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HomeMy WebLinkAbout2018 ELIZABETH A.NEVILLE,MMC ®�® ®� Town Hall,53095 Main Road TOWN CLERK a� $� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS GOOD 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 SOUT14OLD 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-STRAWBERRY FESTIVAL 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 on Thursday , June 14, 2018 at 9:15PM; Friday, June 15,2018at 10:00PM ; Saturday, June 16,2018 at 10:15 P.M., on the property known as `STRAWBERRY FIELDS",located at 9095 Sound Avenue,Mattituck,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 feet 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 into 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 last 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.----------- /� (..L. ------------- (Town Seal) Elizabeth A.Neville, Southold Town Clerk Town of Southold,New York Dated: THIS PERMIT IS NOT TRANSFERABLE Southold Town Board - Letter Board Meeting of May 22, 2018 `t RESOLUTION 2018=479 Item # 5.16 ADOPTED DOC ID: 14140 Mo, ya THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2018-479 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 22, 2018: 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 fireworks displays on Thursday June 14, 2018 at 9:15 PM; Friday June 15, 2018 at 10:00PM ; and Saturday, June 16, 2018 at 10::15 PM on property located at 9095 Sound Avenue Mattituck (Strawberry Fields) upon the payment of a single fee of$100.00, and subject to the applicant's compliance with the requirements of the T'own's policy regarding the issuance of fireworks permits and subject to the approval of the Town Attorney. 6.", �7qoeM, Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Russell ABSENT: Louisa P. Evans Generated May 24; 2018 Page 30 UTION (ID # 14140) � f#was REVIEWED DOC ID: 14140 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 14140) WAS REVIEWED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 22, 2018: . 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 fireworks displays on Thursday June 14, 2018 at 9:15 PM; Friday June 15, 2018 at 10:00PM ; and Saturday, June 16, 2018 at 10::15 PM on property located at 9095 Sound Avenue Mattituck(Strawberry Fields) upon the payment of a single fee of$100.00, 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 Chief Secretary JAMES G.RUGNETTA ; BRIAN WILLIAMS First Assistant Chief Treasurer TED WEBB �_- THERESA WELLS � �"�"`' � i, Sergeant-at-Arms Second Assistant Chief RAYMOND F.NINE ED RITTBERG . 1 1 Chaplain Home of NYState:' % JAMES L.MURPHY Fireman of the Year' ,! ry 1973 MATTITUCK FIRE DEPARTMENT RECEIVED MAY 3 1 2018 Southold Town Clerk Elizabeth A. Neville, Southold Town Clerk, I have Reviewed The Application for the Fireworks Permit scheduled for June 14, 15, 16, 2018 and approve the event. The Mattituck Fire Department will be on Stand By for the Strawberry Festival with coverage to include EMS and Fire if needed. James . Rugne to C i jIf, Mattituck Fire Department � d P.O.Boz 136 • 1000 Pike Street • Mattituck,NY 11952-0666 Main(631)298-8833 • Fax(631)298-1904 • Chiefs(631)298-8852 • Fax(631)298-8858 www.mattituckfd.org Neville, Elizabeth. From: Neville, Elizabeth Sent: Friday, May 18, 2018 3:12 PM To: James Rugnetta - Mattitucvk Fire Dept. (brroomboy@aol.com) Subject: Mattituck Lions Club Strawberry Festival Fireworks Application Attachments: Referral of Matt Lions F_20180518150742.pdf Jim, I have attached for your review the Application of Mattituck-L-ions Club-for a Fireworks Permit for the Mattituck Strawberry_Festival`I.need a letter from you, at your earliest convenience, as Chief of the Mattituck Fire Department stating that you are aware of and have reviewed the application and approve of the event and will stand ready to assist at the event, if needed. Thank you for your assistance and cooperation. ; 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 i 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 rep_arding 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,1,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. ` .y 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. a 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 ELIZABETH A.NEVILLE,RMC,CMC �� N,,aw,,"w, . 'w- �� Town Hall,53095 Main Road TOWN CLERK CG "i'I" ," `` - ,' P.O.Box 1179 Southold New York 11971 REGISTRAR OF VITAL STATISTICS � ",�'��„'i,i"drg';gjriw, ,��°���°..___ ' y Y Fax(631) 765-6145 MARRIAGE OFFICER y® RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER � � �, ,� southoldtown.northfork.net RECEIVED OFFICE OF THE TOWN CLERK SAY ' S TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS Southold Town clerk 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 Ac 44, 0 c-Lf- &0,>, S Gl,� PRINCIPAL OFFICE AT G t�4 P a t3 J-- $5,0 -Yr, DATE &TIME OF DISPLAY 6 I L =i l S los /0-'uj,7, 6116119 - 1�=►S EXACT LOCATION OF DISPLAY 9®9S d Ave- - /�!4 tiel 119Sx SUFFOLK COUNTY TAX MAP NUMBER FOR SITE /0U0 - 1 on-1. X - 0-• f RAIN DATE & TIME A/0 A."t The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition 6y ceq j, (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: Manner and place of storage of fireworks prior to display:, Jr� w�•r�s L,ac( �� cl�f',c,�l 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 Organization WBrk - 63qp 1 R � •� By ggnature of Applicant 13 .. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/15/18 Receipt#: 239642 Quantity Transactions Reference Subtotal 1 Fireworks June 14-16 $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By CASH $100.00 Mattituck, Lions Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Mattituck, Lions Club Po Box 595 Strawberry Festival Mattituck, NY 11952 Clerk ID: BONNIED Internal ID-June 14-16 4A - tlz �� vz IT ro wi 48 Lz _ s _--. - - - _ - � $Y - __ __ -- -____ -- _-r 7�`e-wr'�h' __- x - -- -- � - e-res` "- -.i��'.`• rEf:a �Ib.,^r __ _ —__- _r-=' __ ____ — `'L' _-_- _____- --."R --- -'�' — _ _ . - -`_ --- _-- - - - �`-:.1, '.�,��"�`-fix- •t-ca,-�''"":'.'.�,1,.�. -- _ -_- __ _ - ____ _-_ __ _-_�•F� - _ _- — . __: �.bra� _ _ _ _ "v.' _ _ - - ud= • - `':_ _ ___-__ .F#*�, y. - _ - - ate-'- _-_ __ _ _`• _- _ _ _____ (�. _ ___ _ __�.�'__ _ - „M�e'�-_ - '1': __ _•_ pp _`.� __ - -.€�� �= i>"'a,+" - - '.M�-r•�'= .,"y _FY�--=,f.x � __ _ _ ___ .0, _ _ _ ___ _ Veif~� f, ... - - AT fixe`_�. _ _ _ . ` .� - -- -_-_�i�� -- - - - - - __ -- • - - - — RvR," -x,.€= r W,`a"r.. `.$p''r __�- t`µ'VfMr '3Cc - �=.5�" { _� - 7r°F.�-.,- '`r' _----- • -- - `��-"_ `nom�_— -- - -_ ___ ,.. - =t�' ---- - , �.,ate-'-- - --- -- - -•1 `�.z ,�_- �`r, - - -_ _ _ -- :su -;`a«"!''` - - - ��`;�:Y. -- - ..0..m ' ve� _ _ __ ` ___ _ •e 'pf`,.I'`'�'-__ -eL a fir. _ _ -� _ _ __ _ ^'i;""',s - __'_\�% _ _ _ ��i�'urp,xry,'<,�J _�"�. �ij:.T, _ -_-- �, ' �;£.r.'_ - ¢_'ti•`�.`" .4�u x..s_'t 3F - - -_ - - _ __ - ._ _ _ _ ____ - _ _-_ -_ _ __ __ _ ._ - _ _` _ - {l, •'.S`=� ��:.. - _'�,; _-_ . .-mss .��' "kF'�'x.cq=zs i - � - - - _.r-, = e _, _ - _- - �"- - ____-- - _ ___. art _ - - -_ {��y}_ - - - - - - y ea> _ --.§�,:� .e 0.s'"' _ 4M.,a'` e._F.,tl• w - - — - - _- _�+. __ ><=f-y` — - - - x_ _ �rzt -- C _._ -.�`_-�-• .rr�, _- -_ - ____ ___ _ ____.�2'_�3. _ __' ____ _ ,4.51�+ -__. _ _ •�� _ -_ •-?�,. __ `.�^a'i�Y ._ r�=i�pre _E - m�� . ' _ -rv� - __._ aim'`"� --- __ � - _ _ -• ___ ___ fir; a' '�'z...�a.�a�:-f`ii _' . -, __ - °r WsP�+ -y��j�� . �.h. 2,�� _ O�vao � ��hfh feet--= — - _ - _- - -- 300 teeters 90 ,4L-. o CERTIFICATE OF LIABILITY INSURANCE FDAT / Y) 05/15/2018 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 have ADDITIONAL INSURED provisions or 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 Michelle Kugler Allied Specialty Insurance,Inc NAME: 10451 Gulf,Blvdn oN o E 727-547-3070 (FAX,/ No• 727-367-5695 Treasure Island,FL 33706-4814 E-MAIL ADDRESS: mkugler@alliedspecialty.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: T.H.E.Insurance Company 12866 INSURED AMERICAN FIREWORKS DISPLAY,LLC INSURERB: P.0.BOX 980 INSURER C: OXFORD NY 13830 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPP0105319-02 03/17/2018 03/17/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �X OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES,PER GENERALAGGREGATE $ 10,000,000 PRO- POLICY JECT �LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER Protection&Indemnity $ 1,000,000 A AUTOMOBILE LIABILITY CPP0105319-02 03/17/2018 03/17/2019 Ee accl dentSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED �/ SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY /� AUTOS ( ) X HIRED �/ NON-OWNED' PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident . $ A UMBRELLA LIAB X OCCUR ELP0012117-02(GL) 03/17/2018 03/17/2019 EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED I I RETENTION$ $ A WORKERS EMPLOY RS'LI A ILIIION WCP0005259-002 03/22/2017 03/17/2018 X STATUTE ERI PER H AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE — EL EACH ACCIDENT $ 100,000 OFFICERIMEMBEREXCLUDED7 NIA Coverage is afforded in the States of NY (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$ 500,000 A Excess VLELP0012118-02(VL) 03/17/2018 03/17/2019 Each Occurrence Limit $4,000,000 Aggregate Limit $4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Display Date. 6/14/18,6/15/18,6/16/18 Rain Date- TBD Location Sound Ave.Mattituck,NY RE General Liability,the following are named as additional insured in respects to the negligence of the named Insured Reithoffer Shows,Inc.;Mattituck Lions Club,Town of Southold,NY,County of Suffolk,NY,JIMD Corp.(property owner) CERTIFICATE HOLDER CANCELLATION Town of Southold 53095 Route 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD S U.S.Department of Justice Federal Explosives License/Permit Bureau of Alcohol,Tobacco;Firearms and Explosives (I S U S.-C. Cis apter 4®) ><rtallm>naaittarltmearti�lnatnaduu�a In accordance with the piovi"stons of.Trtle XI,Organized Crime Control Act of 1970,and the regulations issued thereunder(27 CFR Parl'555),you'may engage in the activity speeified'in this license or permit.within the limitations,nf Chapter 44,Title 18,United States Code and the regulations issued thereunder;until the 1 expiration date shown. THIS LICENSE IS NOT TRANSFERA 91G' Vinik 27MCFR'555.53.,,`See"WARNINGS"and'NOTICES"'on reverse. Direct ATF ATF.-Chief,FELL Tiicense{Permit 'Correspondence To 244 Needy,Road -6`- e • .Martinsburg,WV 25405-901 Chief,Federal E losives Lieenlsing,Center(FELC } Expiration , i � � �?�l !�• F V� , Date Name AMERICAN FIREWORKS D180L°AY Ll.-p " PremisesA`ddi-ess(Changes?Notifythe.FEI;G'at7east;lOdays;beforethem6vei):, 105-COUNTY ROAD,7 t MCDONOUGH NY 13801-, Type of License or Permit ; 5:14MP,0RTER OF EXPLOSIVES Purchasing.Certificatiori_Statement Mailing Ad es :,(Changes9,Ngfify.t c FELC of any changes.) The licensee or permittee named above shall usG a copy ti>ibis license or permit tqassist a, „ transferor ofexpfosivestoverifythe identity,and ttie.license .Sthtus,ofth2;liCen�s.'.'gor permittee as providedby 27 CFR Part 555 The signature oit each cony must'bean original '' rianature ,Afaxed,scanned or e-mailed copy ofthe•license orpe "m"it':with a signature` AMERICAN.FI FtEVVORKS.DISPLAY LLC intended to be an origmai signature is acceptable. The sign:tttEre rngs4 bethat oftbe Federal „ PO,BOX,68 Explosive's Licensee(FEL)or a.i•esponsible person of tli'e FLL." ,--t fythat`f�iis,is atrue O CFf?1 I�r NY 1X850- copy of a license orpermit issuedto the licensee or petmittee,nartted`altovete engagg iu the „ ; business or operations speed above under"Type of LicenBe or.Permit'.'p, y u µ s LieenseeTermittee Responsible Person Signature Position/Title -....._. J[it3tedL�?atneDate _— AIFForm540U.14/54017.15_PattI Y._. __ 'Revised od�oberzoi 1 f'reviousEdi4EanuObsolete AMERICAN FIREWORKS DISFIAYEMUS C�DNnROAD 7,202014WORTERUMLOSiVES Federal Explosives License(FEL):Customer Service-Information Federal Explosives Licensing Center(FELL) Toll-free Telephone Number: (877)283-3352 ATF Homepage:www.atfgov 244 Needy Road FaxNumber- (304)616-4401 Martinsburg,WV 25405-9431 E-mail: FELC@atfgov i Change of Address (27 CFR 555.54(a)(1)). Licensees or 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 pennittee•is required to give notification.ofthe new location of the ' 'business or operationsnot less than 10 days prior to such removal with the'.Chiet:Federal F plosives•Licensing Center., The license or permit will'be valid foithe } remainder ofthe term of the original license or permit. (The Cinef,FELC,shall,if the'licensee or permittee is not qualified,refer the,request for amended license 9 or permit to the Nrector of,Industry Operations for denial in accordance with§555.54.) i A Ri ht of Succession 27 CFR.i55 59 a Certain,persons other than the licensee or, rmittee may secure the right to ca g ( ) ( ) p pe y g try,n the same explosive materials business or operations at the sante address shown.on,and for the remainder ofthe 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 3 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. (Continued on reverse side) CutHere --- ----------------------- —I Federal Explosives License/P.ermit(FEL)Information Card I License/PermitName:AMERICAN FIREWORKS DISPLAY LLC I I Business Name• License/Permit Number:&NY=017-51-oG-00982 I License/Permit'Type:51-IMF_FXP_LOSIVES I Expiration July 1,2020 I Please Note_Not Valid for.the.Ue or Other Disposition of Explosives= I I i a. I I V _y . LASS: Ao i 1 2- 401 }vt R 4 Y 4+q � �1.../ I ��M�$ es• . I A ,s-r" P t . I r E7(RLOSESIGEEJ3ED'.EAEI °,.UFGURER . AttEE E{CAN.FARE Wtif Y :D FLAY LL PI{S CAf# tv�IJST B,,CkRRt fl 0 w ,Puk,ASE,:;SELL.'MAfWtACTtIRF .RQSSESS ORT(iANSf'9f�T NOT VALiET`I'N NEUV-Ybk"CITY` " Ilillllllgll f1it1I111I.I�Cd .�. DMD'# 633715082' IF FOUND, RETURN,TO: =a EYES 13T,L7 NYSDOL = Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday, May 15, 2018 2:10 PM To: Duffy, Bill; Fisher, Robert; Flatley, Martin; Spiro, Melissa; Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell, Scott Subject: Emailing: Fireworks Applic Matt Li_20180515135617 Attachments: Fireworks Applic Matt Li_20180515135617.pdf Importance: High Transmitted herewith is the application of the Mattituck Lions Club for their Strawberry Festival Fireworks Permit for June 14, 15, & 16,2018. Please review and advise of any concerns questions and/or objections that you may have to the granting of this Fireworks Please review Your message is ready to be sent with the following file or link attachments: Fireworks Applic Matt Li_20180515135617 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: Spiro, Melissa Sent: Tuesday, May 15, 2018 2:13 PM To: Neville, Elizabeth; Duffy, Bill; Fisher, Robert; Flatley, Martin; Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell, Scott Subject: BE: Emailing: Fireworks Applic Matt Li_20180515135617 This property is not preserved. Melissa Spiro -----Original Message----- From: Neville, Elizabeth Sent:Tuesday, May 15, 2018 2:10 PM To: Duffy, Bill<billd@southoldtownny.gov>; Fisher, Robert<Robert.Fisher@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Dinizio,James <james.dinizio@town.southold.ny.us>; Doherty,Jill <jill.doherty@town.southold.ny.us>; Evans, Louisa <louisae@southoldtownny.gov>; Ghosio, Bob<bob.ghosio@town.southold.ny.us>; Ruland,William <williamr@southoldtownny.gov>; Russell,Scott<scottr@southoldtownny.gov> Subject: Emailing: Fireworks Applic Matt Li_20180515135617 Importance: High Transmitted herewith is the application of the Mattituck Lions Club for their Strawberry Festival Fireworks Permit for June 14, 15, & 16, 2018. Please review and advise of any concerns questions and/or objections that you may have to the granting of this Fireworks Please review Your message is ready to be sent with the following file or link attachments: Fireworks Applic Matt Li_20180515135617 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: Duffy, Bill Sent: Friday, May 18, 2018 1:03 PM To: Neville, Elizabeth; Fisher, Robert; Flatley, Martin Subject: RE: Need pyro license Mattituck Lions Ok. Good with me William M. Duffy, Esq. 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 n Fax: 631.765.6639 Email: bill.duffy@town.southold.ny.us ATTORNEY-CLIENT COMMUNICATION; ATTORNEY WORK PRODUCT; INTER/INTRA AGENCY COMMUNICATION; NOT SUBJECTTO 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. From: Neville, Elizabeth Sent: Friday, May 18, 2018 11:23 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin Subject: FW: Need pyro license Mattituck Lions Attached, please find the proper pyrotechnics license for the Mattituck Lions Club Fireworks Permit. Betty From: Jennifer Banks [mailto:americanfireworksjen@gmail.com] Sent: Friday, May 18, 2018 10:01 AM To: bsuglia@mattlaundry.com Cc: Jen Subject: Re: Need pyro license 1 Neville, Elizabeth From: Flatley, Martin Sent: Tuesday, May 15, 2018 2:42 PM To: Neville, Elizabeth; Duffy, Bill; Fisher, Robert; Spiro, Melissa; Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell, Scott Subject: RE: Emailing: Fireworks Applic Matt Li_20180515135617 I have no objections to this application being approved,we already have a traffic plan in place and the cost associated with it included in our Strawberry Festival cost analysis. Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 -----Original Message----- From: Neville, Elizabeth Sent:Tuesday, May 15, 2018 2:10 PM To: Duffy, Bill<billd@southoldtownny.gov>; Fisher, Robert<Robert.Fisher@town.southo Id.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>;Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Dinizio,James <james.dinizio@town.southold.ny.us>; Doherty,Jill<jill.doherty@town.southold.ny.us>; Evans, Louisa <louisae@southoldtownny.gov>; Ghosio, Bob<bob.ghosio@town.southold.ny.us>; Ruland,William <williamr@southoldtownny.gov>; Russell,Scott<scottr@southoldtownny.gov> Subject: Emailing: Fireworks Applic Matt Li_20180515135617 Importance: High Transmitted herewith is the application of the Mattituck Lions Club for their Strawberry Festival Fireworks Permit for June 14, 15, & 16, 2018. Please review and advise of any concerns questions and/or objections that you may have to the granting of this Fireworks Please review Your message is ready to be sent with the following file or link attachments: Fireworks Applic Matt Li_20180515135617 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: Friday, May 18, 2018 12:55 PM To: Ben Suglia (bsuglia@mattlaundry.com) Subject: Fireworks Application Attachments: fireworks app and intruc_20170808133556.pdf Ben There is an additional item I need from you. I need a copy of your contract with the Fireworks Company. If you can get them to e-mail it to me that would be great. Thank you. Betty Neville 1 Neville, Elizabeth From: Neville, Elizabeth Sent: Friday, May 18, 2018 11:23 AM To: Duffy, Bill; Fisher, Robert; Flatley, Martin Subject: FW: Need pyro license Mattituck Lions Attachments: Kevin Pyro License exp 2018 Jpg Attached, please find the proper pyrotechnics license for the Mattituck Lions Club Fireworks Permit. Betty From: Jennifer Banks [mailto:americanfireworksjen@gmail.com] Sent: Friday, May 18, 2018 10:01 AM To: bsuglia@mattlaundry.com Cc: Jen Subject: Re: Need pyro license Here you go, let me know if you can't open it. Have a great weekend! On Fri, May 18, 2018 at 9:56 AM, <bsu liagmattlaundry.com>wrote: Good Morning Jen, The town contacted me and said they need one more of Kevin's licenses. I scanned the one from last year and attached it. If you could forward it to me that would be great. Thank you, Ben Suglia Mattituck Laundry 631-298-1963 i Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday, May 15, 2018 3:04 PM To: Duffy, Bill - Subject: RE: Emailing: Fireworks Applic Matt Li_20180515135617 OK I will advise them. -----Original Message----- From: Duffy, Bill Sent:Tuesday, May 15,2018 2:59 PM To: Neville, Elizabeth Subject: RE: Emailing: Fireworks Applic Matt Li_20180515135617 I do not believe the license attached is the correct licens. We need a pyrotechnic license. The license provided is to transport,sell,and manufacture. I do not believe it is valid to set off the fireworks. William M. Duffy, Esq. 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.duffv@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:Tuesday, May 15,2018 2:10 PM To: Duffy, Bill; Fisher, Robert; Flatley, Martin; Spiro, Melissa; Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,William; Russell,Scott Subject: Emailing: Fireworks Applic Matt Li_20180515135617 1 INSTRUCTIONS FOR DISPLAY OF FIREWORKS 1. Name of body sponsoring fireworks display. 2. The date and time of day at which the fireworks display is to be held. 3. The exact location planned for the fireworks display, including TAX MAP NUMBER. 4. The age, experience and physical characteristics of the persons who are to do the actual discharging of the fireworks. 5. The number and kind of fireworks to be discharged. 6. The manner and place of storage of such fireworks prior to the display. 7. A diagram of the grounds on which the display is to be held, showing the point at which the fireworks are to be discharged, the location of all buildings, highways and other lines of communication, the lines behind which the audience will be restrained and location of all nearby trees, telegraph or telephone lines or other overhead obstructions. 8. Such other information as the Southold Town Clerk may deem necessary to protect persons and property. Written permission of the property owner is required. 9. An indemnity insurance policy with liability coverage and indemnity protection of $1,000,000.00 per person for bodily injury; $1,000,000.00 per accident; $1,000,000.00 property damage. 10. The Town Clerk of the Town of Southold must have the insurance policy in her possession before the fireworks permit is issued. The named insured must read: TOWN OF SOUTHOLD. 11. Application for a fireworks permit must be made at least five days in advance of the date of the fireworks display. (The above instructions are in accordance with the Penal Law, Article 405 - Licensing and other provisions relating to fireworks.)