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2017
Norklun, Stacey From: Neville, Elizabeth Sent: Thursday, July 06, 2017 3:42 PM To: Norklun, Stacey Subject: FW: Phoenix Hook & Ladder Company-Greenport FD fireworks 7/8/17 Please place in GFD Fireworks Permits file. From: Neville, Elizabeth Sent: Thursday, July 06, 2017 3:40 PM To: Flatley, Martin; Fisher, Robert; Duffy, Bill Subject: FW: Phoenix Hook& Ladder Company-Greenport FD fireworks 7/8/17 FYI From: Jo-Anne Triolo [mailto:joanne@bayfireworks.com] Sent: Thursday, July 06, 2017 12:55 PM To: Neville, Elizabeth Subject: Re: Phoenix Hook& Ladder Company-Greenport FD fireworks 7/8/17 Hi again, We have a revision to this Saturdays display for Phoenix Hook& Ladder FD. The lead technician will be Peter Marshall. His NYS DOL license 4 is PR-36. Please confirm receipt...thank you. Jo-Anne On Thu, Jul 6, 2017 at 10:51 AM, Jo-Anne Triolo <joanne o,bayfireworks.com>wrote: Good morning Elizabeth, Please see the attached product revision to the July 8th display for the Phoenix Hook& Ladder Greenport FD. Actually I listed the incorrect shell count on the original application. We had a previous Greenport FD show in May and I must have taken the number from there. The product list is: 2-3 inch shells=504. Cakes=10. Please be sure the Fire Marshal is aware of the correct inventory for this display. Thank you very much. Sincerely, Jo-Anne i Jo Amie 'Vri(flo Pyro Digiiieeriiig hic dba Bay Firmoils 999 Soiali Oyster Bay Road, Si,6te Betlipage, N V p p 7 p 4 516-597-5500 Pfioiie / 516-597-5507 Fay, Jo-Anne Triolo Pyro Engineering Inc. dba Bay Fireworks 999 South Oyster Bay Road, Suite 111 Bethpage, NY 11714 516-597-5500 Phone/ 516-597-5507 Fax Neville, Elizabeth From: Neville, Elizabeth Sent: Thursday,June 01,2017 11:41 AM To: Duffy, Bill; Fisher, Robert; FlatleVartin; Spiro, Melissa Cc: Dinizio,James; Doherty,Jill; Evans, Louisa;Ghosio, Bob; Ruland,William; Russell, Scott Subject: Emailing: Fireworks Aplic's(2)GFD_20170601102941 Attachments: Fireworks Aplic's(2)GFD_20170601102941.pdf Please review the attached Fireworks Applications(2) Events and send me your written recommendation/comments. Thank you. 4 Elizabeth A. Neville, MMC Southold Town Clerk, Registrar of Vital Statistics Records Management Officer; FOIL Officer Marriage Officer 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 Aplic's(2)GFD_20170601102941 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. r \1 1 RECEIVED ' JUN _ 1 2017 TOW clam Southold Town ` A =e souft1d,,N®wY04115711 ,R Ir OF VITAL STATM �uce6al}765�8I5 MAGE SCIS ; �q� � tssii 70-1800 RECORDS OF UMNAMMENT O C Ei �► �ontholdE�wa ita�tltfArk.aet OFMCE Ov TmT 'OLMK ToWdYSOUTHOLD ;APP-LICA')!~ION PIERMT TO DISPLAY FMWIDMS APPLICATION IS BEtUBY hV�A:DE, pursuant to the provisioits of Section 405.04 of the Penal Law of the State of New Yojl� for"a pMamit tri dislilgy f tewiorlss a,S hereir�aRer specifie s 1SPLAY>IS`irt}M ONSGtRED RY Phoenix Hook&-Ladder QoMpany-Creenport,Fre,Depgrtrnent - PRINCIPALOMCEAT 2363ud.'Street'Greenport NY 1'8844 DATE 7/4117@ IO•QD � M_ CT LOCATION 0n)ISPLAY Grebnport-High 8chool�A(hietfc-Fi®Id SUFFOLK COUNTY`SAX MP NUMER FOR SITE RAW)A'1'la'&TIME '7/5/17 CO, Pa:GO:pm The following persons are to be in charge of the:acival shunting of the€iitvarlcs; i�Txma: lige Exp arWnce >Phpsiegl.Condition Dennis Mirante 66 yrs. Z years Hyl0tH x[!p�18nA (A.ddativnal naanes.amd W6nriation,may besdbnntted on an amched,sheet Nuapaberand.type of:areworI is as,Follows: 1.3G,F1mwork's, .2-3 inchm '484. Cakes-5. Mmaer 'and ;place, of storage of 111rew6rid prior to, display. Fireworks will be,delivered,day of display frmm our Weesthampton,faclGity.- Attached hereto a'nd made Apart of hereof is a diagnm of tine gm=&on whfcii Elio di splay Is to be I1eYd. Abe'attached ttached,is a certiff este or policy of ansaarraoa:e c®veragea NotICE: Wiztteu permission,with siigutmre of tine Prope" -(honer,must-be saibmifted with the FEE';. $100 f4r�nzaati polls rft' ddittonal information r r ley rin a .rale .o. FFA acani< Si Mata a c�fl pplicant le_maiT^address:' Tellep,hdhe. NuMberZj a `y - Date of A p icati'on - ��Sl1��DL�► 11ik A.Mvv-11E,MMO ME,53605 Mesn'Itnd P:O.Bag n79 80iAo1d,-XewYork 119,71 REGISTRU OF VMALPP =° may' F#t=7654145 UIQ+ t; t RECOM)s or iv OMOER � � �yet lsaa F>i1aYr�11)p�i�1� 63 "1'Ip�,T t�`FI�ffi aou�haldtawt:.marEhforl�net 0"10E 00 UM TOWN OLZ TOWN OF SOiJMOLD APPLICA' XQOX PM=TO DISPLAY ORDS APPLICA110N IS IElt Y MADE, parsmt to the provM ,of Section 405.€10 of the Penal Law of the St-W of New Yoik,ft a pelt to displays#reworks"as hereinaft specified; DISPLAY YS TO Rig SPONSOREDBY Phoenix Hoole&Ladder Company-Greenport Fire-Department 'PMMa ID + `I+L`E AAT 236 3rd'Street Greenpoc NY 11944 .Dela'X&Tom+'0E-D1Sp rAV 7/8fl7 @ ro:OQ gym EXACT LO AMON,OF DISp'LAy .Greenport High 8chmol Athi6tic'Field 'SUF FOLK COUNTY TAX K NUM- R FOR SITE RAIN DANE TIMM none The following persons are to be:`n charge of,the,acteeal shooftg of the fireworks: Narie, Age Physical Condition, Denn:s• Mirante 66 Yrs. 7 years + He-41th: McaQ�,•n—t-- (Addidwd names and Worrmataon may be sabriftt d on an atteohed s_Feet Number and type of firawarks is as follows. 1.3G Fireworks:, ..2-3 inclim 484. Calces=5. Manner,' :and' place of starige df t�o�orks prior to dispel : Fireworks wili be.delive:red day of display from o ir-.Westhampton facility.• Att andd hereto:''ind,,made-a-Bart othereof is a,diagmmafthe g�wads on wWctt the tlisplay,is to lie held. Also attack6d,is a eertmeate or policy of insurance.eoverage: NOTICE: Written Permission,with siignatnre,of the,Prtaderty_f3v�n�r„�erst b�&eebt�nit�efl with t ie Applzeatiori. e # 601 Fa. $.100 N -f C3z�a-RiZAtiOn j5allcy�fvt addet:ional information Ar'ln-�PCIarse o pp icart Z ature.o$Appltcaiit e-rnaiI address; iqumber, Date of Application, 5 * * * RECEIPT * * * Date: 06/01/17 Receipt#: 221120 Quantity Transactions Reference Subtotal 2 Fireworks 7/4/17&7/8/17 $200.00 Total Paid: $200.00 Notes: Payment Type Amount Paid By CK#1333 $200.00 Phoenix, Hook&Ladder Co. (Grnprt FD) Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Phoenix, Hook&Ladder Co. (Grnprt FD) 236 3rd St Greenport, NY 11944 Clerk ID: SABRINA Internal ID:7/4/17&7/8/17 CHIEF WAYNE MILLER 1 1 t ,7 (631)477-9801 -STATION 1 1sT ASST.CHIEF JEFFREY WEINGART �_ (631)477-8261 -STATION 2 (631)477-1943-CHIEFS OFFICE 2ND ASST.CHIEF SUSANO JIMENEZ 1845 (631)477-4012-FAX CHAPLAIN T.MURRAY k'a' THIRD STREET•P.O.BOX 58 ASST.CHAPLAIN C.KUMJIAN GREENPORT,NY 11944 TREAS/SECRETARY J.KALIN LONG IS ND,NEW YORKEmail:gfdfire@optonline.net www.greenportfd.org Organized 1845 To Whom It May Concern, The Greenport Fire Department will be holding a.carnival from July 4th to July 8th with fireworks shows scheduled for Tuesday the 4th and Saturday the 8th of July. We will be standing by with at least 2 pumpers from Greenport and possibly a couple of additional apparatus from'neighboring departments. If you have any questions please feel free to contact me at the number below. RECEIVED JUN 1 2017 Firematicly, Southold Town Clerk Wayne D.Miller Chief Engineer A O CERTIFICATE OF LIABILITY INSURANCE aAT��I t�r�rvl �� ba12417 ?HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMTION ONLY AND CONFERS NO RIGHTS UPON-rHE CERTIFICATE idowEp-THi9 CERTIFICATE DOES NOT AFFIRMATWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES —BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING WSURER$S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE=HOLDER, IMPORTANT, It the certificate Halder is an ADDITIONAL.IINSURED,the pollcy(les)must hav9 ADDITIONAL INSURED pro lops or be endcrsad- if SUBRGGAT1ON I5 WAIVED,stdg&ct to the terms and t*I1dEt1*ns of the policy, certain policies mai/rewire an endorsement. A staltemerA an this certificate dos not confer tfghts to the certificate holder In lieu of such an "semen s). PRCOUCM Alled Specialty Insurmwe,fir;, WEE —A#lctl® ICasgler_____ . -. ...- , _- 1495AX 9 GOO r IANri 727-547 1713 --{ mak_ 727.367.5695 Treasure IsWid.FL 3374 -$14 � _ _..-_•-_--__.-__-.-.__.- AIIPt @. mkugler E dspe Ity.,xs,i 7'M.E.Irmwarwa c=Parry - -12M PYELO ENGINEERING,t1,1C. DILA:BAY FIREVV 1RK5 AND 9�SIrR€RC: INTERNIATIONAL PYROTECHP 1C IMPORTERS 999 SOtrrH OYSTER BAY ROAD.SUITE 111 BETHPAGE NY 11714 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CF-RTIFY THAT THE POLIICIE5 OF INSURANCE LISTED BELOW RAVE BEEN ISSUER TO THE MURED NAMED ABS FOR THE POLICY PERIOD INDICATED. NflT114 HST-ANDING ANY REQUIREN1fEW,TERM OR CONDITION Of ANY CONTRACTOR Olt OTHERDOCUMEAIT'.r4"RESPECCT TO WHICH TRS CERTIFICATE* MAY BE ISSUER OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIPE5 DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERht% EXCLUSIONS APSE CONDITIONS OF SUCH POLICII=S_LIMITS SHOWN MAY 14AVE BEEN REDUCED BY PArb CLAWS R aTieR P6LTcvE PCTaEw r LTR 1YPEt�FIP3511E ( i I pottrars I ? 1�rdtrs A .X: ,k I r�raraaa�ALei rJERA�I vsBRte'! i CPP09012$4 Q7 0 1612D17 ; 02I16F2Eftt3 iOI;G1 EFaCE a 1. d. GLAIk,&r r i ;oCCSA1 '• I i :4a�YO'1 TEi5 i 1�,fl00 I l �+REs�3�S(mss orer�a_2__ `� NIA "PERSmR18 !S 1.400_074 GEMLAGGF4GA7ELW-1 A E5f--R: 'dE RALAGGRL Ar 'sPRO- 10,QDD,44Q Pmr-yJECT LOC i i F_R _15-C __PlGPAGG $ ,ff+i0 0 arNIER• 1 I I I I Prolesllon&IndemnHy is I'ma.0w PA 9rNGL�l43,1T ' A AlJrcalane LtAsallr�` i ;CPP0101284-6T RZltSl2iY17 E►2f95d24t$ ANYAUT[} j (Par[ SCdL'EINJURYpersati}-j _----_---_--- i ----•_--.. .Y(Par-•---- I • OWNED SC, IEULEt I I i AUTOS ASTCSONLY INJURY SRara&nlJ$'$ HRED WON-OWNED I AUTOS ONLY AtlTOSOILY A t BRELL&LIRE I :=IJA ii ELP[101(1292-07 tVQ ! 02195/2417 0211612018 ZEAC:ior,MHMNC� i$ .9C1Q, 1Q ' -- - - - - X "C"S"AgAGG 4,01DO.010 RC- 'rE QED RETENTIONJ :CSfl1RKER�GlIh�ENSA i - -PER QTIT `- A aluse�maLclv�ls't,At�ltTY YtR j I WCPDM5167.003 =5=17 'OVIS12018 - ANVPR0FRIET ART rECA§1TI E L EAE i 66NT °S I,OQ0,404 orxicr[ ,f RExca U ra? e�A' Coverage is alfarded in the Stata(s oft CT',DE,FL,GA,1L,LA,,I--------._.___.. .__ .. IMandmnr In*Q i 'MA,Atli,PIC.NJ,NV,NY.PA,III,SC,TX&VA THrS ayc�c�s�tta�miar i ;POLICY DOES NOT I3l CMDR€TI,SA51t.tTY BENEFITS IN NY E76&CRIP111ik1tAc4t Fta7rO �ioa i I r p-E.L,r1RSSAaSE-Ft#I�CYtSu�t $ 1.000.6D0 A :Excess LEabi 02t95i2017 i awimD'I8;EACH OCCL RPrz CE $9,000,000 i I :AGGREGATE 19140U1000 atiSCRrPTloaroF�RaT,oNsr L�ATttN�lbpF,lctES!aC©[rib aal,nce�ranai Rma�Jcs$thor#rta,or<a�hos�ssl<a�Emnr�apxa��a�1r�d} nisgiay Date;07M4117 8 07108117 Rain Data: G7105t17 Location.Greenport High Sohnar,Caree4port NY R>r:CaQneral Laity.the WIOVMg are namod as ziddifiwwl insured m respects to this neoigence vt 0a named rnscred:To"of Southold:Bltm Sky Arnusamenls: Greenport UFS®;Suffolk Cory;Graeoperl.Fire Dialnct,Gre�rt FD Phoenix Hoft.L Lacer&Company CERTIFICATE E3t3x.x)ER CANCELLATION Greenport Fir6 Daparlinwit Phaenx l auk&Ladder Compmy Thirty(30)gays No ice of CAnWlatlon Applies 236 3rd St SHOULD ANY OF T9I19 ABOVE DESt €1 POUCIES BE DANC£I.I.ED BEFORE G,mgnpprt NY11944 THE EXPFRA71O N DATE THMEOF, NOTICE WELD, BE E ELNERE9 LIT ACCORDANCE WITH THE POLICY PROVMDNS- aciHoG REI:RBSa7tV1; CWt 4 2990 r 198-84015 ACORD CORPORATION. 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C_•,' ._ ''- -'-rvd _ !1° t=�_i' - (j�( ; `• yi5ir , ,;”—+�:' ..ilu °Z:o""- w wc, 1 • 'a V gaff.�...'� 7j1��y yy�����m+��,!j -��' 1�L 1 _ 5.__ _- "+w�^5' `.4,..�. 4•s "�r S -'C` '1 ..4ri.-71",;7 � gyp}�q+,, a; "v'`^,^ ;., rc - i,f• nr ,j . e ^s • ��i � _ 4�,^. '+, f "" 04 em 1 .,' '-rs^;=':'J~`�`z,�"�Sf ,�' �i_�a> ,t,* •ik .;) >"+, - r,"S .q'.� _.1 s. r� x '�.' .r, �""i{{,, . ' a =>Eie •r c ',rt- ;'F 5 � si: - -,iy p - P� i=�-,- -t^+, civ Di-r. y - s# v, - "== 'pJr1 a - ` %Y°i e -`".s ' "y:' i q ,j�!'.i,`.5.�-'"..sF' s: -�'. ,�7'•'^'._.,. m I ;; N itµ P�• L I �, '6T „t, _ ” =-�6�i �`r_�!�)`g dry_^ [ `1� .,•:4;�. F =r :'1t„� d~ � . �1, ,rte! - �. Ff _ r � � ,.. d. �'� }« h`;�:'�z� �� "" ,�^,.. _, _ b y✓ - a �r i{_�,-�sziti�M 3 .:�,.' �°+;�!".,�,,P ,$.3 ? t � }� _ '' _,-�� �. SPONSOR., Greenport FD Phoenix Hook&Ladder Company Fireworks Company Pyro Engineering,Inc. dba Bay Fireworks 999 S. Oyster Bay Rd., Suite 111 Bethpage,NY 11714 P: 516-597-55001 F: 516-597-5507 Show Date(s): 714117&718117 Rain Date(s): 715117 Location: Greenport High School Athletic!Field Time: 10.00 pin 1.Total number ofClam S shells being eased: 2-3 inch= 484. Total Cakes= 5. Sizes between: 2 inches and 3 inches in diameter. 2, All shells are DOT approved. y. misplay will be fired manually. 4. Delivery to site NNU be approximately 12:00 noon. Set up will take approximately 4-5 fours. 5. All displays will comply with all requirements as set forth in NO.'S Penal Code 405 and NIiPAt 11231, 1124. [. PyTo Engineering,Inc.has complete understanding of all rules and regulations govming public fireworks displays and this display will be in accordance Aith those roles and regulations. 7. Personnel representing.fireworks display connpany: Lead: Dennis Mirante (NYS DOL license attached) 8, Teehraician(s): tbd Firewoods' Ctirpany epresentative ................................................ ............. 5-TAV Iya 1PA ' ME wfskp- T bN 'XI 7? --E ANTUICE"ORKLY M K D MUST BE SMORTROT-"O 4, NO �Mr. MAlA'sr'rraS cOrgaffi=O rr 170;CoiumbiaAvemm Easiem Sesaice Gender U lege Perk.GA 30337 1l.S ��C7sl1�8a1 of 1M.aporialion Fedarat Aftflan Adirdnis KAon Dear Firewol•ks ProrMleat: Greenport FD-Phoenix 2017 Thank you for infort-ning us of ypur proposed fire-works display, Although there are currently no federal regulations specific to fireworks displays,tits Fcdeal Aviation Administration t AA)has been tasked%vide regulating the Safe anti efficient use of the,navi=gable airspace(49 U.S.C;.§4til0"a). In recognition of this rale in pronlotil%aviation safety,any.jurisdictions requir4 notice to sloe FAQ.as a condhion caf approval tufa fire arks permit. We acknowledge}-our roti iication and have no objection to the,fireworks display provided it is conducted in a manner that does not creme—.a hazard w other person&or their property. To enhance the safety of your went,we recommend the following actions: + Fireworks staff should remain vigilant to onsure that no aircrall are in the area prior to beginning the 1ircivorks display. + II'your event is within a mites of a public use airport*ter i f the dispiay will exceed 500 icct Above Ground Levu- (AOL),contact Leidos Flight Service at I-877-4-US-NTN4S (1-877-487-6867)at(cast 24 hom.9(but not more than 7, hours)in advance to request s Notice to Airman(NOTAM).You will aced to provide the following, information: * Dame and address of the person filing the NQ .AM o Bate,tirne(s),and event location{City,State.and location in reference to the aitpolI) a Max itnuin aptitude of the display This letter should not be construed ns sttperse€ling or invalielating any existing males or regulations promulgated by any other federal,state,county,or municipal gover amcni%v43iell inay be required for this display. if you lattve any questions regarding this infonnation,please contact our office at(404)305- 5570o, �3;e 13-f:S��-f��SCx-1 ire�t-o�t;s'rr�tsa,s°ov. Sincerely, Ryan W.Alnuisy Manager,Operations Support Group li:lstern Soviet:Center,Air Traffic Organization DFYARTWMTZOF JUSTICE Durnq oWcofiol,Tobacto. Fiteacm and Explosives va=rv. April 14,2.017 P�tro_1311 VAc4d,fla Luc R 'R2w6rim&.1ntl PyFo hu#orters 901090: CRR/SMC- -999 sauth Oyaer 13ny Rd S,site 111 Bethpage;NY,i1,714- Mr.Namb6v.6-NY120 5q91h.Oy=_ rb&yltd SUfte 11LBwhPa_ge.NY 11-714- DearSWMad4th; This'letter acknowledges receipt of your i4ady application to4anew your Federal dxoWsives, The Bureau Alcohol,Tobacc%. and Explosiyes 1.5 not able to,process yppr applicatio "6r to tbei expirWon date,of yowr Ikemdwinit However,Fe6rw I law auovvs 9qu ,toa� TP co,cb6jjau6 opagfi4as qnder. your cumat AmWpe S6we" b A , rqpktes, Processill&- ,your application. See 5 U.S.C. §558.;, his letter,or as'PxOamed 6P1QNV',EL follDmi- PP letter, will serve a'syaurlic=O/Permit Until we complete action on your renewal. It is referred, '10,45A-Letter of AuthpOzation tLOA). Sjace,We have not co *ed.p=oring your appUcad, n-,yo,u m9y su*y a copy,of this letter to g.g..yo*1distributoas, for I the neg.six 6tondii,(Or WWI we 6qin*fe, a0flort 'on Yqdr', radcwif, if tbt owua In kss daft six months) as evid=6 of your llzenswlp�tfed,stags. a the ,624e net.c6r�plkad,*degSM g y6W n� aH4�6,fir-renewal wit6in.six months qf the dab Of this,letterve iVill mid you ana&uletiiur,which will'alsobe 4114 for six MOrit6(or until we complete=don,offypur renqwalo it,that occurs in less than sk mofiffis). TVs,is of course cofitinignt upon your rcmidrdqg'mt1t1W to coutinueopmaons W&r Pleose,dimt qdeiddas-sir concems regarding this lenew to,Surom Clair,1-877483-3352. 0imfoly. w 05, Christopher R.R,mv% Mt,Federal Expladves Licensing meter Neville, Elizabeth From: Neville, Elizabeth Sent: Thursday,August 17, 201711:53 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin;Spiro, Melissa Subject: Emailing:Applic Fireworks PecLndg_20170808141657 2nd reeust Attachments: Applic Fireworks PecLndg_20170808141657.pdf Importance: High Please respond at your earliest convenience with your comments/recommendations. Thank you. Elizabeth A. Neville, MMC Southold Town Clerk, Registrar of Vital Statistics Records Management Officer; FOIL Officer Marriage Officer 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: Applic Fireworks PecLndg_20170808141657 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. 1 Neville, Elizabeth From: Neville, Elizabeth Sent: Monday,June 26, 2017 12:51 PM To: joanne@bayfireworks.com' Attachments: Bay Fireworks-Permits_20170626103200.pdf Joanne, Here are the two (2) Fireworks for the Greenport fire Department. Peter Harris previously picked up the original permits. Betty Neville Elizabeth A.Neville, MMC Southold Town Clerk,Registrar of Vital Statistics Records Management Officer;FOIL Officer Marriage Officer PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 1 , �%01144' ELIZABETH A.NEVILLE,MMC �.� � Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 � • Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER 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: GREENPORT FIRE DEPARTMENT PHOENIX HOOK&LADDER,THIRD STREET,GREENPORT 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 10.00 PM on Saturday,July 8,2017;(No Raindate)on the property of GREENPORT PUBLIC SCHOOL Athletic Field, located on the north side Front Street and east side Moores Lane,Greenport, New York. 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. --- ---- --a-- --- Elizabe A. Neville,Southold Town Clerk Suffolk County, New York (Town Seal) Dated:June 21, 2017 THIS PERMIT IS NOT TRANSFERABLE � roaFFill � ELIZABETH A.NEVILLE,NINIC ��® G� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��i www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER 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: GREENPORT FIRE DEPARTMENT PHOENIX HOOK&LADDER.THIRD STREET GREENPORT 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 10:00 PM on Tuesday.July 4.2017• (Raindate•10.0013M Wednesday.July 5,2017)on the property of GREENPORT PUBLIC SCHOOL Athletic Field located on the north side Front Street and east side Moores Lane,Greenport New York. 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. Elizab A. Neville,Southold Town Clerk (Town Seal) Suffolk County, New York Dated:June 8, 2017 THIS PERMIT IS NOT TRANSFERABLE ELIZABETH A. NEVILLE,MMC may® �� Town Hall,53095 Main Road TOWN CLERK PO. Box 1179 sCZe� Southold,New York 11971 REGISTRAR OF VITAL STATIST ICS 1�6 ® Fax(631)765-6145 MARRIAGE OFFICER ®I Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER 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: GREENPORT FIRE DEPARTMENT PHOENIX HOOK&LADDER,THIRD STREET,GREENPORT 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 10:00 PM on Saturday,July 8,2017; ( No Raindate)on the property of GREENPORT PUBLIC SCHOOL Athletic Field, located on the north side Front Street and east side Moores Lane,Greenport, New York. 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. Elizab h A. Neville,Zuth4o41dLTown Clerk Suffolk County, New York (Town Seal) Dated:June 13, 2017 THIS PERMIT IS NOT TRANSFERABLE ogUFfOL, RESOLUTION 2017-536 1 S n s�y0f �p ADOPTED DOC ID: 13152 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-536 WAS ADOPTED AT THE SPECIAL MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 12,2017: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a Fireworks Permit by the Town Clerk to the Greenport Fire Department Phoenix Hook& Ladder Company for a Fireworks display on Saturday, July 8, 2017 at 10:00PM (No Rain Date) at the Greenport Athletic Field, Greenport High School, 720 Front Street, Greenport,New York, upon single payment of$100.00 and subject to the applicant's compliance with the requirements of the Town's Policy regarding the issuance of fireworks permits Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:William P. Ruland, Councilman AYES: James Dinizio Jr, William P. Ruland, Robert Ghosio, Scott A. Russell ABSENT: Jill Doherty, Louisa P. Evans ELIZABETH A.NEVILLE,MMC �$� G.jG Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 CCis Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® Fax(631)765-6145 MARRIAGE OFFICERt` RECORDS MANAGEMENT OFFICER ��,� �a® Telephone(631)765-1800 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER 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: GREENPORT FIRE DEPARTMENT PHOENIX HOOK&LADDER,THIRD STREET,GREENPORT 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 10:00 PM on Saturday,July 8, 2017; (No Raindate)on the property of GREENPORT PUBLIC SCHOOL Athletic Field, located on the north side Front Street and east side Moores Lane,Greenport, New York. 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. nn Elizab h A. Neville,Southold Town Clerk Suffolk County, New York (Town Seal) Dated:June 13, 2017 THIS PERMIT IS NOT TRANSFERABLE RESOLUTION (ID # 13152) DRAFT DOC ID: 13152 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 13152) WAS DRAFT AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 20,2017: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a Fireworks Permit by the Town Clerk to the Greenport Fire Department Phoenix Hook& Ladder Company for a Fireworks display on Saturday, July 8, 2017 at 10:OOPM (No Rain Date) at the Greenport Athletic Field, Greenport High School, 720 Front Street, Greenport,New York,upon single payment of$100.00 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 �autroc*mss RESOLUTION 2017-532 3 �y'oof,�yad ADOPTED DOC ID: 13143 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-532 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 6, 2017: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a Fireworks Permit by the Town Clerk to the Greenport Fire Department Phoenix Hook & Ladder Company for a Fireworks display on Tuesday, July 4, 2017 at 10:00PM (Rain Date Wednesday, July 5, 2017 at 10:OOPM at the Greenport Athletic Field, Greenport High School, 720 Front Street, Greenport, New York, upon single payment of $100.00 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: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Doherty, Ghosio, Evans, Russell ABSENT: William P. Ruland eed S S-ecat d ds -1 r7 Town of Southold P0Box 1179 Southold, NY 11971 (631) 765-1800 RECEIPT #7/4/17&7/8/17 06/08/2017 Phoenix, Hook & Ladder Co. (Grnprt FD) 236 3rd St Greenport, NY 11944 Received $ 200.00 for Fireworks, on 06/01/2017. Thank you for stopping by the Treasurer's Office. As always, it is our pleasure to serve you. Elizabeth A. Neville Southold Town Clerk Neville, Elizabeth From: Duffy, Bill Sent: Thursday,June 01, 2017 12:45 PM To: Neville, Elizabeth Subject: RE: Emailing: Fireworks Aplic's(2)GFD_20170601102941 Betty, I do not see written permission from the school to allow the display to take place on their,pro . Other than that, I have no objection. V Bill William M. Duffy, Esq. i Town Attorney Town of Southold Southold Town Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, Nww York 11971-0959 Office: 631.765-1939 Fax: 631.765.6639 Email: bill.duffy@town.southold.ny.us ATTORNEY-CLIENT COMMUNICATION;ATTORNEY WORK PRODUCT; INTER/INTRA AGENCY COMMUNICATION; NOT SUBJECT TO FREEDOM OF INFORMATION LAW DISCLOSURE; DO NOT FORWARD WITHOUT PERMISSION Note: Service of legal documents is not permitted via electronic mail or fax. The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain information that is privileged, confidential and exempt from disclosure under applicable law. Unintended transmission shall not constitute a waiver of the attorney/client privilege or any other privilege. If the reader of this message is not the intended recipient,you are hereby notified that any review, retransmission, conversion to hard copy,copying, reproduction,circulation, publication, dissemination or other use of, or taking of any action, or omission to take action, in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error, please (i) notify us immediately by telephone at 631.765.1939, (ii) return the original message and all copies to us at the address above via the U.S. Postal Service, and (iii) delete the message and any material attached thereto from any computer, disk drive, diskette, or other storage device or media. -----Original Message----- From: Neville, Elizabeth Sent:Thursday,June 01, 2017 11:41 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin;Spiro, Melissa Cc: Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell,Scott Subject: Emailing: Fireworks Aplic's(2)GFD_20170601102941 Please review the attached Fireworks Applications(2) Events and send me your written recommendation/comments. Thank you. i RECEIVE® JUN � 6 2017JIJ(�.;°0' x 2A'13,�,O'REENPORT'UFSD' j Southold Town Clerk ` r 720 FroritStreet: �- ---- , , Gree►iport,:NY' 111n'4`_, s ` - :i - ..APPlICA7101V.'PO;R.,USE''OF SCHOQL'FACICI7IES , _ - The.Administraiion is^re'spons(ble"for the`Use o1"all>'school':facilities?in^order fhaf.tfiey.ma`y consider your request•for such use,kindly complete thd�following^ Lb � ��� # { 1•.Facilities Use:R quest:,(QrgahWIt'iori) o ?_._ � '` ' re uests the use of ll' 2�✓i` ; Ql� at GreenportPublicSchools;for<ttie'pu(pose;of: on(date), �{. , D1.`�l =$ av7'Y at;(time), i Will activity be open;t`o,the public?,(Cir'cle`one),' Yes,;.No Is this-a For Profit Organiiati6n?^(6rcle'o(qe) "Yes ,o `r0q�9_- -will,be'char ed;, proceeds"will b'e,used for Ad`m_issio�n o�f .P Does applicantagree to submit,financial,records,,for e,Kamination:upon requests? b Does applicant agree,to,conform•to the,,ri. gulations,of it,.tBoard of{Education and,all,laws regulating^to the use of odl"property;incl uding-Sectlon 414 printed-on the'reverse,side,of,this,application?' (es Name:. �{" r w4_ 0rr,,rs Address: le,7. ap filwen Telephone# ;�� 7" w ` ofthe-pe'rsori,resp`on'sl6Ie-ohAhis occasion• j 1 ° Il. Insurance Information i A certificate of'Insurance of'at least•$1,000'000,publieflability per occurrence and,$2,000,000 aggregate L liability-insurance and$50,000 property damage shalhbe submitted at least,three,'days in advance-of the event and.must designate both the using.organ(zation and the-Greenport Union Free-School District,with iSO-endorsement CG1026.The absence,oFsuch`a certificate'.w(lf preclude use of the facility• `• i The policy must contain,a,30=day guarantee notice of cancellation.The,user pgreesto-ind_emnifythe district for-any'applicable deductibles, III. Rules Governing U'se of Facilities, A. No smoking is allowed inihe building or on the grounds.The organization using the facility is responsible for enforcement. I, } i i B. No drinking°of alcoholic beve'rages-istpermitted. C. 'Activityshall be,rest Hi te'dA&.that`area°for wliicfipermission is.granted. D. Activityshall not extend;beyolid'hours;approved-by district` ; E., P"rograms•,shall not.nte"rfere":will regulnrKsehool'sched6ie: _ a F., Organisation•shall'be,responsible:formoving.its equ'iipment`intoyand out;of ft building: ' G: Thesupervisor of`the activity',sh'ail:be,present'before;it,is.due',to start and remain with fh'e �. gr_o,up until 611 have left; . W. In the absence,of administrafive;pers'onnel;ahe-custodian=ls.cflarged;withAt e'r'6 pons'ibility;of': _ i thd1building. L School autKoPities niusfiffiave`free:accessto:all rooms-atall: ,� „"�`��,� .. r . �- �• ., 6AT,P�(ttfiltlRIPYY,q � 7Hi5'Ci: ICA'fT:`i5 10011D,AS•AAATEER<0l:iFtF..012iVtAiiON ONIY'AND C4N�ERS'NQ`;ft(0�3,(S UPOW THE CIMIFIC3lUliou) TRIS' j C6t7(fICAt$'d0U8,NOT APFIiLSRAYiV)rLY"bif;fiESA lft-YY{hiCP1U.-'LKT tti>O17'At1.1 12 THE:COVERAGE'AFFiORDEQ;:BY?H)r:i?0(1Ci�$- 013LOW: "THIS,CEPITIFICAT�ADF'1MSUft1(*G :GQ�S`AOY 6048TtTUTit, ti btatti,4C1 BETWWe=I=N CNS ISSiIiN4'9NStil� R(Sy. xltiifNAR�Zt-7D' RfiPRBSlrtV7Ailtflr'Oi{'PEioi�tJCim"Jx D"[IiE,CERIIF(Ci4Ylim' iflEfit: . } WORM' i:,If.4he.c0tlfiiotttc hdlVcr is uti Al�dlTit�NAi,1NSFRED;the polieyttiis):Mus#:hav�i;.gDPiTIONAL INSURHU'gt4Yisian9.6fba,e"nriarartd. 1f St1l3i200ATIgN iS WA1Vi;D;'sub�act to,tjip,.taptlq'�Rti,i>pi1' {tipY,s'-of fit :)Ypity;o#tdui poticte3=rnay,ragaira an•eridorsamnrit pc,statenlRnk,or�' t)iis aprtiEi4�t�dutss.t{ol CaMet`ttghts to.ifie-cti3if{cats'Eio)deY lr+lteupfauah:�ndarsgmen s):�:; � - " • i P$OpUG1T: 'a16edSpebiallytriseinnv+;',1no, T. 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E-ro�crinuY�'a "�,00000D A :�xCesf4[ataiEslyfOccur i 1131Pa0i029&87(GI;yJ1$12D17'='gZf7:f201b IEACH'IIOCl1RINGE° '(68,liDfi.ODO: ` - EAG.GR�OA"{� ��SD,QOD;Q00- y pE�GRIR71QItOAOAERA'iiONsil�Cq[K>;iSjVEtNCt;RB(ACGnIYtGt:Aa�nia�wcvqutiod} # >}tgHy.p8t9:071041iY&'0710};}17 Ratnpata: Q7/D511T=RocaUosuGieerr;wrtHigh:Sd>oot;Gr2e11port3tY RE:Genera►LisAillty;the ToN*i6 aro haen d as sddi(ioriiil iflaumd fR rospacts to'Lha n4giiDence,vfDi�'nairisd ki rad:TOM gf Roulhold:8lue 8kyAmuseittsnlr,; GreenPprt-llFSD;Suffolk Coiinty;Gri;aa(witite.CiettiCll Greeniwtt FG pltaanhs'Naok&};adder&CQmpeny ; i _ l t CEII~YIPICATE,HCYI: ER- CANCEL itJA(•• . 1316 p4 ifPlra-ilepai>nleut Munk Hook&Ladder Company �i�Y I3�)�&YS How QS C�ttCeii�llUtt Applies. 236lid'St t;HOULD M OV M! A &ij pg6O ISED P61 iCO- E CAtiC£I.i.ED.t�,Ef4R8 { C4iat npPrt)JY113Q4 AMS MIRA710t)•,DAYL•,TtlEmj;, NOTICE WILL 811 0F.lIYeI eb N { ACt:ORDANCFWlTii i:N1:f�CLiCYPR0YI5tON5. 11VTRO8t1:£GBE:PRF£�IrfAYlVic ,1 ' 3 - ) e8rt#299D t•.lUt�'i` a•1;� C I'X988-2D15 AGORD CORPORA-60N.AR rigitts iesatved, i At;pttia 2S'(2D18fa3) Tho ACORD name;tnd logo my raUisterati tfldtRCLOf ACCJRI? I l i For Profit Organization d Auditotium $150 per hour'= 'hour(s)Xrate Custodial $40 per hour,Monday—Friday,=,hour(s)�X rate= s Custodial $60 per hour Saturday'&Sunday-=;hour(s)•X rate= _ ' Technical('sound&,lights)'.$60'per.hob r,=hour(s)'Xl"rate= This all,mustbe paid seven:days in advance and is-not refundable`unless:the district receives notifieation G of cancellation at least-48-hours in:advance. h 4 V. I agree on.behalfrof'th,e abpve-mentioned'organization that all Members,and guests-will, i t observe the-regulations.and'that;w-,e,;indiv„idually,and.as,an organization,•will,assume.all'flnancial, j responsibility:for any afid-all.damages"done,to`the,Greeiiport'School,yoperty during,the'abov,e- t indicated.period of use.We•also agree,t hat,ourorgahization-will at,all times hereafier-indemnify.the above-named school against any;loss,,damage br'expense•of anykind,-which said school ma incur because of the use of the above-,mentioned building by,o'ur organization,and we-furtherwill hold said school harmless r loss 'f any.'lnd in c fiecti'on herewith: Applicant Signed: �% Date: L Pp g •l. Superintendent: GranteDenied Date: f 2 1 r Specific Details of Use: EXCERPTS FROM SECTION 414 OF THE EDUCATION LAW ".,.,The Board of'Education of e-ach-dist'riet-may..,permit the;us`e-6f4fie school_hguse and-rooms therein, .and the grounds and other-property of,the~district,v_lrlien not in-usefor-school purposes,,for any of,the .following purposes:, 1. For the purpose of instruction in any-branch'of education;learning'or the arts. f t 2 For holding social,civic and,recreatiorial'meetings and entertainments,and other issues pertaining to the welfare of the community;but such meetings,efitertainment and uses shall be"non- exclusive and shall,be open to the general public. 3 For meetings,entertainments and occasion's where admission fees are charged,:when the proceeds-thereof are to be expended for an educational or charitable purpose;but such•use-shall'not be j permitted if such meetings,entertainments and occasions are under the exclusive control,and the said , i proceeds are to be,applied for the benefit of society;association-or organizations of veterans-of the military,naval and marine se--vice of the United States and organizations-of volunteer firemen." i I 1 a i ti ELIZABETH A.NEVILLE,MMC ��� qty Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 C* Y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® Fax(631)765-6145 MARRIAGE OFFICER �� ���' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER 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: GREENPORT FIRE DEPARTMENT STAR HOUSE CO.,THIRD STREET,GREENPORT 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 10:00 PM on Saturday, May 27, 2017; Raindate: Sunday, May 28,2017 on the property of GREENPORT PUBLIC SCHOOL Athletic Field, located on the north side Front Street and east side Moores Lane,Greenport,New York. 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 failing 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. a ...p n Elizabe . Neville,Southold Town Clerk Suffolk County, New York (Town Seal) Date: May 11, 2017 THIS PERMIT IS NOT TRANSFERABLE RESOLUTION 2017-434 y ADOPTED DOC ID: 13039 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-434 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 9,2017: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Star Hose Company of the Greenport Fire Department for a fireworks display at 10:00 PM on Saturday May 27, 2017 (Rain Date of Sunday May 28, 2017) at Greenport High School's Athletic Field located on the north side of Front Street and the east side of Moores Lane, Greenport,New York 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 and subject to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio,Evans,Russell RESOLUTION 2010-474 ADOPTED DOC ID: 6016 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2010-474 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 * * * RECEIPT * * * Date: 04/11/17 Receipt#: 217952 Quantity Transactions Reference Subtotal 1 Fireworks 05/27/17 $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By CK#1451 $100.00 Star, Hose Company Co#3 Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Star, Hose Company Co#3 Greenport Fire Department Po Box 345 240 6th Ave Clerk ID: SABRINA Internal ID:05/27/17 n �g1l��tTtd►t BMADETHA.NJE MLLE, 19. _ C � 'IbwnHan,58495 MaiaRoad TOWN CLMM o P.O.Box 1179 sou_mold,Newyork 11971 REGISTRAR OF VIM STATIMCS . Fax(681)765-6145 MARRIAGE OFFICERd �,��' Telephone(631)765-1804 RECORDS OPUMAGEIdENT WHOM � sontlivldtown raorthforkaiet FREEDOM OFYIITFORMMON Ok'!;`ICER RECEIVED OFFICE OF I~HR TOWN CLERK TOWN OF SOUTHOLD NATION �PR 4 2017 A>aPL PE RMIT TO DISPLAY pIItEWORKS Southold Town Clerk APPLICATION IS HEREBY MADE, pursuant to the provisions of Section 405.00 of the Penal Law of the State of Now York,for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSORED BY Star Hose Company-Greenport-Fire Department PRINCWAII OFFICEAT PO Box 345, Greenport,_ NY 11944 --StaIL Z _ DATE, &TIME OI,DISPLAY 5/27/17 @_ 10:00 pm EXACT LOCATION-OF DISPLAY Greenport High School Athletic Field SUFFOLK COUNTY TAX M"NUMSER FOR STPE RAIN DATE&9CRW 5128/17 aQ 10:00 pm The following persons are.to be -in charge of the actual shooting of the fireworlw: Name Age Experience lshysienl'Condition William Lotterhoe doh: 5/26/ Health: EXcell t (Additional names and information may be submitted on an attached sheet Number and type of rwwolrks'is as follows: 1.3G Fireworks: _2-3 inch-4$4. Cakes�5. Manner and place of storage 'of fireworks prior to display: Fireworks will be delivered day fo display from our Westhampton Facility. Attached hereto,and matte a part of hereof is a diiagmm of the grounds on which the display is to he held. Also attached is a certificate or policy of f msuiranea coverage. I�F�: Written Permission,WKh signAtw*'of fhe-_rro a 0syner,must.be subinitkQd with the, Appxca€ian � �l3 6'�►�gly ���� NSD FE>=: i;100 Name of Org 'nation See Holier-rfof additional information r41W)q e_dPio" - Fri- BY_ Med c Signat=of Applicant e-mail address: el-.51 / �/ ra Telephone Number_ �s� -X7'7. ;1-.D -] - _ Date of.Applicaflon e; �7-43c� CHIEF WAYNE MILLER t (631)477-9801 -STATION 1 1sTASST.CHIEF JEFFREY WEINGART (631)477-8261 -STATION 2 2ND ASST.CHIEF SUSANO JIMENEZ z i (631)477-1943-CHIEFS OFFICE (631)477-4012-FAX CHAPLAIN T.MURRAY n a,t( THIRD STREET•P.O.BOX 58 ASST.CHAPLAIN C.KUMJIAN GREENPORT,NY 11944 TREAS/SECRETARY J.KALIN Email:gfdfire@optonline.net www.greenportfd.org Organized 1845 To Whom It May Concern, The Greenport Fire Department will be holding a carnival on Memorial day weekend with a fireworks show scheduled for Saturday the 27th and a rain date Of Sunday the 28th. We will be standing by with at least 2 pumpers from Greenport and possibly a couple of additional apparatus from neighboring departments. If you have any questions please feel free to contact me at the number below. RECEIVED Firematicly, Southold Town Clerk Wayne D.Miller Chief Engineer ''a', = - ,, i .tea:.. +flly Y `ti..S 7_::i:.. .J J R 1.t �U yl } y, l.•y�_ : fi t V-r�{ 7 4M < \ t -YY •'r.i �' ) �W r Y'1 ,�F`n� '41ti", Y^7`.-. r.v a t �, a 3 : : v J,• W 't .^ 4... -1 �r�r^+� F 'r �'t'h7'1ir uta „ . .,a ''d ?y.r -ivr,,: "r'.-;_ ) -.r ,r•rti rk 7 '*' r t +`:.ii„•i'” ti4Y y �r .+1n } ..nom-L- .- rti. �^^ . Y 4�U � "' .� ,§'-7-..4 i•i y. , t ` —,i. ;w a� ,7 �. r ? �_ -1 t +,1'' r_fir`;. „fes a r`h }.;n. r ��a i'" L -i'�"• ,",,F,rF r. 4'. 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REQR'� F�RE " N` ARMErIi t Y dao-fit razes s inch znax b ti�aiso��T.t Du a .. Wn� �'� � - u.e. ter:- �• 1W ^ < i .. �r C y a y l ] { , � '`i j•3 0.13 Google E;'. �' •, ' F i1t CERTIFICATE OF LIABILITY INSURANCE UA-M i'IMIDMY" 021=2011 THIS CERTIFICATE IS ISSUED ASA MATM OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CI:ItTIFICATE HOLDER.TH119 CER10FICATE DOER NOT AFFIRMATIVELY OR NEGA•NIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOW. THIS CERTIFICATE OR,INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN T1iE ISSUING INSulmiS}, AUTMORIZISD REPRESENTATIVE OR PRODUCElk APIA THE CERTIFICATE HOLDER. IMPORTANT_ If the cenifkate holder Is an AVOITIONAL INSIIEtED.the-policy#*must have AE)DR10114AL,INSURED Prolusions ar be endorsed. if SU9ITOGA'TION IS WAIVED,subJeat to the tE(Ip6 and Catdltlans of the Policy,certaln PalicIm inay mquim as endorsement A statiament an this aartlfll:ate roes not confer rights to the aerWcate holder in Lieu of such oWd PRODUCER UU*TA T MIChe]le Kr,gler AgledSpecialty insuranca,Inc. irAM ........ ich _e .. ._,._ 10451 GdfBlvd ��aD`NE 727a�A7 07Q $ ..__�.. .__-•--1-__--- Tmasurle Island.FL 337(16-4814 6. ft Estj- —� ��C,.Nu �ooR�'mkuglerDallisdspDclaley_eom INSUREMS)A-FFOR41NGDOYERA9E_ NAIC0 jKwRERA: T H.E,ineumsm Gumpany 12866 R1SURaa PYRO ENGINEERING.INC. IKsuMqaaU_— --�----- __.__...---• DBA,BAY FIREWORKS AND 1N$URER C INTCRNATIONAL PYROTECHNIC IMPORTERS 598 SOUTH OYSTER-BAYROAD.SUITE 117 _....._..._.._---..._..-__._._._.._..__.-- __._._-•_--.-•----• --.....--- BE'THPAGe NY 1-1714 1rr66R4B s- INSrIR@B F• ---� -------- COVERAGE$ CEIRTIPICA-(E NUNiij3gE,� RE%gSION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELM HAVE BEEN 1951JED TD THE INSURED NAMED Aa0VE FOR'6I4P POLICY PERIOD INDICATED, 1140TWIT14STAlVDING ANY AM- UIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH-RESPECT TO WHICH 11418 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE P013CtFS DESCRIBED HEREIN IS SUBr-ECT IM ALL THE TERMS, EXCLUSIONS AND CONDITIONS OP SUCH POLICIPS.LIMITS 3190WN TRAY BANE BEEN REDUCEDBYPAID GLAI MS. LTra PouaYNOMBER ._.-__�•Mc%I•sr`i4€F•':'i����x�.•?_-.-.�...-�..�..,v..��.--•-------- oa INBIJitANca A j( C07riMSR NteRAL1iR$ISITY CPP0141284-07 0211512617 021t@r20j& EACH OCCURRENCE S 1,400;1300 _ I CLALMS-MabE I OCCUR 3f,Afi T:s1 h'151s"---- 8 100,004 - -- MED EXPvWA !PERSCRAL6{4DVrautlRY_ GEN'LAGGROATIE LINOTAPPLIES PER. -- �J JC�.r ' _� GENERAL AGGREGAYE__— S 10,000,00•.__- - 0 POLICY L_�LOC UCTS-COW,0PAGG r. 2.0W.t100_. A AutoMoalLEltAMmr ° OPPOID1284.07 13211512017 • 02/1512096 �oMal>eEDsweaEUMr: 5 1,000.000 rot-------- ANY AUTO A4 fls WILY X]RUMS BODILY RvukT IFe:aocilan:l S ---- V HIRF,DMCM- JJNED l :PriL3P T11DAM=•_.... _ ----._...---•-••--. AlrY;16OMLY X.1ALrTOSONLY 1 :- accidn _-- S —_•---__._-_...-- l S A 'UMBRELLALIAS i a0cusa ; EL POOt02824I7 t11I I ; 02115)201T 102115120% 1 gacKflccuRlmC. g�4,000.001) X EXCESS V As _ CLAIMS4=E AGOkEr rATE — S 4.000.000 + DED REfENUONS i i _�—__-- S — ------ i oRKER9CCOPE NATION ; A ANDEMPLGI(ER9 LIABILITY YIN ;WCRO0S167-N3 �t015f2017 0211512019 �X=�TBTVJ� ANYPROPR:EaORPoPPAt TkTkeX6CLgsvE I M rk' E Covera a Is aflOrd4d in 1hD State s of.GT,DE, L.GA.IL,EAwI t�FJkCKAWDENT S 1,000,000 r)FFICER-ME61BEREXCIdIOED7 �i i I F--- ---- --- Irtnndrrtarlr In NH) I MA.MD,NC.N.I.NV,NY,PA,RI, C,TX&VA• THIS I F.I. 9K&ggE-SA FMPLOYEF $ 1.000.004 If dem rrescrmeuncer i i POLICY DOES NOT PROVIDE DifkBILITY ._..-.-----•-•------ p6 eRIPrIr7NOF0PCRAnQNSB w I I EL DISeASE•POLICYLItiIT 5 9,000,01MI A 1pXGQ95 L.ietaiIityiOCGur I ELF001029"7(rA) 02/15/2017 02!15!21118 EACH OCCURRENCE S9,00010I14 j (AGGREGATE 59,00%000 i a�6CIIlt"iIGNOFr1PERASl6%S1toCgTrpN$iYfTSICLaS 1fAC0RDyU1,Add�elrieMforWSd'�dtlWe,,»eyt7eeVAelmdler7rDr6epaeelarB�wrea) Display Data:05127 Rain Date: 45126 Location:Greenport IAS Athletic Field.Caeanpvrt NY RE:Gmeret Liability,the fallowin are earned as addiftnai irrsered in respects to the negtigmm-of the named insumd.Star Hose Corrrpary+;Oreenport fire Department; Village of Greonport NY;Town of Southold:SI:tlFolk C,^,uniy:GreenWort UPSD Hold Harmless Agrm rant per contract between the roamed insured and the additional insured applies. CERWICATE HOLDER CANCELLATION Greenport fire Department ThIrly{30)Days Nu a Of-CAODMISirOn Applies PO Box 345 SHOULD ANY OF 7HE ABOVE DESCRIBED POLICIES 09 CANCELLED BEFORE Greenport NY 11944 IME J!EXPRATJON OATS THEREOF, NOTICE WILL BE MlLIVERED IN ACCORDANCEWITHTHIIE POUCYPROVIgIONS. AIITHGMED REPRESENTATIVE Cert-A 29211 019$$-2015ACORD CORMRATION. AllIsghfsreserved, ACORD 26(2016103) The ACOR!0 dame and logo Bre registered marJtS of ACORD 7410/2017 (MM/DD/YYYY) A�D® CERTIFICATE OF LIABILITY INSURANCE 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(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 CONTACT Jose h Chere .with NAME: p p McMann Price Agency Inc. ac°No Ex . (631)477-1680 FAX Na: (631)477-8930 828 Front Street ADDRESS donna@mcmannprice.com P.O. BOX 2065 INSURERS AFFORDING COVERAGE NAIC# Greenport NY 11944-0876 INSURERA:Arch Insurance Company INSURED INSURER B: Village Of Greenport Fire Department INSURER C: PO BOX 58 INSURER D: INSURER E: Greenport NY 11944-0058 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1741001662 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DPOLI CY EFF POLICY EXP LTR D/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMA13E TO RENTED A CLAIMS-MADE ❑X OCCUR PREM SES a..ur.nce $ 100,000 MEPK06726911 6/1/2016 6/1/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 10,000,000 X POLICY E PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 10,000,000 OTHER LlquorLlab Cov Part $ 3,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accldent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accldent F 1 $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$ MEUM06473411 6/1/2016 6/1/2017 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEF—] N/A E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E L DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) With respect to Carnival from 5/25/2017 to 5/29/2017 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH TH L Y PROVISIONS. Southold, NY 11971 AUTHORIZEDAEP S ATIV ©1988-201 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and I o are registered marks of ACORD INS025(201401) ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road 'TOWN CLERK P.O.BOX 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145, MARRIAGE OFFICER _ -� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �� _ www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD POLICY for 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 o�f'corripetency 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. Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday,April 11, 2017 2:50 PM To: �i�n; Cc: Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell, Scott Subject: Emailing: GFD Star Hose Co#3 FIREW_20170411133849 Attachments: GFD Star Hose Co#3 FIREW_20170411133849.pdf Attached please find a request for a Fireworks Permit submitted by the Greenport Fire Department,Star Hose Co.#3 for May 27, 2017(RD May 28,2017)for your review and recommendation. Elizabeth A. Neville, MMC Southold Town Clerk& FOIL Officer 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: GFD Star Hose Co#3 FIREW 20170411133849 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. . 1 Neville, Elizabeth From: pilo, Melissa Sent: Wednesday,April 12, 2017 8:43 AM To: Neville, Elizabeth Subject: RE: Emailing:GFD Star Hose Co#3 FIREW_20170411133849 This is njot,preser_wed land. elissa -----Original Message----- From: Neville, Elizabeth Sent:Tuesday,April 11, 2017 2:50 PM To: Flatley, Martin<mflatley@town.southold.ny.us>; Fisher, Robert<Robert.Fisher@town.southold.ny.us>;Spiro, Melissa<Melissa.Spiro@town.southold.ny.us> Cc: Dinizio,James<fames.dinizio@town.southold.nv.us>; Doherty,Jill<iill.doherty@town.southold.nv.us>; Evans, Louisa <louisae@southoldtownny.gov>; Ghosio, Bob<bob.ghosio@town.southold.nv.us>; Ruland,William <williamr@southoldtownny.gov>; Russell,Scott<scottr@southoldtownny.gov> Subject: Emailing:GFD Star Hose Co#3 FIREW_20170411133849 Attached please find a request for a Fireworks Permit submitted by the Greenport Fire Department,Star Hose Co.#3 for May 27, 2017(RD May 28,2017)for your review and recommendation. Elizabeth A. Neville, MMC Southold Town Clerk& FOIL Officer 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: GFD Star Hose Co#3 FIREW 20170411133849 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. 1 Neville, Elizabeth From: Fislieobe Sent: Thursday, April 20, 2017 9:57 AM To: Neville, Elizabeth Subject: RE: EmailingGF6 aSt rTlose Co3 FIRE�17=20170411133849 Betty I'have o_objections-to-this-event-being-held'as=in�the=past: Bob Robert Fisher Fire Marshall,Town of Southold robert.fisher@town.southold.nv.us (W) 631-765-1802-(C) 631-786-9180 PRIVILEGED AND CONFIDENTIAL COMMUNICATION CONFIDENTIALITY NOTICE:This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by privilege. If you are not the intended recipient,you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by e-mail and delete the original message. -----Original Message----- From: Neville, Elizabeth Sent:Tuesday,April 11, 2017 2:50 PM To: Flatley, Martin<mflatlev@town.southold.nv.us>; Fisher, Robert<Robert.Fisher@town.southold.nv.us>;Spiro, Melissa<Melissa.Spiro@town.southold.ny.us> Cc: Dinizio,James<fames.dinizio@town.southold.nv.us>; Doherty,Jill<iill.doherty@town.southold.nv.us>; Evans, Louisa <louisae@southoldtownny.gov>; Ghosio, Bob<bob.ghosio@town.southold.nv.us>; Ruland,William <williamr@southoldtownnv.aov>; Russell,Scott<scottr@southoldtownnv.gov> Subject: Emailing: GFD Star Hose Co#3 FIREW 20170411133849 Attached please find a request for a Fireworks Permit submitted by the Greenport Fire Department,Star Hose Co.#3 for May 27, 2017(RD May 28, 2017)for your review and recommendation. Elizabeth A. Neville, MMC Southold Town Clerk& FOIL Officer 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: 1 Neville, Elizabeth From: JE atley,�MaFt = Sent: ednesday,April 12, 2017 12:06 PM To: Neville, Elizabeth; Fisher, Robert; Spiro, Melissa Cc: Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell, Scott Subject: ,RE:-Emailing:GFD Star-Hose Co#3 FIREW_20170411133849 I have no objections to this_ev�ng.,4eW_Tas in the past Sent from Chief Martin Flatley,Windows 10 From: Neville, Elizabeth Sent:Tuesday,April 11, 2017 2:50 PM To: Flatlev, Martin; Fisher, Robert;Spiro, Melissa Cc: Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland, William; Russell,Scott Subject: Emailing: GFD Star Hose Co#3 FIREW_20170411133849 Attached please find a request for a Fireworks Permit submitted by the Greenport Fire Department,Star Hose Co.#3 for May 27, 2017(RD May 28,2017)for your review and recommendation. Elizabeth A.Neville,MMC Southold Town Clerk&FOIL Officer 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: GFD Star Hose Co#3 FIREW 20170411133849 Note:To protect against computer viruses,e-mail programs may prevent sending or receiving certain types of file attach�ents. Check your e-mail security settings to determine how attachments are handled. 1 Neville, Elizabeth From: Flatley, Martin Sent: Wednesday,April 12, 2017 12:06 PM To: Neville, Elizabeth; Fisher, Robert; Spiro, Melissa Cc: Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell, Scott Subject: RE: Emailing: GFD Star Hose Co#3 FIREW_20170411133849 I have no objections to this event being held as in the past Sent from Chief Martin Flatley,Windows 10 From: Neville, Elizabeth Sent:Tuesday,April 11,2017 2:50 PM To: Flatley, Martin; Fisher, Robert;Spiro, Melissa Cc: Dinizio,James; Doherty,Jill;Evans, Louisa: Ghosio, Bob; Ruland, William: Russell,Scott Subject: Emailing: GFD Star Hose Co#3 FIREW_20170411133849 Attached please find a request for a Fireworks Permit submitted by the Greenport Fire Department, Star Hose Co.#3 for May 27, 2017(RD May 28,2017)for your review and recommendation. Elizabeth A.Neville,MMC Southold Town Clerk&FOIL Officer 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: GFD Star Hose Co#3 FIREW 20170411133849 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. 1