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Home My WebLink About2015Southold Town Board - Letter RESOLUTION 2015-500 ADOPTED Board Meeting of June 2, 2015 Item 4 5.6 DOC ID: 10872 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2015-500 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 2, 2015: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to the Mattituck Lions Club, for a fireworks display on Friday June 19, 2015 at 10:45 PM and Saturday, June 20, 2015 at 10:45 PM at 9095 Sound Avenue Mattituck (Strawberry Fields) upon the payment of a single fee of $100 and subject to the applicant's compliance with the requirements of the Town's policy regarding the issuance of fireworks permits. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER: Robert Ghosio, Councilman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell Generated June 3, 2015 Page 15 ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To:✓fill Duffy, Town Attorney "Chief Flatley, Southold Town Police Department Robert Fisher, Fire Inspector )Melissa Spiro, Land Preservation From: Bonnie J. Doroski, Deputy Town Clerk Dated: May 15, 2015 Re: Fireworks Application of Mattituck Lions Club Transmitted herewith is an application for Fireworks Permit for Mattituck Lions Club on June 19 and 20. Please advise if you have any objections to a permit being issued. Thank you. l ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork. net 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 - u.W4vt-4, C �o s C t -� PRINCIPAL OFFICE AT C-/13 ��-, S�sl►` , �� ,.� /", /it( IIgo- r DATE & TIME OF DISPLAY �.a�4 �� /�r fi , , 90j.5 - to ,. g5 EXACT LOCATION OF DISPLAY SUFFOLK COUNTY TAX MAP NUMBER FOR SITE RAIN DATE & TIME /l1'c1,, The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience ku-), SS 3`f vc&n (Additional names and information may be submitted on an attached sheet Physical Condition ce,G'l-4- Number and type of fireworks is as follows: i CS7 0 — / " S� /Zf. ;?� - �'Ld- r< =5CeAi / �I _ _ 3 e. rt -VF /0- 3 4 i;et�s� I Yo Manner and place of storage of fireworks prior to display: F10,1- w-114 -e- 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. - Name of Or anization By nature of Applicant f OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork. net 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 - u.W4vt-4, C �o s C t -� PRINCIPAL OFFICE AT C-/13 ��-, S�sl►` , �� ,.� /", /it( IIgo- r DATE & TIME OF DISPLAY �.a�4 �� /�r fi , , 90j.5 - to ,. g5 EXACT LOCATION OF DISPLAY SUFFOLK COUNTY TAX MAP NUMBER FOR SITE RAIN DATE & TIME /l1'c1,, The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience ku-), SS 3`f vc&n (Additional names and information may be submitted on an attached sheet Physical Condition ce,G'l-4- Number and type of fireworks is as follows: i CS7 0 — / " S� /Zf. ;?� - �'Ld- r< =5CeAi / �I _ _ 3 e. rt -VF /0- 3 4 i;et�s� I Yo Manner and place of storage of fireworks prior to display: F10,1- w-114 -e- 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. - Name of Or anization By nature of Applicant Fireworks Launch Site Certificate of Insurance 6720 Issue Date: 5/12/2015 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF Professional Program Insurance Brokerage 371 Bel Marin Keys Blvd., Suite #220 Novato, California 94949 INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED INSURER A: Underwriter's at Lloyd's, London American Fireworks Display, LLC INSURER B: P.O. Box 980 INSURER C: Oxford, NY 13830 INSURER D: COVERAGES: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (DD/MM/YY) DATE (DD/MM/YY) A GENERAL LIABILITY CLAIMS MADE PY/15-0018 3/17/2015 3/17/2016 EACH ACCIDENT $5,000,000 MEDICAL EXP (any one person) FIRE LEGAL LIABILITY $50,000 GENERAL AGGREGATE $5,000,000 PRODUCTS -COMP/ OPS AGG DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is additional insured as respects the following: Date(s) of Display: 6/19/2015, 6/20/2015 Location: 9095 Sound Ave., Mattituck, NY Additional Insured: Reithoffer Shows, Inc.;Mattituck Lions Club; Town of Southhold, NY; County of Suffolk, NY, JIMD Corp.(Property Owner) THE INSURER(S) NAMED HEREIN IS (ARE) NOT LICENSED BY THE STATE OF NEW YOR& NOT Rain Date(s): SUBJECT TO ITS SUPERVISION, AND IN THE EVENT O THE INSOLVENCY OF THE INSURER(S), NOT PROTECTED BY THE NEW YORK STATE SECURITY FUNDS. THE POLICY MAY NOT BE SUBJECT TO ALL O Type of Display: Aerial Fireworks Display THE REGULATIONS OF THE DEPARTMENT OF FINANCIAL SERVICES PERTAINING TO POLICY FOR CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXIPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS Reithoffer Shows, Inc. 9022 Wiggins Rd. gg WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Gibsonton, FL 33534 AUTHORIZED REPRESENTATIVE "0 STATE OF NEW YORK = DEPARTMENT OF LABOR Ys�07 H iCIAN CERTISCAT OPCO Eil Fi i HI ER SSS: A . IDISP CARt1�M >~ E CARRIED f SIN P 'RC�TECHNICS° �J a: PR -PS SPIRES 101,15 NYC tl<'E' YS CEE$TIPICATIONS REQUIRED IN NYC U.S. Department of Justice Federal Explosives License/Permit Bureau of Alcohol', Tobacco, Firearms and Explosives (18 U.S..0 Chapter 40) rurrrmrmumnuuni nrnn«rnmam®r In accordance with the provisions of Title XI, Organized Crime Control Act of 1970, and the regulations issued thereunder (27 CFR Part 555), you may engage in the activity specified in this license or permit within the limitations of Chapter40jitle I8, United States Code and the regulations,issued thereunder, until the expiration date shown. THIS LICENSE IS NOT TRANSFERABLE`UNit 27CFR DE,S 5'53 _See "WARNINGS" and 'NOTICES" on reverse. Direct ATF ATF - Chief, FELC (� ,`� LtcensefPenntt Correspondence To 244 Needy Road Ai'r✓ f Number®• o. Martinsburg, WV 25405-9431 x; ' ra ( �� '•t ; sp r 77, ,. e_ Chief. Federal E 'losives Licensing Center (FET @ 4 , l '" Ea nation r Z—J.Date el `- July 1, 2017 Name AMERICAN FIREWORKS DISPLAyY LL iGf y �k1.J=( ;�q \. �1^{�.__1�91e Premises Address (Changes? NotifytheAFELCiitle)10day%hff'orethemovz:) 105 COUNTY ROUTE 7 l�r� j" k X11' 3 ' MCDONOUGH NY 13801 , lt' '91i f'y,/ . F. -7 �{'< � �� = a ,.44 cam. , �t141.N. Type of License or Permit 1 ti m 4 r� ~' ; .. ' t. ya t`{ , 11 �r4� 3 r" I . 51 -IMPORTER OF EXPLOSIVES.ti :i4�r Purchasing Certification Siatemetit .til Mailing Address (Chatigess Noti the FELC of any changes) 11ie licensee or permittee named above shall usaa`cop ;ofthis license or eiirirrt' o`assist a _ t / 1' l(t ti r/° , c '' ,� � '":.."„ c r ....e transferor of er,Irlosivesto verify the, identity and tlie•ltceused sta�tus ofthe,liceiisee�or� �..4} r % ,'�-- ;,% y 4 �r permittee as provided by 27 CFR Part 555. The signaiurc mi each con. must bean `onguial~r" `-� d % , signature. Afaaed.wannedore-mailed c ofth&lice*z§f, ' itwithasi attire fes -AMERICAN FIREWORKS DISPLAY LLC intended to be an original signature is acceptable. 'niesignaturzmust be.that o flte Federal i;' PO Explosives Licensee FEL or a responsible person of Ute FEL Yczr! rfydhattiiis.isstre OXFORPD; NY 11; 830- copy of a license or permit issued to the licensee or permittee naiiied aboN a to engage in the v 1. ' I f business or operations specified above under "Type of License or Persrt 4c�'J` �J l"'1 . Licensee/Permittee Responsible Person Signature Printed Name Date ATF Form 5400.14 1-1400.15 nen 1 __..._. _..___!_._ __.__...-____-___. Revised-Odober201-1 _ .. PreviousEdiuon isUbsolete RarflILRNFIgEtYDflItSgISPUYttC185t08NTTg0U1r7;t�Ep15-grA11-51.7q-00981Joh1.Z0f7i1-I@PBgTEgUFE%PLOSIltE8 Federal Explosives License (FEL) Customer Service Information Federal Explosives Licensing Center (FELL) Toll' -free. Telephone Number: (877) 283-3352 ATF Homepage: 1-.,"-A4.atf gov 244 Needy Road FwNumber ` (304) 616-4401 Martinsburg, WV 25405-9431 E-mail:.FELC(a)atf gov Change of Address (27 CFR 555.54(q) (1)). Licensees of permittees may during the term of their current license or permit remove their business or operations to a new location at which they intend regularly to carry on such business or operations. The licensee or permittee is required to give notification of the new location of the business or operations not less than 10 days prior to such removal with the Chief Federal Explosives Licensing Center. The license or permit will be valid for the remainder of the term of the original license or permit. (I'he Chief, FELL, shall, if the licensee or,permittee is not qualified, refer Are request for amended license or permit to the Director of Industry Operations for denial in accordance with § 555.54.) Right.of Succession (27 CFR 555,59). (a) Certain persons other than the licensee or permittee may secure the right to_carry on the same explosive materials business 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 or child, or executor, administrator, or other legal representative of a deceased licensee or permittee; and (2) A receiver or trustee in bankruptcy, or an assignee for benefit of creditors. (b) In order to secure the right provided by this section, the person or persons continuing the business or operations' shall furnish the license or permit for for that business or operations for endorsement of such succession to the Chief, FELC, within 30 days from the date on which the successor begins to carry on the business or operations. Cut Here X r Federal Explosives License/Permit (FEL) Information Card I License/PermitName: AMERICAN FIREWORKS.DISPLAY LLO ?�1 k I Business Name: I License/Permit Number:'9NY 017 51 7G 00982; License/Permit Type 51 IMPORTER_OF EXPLOSIVES I � ••ae,, ��`M„ r . I Expiration: July 1, 2017 1 I I Please Note: Not Valid for the Sale or Other Disposition of Explosives. ---------------------------------- I I (Continued on reverse side) °w .DIVISION• Off" STATE OF NEIN YORK DEPARTMENT OF LABOR SAFETY AND HEALTH` LICENSE TO DEAL IN OR MANUFACTURE EXPLOSIVES American Fireworks Display PO Box 980 Oxford, NY 13830 Kevin Jon Fritschler EXpireS: 4/30/201.6 THIS LICENSE MUST BE POSTED IN-YOUP. PLACE OF BUSINESS License No -D-5171 Is 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 WFranko, 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 quantifies not exceeding We pounds for use In firing antique firearms orartifacts or.replicas thereof.. However,.dealers MUST post all such transactions on the "Dealer -Manufacturer Report of Explosives Transactlone. 2) the DATE OF EACH SALE, DELIVERY or GIFT. 3) the NAME, LICENSE NUMBER, and BUSINESS ADDRESS of the purchaser, donee, or person to whom the exploshves,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 (6-88) Date: 05/15/15 Quantity Transactions 1 Fireworks Notes: Payment Type CK #0843 * * * RECEIPT*** Amount $100.00 Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Mattituck, Lions Strawberry Festival Mattituck, NY 11952 Paid By Mattituck, Lions Receipt#: 184808 Reference Subtotal June19-20 $100.00 Total Paid: $100.00 Clerk ID: BONNIED Internal ID: June19-20 Doroski, Bonnie From: Doroski, Bonnie Sent: Friday, May 15, 2015 11:21 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin; Spiro, Melissa Subject: Emailing: fireworks_20150515101534 Attachments: fireworks_20150515101534.pdf Please review the attached and advise me of your decision. Thank you. Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: fireworks 20150515101534 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. Doroski, Bonnie From: Spiro, Melissa Sent: Friday, May 15, 2015 11:28 AM To: Doroski, Bonnie; Duffy, Bill; Fisher, Robert; Flatley, Martin Subject: RE: Emailing: fireworks_20150515101534 The proposed launch site is not preserved land. Melissa -----Original Message ----- From: Doroski, Bonnie Sent: Friday, May 15, 2015 11:21 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin; Spiro, Melissa Subject: Emailing: fireworks_20150515101534 Please review the attached and advise me of your decision. Thank you. Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: fireworks 20150515101534 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. Doroski, Bonnie From: Duffy, Bill Sent: Friday, May 15, 2015 12:08 PM To: Doroski, Bonnie Subject: RE: Emailing: fireworks_20150515101534 I have no objection -----Original Message ----- From: Doroski, Bonnie Sent: Friday, May 15, 2015 11:21 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin; Spiro, Melissa Subject: Emailing: fireworks_20150515101534 Please review the attached and advise me of your decision. Thank you. Bonnie I Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: fireworks 20150515101534 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. 5�(a0_� (,--) Doroski, Bonnie From: Flatley, Martin Sent: Friday, May 15, 2015 12:32 PM To: Doroski, Bonnie; Duffy, Bill; Fisher, Robert; Spiro, Melissa Subject: RE: Emailing: fireworks_20150515101534 Hi Bonnie, I have no objections to this site being used again for the fireworks displays associated with the Strawberry Festival. We worked with the Lions Club last year to make this site work by closing eastbound Rt. 48 during the display and are prepared to do the same this year. Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 -----Original Message ----- From: Doroski, Bonnie Sent: Friday, May 15, 2015 11:21 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin; Spiro, Melissa Subject: Emailing: fireworks_20150515101534 Please review the attached and advise me of your decision. Thank you. Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: fireworks 20150515101534 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. Doroski, Bonnie From: Fisher, Robert Sent: Wednesday, May 20, 2015 11:50 AM To: Doroski, Bonnie Subject: RE: Fireworks permits Bonnie I have reviewed the applications for Mattituck Environmental and Mattituck Lions Club and have no reservations about either application. Mai Robert Fisher Fire Marshall robert.fisher@town. south old. 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 From: Doroski, Bonnie Sent: Tuesday, May 19, 2015 11:31 AM To: Fisher, Robert Subject: Fireworks permits Hi Bob, Just wondering if you have reviewed the fireworks applications of Mattituck Environmental and the Mattituck Lions Club? There was a slight revision on the Mattituck Environmental application (I resent the first page). If you could let me know your determinations on them or if you need them sent again, please let me know. :sMI ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 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: Mattituck Lions Club 9095 Sound Avenue Mattituck, NY Strawberry Fields 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 10.45 PM Friday June 19th. 2015 and Saturday June 20th. 2015 at Strawberry Fields, 9095 Sound Avenue, Mattituck, New York 11952 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 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,fir ed 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) Elizabeth A. Neville, Southold Town Clerk Suffolk County, New York Date: 6/5/15 THIS PERMIT IS NOT TRANSFERABLE