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Home My WebLink AboutSarah Laird, Inc/Kenna Zimmer Ag�fFO(,�c PETER W. HARRIS ,w Tel. (631) 765-3140 Superintendent • a� (631) 734-5211 Fax(631) 765-1750 Highway Department Town of Southold 275 Peconic Lane • P.O. Box 178 • Peconic, N.Y. 11958-0178 TO: Lynda Bohn Town Clerks Office FROM: Peter W. Harris Superintendent of Highwa RE: Film Permit DATE: August 1, 2005 Dear Lynda: Upon doing an inspection of the site used at Pipes Neck Road in Greenport, Pertaining to the Filming Permits No. 016 and No. 017. I have determined that the site was left clean. No further fees should be required from the permit holder. POLICE DEPAQTMENT TOWN Of 6OUTHOLD CARLISLE E. COCHRAN,JR- Chief of Police Telephone Emergency Dial 911 MEMORANDUM TO: Lynda M. Bohn, Deputy Town Clerk FROM: Chief Carlisle E. Cochran, Jr. DATE: July 29, 2005 RE: Traffic Control Cost Statement Film Permit No. 016 and 017 Michael Sibley As per Section 44-A paragraph D, Traffic Control Fee, there is NO FEE as there was no need for police assistance. 41405 Route 25 • P.O. Box 911 • Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 • Fax (631) 765-2715 ELIZABETH A.NEVILLE QQF S0VryOl O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS N Southold,New York 11971 MARRIAGE OFFICER �Q� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 0�'. Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER CDU�I southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Peter Harris, Superintendent of Highways From: Lynda M. Bohn, Deputy Town Clerk Dated: July 27, 2005 Re: Film Permit No. 016 & 017 Cleanup Deposit In accordance with §44A-5 of the Southold Town Code,please advise if the $250.00 daily Cleanup deposit may be returned to the applicant; if not,please provide a statement setting forth the actual cost to the town of providing said cleanup service. Cleanup was not required at the location(s)identified on the permit. The deposit may be returned. Cleanup was required. Actual cost statement is attached. Please respond within five(5)business days Signature Date ELIZABETH A.NEviLLE ,`orif So yol Q Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G N Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER y�OUNTI,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Chief Cochran, Southold Town Police From: Lynda M Bohn,Deputy Town Clerk Dated: July 27, 2005 Re: Traffic Control Cost Statement Film Permit No. 016 & 017—Michael Sibley 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. ooF so�ryo ELIZABETH A. NEVILLE lQ Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS N aE Southold, New York 11971 MARRIAGE OFFICER �Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,N southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT Issued to: Sarah Laird,Inc./Kenna Zimmer Location(s),Date(s),Time(s): Location: Pipes Neck Cove Beach, Greenport Dates: Wednesday,July 27,2005 11:00 p.m.—9:00 p.m. Permit No. 017 Issue Date: 7/22/05 Elizabeth A.Neville Southold Town Clerk (Town Seal) o��oF so�ryol ELIZABETH A.NEVILLE Q Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER iQ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��. Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER C�U ,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Attorney's Office From: Lynda M Bo4AJ5 Dated: July 19, 2005 Re: Filming Permit In accordance with the Southold Town Code, Chapter 44A, Section 3, Subsection D, the Certificate of Insurance and Indemnification Agreement for a Filming Permit Application for Schofield Films by Michael Sibley are attached hereto. Please review and advise whether these documents meet with your approval. Thank you/ 1/ Approved as submitted (C thi-of 4/�5 wt"u t LAu'd-aw N U-Ft TN Disapprove for the following reasons: iSigAnaltur M-=-=2-,JUL. 22. 2005 =12: 22P0x gal 765 6145 SOUTsoLD TOWN CY.M -?4" N0. 627'`Ly P. 1 `JVV1 ELIZABETH A.TTF%VLLLE ,`O��F SOU,y�lp Town.Hall, 55095 Mail-,fiord TOWN'CLERK P.O.Box 1179 H Southold,Now York 11971 REGISTRAR.OF VFTAL STATISTICS � � a� Fax(633) 765-6145 MARRIAGE OFFTC FR O Telephone(631) 765-1800 ItEcORDS MANAGEMENT OFFICER Sc�utholdtown.aorChfork.net FREEDOM OF INTOBMATION O) F'XC�:R OUIV{`► OFFICE OF TTiE TOWN CLERK. TOWN OF SOUTHOLD To: SoUthold Town Attorney's Office From: Lynda M Bohn Dated: July 22,2005 Re: Filming Permit In accordance with the Southold Town Code, Chapter 44A, Section 3, Subsection D,the Certificate of losuiance and Indemnification,Agreement for a Filming Permit Application for Sa ah Laird,Inc.by Kenna Zip-nmeu are attached hereto. Please review and advise whether those documents meet with your approval. Thank you/ Approved as submitted Disapprove for the following reasons: upig� � e , • *qf S lJc ELIZABETH A.NEVILLE �� lQ own Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N 4ar Southold, New York 11971 MARRIAGE OFFICER �QQ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 0��. Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER COU NTI,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Chief Cochran, Southold Town Police Mike Verity, Building Department Bob Fisher, Fire Marshal Ed Forrester, Code Enforcement Officer Peter Harris, Superintendent of Highways James McMahon, Dept of Public Works From: Lynda M Bohn, Deputy Town Clerk Dated: July 22, 2005 Re: REVISED Filming Permit No. 016 and Filming Permit No. 017 In accordance with Town Code 44A-9 you are being notified that a Film Permit 016 was issued to Michael Sibley on behalf of Schofield Films and permit No. 017 was issued to Kenna Zimmer on behalf of Sarah Laird, Inc. See following pages for a copy of the permits and applications. „18/07 '05 MON 09:44 FAX 631 765 6145 SOUTHOLD TOWN CLERK 0]003 TOWN OF SOUTHOLD APPLICATION FOR FILi41NG/STILL PHOTOGRAPHY �y ( PLBA0$ Pazmx Ox TYPE APPLICATION DA=8: ”' l PERMIT NO: N q lV FROM.- Busimm e. HOME piAMl°, OF ORGANIZATION, COMPANY.. S G h O F;G MAIL3Xd ADMESS., 5(po l coo Fix: lw:itwlrr�rw.rWrp,rryN�*pryl�,wee*�tiew,�.of=:�llt.ilrrrrfi*Rrr•�wfwrrrf rfsrw D$SCf[T� MH Ol? ACTIVITY (e.g. Noticix pictl=e, Commercial, Televielaa, Catalog, lfagasi.ae, ete.) 0 'l"t l tai 5 i on C o�r►�►t+�s r C'a ( For WC4 t c. C' �ATi*(S) lwm TI>IIs(e) or Movosm r1•LmmXG/PaOTOG RApflx r TV t5� kcz js �, ;&_t A Q fh 0 0 ta .2005 , VW--:7A 'l�c�==ii PROPOSED LOCATIOWig) bF rXrJCM6/PX0Toc�RAPHY: amt-tar -Allah 3oual sheet, ury if eceaea . .lam 21A OP &=ff T Uq CHMAGS AT SISE: G, e b N�21% OF 2z"0:09 AT LOCATION (C"T & CRBit SNCLUDEb) MIMER AIW TYPE or vu YCLUS AT LOCATION:, r' � r�Gk,; 2 (�1.d 1�� '�•''ss1 r,W/�p k ✓d►h a s t e s— . -5' 0. '1 TI-P8 OF SPECIAL RQ=P T; Q�"�—' ANY SPS'CXAA XVQ=R%"1TH: s1 riatare . R rn to: 'Southold Town Clerk Southold Town Hall 53095 Main Road P. O. Box 1179 Southold, NY 11971 KEN KOCHEY 212 243 8099 07122t05 11:02am P. 002 TOWN OF SO'UTHO,LD APPLICATION FOR FILMINOISTILL PHOTOGRAPHY VUBWOM PKZ"T on Tyra APPLICATIOX DATB: 'n PNRMyI�T�NpO- NAN8 Off' ApPLICJQM% ( p L �a- NP,ILxNO ADDRass: PHONR a SV8ZN1S3�' ._� Li --n L4 2x NoNs NAf68 PF OR4A37I8AX XoN, COMPANY: �„'L.LJf ..� r- (I C- . FN07NA:, 2A 2. 3S 4..- I 210 P=., 2. �S%J - L4 2-A � ..�f.............4NYryMft N*.'A. ............•......A.R................ OMSC"Vt rMa OV ACTIVITY (e.g. KCt;LQi% Picture, Comnereial, TelevlPian, Catalog, Magam'Ine, etc.) : DATL"(S) AND TIMU(B) of PILOPOBBD vrLMIDIGI/vnoTO(3pApHY: 1\7V'1' "l. �` \ PAOP09XD LOCATION(S) aP PILNINO/PHOT RApHy' akC+eh n.lditienal @beet, it neceboory. c QHS uAx� oP psxsox zv CMASS A? alTs' L MYMXR OF PBi OX9 >T LOCATION (aAST G CRBN IMCLCDBn) NVM RR AM TYRb or VEIRzcr Lu AT LOchTION: � r� v TTVX OF SPICIAL BQaIYMma. oa �k--toG.� `�–• ANY BPECI?.L X QVX7-VKMM0' — 1 4ign�tuxe Return to: Southold Town Clerk SOUthold Town Hall 53095 Main Road P. O. Box 1179 Southold, NY 11971 °F souryo ELIZABETH A. NEVILLE �� lQ Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER O Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERol�• ,M � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER C�Ui�l' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Can, Southold Town Police From: Lynda M. Bohn,Deputy Town Clerk Dated: July 22, 2005 Re: REVISED Filming Permit Out of formality I am sending this to you for approval. This is the Wednesday shot that Michael Sibley was speaking about. Transmitted herewith is the application of Sarah Laird, Inc by Kenna Zimmer for a Still photography permit. In accordance with Section 44A.3 of the Town Code please review the application and advise of approval or disapproval of the application and whether a traffic control fee is required and the amount needed. *pF SO!/ryo ELIZABETH A. NEVILLE �� lQ Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER �q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER I7C � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Attorney's Office From: Lynda M Bohn Dated: July 22, 2005 Re: Filming Permit In accordance with the Southold Town Code, Chapter 44A, Section 3, Subsection D, the Certificate of Insurance and Indemnification Agreement for a Filming Permit Application for Sarah Laird,Inc. by Kenna Zimmer are attached hereto. Please review and advise whether these documents meet with your approval. Thank you. Approved as submitted Disapprove for the following reasons: Signature KEN KOCHEY 212 243 9099 07/22/05 11:02am P. 002 TOWN OF SOUTHO,LD . APPLICATION FOR FILMING/STILL PHOTOGRAPHY V&DhoT7 RRiNz d!l l7PP6 APPLICATTON DASH: PARMIT No- HAM OF' APIMICANrl 1', ,C-,VY VlAILrNQ ADDRESS! I z?9 ��r 1 a L•�T•' 1. l-1 C-.! �� 1 -FRONS! hus IIrm Sd all -Z-.�H -9-ZX( !X HOKE (( , NAME orOA4AtITEA�XON, COM@ANY; c l rA I � C_ •• MAIL Ing rMoRmSs, � r SD Q`rycl D �'C` C:�l�`��-�✓ P!(ONR ZI 2_- z$C) 2-�2._- X3`'1 - L4?- .A.M.............. /,F y,MbwiA.......w ...........A.................. 13E0CIV9 TYFa OV ACTIVITY (e.g. Net?.om ViCtUre, Commer[ial, TeleviPion, Catalog, Plagazime, etc.) : Dt.Tx(S) AND TZ2SEW CF MOPOSHD TTL11TDi0/BMOTOGPrRMY: ) ( V'� `l �` PROPOGED LOCATIOR(S) OF FILHINO/PHOT MMY: ahtheh Additional ebeet, iE ntCGCovey. � T HMO of PSRsoA Tia CMAGIS AT JTTE: L NVM EA OF PRit_OW9 AT LOCATION (OAST 4 CRBN 1VCLVD9D5 i2-cote-o' p �. NVMSA)1 AM TWIN O!' VMIIxCLIwH AT LOC7►TZON: TYPE OF 6FHCIAL SQVtir IPME : Boclr � ANY SPECIAL ABQv'tajpCMarr0: 1 a�gRkture Return to: Southold Town Clerk SbUthold Town Hall 53095 Main Road P. O. Box 1179 Southold, NY 11971 KEN KOCHEY 212 249 8099 07/22f0S 11:02am P. 002 INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGIW- HY PERMIT The Applicant shall indemnify and bold harmless the Town frorn 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. Jn addition, the Applicant will name the Town as an additional insured on any applicable policies. A -21 27 ignarure Dat Printed name -Pr Title KEN KOCHEY 212 243 e099 07/22/0S 11:02am P. 001 S A R • H L • I R D artist representativo FAX COVER SHEET ................................... .................. TO: FROM: Lynn Bonn Kenna Zimmer COMPANY: DATE: Town of Southold 07/22/2005 FAX NUMBER: TOTAL # OF PAGES INCLUDING COVER: 631 -765-6145 5 REGARDING: Permit to shoot in Southold MESSAGE: H! Lynn- Here is the paperwork that Michael Sibley discussed with you. Please call me if you have any questions. Thanks so much. Best- Kenna sarah laird inc. 134 spring st. suite 201 new york city 10012 tel. 212-334-4280 fox, 212-33,4-4218 KEN KOCHEY 212 248 8099 07/22./05 11:02am P. 00S 07/22/2005 11:95 FAX 2124907298 TAYLOR & TAYLOR ASSOC. 16001 ACDEWL CERTIFICATE OF LIABILITY INSURANCE u7%2i KEN KOCHEY 212 249 8099 07/22/OS 11:02am P. 004 A A A artist representative July 22, 2005 Southold Town Clerk Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 Dear Southold: I produce for a photographer named Grace Huang. She would like to shoot a print ad at Pipes Neck Beach/Nasa Fot Residence on Wednesday, July 27th or Thursday, July 28th, 2005. The shoot would be for Grey Advertising/Wellbutrin. The shoot will feature two models. The crew accompanying her will include approximately 14 people. We will be using photo equipment and lighting. We will aslo be using 2 boats (one as a prop, and the other as a vehicle to photograph). We would like to shoot from 10 AM-9 PM. Please let me know if you have any further questions or need any further explanation about the shoot. I would be very appreciative if Grace could obtain permission to shoot in your town. Thank you for your time and consideration. I look forward to hearing from you. Sincerely, Kenna Zimmer Sarah laird inc. 134 spring st, suite 201 new york city 10012 tel. 212-334-4280 fax. 212-334-4218