.Motion Picture, Commercial,Television, Catalog,Magazine.em): 7ZI (pQ - ,ATE(S)AND TIME(S) OF PROPOSED FILMING/P14OTOGRAPHY: Ir� � �,3 ? O OSE LOCA I IN(S OF FILMING/PHO CT HY: (attach addx - nal, sh�ee+tiff necessary) NAME OF PERSON 1N CHARGE AT SITE: „ k NUMBER OF PERSONS AT LOCATION(cast&crew included): -� 1�TIJlvIBER AND TYPE OF VECHXLES AT LOCATION.. I- SSIf S ad S— TYPE OF SPECLkL. EQUIPMENT: S �M _ � u ANY SPECIAL REQUIREMENTS: o?o\-A Si re Return to: Southold Town Clerk Sou old Town Ha11 53095 Main Road P.O. Box 1179 d` n Southold,NX 11971 SEP 04 2008 09 : 49 FR TELEVEST — PGP 212 474 5030 TO 916317656145 P . 02 �- FRANCE ` 1S�2AIC ,I;, E OF INSU l °°� CERTIFICAT A��ry Inwit.Hon only and confers po fightY "{ mia c0ro"ta t8 I.asuetl ao a mal of ER open the'Cat l't4cat„Ntlds'-Thft�lowW8to done not amerrd.et1lertd or slto PRODUC r uveraOe 0lfordad% vt191ter P,Do1b Ineur°ne9 Apenuy,Ina- 1 241 C-p Fifth D Sable COMPANIRa AFFfMIJING CorCIL►GG Suits loin `� --�— G1nannad,OH 4520 Company 00It1C Insurance CumPf+ny j `— J�_ Company Qld Rrtpubfte InWrat+ce r:nmpttnY INSURED 61 nide Cattniarnr 4 lite Procter&Ga company I and Ito e11111o1er Vase anacfted OalN+g) t Ons Procter b Gamblo 11090 t i •I 1 Clnclnnad,OH 4512 comvatvr i Company E aranEhry the on nod ItttYrated. N aflotAerd l+Y olldea of in+Au:v+na de5rxlLdd heroin hav°b"n Issued to rho Inawer name0 herein fared arm nt taln,db Ina �+ct+ hat the p with rtsypecl ro whleh lhlF raRI11c8te t Etat b0 lxtw AY p toductrd by Pad cloluz, TH319 b CBF*ry t Err GondNbn of commd ut other dowmant any requlremw t tem+ ��a trll�e►otms,eondtlnns and nxcludonc of soon Mllcle5.Limlta shown matbOOw en Biu'I Y ! the polleles ARsctpted heroin la t:tttq EFFECTNC 11CY NUM6ER �PlRAT1014 d 7,1100,040 co TYPE O NSURANGt'. EAAH tIGGURRENCC 1111 I ' LT t;t;L-7108.7100 o'fltrv7A08 A A OENERAL 13LLJTT O710tf�1109 f IRC DAMAGE g Im�,.n.�d or Q,t i t.eYIr MEDir L MPF 2.000,004 toCWI,n.M.n. f-Iucmvwi PkRA.ANDADVER71SINGINJURY S YU1111, ❑Cwn W eed CVOwtm+'PwptlO^ GENF-RAI AGGREt3ATE S ,ouo � ❑ PRODUCTS AND COMP.Or%ER• s r ❑ GenompQggnLime mppe•o r,,,; $ 1, Oo, DO ❑pqv y ^t+d nLm*uo M •12131(2047 1:�MDINED 01NGLE LINOT 5 1 9 p AUTpMo61LE LIABILITY 12/31/2008 QODILV Nl Ry 1Y9L0er nr) 5 q „N. DI t L r r'i U All UNnrd iwwmdte. p fY DAMA I f�ym,std�awa r..nMPREFICNSI ❑Nk.4Ad "eeM'" COLLIRION p r,..e..wt a,tornoutee �t g ! Q unNC.115390 00 13131/2un7 ; 1 9 ytfORitE CO-MPENbAT10N was-812 12131f1Unh EL CAON ACCIDFN I 6 1000,000 ! AND iMPLLWERD'UABILITY MWNEX120 D.-F ac ° i 1,000.000 MWFEX•125 r. 1 P W3 CACHOCC:URRENCE AGGRCCATE EXCE62 L B111TY Y ,n e, Liculmr Mede I r 8 GamdA at IV and lb oMlllaios(BPA 8dauhed de11rt9)br Sortttntld Town is added es;eyt AddlGunal{nsurod�yuant to a signed ogre omern With Tlta ProCta , L 9 0 6epl-4,zoos. l As7h0 World Turns lwa7l0t shoob of Sap a t SHOULD ANY OF THF AEOVE DCBDAIBED Pnl IC1E5 DE CANGEENpr AVOR E ;! CERTIFIC/QE HOLDER THE CXPII2ATION IIAI ETtiEREOr THE ISSUINt,INSURER WILL ENPEAvoR TO 4 MAIL 00 DAYS WR1 A'F-N NOTICC TO THE CtknFICATE I IOLDER NAMED TO TMEOR i TION LEFT,eU7 FAII UkF TO DO 30 SVLALLLII EN II R OBLIGJENTAT tigptO.ITY OF GA ANY KIND UPON THE INSURER, ITS AuUtuixad RoproesntagW+ snutti b3c91 1 d Town ' y3os!► Main Road p0 est:1179 Southold,NY 11871 pNaeat.oit 1N E j SEP 04 2008 09 : 49 FR TELEVEST - PGP 212 474 5030 TO 916317656145 P . 03 -- 1os1041200R I' • '',i`1 ADDITIONAL INFORMATION E LERTIF1cAR I i PR0DUCFR4 . 9ouUlokJ 7or71 Weller lfrewOnce n9alraY.Inc. er P- Sao99 Main Roae PO Bmt 417D l' 204 E•FIIrh.rlreol gp�ttn+ld,NY 119"/1 Sub 10W Ci^clnndrl,01145202 I, I INSURED Th,Proctor 8 Gand/1e Comes nY i,i A Ilz qlr W*A(40 eHpeltod f�tsl91 Oeq prodar S Gtnuble I'loso cki6 n all,off 45202 TDCiCamhie CuVaOy i (At Bator Cnm anY L17CSn9) 'r i (et1(llietad A i I ,y,-pro rampauY � 1 Coo Lou %no, %aralof Londan Co! wd ina dbA et1c13oy 1� Cud�'Po11taT Co�wCtyta t14A. IPC. I i '� 1 p=edarlr. LLC �{ 9YPAer1C F.K"i G Co. .,:," r;iOrgly 6Gvexly Hilld, Ihe '.1 011do Arand of kraluct9 Cxaham weDb 11L6oxaetanAl Ync gpa CoenleLii,eh oe IIVL UO"waga nn-LY) ' trams Canada 1"o, Mill'tone n - Hilletoee cattee, In,-, well rnrposation olay LLC Int •r' , PecU-Cliiroll prx Pet tuppLY• Via. rare LLC 1 Frcoter F ramLle n fCW covora3e nhly) rrT covdregc only; pro�f.et G:11ybic Z Inc, (- DsoC[et' s oambla PhaswceyticalA Cari9ou daut.,rAid Pua�ta Rico, Inc. I?} ieruu,— Camhle ri;a tac�,r.icala, ZnO @totter 6 GarAAle Pheema Ipo. 1 Pyoetar A nolr1'11e 1%=ociUnClO�1n, Int. pqr pdtnL Puri=oAr.iaTI PF'uducto, aeoiation ZntA%MRtio,idl Ind, :1 1 V X:.'braedG Trit.. { The pnv�r w1wee company � 1 Th! 'Eolyer CoEfew Ca14CauY "5 erre Ieme CowanYLLC (PuE sto P.1rol @rooter & UauLble COmroar�ial i Th- DYOCtex a oombla rnago"Y y Drocser 8 oambla niatrlbutinS LLr Me Erecter 6 [ianool, ypnAEart.urlrW C °r'y The rroctwr k CiaaLIAG Pagar PTOduute Camary Tha 14a11a l'oLEarationCar pni�arsal 6eoucy 6��ADlyoovorage nnly) della Canaa3 7nC. (CGL yirAirtia. Zno- pe11a Manufanturilig ;4 Hella North veraanel Caro of p,lie�iea xnt The 1;l)Llettc ComQw1lYLiatiroj) iAiLSliatod rnmpauY . I arnuh • ii�racall oral B ghernlnAC9R ' Booth I 1 ' o.�naw in r QAE$ * TOTAL PAGE . 03 ** SEP 04 2008 09 : 48 FR TELEVEST — PGP 212 474 5030 TO 916317656145 P . 01 a3lo9 'riA 'NED 14:54 FAA- ori , a I s 5 Moria]''toad ` EILYZAEETX A-N Y-VT1:1+E q Town Hall, 3 09 ti F.O.Bor.1179 I TOWN CLERK Soutl.old,Ne-Ynrlc 11971 RECIsm1.8 08 vITA I.5 raT151'IC$ Flix(631)7Gb-EI45 MA.RPfAGE OFVII-wK , Tolu�l�or►e 151)768-1SOO R�.CCRDS p4-,NA0EMENT OFFIUEK seutholdku u.northfoxk.not ; BRYEDOM OT'I14F01tMAT10T OMMY - Y JI UF;FYCE OF THF TOWN CLERK i TOWN OF SOi1T14OLD ; 4 F A x ; I t it To; Susan Savage ! y1-11Z-474-5030 Lynda M Rudder nehuty Town Clerk j i Date; Septcmbrr 3,2008 { ! ragex: X'including;corner !,a Linda Cooper is out for the re.l of the week. -1'he l'tlmin�permit,of eo uric you know has 9 berm issued,however our Tiiwu Attorney'is requesting that ibe lnxur$ncc Ccrtit�cutbe o j changed to reflect the Southold Town not Southold Town Hall_ I Ple„Nr.pi-ovide And updated insurance certific:tic. 1 ,i ' I I { ,I ,i AUIW29�2008 •14:20 FROM- T-603 P.001A01 F-477 r "AS The World Turns" Contact: Jacki Phipps 917-749-0412 9/3 Wednesday 6AM-9AM House 1925 Pipesneck Fid. in Greenport 6AM Breakfast @ House 50 7:30AM Police officer with car @ Greenport house 8:30AM -EMT arrive & 2 Lifeguards @ Horton Light House 8:30AM-9AM Shoot Streets with car between Greenport House & Hortons point 9AM-12PM Shoot Water shots 11 AM Lunch(50) Gay Light House 12PM Move to Dock 2500 West Creek Ave. Cutchogue, NY "with EMT and 2 Life Guards from Horton Point 12PM-3PM Shoot Dock 9/4 Thursday 6AM-1 PM Shoot Light House 6:AM Breakfast @Light House 50 people 6AM Call EMT & Police 11 AM Lunch for 50 12PM Move to beach stuff (No Life Guards) 2PM Wrap Police & EMT APPLICATION FOR FILMING/STILL PHOTOGRAPHY PERMIT NO: 0 Please Print or Type APPLICATION DATE: i'Z� NAME OF APPLICANT: 2 MAILING ADDRESS: PHONE: BUSINESS:OZ- f HOME: NAME OF ORGANIZATION/COMPANY: ,� b MAILING ADDRESS: JA r/ E �- PHONE: S f) R FAX: a/,? - U 7 y - ,5D 3,P-> DESCRIBE TYPE OF ACTIVITY(e.g. Motion Picture, Commercial, Television. Catalog,Magazine, etc.): 751 sh bo !M- DATE(S)AND TIME(S) OF PROPOSED FILMING/PHOTOGRAPHY: W � &&P-VAALI g-3/� �' .13 ' 113MO OSE LOCA I( N(S OF FILMING/PHO GRAPHY (attach addi " nal sheet if necessary) � � NAME OF PERSON IN CHARGE AT SITE: -P� 1 �P 917-714 Q -py i R_-.,NUMBER OF PERSONS AT LOCATION(cast& crew included): CJ NUMBER AND TYPE OF VECHILES AT LOCATION: TYPE OF SPECIAL EQUIPMENT: S E" W ANY SPECIAL REQUIREMENTS: Signature Return to: Southold Town Clerk Southold Town Hall `K 53095 Main Road �s P.O. Box 1179 C d n Southold,NY 11971 INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits,claims, demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or parties in connection with the performance of filming or still photography by the Applicant, his employees or agents or any subcontractor and in case of any such action brought against the Town,the applicant shall immediately take charge of and defend the same at his own cost and expense. In addition,the Applicant will name the Town as an additional insured on any applicable policies. Signature Date Printed name Title AUG 26 2008 14 : 59 FR TELEUEST - PGP 212 474 5030 TO 916317656145 P . 03iO3 INDEMNIFICATION AGREEMENT TOWN' OF SOUTIIOLD FILmWG/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits,claims, demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or parties in connection rwitb the performance of filming or still photography by the Applicant,his employees or agents or any subcontractor and in rase of any such action brought against the Town,the applicant shall immediately take ebarge of and defend tht, same at his own cost and exile M In addition,the Applicant will name the Toon as an additional insured on any applicable policies. j ..LFA, TV ?"' MPVQ P r c�z c>n5 Inc N-YLZhG:�" VA s� Signature Date Printed name r VP Title ** TOTAL PAGE . 03 ** AUG 26 2008 14 : 59 FR TELEVEST - PGP 212 474 5030 TO 916317656145 P . 01iO3 o ; LtJDA6 d P FR-c M � uS,-4 tq L/A GE— N� :5- r) CC- ee.d7 AUG 26 2009 15 : 01 FR TELEVEST — PGP 212 474 5030 T4 916317656145 P . 02iO3 CERTIFICATE OF INSURANCE ISSUE DATE CORD- 08/26/2008 PRODUCER This certificate Is Issued as a matter of Information only and confers no rights ,Inc, upon the Certificate Holder. This Certificate does not amend,extend or alter the Walter P.DollsInsurance Agency coverage afforded by the policies below. 201 E.Fifth Street Suite 1000 COMPANIES AFFORDING COVERAGE Cincinnati,OH 45202 Company Celtic Insurance Company A INSURED Company Old Republic Insurance Company The Procter&Gamble Company and Its affiliates(see attached Ilsting) One Procter&Gamble Pie= Company Cincinnati,OH 45202 C Company D Company E This Is to certify that the policies of Insurance described herein have been issued to the Insured named herein for the policy period Indicated. Notwithstanding any requirement term or condition of 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,conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY CGL-7108-7109 07/01/2006 EACH OCCURRENCE $ 2.00 0,000 ®Canm mu General UabNty 07/01/2009 FIRE DAMAGE $ 100,000 ®cwns made ❑occamnas MEDICAL EXPENSE S Q owners and Cams''a'a Pra6edon PERS,AND ADVERTISING INJURY $ 2,000,000 ❑ GENERAL AGGREGATE $ 2, wo ❑ 2,000,000 General Ag sus Umli■ s per PRODUCTS AND COMP.OPER.AGG. $ M Nicy LiP qod []Laeadon B AUTOMOBLE LIABILITY MWTB-19963 12/31/2007 COMBINED SINGLE LIMIT $ 1,000,ODO M Aef Aulanobue 17131/2008 BOQI1Z INJURY Per rson $ Q Au Owned rW romoollw ❑scheduled Avaww flee BODILY I (Per accident ❑WrW AuL m ee egoPERTY DA accident ❑None■med AuWmedlae COMPREHENSIVE Q COLLISION -F Other I I B WORKERS'COMPENSATION MWC-115338 00 12131/2007 WC it Ix AND EMPLOYERS'LIABILITY MWXS-812 12/31/2008 EL EACH ACCIDENT $ 1,00076 MWNEX-120 EL DI (Each em o e $ 1,000,000 MWFEX-125 1,000, EL DISEASE 'ntit $ 000 EXCESS LIABILITY EACH OCCURRENCE $ d olsw,eera ❑aelme Mede AGGREGATE is $ $ $ Southold Town Hall is added as an Additional Insured pursuant to a signed agreement with The Procter&Gamble Company and Its affiliates(see attached listing) for As The World Turns location shoots of Sept.3 and Sept.4,2008_ CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. Southold Town Hall Authorized Representative 53095 Main Road PO Box 1179 Southold,NY 11971 pee 1 of 2 caimrare iD v 4NMG4Y92 AUG 26 2008 15 : 03 FR TELEUEST — PGP 212 474 5030 TO 916317656145 P . 03iO3 ADDITIONAL INFORMATIONISSUEOA otv26/2oa8 PRODUCER CERTIFICATE HOLDER Walter R Dolle Insurance Agency,Inc. Southold Town Han 201 E.Fifth Street 53095 Main Road Sults 1000 PO Boa 1179 Clnclnnalf,OH 45202 Southold,NY 11971 INSURED The Procter&Gamble Company and Its of illates(see attached listing) One Procter&Gamble Plaza Cincinnati,OH 45202 'EXT The Procter & Gamble Company (Affiliated Company Listing) An-Pro Company Coe Coe Inc. Coe Coe Inc. dba Yardley of London Cosmopolitan Cosmetics USA, Inc. Frederic, LLC Frederic Fekkai & Co. Giorgio Beverly Hills, Inc. Glide Brand of Pro$ucts Graham Webb International, Inc. FIDS Cosmetics Lab Inc. Iame Canada Inc. (CGL coverage only) Millstone Coffee, Inc_ Noxell Corporation Olay LLC P&G-Clairol, Inc. PF% Pet Supply, Inc. Procter & Gamble Hair Care LLC Procter & Gamble Inc. (COL coverage only) Procter & Gamble Pharmaceuticals Canada, Inc. (CGL coverage only) Procter & Gamble Pharmaceuticals Puerto Rico, Inc. Procter & Gamble Pharmaceuticals, Inc_ Procter & Gamble Productions, Inc. Pur water Purification Products, Inc. Sebastian International Inc. Tambrands Inc. The Dover Wipes company The Folger Coffee Company The lama Company Procter & Gamble Commercial LLC (Puerto Rico) The Procter & Gamble Company Procter & Gamble Distributing LLC The Procter & Gamble Manufacturing Company The Procter & Gamble Paper Producta Company The Wella Corporation Universal Beauty Supply Corp. wella Canada Inc. (COL coverage only) Wella Manufacturing of Virginia, Inc. Wella Personal Care of North America Inc. The Gillette Company (Affiliated Company Listing) Braun Duracell Oral-B Thermoscan tooth P*2* 2 of a CgnMMhe 10 a 4NMG4Y92 ** TOTAL PAGE . 03 ** Charges: 2 days @ 100 each = $200 2 Days @ 1000 each = $2000 ? Vehicles @ 10 each = ? �e Separate check: $500 clean up deposit. 2i z - 44- 5 a3o AUG 26 2008 15 : 00 FR TELEVEST - PGP 212 474 5030 TO 916317656145 P . 01iO3 L0 , ,.DA ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICERS Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FAX TRANSMITTAL To: Susan Savage From: Linda J. Cooper, Deputy Town Clerk Dated: August 26, 2008 Re: Filming Application & Indemnification Agreement Number of Pages (including cover): 3 If total transmittal is not received, please call 631-765-1800, Ext 210 COMMENTS: Please fax back the signed application and indemnification agreement and then send the hard copy via mail. Thank you Page I of I Cooper, Linda From: Cooper, Linda Sent: Friday, August 22, 2008 9:14 AM To: 'phippsi@earthlink.com' Subject: Southold Town Filming Attachments: filming Local Law.doc; Checklist for applicant.doc; APPLICATION FOR FILMING.doc; INDEMNIFICATION AGREEMENT.doc Hi, The attachments contain all the info you need to apply for a permit within Southold Town. You must file the application at least 7 days prior to filming. Please contact me, either by phone or email if you have any questions or concerns. Linda J. Cooper Deputy Town Clerk Town of Southold 631-765-1800 Life may not be the pari))we hoped for,but as long as we're here,we nights as well dance! 8/22/2008 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/26/08 Receipt#: 28174 Transaction(s): Reference Subtotal 1 1 Application Fee - Non-Refund 22 $100.00 Check#: 1425449 Total Paid: $100.00 Name: As, The World Turns Telenext Media 825 8th Ave New York, NY 10019 Clerk ID: LINDAC Internal ID:22 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/26/08 Receipt#: 28174 Transaction(s): Reference Subtotal 1 1 Application Fee - Non-Refund 22 $100.00 Check#: 1425449 Total Paid: $100.00 Name: As, The World Turns Telenext Media 825 8th Ave New York, NY 10019 Clerk ID: LINDAC Internal ID:22 02/09 '08 TUE 15:05 FAX 631 765 6145 SOUTHOLD TOWN CLERK IM001 *�cxc TX REPORT �cxc TRANSMISSION OK TX/RX NO 4714 CONNECTION TEL 97659015 CONNECTION ID Community Dev ST. TIME 02/09 15:04 USAGE T 00'53 PGS. SENT 3 RESULT OK �pF SOUry ELIZABETH A.NEVILLE �p �� Town Hall,53095 Main Road TOYIN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Ar Southold,New York 11971 G Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER 0 (631) 765-1800 FREEDOM OF INFORMATION OFFICER PIA Telephonesoutholdtown.northfork_net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD F A X To: Chief Cochran Chief Building Inspector Michael Verity Fire Marshall Robert Fisher Code Enforcement Officer Edward Forrester Superintendent of Highways Peter Harris Superintendent of Parks & Recreation James McMahon From: Lynda M Rudder Deputy Town Clerk Date; September 2, 2008 Pages: 3 including cover The attached filming permit has been issued. 02/09 '08 TUE 15:04 FAX 631 765 6145 SOUTHOLD TOWN CLERK Q001 TX REPORT * TRANSMISSION OK TX/RX NO 4713 CONNECTION TEL 97651750 CONNECTION ID Highway Dept ST. TIME 02/09 15:03 USAGE T 00'56 PGS. SENT 3 RESULT OK ELIZA$ TAL RK LE �0�A0f S�(�lyO! Town Hall,5309514ain Road REGISTRAR OF VITAL STATIS'T'ICS P-0• Box 1179 MARRIAGE OFFICER ti Southold,New York 11971 RECORI)S MANAGEM911;T OFFICER IFax(631) 765-6145 FREEDOM OF INFORMATION OFFICER "� a0 Telephone(631) 765-1800 �DUPV1`1,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD F A, X To: Chief Cochran Chief Building inspector Michael 'Verity Fire Marshall Robert Fisher Cade Enforcement Officer Edward Forrester Superintendent of Highways peter Harris Superintendent of Parks & Recreation James McMahon From: Lynda M Rudder Deputy Town Clerk Date: September 2, 2008 Pages. 3 including cover The attached filming permit has been issued. 02/09 '08 TUE 14:56 FAX 631 765 6145 SOUTHOLD TOWN CLERK U001 TX REPORT * TRANSMISSION OK TX/RX NO 4711 CONNECTION TEL 97656639 CONNECTION ID Town Atty's ST. TIME 02/09 14:54 USAGE T 01'50 PGS. SENT 6 RESULT OK ELIZABETH A.NEVILLE �p��O�S�Uryo� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 N Fax (631) 765-6145 MARRIAGE OFFICER G RECORDS MANAGEMENT OFFICER b Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER l�'COu southoldtown.nouthfork_net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT Issued to: As The World Turns Date(s), Time(s) and Location S;cptember 3, 2008 See Attached September 4. 2008 Sec Attached Permit No. 022 Issue Date: 912/08 02/09 '08 TUE 14:53 FAX 631 765 6145 SOUTHOLD TOWN CLERK Q001 * TX REPORT *�e* TRANSMISSION OK TX/RX NO 4710 CONNECTION TEL 97342315 CONNECTION ID PD Administ ST. TIME 02/09 14:51 USAGE T 01'52 PGS. SENT 6 RESULT OK of Sor,Ty . ELIZABETH A.NEVILLE �� O/_ Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %O iO Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ��Courm southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT Issued to: As The World Turns Date(s), Time(s) and Location September 3, 2008, See Attached September 4 2008 Sec Attached Permit No. 022 - Issue Date: 9/2/0$ 02/09 '08 TUE 15;02 FAX 631 765 6145 SOUTHOLD TOWN CLERK Q001 ********************* * * TX REPORT *** ********************* TRANSMISSION OK TX/RX NO 4712 CONNECTION TEL 97659502 CONNECTION ID Building Dept ST. TIME 02/09 15;01 USAGE T 00'58 PGS. SENT 3 RESULT OK ELIZABETH A.NEVILLEtiS�GlyO! Town Hall,, 53095 Nla�iin Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ��i�`+O southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD F A X To: Chief Cochran Chief Building Inspector Michael Verity Fire Marshall Robert Fisher Code Enforcement Officer Edward I+orrester Superintendent of Highways Peter Harris Superintendent of Parks & Recreation James McMahon From: Lynda M Rudder Deputy Town Clerk Date: September 2, 2008 Pages: 3 including cover The attached filming permit has been issued,