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HomeMy WebLinkAbout2014 SgFF01,��0 ELIZABETH A. NEVILLE,MMC ti� G,y Town Hall,53095 Main Road TOWN CLERK p P.O. Box 1179 CA = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .� Fax(631)765-6145 MARRIAGE OFFICERy RECORDS MANAGEMENT OFFICER ��,� .� Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www•southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SPECIAL PERMIT A Special Permit is hereby granted, in accordance with Chapter 205 of the Code of the Town of Southold, to the Greater New York Chapter of the Cystic Fibrosis Foundation, to hold its Cystic Fibrosis Cycle for Life, on Saturday, September 20, 2014 provided they follow the Town of Southold "Policy for Special Events on Town Properties and Roads" revised on May 20, 2014, Resolution 2014-468. Dated: May 22, 2014 Elizabeth A. Neville Southold Town Clerk cc: Chief of Police Flatley Supt. of Highways Orlando Southold Town Board - Letter Board Meeting of October 21, 2014 wFFa°` RESOLUTION 2014-836 Item # 5.13 ADOPTED DOC ID: 10173 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-836 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 21, 2014: WHEREAS the Cystic Fibrosis Foundation supplied the Town of Southold with a Clean-up Deposit fee in the amount of$250.00 for their event and WHEREAS the Southold Town Police Chief Martin Flatley, has informed the Town Clerk's office that this fee may be refunded, now therefore be it RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in the amount of$250.00 to Cystic Fibrosis Foundation, 6931 Arlington Road, Bethesda, MD 20814. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:Jill Doherty, Councilwoman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell Generated October 23, 2014 Page 20 Vendor No. Check No. Town of Southold, New York - Payment Voucher Check Made Payable To: Mail check to(mailing address): Entered by C jsk-%c. t'�i brow FouY%&6%dh 1pg10q.31Ar1lY)4orJR0oa Audit.Date Contact Telephone N�� ^^ul1mber 5 1 (0 ( Bat - of d Mb C�d Oc lq Town Clerk Contact Name She ar,5 e 7W,dor Invoice Invoice Invoice Net Purchase Order Number Date Total I Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number Special Event can-up 10 ,Z 250.00 250.00 Deposit Refund T1.030 I i i i Total 250.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and pa ment is approved. AL�ru&rjr% Signatu +Y�Fitle �� �'� Signat re 0 LL ���,., Company Name Date Titl Date 1© —1 BUFF ELIZABETH A.NEVILLE,MMC CSG Town Hall, 53095 Main Road �� y TOWN CLERK p P.O. Box 1179 W = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .tC Fax(631)765-6145 MARRIAGE OFFICER y RECORDS MANAGEMENT OFFICER ��,( �a� Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www•southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 22, 2014 Stefanie Taylor Cystic Fibrosis Foundation Greater NY Chapter— Long Island 1 Huntington Quadrangle, Ste 2513 Melville, NY 11747 Dear Ms. Taylor: The Southold Town Board, at its regular meeting held on May 20, 2014, granted permission to the Cystic Fibrosis Foundation to hold its Cycle For Life Event on Saturday, September 20, 2014. A certified copy of this resolution is enclosed along with the Town of Southold Policy for Special Events on town Properties and Roads. Failure to heed the policy may result in the loss of Clean-up deposit. An insurance policy naming the Town of Southold as additionally insured has been filed with this office. 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, 4 M Lynda M Rudder Deputy Town Clerk enc Southold Town Board - Letter Board Meeting of May 20, 2014 RESOLUTION 2014-437 Item # 5.14 aR ADOPTED DOC ID: 9792 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-437 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 20, 2014: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Greater New York Chapter of the Cystic Fibrosis Foundation to use various roads throughout Southold Town from the Riverhead Town line to Orient, as described in the route maps filed with the application, for its Cystic Fibrosis Cycle for Life, on Saturday, September 20, 2014 from 7:00 AM to 4:00 PM: the route in Southold begins and ends at the Riverhead Town line, provided the applicant adheres to the Southold Town Policy and Special Events on Town Properties and Roads. 04 a&4 0.?'10 20 & 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 May 22, 2014 Page 26 R IZABETH A.NNVIrLLE,MMC Town Ball,53093 Main Rood TOWN OLERK P.O.Box 1179 Southold.Naw York 11971 RLt3ISTFAIt OF VrrAL 8TNIISTICS Fax(681)786.6145 MIIRRWR OFFICM Tlslephona(631)765.1800 REOORMI MANAGEMENT OFFICER lvq4ov www southoldtawnr�y eov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF$O'UTHOLD APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please nroylda ALL glthe ip�atipg tenaested below,Incomplete ARLI Mtioos WILL NOT be Date of Submisslon 3 1-l l Nama of Event C% ,,. Name of Organization, Is this a Not-For-Profit Event? Contest's Name: ,(\,% C+�kc. Mailing Address: I A--n�''ru54cr% itx�7 Contact's Phone Number: SMI)D-f -90 Contact's Email Address: (4 Event Location and She Diagram: CIOC ENC( (4 grid er4:!:�, ,n (Use additional paper if necessary) V—% Cho-___—CLA. 0,�t,. Event Date(s); �•�C42t;, g2d� (Include set up and shutdown ries and dates) Nature of Event.—�O � .nds 1�r�- M•� AL1-Eh h r4- (Please attach a detailed desoription to this application) Cd Time Period(Hours)of Event; From�"..1_0-". Maximum Number of Expected Attendees: _ Specify any special requirements(i.e.road closure,pollee presence): C00 w 91r\N If a Tent or other temporary structure will be used please contact the Southold Town Suilding Department at 631.765-1802 ��� Mailing Address to Send Event Permit to; i 1.1-�n�`�r�� Q�tio. � ��-�"�'I.sr 1 12D Pon; $230 for event*with Ion than 1000"peeled atteadeea $350 for events with 1000 or more e: ted atteadasa 5250 or more Clean-up deposit NOTE: Additional deposit may be required(see attached regulations)and shall be made In an amount determined prior to issuance of the permit based upon the estimated diroct costs attributable to additional poll,Ce,highway and cleanup ousts associated with the event. The deposit will be used to cover such avers and any unused monies will be retunwd to applicant, G IAC jj,QF IN3U$A CidR MM)D*, Not less than$2,000,000 naming the Town of Southold as an additional insured. Additional information and requirements may be required us deemed necessary by the Town Board, Print name of Authorized Person filling out Signature of Authorized Pi;;" fling ovt eppli tion application Trevor L. Hunter Operations Supervisor 'Upon the request by applicant,the Town Board may waive in,whole or in part any of the application requirements, 2 ' E ' L i i �►co CERTIFICATE OF LIABILITY INSURANCE ° 14/ D°'" r �- 4/14/2o14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS j 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to 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 CONTACTKathy Carpenito Eastern Insurance Group LLC PHONE 781-261-2011 IAVC.Note FAx 751-161-2099 77 Accord Park Drive aDORE MIL .kearponito0easterninsurance.com I Unit Bl INSURER(S)AFFORDING COVERAG! NAIC 0 Norwell MA 02061 lNsuRERA.Continental Ins Co 35289 INSURED SusuaRsAmerican Casualty Co 20427 Cystic Fibrosis Foundation INSURERCAmerican Guarantee & Liability 6535 6931 Arlington Road INSURERD:Continental Casualty Company 0443 INSURER E: Bethesda MD 20814 INSURER F: COVERAGES CERTIFICATE NUMBER:Std IMA most 14-15 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. iSUBR LBR TR TYPEOFINSURANCE A POLICY NUMBER DOL POLICYE F MP LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIAUILITY 5 1,000,000 A CLAIMS-MADE a OCCUR 1057198720 /1/2014 /1/2013 MED EXP(Any one anon) $ 15,000 X Host Liquor PERSONAL RADV INJURY i 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG 8 2,000,000 X POLICY PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE UR? 11000,000 B ANY AUTO BODILY INJURY(Per person) 5 ALL OWNED X SCHEDULED 083490852 1/1/2014 /1/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS X �Xd NON-OWNED PROPERTY D 5 HIREDAUTOS AUTOSIF X Comp Dad$1006Coli Ood$1000 Medical pawnents 6 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE E 5,000,000 `. EXCESS UAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTIONS ILUC594656605 /1/2014 /1/2015 $ D WORKERS COMPENSATION X Ig M"777617- AND EMPLOYERS,LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVENIA1064080922 E.L.EACH ACCIDENT $ 11000,000 OFFICERIMEMBER EXCLUDED? EXCLUDES STATES OD': /1/2014 1/1/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLO $ 1,000,000 eacribe under DySLIRIPTION OF OPERATIONS below , ND, on, VA, s � E E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space la required) The Certificate Holder is named as Additional Insured, ATIMA, for General Liability only, per written contract or agreement as respects to the location of the fund raising event "Cycle for Life" being held on September 20, 2014. (Greater NY-Long Island) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall 53095 Main Rd. PO BOX 1179 AUTHORIZED REPRESENTATIVE Southold, NY 11971 --- Ronald Cleaves/RAI ACORD 26(2010105) 01988-2010 ACORD CORPORATION. All rights reserved. INS025 r7nlnnrinl Tho Ar`npn name and Innn aro raniafarad mance of Af`npn cystic Fibrosis 32 mile Final N t of route 0;0 13 3 ..2 4 «� l Lonto .f6m sport r 0.0 0.0 -� R onto W Main St 1.0 Avera lQ Roto, Rd 11 13.B 0.6 -� R onto Main Rd Maor 3 2 2.1 11 L onto Middle Rd 1.5 t+�liri R 171 01 R onto Sigsbee Rd 0.5 5.7 2.1 L onto Northville 1.4 � Turnpike 23.7 6.0 R onto Meeting Houses 0.4 7 Creek Rd X-4 < Rolto Cross River tr 1.5 Go � g 8.7 1.5 T Continue straight to 0.5 '. Herd Ade stay on Cross River Dr 25.7 16 -+ R onto Fairway Ave 0.3 �r I Gore n 9.4 0.2 L onto Hubbard Ave 1.0 . 77 G 26.7 0.7 R onto Ostrander Ave 10 nguse,Ci etc' ; 27.7 . E 1.Q - Lnti Mliddl 13 OfT. TQi29,0 1.3 T Enter the traffic circle 0.2 10.9 0.4 �- L onto Peconic Bay 2.4 {b r � Blvd 1 2��2� 1. `42 ,�� >, orothaborn t�_ Rye exit. 10.9 miles. +249/-283 feet 18.3 miles. +341/-317 feet - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 30 R orifo Raynor Ave 0.8 30.8 0.8 R onto W Main St 2.5 33:3 2 -� 'R` fi River�d 0.0 33.3 0.0 j IN, End of route 0.0 4.2 miles. +82/-79 feet Cystic Fibrosis 62 Final , arose OQ ? � t� � I C2� 0.0 0.0 -� R onto W Main St 1.0 14 r7 17.2 6.2 � L onto Bay Ave 0.6 60 2.1 1.1 L onto Middle Rd 1.5 18.1 0.3 -► R onto New Suffolk 3.2 tr � 1l rcle � Ave orit Mtddle Rd LSO 5.7 2.1 L onto Northville 1.4 Turnpike � ' s� 8.7 1.5 T Continue straight to 0.5 22.8 1.5 -► R onto Main Rd. 8.1 stay on Cross River Dr l onto f �fi Q4 � s 75)t ��ati �he, 0. 31.3 0.4 L onto N Rd CONTINUE 1.6 9 ; t��ard Ae,f ; TOSOUNDVIEW INN 9.4 0.2 L onto Hubbard Ave 1.0 REST STOP 1fnwQ04 32 -s Rntti flv)ew �t ' s Gael ; A ' 34.1 1.3 L to stay on 3.1 b I��t�rf � u Soundview Ave -ton 10.9 0.4 L onto Peconic Bay 0.2 Blvd 37.5 0.3 -> R onto 48 Middle Rd 1.5 10.9 miles. +246/-280 feet 26.6 miles. +716/-701 feet - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - y 4 R, ;..BlV& r [nastSt� 53.0 2.4 R onto Meeting House 0.4 39.7 0.8 L onto Oregon Rd 2.9 Creek Rd REST HOUSE !, 42.9 0.3 L onto Reeves/Grand 0.9 55 0 1.6 R onto Fairway Ave 0.3 Ave it"4 $ T C� lore coo ' Vit' .t h CNiLan;Ave 56.0 0.7 R onto Ostrander Ave 1.0 44.1 0.3 R onto 48 Middle Rd 0.3 57.0 1:0°" «- L onto Nlidd*it'd 44 4 � anto.ln�estpbal}e 1•� 58.3 1.3 T Enter the traffic circle 0.1 . , ." � eve of#er#heater shin r � .4 45.4 10 �- L onto Cox Neck Rd 0.4 58 ' 0 T 1 Exitth�t`affiriM� ( 8 onto Znd Ost orA Avg 5$ - cross g 41st lght 0 6 sign gF: iid tQ QUr R 59.2 � 0.8 -► R onto Raynor Ave � 0.8 W- on Uyr1�AV r.. (follovu oris weYh) 60;0 ; ;0 8n: -> FtxdntoW:lar �x 46.4 0.6 R onto Factory Ave 0.3 ; 62.5 2.5 -► R at Hotel Indigo 0.0 46 7 g +Snto Main'Rd m 3 3 : 62 6 0:0 1 Egad of route 50.0 3.3 1 L onto S Jamesport 0.6 Ave at light 12.6 miles. +259/-294 feet 12.5 miles. +271/-237 feet -2014 Cystic Fibrosis 100 mile, 0.0 0.0 Ir Start of route 0.0 46.9 0.1 T Continue onto 3 0.2 Waters Ln 0.0 0.0 R onto W Main St 1.0 47.1 0.2 t Continue onto Sound 0.4 1.0 1.0 T Continue onto Middle 0.6 View Rd Country Rd 1.6 0.6 R onto Edwards Ave 0.1 ; 47.5 0.4 T Continue onto Ryder 0.4 Farm Ln 1.7 0.1 R onto Riley Ave 1.0 47.9 0.4 R onto Main Rd 5.7 2.8 1.0 t Continue onto Youngs 1.3 53.6 5.7 R onto Stars Rd 0.9 Ave 4.1 1.3 R onto Osborn Ave 1.3 54.5 0.9 <- L onto Aquaview Ave 0.3 5.4 1.3 T Enter the traffic circle 0.0 54.8 0.3 F- L onto Rocky Point Rd' 1.1 5.5 0.0 t Exit the traffic circle 2.1 55.9 1.1 , R onto Main Rd 1.4 onto Middle Rd 57.3 1.4 R onto Sound Rd 0.1 7.6 2.1 L onto Northville 1.4 ; 57.5 0.1 L onto Sutton PI 0.1 Turnpike 57.6 0.1 R onto Tasker Ln 0.3" 9.0 1.4 -* R on Cross River Dr. 1.5 (105) traveling south 57.9 0.3 , Tasker Ln turns 0.4 slightly L and becomes 10.5 1.5 t Continue straight to 0.5 Sound Dr stay on Cross River Dr 58.2 0.4 L onto Westwood Ln 0.3 11.0 0.5 T Hubbard Ave ramp 0.2 58.5 0.3 , L onto Homestead 0.1 11.3 0.2 L onto Hubbard Ave 1.0 Way 12.3 1.0 T Continue onto Meeting 0.4 58.6 0.1 R onto Moores Ln N 0.0' House Creek Rd to 58.6 0.0 R onto N Rd 4.0 REST STOP-Gravel parking lot 62.6 4.0 L to stay on 0:1 12.7 0.4 L onto Peconic Bay 6.2 Soundview Ave Blvd 62.8 0.1 L onto Lighthouse Rd 0.4 18.9 6.2 , L onto Bay Ave 0.6 63.2 0.4 R onto Old North Rd 0.5 19.5 0.6 R onto Main Rd 0.3 63.7 0.5 - R onto Hortons Ln 0.9 19.8 0.3 R onto New Suffolk 3.2 64.6 0.9 t Continue onto N Sea 0.5' Ave Dr 22.9 3.2 L onto 5th St/New 1.5 65.0 0.5 , L onto Kenneys Rd 0.2 Suffolk Rd FLASHING LIGHTcontinue to 65.2 0.2 , R onto Soundview Ave 1.8 REST STOP Across 67.0 1.8 F- L onto Mill Rd/Mill Ln 0.3 from Cutchogue Fire House 67.3 0.3 R onto Middle Rd 1.5 24.4 1.5 R'onto Main Rd 8.1 68.8 1.5 R onto Bridge Ln 0.8 32.5 8.1 -> R onto Sills Ln 0.0 69.6 0.8 L onto Oregon Rd 2.9 32.5 0.0 T Continue onto Chapel 0.4 72.5 2.9 T Continue onto E Mill 0.3 Ln Rd 32.9 0.4 R onto N Rd 1.6 72.8 0.3 L onto Reeves/grand 0.9 34.5 1.6 E Slight L onto Main Rd 7.6 73.7 0.9 T Continue onto 0.3 42.1 7.6 R onto State Pkwy 4.6 Wickham Ave 46.7 4.6 L onto Main Rd 0.1 73.9 0.3 R onto Middle Rd 0.3 46.7 0.1 R onto Plum Island Ln 0.1 ; 74.3 0.3 R onto Westphalia Ave 1.0 46.8 0.1 R onto Parkview Ln 0.1 75.3 1.0 , L onto Cox Neck Rd 0,4 46.8 miles. +901/-929 feet ; 28.5 miles. +682/-658 feet Y 75.6 0.4 cross over 48 at light 0.6 stay to the R on Sound Ave(follow one way sign , 76.2 0.6 R onto Factory Ave 0.3 76.6 03 -> R onto Main Rd 3.3 79.9 3.3 L onto S Jamesport 1.0 Ave 80.9 1.0 - R onto Front St 0.0 , 80.9 0.0 R onto Center St 0.1 81.0 0.1 L onto E 2/2nd St 0.0 81.1 0.0 R onto West St 0.1 81.2 0.1 t Continue onto 0.2 Washington Ave , 81.4 0.2 , L onto Peconic Bay 2.2 Blvd 83.6 2.2 R onto Meeting'House 0.4 , Creek Rd , 84.1 0.4 t Continue onto 1.0 Hubbard Ave , 85.1 1.0' R onto the County 0.2 , Road 105 S ramp 85.3 0.2 t Merge onto Cross 1.6 River Dr 86.9 1.6 R onto Flanders Rd 1.2 88.1 1.2 t Enter the traffic circle 0.0 , 88.1 0.0 t Exit the traffic circle 0.1 onto Nugent Dr 88.2 0.1 Keep R 0.1 , 88.3 0.1 t Continue straight onto 3.9 Nugent Dr 92.2 3.9 , R onto S River Rd 1.6 93.8 1.6 F- L onto Dam Rd 0.2 93.9 0.2 R onto Forge Rd 0.4 94.3 0.4 Sharp L onto W Main 1.5 St 95.9 1.5 E Sharp L onto W Main 0.2 St/River Rd 96.1 0.2 F Sight L onto Old 1.1 , Country Rd 97.2 1.1 , R onto Kroemer Ave 0.6 97.8 0.6 R onto W Main St 0.8 98.6 0.8 - R at River Rd 0.0 98.6 0.0 IN, End of route 0.0 , 23.3 miles. +537/-539 feet F SPECIAL EVENTS INSTRUCTIONS AND APPLICATION Ptgat submit aoalieation at least 30 huslaees_don gfj_or Io the event, The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community.. When is aIOgn Board Permit Required? Events held on Town lands or events exceeding 1060 auendoes. a. Any event hold on property owned, loosed or controlled by the Town or any event where the expected attendance exceeds 1000 people shall be subject to approval by resolution of a majority of the Town Board fallowing the submission of an application to die Special Events Defined: Any temporary gathering,demonstration, performance, exhibition, amusomeat or activity that is not currently a permitted-use of die property in the applicable zoning district or which requires a parking aroa to accommodate all vehicle:transporting attendees to the event that is larger than the existing parking capacity of the site that is sponsored by a person,organization entity or association, Including but not limited to, carnivals, olreuses, fairs, bazaars, outdoor Shows and concerts, parades, walks, runs, marathons, bicycle, races or motorcycle rallies, which may involve one or more of the following; . A. The closure of it public stroot B. The use,blocking or restriction of Town property,roads or rights-of way; C. The use of amplified sound exceeding the standards set forth In Chapter 180(Noise)of the Town Code; D. The sale of merchandise that is not ordinarily sold in the normal course of the applicant's business; E. The sale or service of food to the public with exceptions. (See Town Code 205.2 B far exceptions) F. The substantial increase or disruption of the normal flow of traffic on any street or highway 0. The placement of portable toilets. H. The placement of temporary no-parking or directional signs or banners 1. The use of any Town services that would not be necessary in the absence of such an event. Occasional events on private residential properties hosted by the owner thereof to celebrate family events, holidays,charitable or other not-for-profit fandraisers do not require permits. Any got of resideaiial e[ooerty for Mflt. such as a venue for weddings or other eveob is Probibltea• 3 CYSTIC 'FIBROSIS FOUNDATION, BETHESDA,MD 20814 1195600 ACCOUNT NO INVOICE AMOUNT AMOUNT PAID INVOICE NO INVOICE DATE DESCRIPTION $250.00 $250.00 EVENT092014REFUNDDEP 4/8/2014 $250.00 $250.00 CYSTIC FIBROSIS FOUNDATION CHECK NO. 1195600 6931 ARLINGTON RD. 65-320 CCyystk BETHESDA,MD 20814 VENDOR NO. DATE CHECK AMOUNT 550 Fibrosis Foundation 822449 4/24/2014 $250.00 .odding tomorrows every day. PAY Two Hundred Fifty Dollars and 00 Cents******************** TO THE TOWN OF SOUTHOLD ORDER TOWN HALL TW GNATURES RE ED IF 510,000 OR OVER 53095 MAIN RD. OF P.O.BOX 1179 MP SOUTHOLD NY 11971 Wachovia Bank, National Association MP u90 L L 9 560011' 40 5 500 3 20 L,: 20000 28809 IS 511' CYSTIC FIBROSIS FOUNDATION, BETHESDA.MD 20814 1195601 ACCOUNT NO INVOICE NO INVOICE DATE DESCRIPTION INVOICE AMOUNT AMOUNT PAID EVENT092014FEE 4/8/2014 $250.00 $250.00 $250.00 $250.00 CYSTIC FIBROSIS FOUNDATION CHECK NO. 1195601 6931 ARLINGTON RD. •cystic BETHESDA,MD 55020814 VENDOR NO. DATE CHECK AMOUNT �S-� o =Fibrosis Foundation 822449 4/24/2014 $250.00 ...adding tomorrows every day. PAY Two Hundred Fifty Dollars and 00 Cents******************** TO THE TOWN OF SOUTHOLD ORDER TOWN HALL TW GNATURES RE ED IF$10.000 OR OVER 53095 MAIN RD. OF P.O.BOX 1179 SOUTHOLD NY 11971 MP Wachovia Bank, National Association MP II60 L L9 560 LII' i:0 5 500 3 20 W: 20000 28809 L 5 SII5 * * * RECEIPT * * * Date: 05/01/14 Receipt#: 168595 Quantity Transactions Reference Subtotal 1 Event Fee 9/20/14 cycle $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1195601 $250.00 Cystic, Fibrosis Foundation CYSTIC FIBROSIS FOUNDATION, BETHESDA,MD 20814 ACCOUNT NO 1195601 INOICE NO INVOICE DATE DESCRIPTION INVOICE AMOUNT AMOUNT PAID E NT092014FEE 4/8/2014 $250.00 $250.00 $250.00 $2 .00 F 4 Name: Cystic, Fibrosis Foundation 3' 6931 Arlington Road Bethesda MD -clerk ID: LINDAC Internal ID:9/20/14 cycle * * * RECEIPT * * * Date: 05/01/14 Receipt#: 168596 Quantity Transactions Reference Subtotal 1 Guarantee Bid Deposits 9/20/14 cycle $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1195600 $250.00 Cystic, Fibrosis Foundation -YST1C FIBROSIS FOUNDATION, BETHESDA,MD 20814 1195600 WWNT NO x E NO INVOICE DATE DESCRIPTION INVOICE AMOUNT AMOUNT AID 014REFUNDDEP 4/8/2014 $250.00 $2 00 $250.00 $250. 0 r cue: Cystic, Fibrosis Foundation 6931 Arlington Road } Bethesda MD ID: LINDAC Internal ID:9/20/14 cycle Cooper, Linda From: Cooper, Linda Sent: Wednesday, May 14, 2014 1:36 PM To: Bob Ghosio (rgopher2@gmail.com); Dinizio, Jim; Doherty, Jill; Louisa Evans (Ipevans06390@gmail.com); Russell, Scott;W. Ruland (rulandfarm@yahoo.com) Cc: Tomaszewski, Michelle Subject: Proposed reso for Cystic Fibrosis Cycle for Life Attachments: proposed reso_20140514122037.pdf 1 �FFO[ o�°S neo ELIZABETH A.NEVILLE,MMC �� r/y Town Hall, 53095 Main Road TOWN CLERK C P.O. Box 1179 N Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .F Fax(631)765-6145 MARRIAGE OFFICER y� RECORDS MANAGEMENT OFFICER �! �a0 Telephone FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Board From: Linda J. Cooper, Deputy Town Clerk Dated: May 14, 2014 Re: Proposed Resolution for 5/20/14 - Cystic Fibrosis Cycle for Life The applicant spoke with Chief Flatley and is aware the police will be involved with the Maritime Festival and would not be providing any manpower, however only about 20 riders will be going the 100 mile distance that would require riding past Greenport. Those riders will remain on the North Road and not go into the village at all. In addition, the long distance riders will be setting out at 6:30am so will be headed back to Riverhead before the festival really gets crowded. RESOLUTION (ID # 9792) REVIEWED DOC ID: 9792 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 9792) WAS REVIEWED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 20, 2014: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Greater New York Chapter of the Cystic Fibrosis Foundation to use various roads throughout Southold Town from the Riverhead Town line to Orient, as described in the route maps filed with the application, for its Cystic Fibrosis Cycle for Life, on Saturday, September 20, 2014 from 7:00 AM to 4:00 PM: the route in Southold begins and ends at the Riverhead Town line, provided the applicant adheres to the Southold Town Policy and Special Events on Town Properties and Roads. 0�as*?'n�v� Elizabeth A. Neville Southold Town Clerk Cooper, Linda From: Flatley, Martin Sent: Monday, May 05, 2014 4:29 PM To: Cooper, Linda Cc: Blasko, Regina; Kruszeski, Frank Subject: RE: Cystic Fibrosis ride Good Morning Linda, This event is planned for Saturday, September 20, which is Maritime Festival weekend in Greenport Village. Although their number of participants shows app. 200,the route does show some of them cycling as far as Greenport. We cannot devote any manpower to this event, as everyone is already committed to the Maritime Festival. If the event is granted permission, they should be warned of this conflict and the increased volume of traffic on this weekend due to the festival 'knot 57w*# Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 From: Cooper, Linda Sent: Thursday, May 01, 2014 3:00 PM To: Flatley, Martin Cc: Blasko, Regina; Kruszeski, Frank Subject: Cystic Fibrosis ride 1 o�,,�S%jfF(It/( ELIZABETH A. NEVILLE,MMC oy� Gy� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 ti 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS `'p .1C Fax(631)765-6145 MARRIAGE OFFICER Telephone RECORDS MANAGEMENT OFFICER ��� .��� www.southoldt 765-1800 ldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Chief Martin Flatley From: Linda J. Cooper, Deputy Town Clerk Dated: May 1, 2014 Re: Cystic Fibrosis Cycle for Life Transmitted herewith is a request by the Cystic Fibrosis Cycle for Life event. Please review this request and send me your recommendation and cost analysis. Thank you. CYSTIC FIBROSIS FOUNDATION ADDING TOMORROWS April 28,2014 RECEIVED Ms. Elizabeth A. Neville Town Clerk MAY Town Hall I 53095 Main Road Southold Town Clerk Southold, NY 11971 Dear Ms. Neville, The Cystic Fibrosis Foundation Greater New York Chapter, Long Island office is proud to be hosting its 2nd annual "The Aptalis CF Cycle For Life."Our event was a great success last year,due in large part to the cooperation that we received from both the Town of Southold and Riverhead. We hope to have nearly 200 cyclists join us for this journey. Cystic fibrosis(CF)is the number-one genetic disease affecting children and young adults in this country. More than 10 million Americans(one in every 30)are symptom-less carriers of the defective CF gene.Currently,there is no cure. Every day,we see evidence that our fight against CF has been,and continues to be,effective. Early in 2012,the FDA approved the first drug to address the underlying cause of cystic fibrosis, Kalydeco. Kalydeco treats the CF strain that affects 4%of the CF population—our hope is that this drug or similar therapies will lead to a cure for all those with CF. "The Aptalis CF Cycle For Life"will enable us to create awareness about cystic fibrosis and the important work that is being done by the CF Foundation. The money raised through this event,and others hosted by the Chapter, supports the development of new drugs to fight the disease,improve the quality of life for those with CF,and ultimately to find a cure. I am writing to you to request a permit for a safe ride for our cyclists through the Town of Southold. I have enclosed our proposed route turn-by-turn directions for your review. Please note that we had approximately 20 riders on our 100 mile route. These avid cyclists begin at 6:30 am and will be travelling through Greenport on North Road, Route 48 east to Orient Beach State Park between 9:30—10:30 am. Please note that the majority of our riders chose the 32 mile route. Please contact me if there are any construction projects, road maintenance issues, roads that may need police support,or trouble spots,that you think may impact the route. Thank you for your time and consideration. If you have any questions or concerns, please feel free to contact me directly at(516)827-1290 ext.105. Sincerely, a � f Stefanie Taylor Logistics Specialist GREATER NEW YORK CHAPTER 1 HUNTINGTON QUADRANGLE T.516.827.1290 W:LONG IS LAND.CFF.ORG LONG ISLAND OFFICE SUITE 2513 F:516.827.1295 E: LONG-ISLAND@CFF.ORG MELVILLE,NY 11747