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EVENT TITLE/TYPE: ,.. St?u.fODd
LOCATION OF EVENT: ILB_o_w_e_n_'s_W_h_a_rf _
Title: _
]
Hours of Event:
Printed Name: IL _B_art_I_et_t_S_,_D_u_n_b_ar --'--
------------,....-------
Address of Rolder of Event: 113 Bowen's Wharf, Newport, RI
Business Telephone: Residence Telephone: ILCC
S4
-'-'S-'-',Oc.:
9
-'-'7_5 _
Is Organization Non-Profit? 1-N\i::=.J Is Organization Religious? LIN::..:..=.O _
Is there a charge for admission? INO :J _. _
I
Private Property ]
Is event to be on City, State, or Private Property? L _
Date(s) of Event:
Holder of Event & DBA:
, ..". Signature ofRolder of Event:
Name of Property Owner of Event Site: Bmilett S, Dunbar
Signature of Property Owner: J/'-z==:::--r----"y----------i
Printed Name of Property Owner: IL_B_ar_tl_et_t_S_,D_u_n_b_ar _
Will Event be Indoors or Outdoors? IOutdoors
(Include Plan) '-. _
EVENT HOLDER Bowen's Wharf Co. Inc.
APPLICATION FOR A SPECIAL EVENT LICENSE
(Page 2)
If Outdoors, will toilet facilities be provided? IL...::..Y=.ES=--__
,--------------------,
If so, location of toilet facilities: Public RestroomsI \)IU5 pOfro flc.e tsqvw
(Include on plan)
Will a tent be erected? I YES I COPY OF TENT PERMIT MUST BE ATTACHED,
(Include on plan)
Expected Attendance:
13crot{ da.y
ISeating Capacity:
I
Is parking available:
INo
I For how many vehicles?
IN/A
CONCERT l1Io
I
Is staging or platform required? lYE.:? IAmplification? Iyes I
List types of musical instruments:
!IJO-.(iOOSVD(o.\ a.N M. 1
ro
"(JSA{cooW.. <;)'\{iWIt'd ,\tS'\YUlMS/tuh!;Ad, lCtybottnJl
DANCE I NO IDEEJAY INO I Amplification: IL :..:N:::.O _
SPORTING EVENT [N"o I Type: _
Set-up Dates (Sporting events only): , _
PLAY INO If yes, what type:
---
CARNIVAL I NO CIRCUS I--,N:..:..::.O__I Will there be animals?I..L.N"",'--,::o__1
If yes, types of animals: [:....-. ' _. .. . J
SHOW OR EXHIBITION: I NO Type: 1-- 1
OTHER (describe) LI I
Are required approvals attached, e.g., State, Recreation Dept.? I I
Is a street closing being requested? INO I
Will food be prepared on the premises? 1_'1'-(,""'.=:S'-- _
---7"Ifso, is Health Dept. Inspection Approval attached?
EVENT HOLDER Bowen', Wharf Co.. Inc.
APPLICATION FOR A SPECIAL EVENT LICENSE
(Page 3)
Will LIQUOR be served? 1-!',j-",r6",, _
If yes, will you be applying for a Class F or F-I Liq\}or License? '_N_I_A _
Ifnot, will another's license be used? ly.L. __
If so, whose?
Will there be gambling, e.g., bingo, raffle, etc.?aJQ]Do you have State Police APproval?D
List Names of Vendors Item to be Furnished
',' - -
:.c..c. . ...;...-'""'.., ....,.,."'."';"'---"'",-:>.:. .,__,,,,_ .
For Retail Sales - Have you eompleted a "Promoter's Applieation For Permit to Operate a
Show or Event" with RI Division of Taxation? (Contact No.: 222-2957)
FIREWORKS
Do you or the pyrotechnic have Newport Fire Marshal approval? I_N:...:;..:/A.e:- _
Location from where fireworks will be shot: IL _
Time fireworks will begin: I Duration: IL _
NOTE: If fireworl{s are to begin or end after 10:00 p.m., a sound variance must be
obtained. Iffireworks are for longer than 15 minutes, arrangements must be made
for police detail officers at sponsor's expense.
ROAD RACE, WALK-A-THaN, ETC. On Roadway(s) c=J On Sidewalk(s) c=J
Has notification been made to residents along the route? __
Have temporary signs been posted? __(Signs must be removed by the following day.)
SPECIFIC ROUTE:
DATE:
EVENT TITLE/TYPE:
LOCATION OF EVENT:
Date(s) of Event:
Hours of Event:
Holder of Event & DBA: I
It:
XSignature iJfHolder of Event: I
Printed Name: LZkL R
e
/d4
0
r1e lM.a,rCtr bkRfv'd Gnn.enl
Address of Holder ofEvent: I IO"t old.. (Ccl.=JPd. Ak...wP"CLI2J: oafYb
Business Telephone: I '90 {- Q&&D I Residence Telephone: I I
Is Organization Non-Profit? I ye 3, I Is Organization Religious? L..I...e.....
Is there a charge for admission? I IA/O I I
Is event to be on City, State, or Private Property? . {i-
Name ofProperty Owner ofEvent ...7b I
XSignature ofProperty Owner: I Il\ i
, i,
Printed Name of Property owner:I'T\ r;) 'J! M ' ? i.. I,
. 'M.. I\ ffi)n-e.
Will Event be Indoors or Outdoors? I
(Include Plan) _C",.' .... _
1 AIM =-:J
,
EVENT HOLDER [(-In \.14 IJ c( An
APPLICATION FORPi SPECIAL EVENT LICENSE
(Page 2)
If Outdoors, will toilet facilities be provided?
--"--'--"--'-----------------------------------
If so, location of toilet facilities:
(Include on plan)
Will a tent be erected?
(Include on plan)
Expected Attendance: .
Is parking available:
I
/vlo
,
COpy OF TENT PERMIT MUST BE ATTACHED.
Seating Capacity: ,'-- _
For how many vehicles?
CONCERT I AJ/f+ I Is staging or platform required?
List types of musical instruments:
____1 Amplification? 1:...- _
DANCE 1-''----_1
DEEJAY
Amplification: 1 _
SPORTING EVENT 1 _
Set-up Dates (Sporting events only):
Type: 1 _
PLAY 1__--'
CARNIVAL
Ifyes, what type:
CIRCUS
Will there be animals? I_---J
Are required approvals attached, e.g., State, Recreation Dept.?
If yes, types of animals:
SHOW OR EXHIBITION: Type: 1_' _
OTHER (describe) ':::i::> \ \.. _\ r
L.... I--" :(-"' ..'J.;"'--'"'\. _
I IVIR:
Is a street closing being requested?
Will fdod be prepared on the premises?
If so, is"Health Dept. Inspection Approval attached?
EVENT HOLDER CWY7 L
APPLICATION FOR A SF IAL EVENT LICENSE
(Page 3)
I NO
If yes, will you be applying for a Class F or F-I Liquor License?
Ifnot, will another's license be used?
If50, whose? I ....,..---
Will LIQUOR be served?
Will there be gambling, e.g., bingo, raffle, etc. ?II\) c..! Do you have State Police Approval? I/ullll-
List Names of Vendors Item to be Furnished
For RetaiiSales Have you completed a "Promoter's Application For Pel'mit to Operate a Show or
Event" with RI Division of Taxation? (Contact No.: 222-2957)
FIREWORKS
Do you or the pyrotechnic have Newport Fire .. _
Location from where fireworks will be shot:
Time fireworks will begin: LI _ Duration: LI _
NOTE: Iffireworks are to begin or end after 10:00 p.m., a sound variance must be obtained.
If fireworks are for longer tban 15 minutes, arrangements must be made for police
detail officers at sponsor's expense.
ROAD RACE, WALK-A-THON, ETC. On Roadway(s) LI__
On Sidewalk(s)
Has notification been made to residents along the route? _
Have temporary signs been posted? (Signs must be removed by tbe following day.)
SPECIFIC ROUTE:
I
J4-t3:"""-IO
VtO I
10/13/11
Hours of Event:
LOCATION OF EVENT:
Date(s) of Event:
EVENT TITLE/TYPE:
Holder of Event & DBA:
Address of Holder of Event:
Signature of Holder of Event:
Business Telephone: I 1A1'5 @1.-54? I Residence Telephone: I
Is Organization Non-Profit? I Is Organization Religious?
Is there a charge for rr3CJ.Q- I
Is event to be on City, State, or Private Property? L_W.L...: v::....m=-=(l=-- _
Name of Property Owner of Event Site: IL_
Th
-=-_\!\J
L
l
L
5_fL_-=Cci=--_A_(l;-=--y1- _
Signature of Property Owner:
Printed Name of Property Owner: VeNISet. A
Will Event be Indoors or Outdoors? I 1Vld
(Include Plan) L....---""-----=-----.:=----=- _
EVENT HOLDER . "
APPLICATION FOR A SPECIAL EVENT LICENSE .
(Page 2) .
If Outdoors, will toilet facilities be provided?
If so, location of toilet facilities:
(Include on plan)
COpy OF TENT PERMIT MUST BE ATTACHED.
Is staging or platform required? I Z< I Amplification?
Is parking available:
Will a tent be erected? L.l1et'1
(Include on plan)
Expected Attendance:' Q00-1501
LS(0JIr1
CONCERT CJ7W?1
Seating Capacity: _
For how manYVehicles?' c=:.w__
/1
List types of musical instruments:
,
DANCE
1iI\lVl .....
DEEJAY
Amplification: __"__---,
SPORTING EVENT C1tffX I Type: IL...- _
Set-up Dates (Sporting events only):
PLAY
C-IkrJ I
If yes, what type:
Will there be animals? IL _
Type: 1_' _
CARNIVAL C2fTI[J CIRCUS
,------------------------
If yes, types of animals: IL _
SHOW OR EXHIBITlON:11:IQJ
OTHER (describe)
Are required approvals attached, e.g., State, Recreation De
Is a street closing being requested?
Will food be prepared on the premises?
If so, is"Health Dept. Inspection Approval attached?
1/
[]1Q,UVo5lQd=J
I/'I
1
APPLICATION FOR A SPECL<\EVEN iIC 'SE -'01 V)
(Page 3)
If yes, will you be applying for a Class F or F-I Liquor License?
Do you have State Police Approval?JL
Item to be Furnished
Will LIQUOR be served?
I YQS
0---:""1\0-"
If not, will another's license be used? --I I
If so, whose? __
Will there be gambling, e.g., bingo, raffle, etc.
List Names of Vendors
_
For RetailSales - Have you completed a "Promoter's Application For Permit to Operate a Show or
Event" with RI Division of Taxation? (Contact No.: 222-2957)
FIREWORKS
Do you or the pyrotechnic have Newport Fire ===_::'.' _
Location from where fireworks will be shot:
Time fireworks will begin: IL""'<:/'--/_/ _
Duration:
NOTE: Iffireworks are to begin or end after 10:00 p.m., a sound variance must be obtained.
If fireworks are for longer than 15 minutes, arrangements must be made for police
detajl officers at sponsor's expense.
ROAD RACE, WALK-A-THON, ETC. On Roadway(s) On Sidewalk(s)
Has notification been made to residents along tbe route? _
Have temporary signs been posted? (Signs must be removed by the following day.)
SPECIFIC ROUTE:
LOUNGE
LOUNGE
,.
KITCIWI
~
iJJJJ.IIlIWIiJ1
!i
.........- .....--.. ..
II
......
-.
i'_.
"
City of Newport, Rhode Island '
APPLICATION FOR A SPECIAL EVENT 2 C
I i e!jl; 0]'
i
EVENT TITLE/TYPE:
Date(s) of Event:
Hours of Event:
Holder of Event & DBA:
7: 00f'fY'\ - l'l. '. OOc"CV\ I
-; Y(\LS'tde,n-t-
Printed Name: I T{. S/'\\",hj-V Title: Itpres,dQ..r-.+
Address ofHolder of Event: I L, Gk"V1!C..vv 'l)cwe....)3rtsio\ dZ)?OC7)
Business Telephone: I Qo \ - S10'1-' 17-45 I Residence Telephone: I 3'\b I
Is Organization Non-Profit? I 'ire., I Is Organization Religious? I_U_O__
Is there a charge for admission? I 'f?=5 I I 1
Is event to be on City, State, or Private Property? '--_-Je...,------
Name of Property Owner ofEvent Site: I Se_Q.... ie.....v- "Ce.-
,Signature of Property Owner: I CD\.)"\TI.-A c... T -f\"TT' cl.-\-CD
Printed Name of Property owner:1 \<" ...,...... C 0 --r' 1
' ...l' '- L0\.{ '<:.."1) v-'.f'-c.,,( K.e..Si:),)rCes J;f'lC
Will Event be Indoors or Outdoors? I;eN'D0 () rL5
(Include Plan) '---- _
EVENT HOLDER T.S'c') - "tsl.:I'C\
APPLICATION FOR A SPECIAL EVENT LICENSE
(Page 2)
If Outdoors, wiI! toilet facilities be provided? I
If so, location of toilet facilities:
(Include on plan)
I 'JOe, I
IN() I
I_y.......... o-=o:--I
Will a tent be erected?
(Include on plan)
Expected Attendance:'
Is parking available:
CONCERT I1-1if'-
i
COPY OF TENT PER1\lIT MUST BE ATTACHED.
. Cct::.M-J f&ceptc<->,>
Seating Capacity: I ---J
For how many'vehicles? I 100 -T. I ().. C,o
"Mos--r rt-j -l-l6T.(.h wi "I(Loe.--t-e'-f ->c-r'\Il /"-...
Is staging or platform required? I I'J 0 I Amplification? -I
List types of musical instruments:
1 ----
DANCE
If-.) )-i'
,
I
DEEJAY I ye::, .
Amplification:
SPORTING EVENT' INk
I
Set-up Dates (Sporting events only):
Type: I VJ!A'
NO
Will there be animals?
1_1\l-<../_l=-\ --;;-:". _
CIRCUS
If yes, what type: PLAY I tJ If>. I
,
If yes, types of animals: rJ I
'-----"------------------------
SHOW OR EXHIBITION: Type: 1"-'..:-N'I_-P. _
OTHER (describe) I QQ..l\<MB-lJ ",d:'<J,.\$if
Are required approvals attached, e.g., State, Recreation Dept.?
Is a street closing being requested?
Will food be prepared on the premises?
If so, is"Health Dept. Inspection Approval attached?
NO
S I Cole.,f-e-v RJss Mctl(j
__I
EVENT HOLDER 7' s; (' s - R.. Irie,,, c:,J
APPUCAnON FOR A SPECIAL EVENT LICENSE
(Page 3)
Will LIQUOR be served?
If yes, will you be applying for a Class F or F-I Liquor License?
If not, will another's license be used?
If so, whose? I f; f\t:. C_-le" b U2v 55L{{
I 'Y
fS
I tJO
.1 yes
Mo rli'\
Willthere be gambling, e.g., bingo, raffle, etc. Do you have State Police Approval?
List Names of Vendors
'KU'5sccO :f.ie..
\cJrs (j '"I \MIt: &) "
Item to bJYumished
+J-?Jz
For Retail Sales - Have you completed a "Promoter's Application For Permit to Operate a Show or
Event" witb RI Division of Taxation? (Contact No.: 222-2957)
FIREWORKS
Do you or the pyrotechnic have Newport Fire Marshal approval?
I
Location from where fireworks will be shot:
Time fireworks will begin: 1__l\)4(fl:.."__
z
On Sidewalk(s) On Roadway(s)
If fireworks are to begin or end after 10:00 p.m., a sound variance must be obtained.
If fireworks are for longer than 15 minutes, arrangements must be made for police
detail officers at sponsor's expense.
NOTE:
ROAD RACE, WALK-A-THON, ETC.
Has notification been made to residents along the route? _
Have temporary signs been posted? (Signs must be removed by the following day.)
SPECIFIC ROUTE:
INTEFiNATIOf\lAI_
SPECIAL EVENTS SOCIETY
RHODE ISLAND CHAPTER
The City of Newport- Rhode Island
Kathleen M. Silvia, City Clerk
City Hall
43 Broadway
Newport, RI 02840
Dear Ms. Silvia:
Thank you for your assistance via telephone yesterday. Please find enclosed information on the
International Special Events Society- Rhode Island Chapters "Halloween Bash" slated to take place
October 22, 2011 at Seaview Terrace.
ISES Rhode Island is the local chapter ofthe International organization. It was started in 1988 and has
been a part of most of the major events that are produced and hosted in Newport. Our membership is
comprised of all the individual venues in the area, caterers, rental companies, entertainment providers,
tent companies, hotels, restaurants, destination management companies, CVBs, event planners and so
much more.
ISES RI has been producing the annual Halloween Bash since 2007 in Newport, RI. The Halloween Bash is
integral part of our organization as it is the main funding source for our philanthropic initiatives,
education programs and annual scholarship and merit program.
The funds raised at this event along with our year round programs have allowed us to give back more
than $8,000 dollars to the community annually. During this past year we were able to give back to the
following organizations:
- Crossroads Rhode Island - $1,275
- Gloria Gemma Breast Cancer Resource Foundation - $2,500
- AI's House Providing Support for Individuals with Alzheimer's and Dementia - $1,275
- ProVisions United - $500
- US Marines Toys for Tots - $1,275
- Merit and Educational Scholarship Program - $1,300
INTERNATIONAL
SPECIAL EVENTS SOCIETY
RHODE ISLAND CHAPTER
Without the ability to host this event, we would not be able to provide these much need funds and
resources to this diverse mix of organizations. It would also have a severe impact on the operations of
organizations and the ability to produce and host future events in Newport.
It is the hopes of the ISES-Rhode Island to continue a long standing relationship with the City of Newport
and to be an integral part ofthe community that we live and serve.
Regards,
Bryan M. Sawyer
President
International Special Events Society
Rhode Island Chapter
DATE: _
EVENT TITLE/TYPE:
LOCATION OF EVENT:
Date(s) of Event:
Hours of Event:
Holder of Event & DBA:
'==CJ::::L.=::' 1'='=02=02.=+=,;)='
I
Signature ofHolder of Event: I I
printedName:! !<tJ..'Safi)tf1:!?le j!A-IVe- I Title: -,
Address of Holder of Event: lit! 1 LQ;,,:/:/-.;;. /11 /Jd, I-I::r; I
Business Telephone: I ?l.j-tp -()!rl5)(d.. I Residence Telephone: 1g.40 I
Is Organization Non-Profit? I Is Organization Religious? 1 ---'
Is there a charge for admission? I .1/(} I I . <' ') I
- r(2..(p;476!.-- f1CopePe;
Is event to be on City, State, or Private Property? __ __.Q.(L --J
Name of Property Owner ofEvent Site: I/1/e-cU;)"ote...to !/{s I
Signature of Property Owner: I fS;r VI/! 0 > L I
. (:.d-uR.. .
Printed Name of Property owner:1 j(ose rf}f+1e( 8- f:!-1t.Ne-- I
Will Event be Indoors or Outdoors? I
(Include Plan) .
EVENT HOLDER
APPLICATION FOR A SPECIAL EVENT LICENSE
(Page 2)
If Outdoors, will toilet facilities be provided?
If so, location of toilet facilities:
(Include on plan)
Seating Capacity: I /5?!RCf-<;'
For how
COpy OF TENT PERIVIIT MUST BE ATTACHED.
yes I
i
_cl",,--,,-o_o_1
..........;...
---,10,-"--,,,-0_1
Will a tent be erected?
(Include on plan)
Is parking available:
Expected Attendance: .
CONCERT I I/O Is staging or platform required? I Y-tJ I Amplification? Id/'O .1
List types of musical instruments:
Amplification: 'l-'-'&!;"'-I-'Iit ..... _ DEEJAY
I __
DANCE
SPORTING EVENT Type: 1 .-.:.M-'+-lU...c. _
Set-up Dates (Sporting events only):
ijl
PLAY If yes, what type:
CARNIVAL __-J.__--,I-;-W_i_ll_th_e_re_be_an_i_m_a_lS_?_-+ _
If yes, types of animals: If
SHOW OR EXHIBITION: I Y(!..$ I Type:
,
OTHER (describe) 1,-. _
Are required approvals attached, e.g., State, Recreation Dept.?
Is a street closing being requested?
Will food be prepared on the premises?
fes
,
If so, is"Health Dept. Inspection Approval attached?
--I
EVENT HOLDER - - c - - - - - c - - : : - - = - - - c : - = : - = - : : - = - ~ = c
APPLICATION FOR A SPECIAL EVENT LICENSE
(Page 3)
Will LIQUOR be served?
If yes, will you be applying for a Class F or F-l Liquor License?
Ifnot, will another's license be used?
If so, whose?
I ~
1_-
.. 1 /i/P
Will there be gambling, e.g., bingo, raffle, etc.?IL.. _
List Names of Vendors
Do you have State Police Approval? ,__---.J
Item to be Furnished
For Retail Sales - Have yon completed a "Promoter's Application For Pel'mit to Operate a Show or
Event" with RI Division of Taxation? (Contact No.: 222-2957)
FIREWORKS jti{)
Do you or the pyrotechnic have Newport Fire Marshal approval?
Location from' where fireworks will be shot:
Time fireworks will begin: IL.. _ Duration: I ~ _
NOTE: If fireworks are to begin or end after 10:00 p.m., a sound variance must be obtained.
If fireworks are for longer than 15 minutes, arrangements must be made for police
detail officers at sponsor's expense.
ROAD RACE. WALK-A-THON, ETC. On ROadWay(S)C#J On Sidewalk(s) ~
Has notification been made to residents along the route? _
Have temporary signs been posted? (Signs must be removed by the following day.)
SPECIFIC ROUTE:
DATE:
'I
i
!; \
City ofNewport, Rhode Island ." 0 n . i
.... ,..': .. T i \
; pICz.13
. 1
July 15, 2011 '"" .. J
EVENT TITLE/TYPE: I Arts & Crafts Extravaganza
LOCATION OF EVENT:
BPO Elks #104; 141 Pelham Street; Newport, RI
Date(s) ofEvent:
INovember 12, 2011
Hours of Event:
110:00 am - 3:00 pm
Holder ofEvent & DBA: Turning Around Ministries, Inc. ; Cheryl G. Robinson DBA
Signature ofHolder of Event: I
Printed Name: 1 Cheryl G. Robinson Title: IPresident
Address ofHolder of Event: P.O. Box 3151; 50 Dr. Marcus F. Wheatland Blvd.; Newport, RI 02840
. 1401-846-8264 . 1401-846-5202
Busmess Telephone: ReSidence Telephone: -----J
Is Organization Non-Profit? 1 Yes Is Organization Religious? I ..J
Is there a charge for admission? I-N-o----I 1-------------------
Private Property
Is event to be on City, State, or Private Property?
r---------------------,
Signature of Property Owner:
Name of Property Owner ofEvent Site:
L--,,-#-:fi---;:;,,----------------'
Printed Name ofProperty Owner: Benevolent Protective Order of Elks #104
Will Event be Indoors or Outdoors? 1 Indoors
(Include Plan) L- .-J
Turning Around Ministries, Inc.
EVENT HOLDER
APPLICATIO"-NC"":F=-O=-R::-C-A---:S=P-=E-=C=-IA::-::L=-E=VE=-=N-=T=L-=-IC=-E=N=C:
SE
(Page 2)
If Outdoors, will toilet facilities be ---,
If so, location oftoilet facilities:
(Include on plan)
Will a tent be erected?
(Include on plan)
COpy OF TENT PERMIT MUST BE ATTACHED.
Expected Attendance:
Seating Capacity: 1 -'
Is parking available: For how many vehicles?
CONCERT I_NO__-,
Is staging or platform required? Amplification?
List types ofmusical instruments:
1 ----
DANCE DEEJAY
Amplification: 1 _
SPORTING EVENT 1__---' Type: I
Set-up Dates (Sporting events only):
PLAY If yes, what type:
Will there be animals? 1 _
Type: 1Arts & Crafts
CIRCUS I_NO__-,
OTHER (describe) I
---------;=============
Are required approvals attached, e.g., State, Recreation Dept.? Il-N_/A _
Is treet closing being requested?
CARNIVAL I_N_o__
------------------------
Ifyes, types of animals:
SHOW OREXHIBITION: 1Yes
/
Will food be prepared on the premises?
If so, is Health Dept. Inspection Approval attached?
EVENT HOLDER Turning Around Ministries, Inc.
APPLICATION FORA SPECIAL EVENT LICENSE
(Page 3)
Will LIQUOR be served?
If yes, will you be applying for a Class F or F-l Liquor License?
If not, will another's license be used?
Ifso, whose? IL... _
Will there be gambling, e.g., bingo, raffle, etc.? IL...N_o_---J
List Names ofVendors
Do you have State Police Approval? 1 _
Item to be Furnished
For Retail Sales - Have you completed a "Promoter's Application For Permit to Operate a Show or
Event" with RI Division of Taxation? (Contact No.: 222-2957)
FIREWORKS
Do you or the pyrotechnic have Newport Fire =N=/A=====- _
Location from where fireworks will be shot:
Time fireworks will begin: IL... _ Duration: 1 _
NOTE: Iffireworks are to begin or end after 10:00 p.m., a sound variance must be obtained.
If fireworks are for longer than 15 minutes, arrangements must be made for police
detail officers at sponsor's expense.
ROAD RACE, WALK-A-THON, ETC. On Roadway(s) On Sidewalk(s) [=:J
Has notification been made to residents along the route? _
Have temporary signs been posted? (Signs must be removed by the following day.)
SPECIFIC ROUTE:
Date paid:
Date: _
SEP 2 0 2011
. CITY OF NEWPORT, RHODE ISLANP
. .,! t. .'
APPLICATIONTO HANG BANNERS OVER THEPUBLic RIGB'I'-OF-WAY
DATE:413/
f
{__
TO THE HONORABLE COUNCIL OF THE CITYOF NEWPORT:
Application is hereby made to hang a banner or banners over the public rights ofway.
No. of Banners: .-J Dates: q/Jq.- 10/3
, ,
(No earlier thanthree weeks before event; remqval within three days after event)
Size and Description ofBatUler (include photo or drawing): _
0( lc.&til--,
Applicant: c/Cfctl., 8tt 7.1 ISd/l--e" legI M fA n,..;,
7 'fT . =0
d/b/a: ---.- ---------
Signature ofApplicant: .
Printed Name: g .
Address: (00 OCf/t {{l,/ (0/'/1-/ A;'fLR-ftdt
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Business TeL No. -;II S" Home Tel. No.
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************************* For Office Use Only ************************
Property Owner(s) Approval Rec'd: _-"- ------'-----
National Grid & RIDOT Approvals Rec'd, if applicable: _
Insurance Celtificate Rec'd (City ofNewportnsmed ns certificate holder; $1 million personal bodily Injury;
$Z'million general aggregate coveragll):
$15.00 Filing Fee paid: _
License Fee ($20 pel' day): $ _
Council Action: _
Date License Issued: _
the patt of the City of NewpOlt by allowing this defect as described to remain in the city street for
ATRUE COpy ATTEST:
I
Dennis MTaber
1
(
an extended period of time, and the failure ofthe City of Newport to adequately inspect the city
street and warn those who traverse this area of the dangerous condition of said city street, and/or
the failure of the City of Newport to repair this defective condition, which condition created an
unsafe and unreasonably. dangerous condition for pedestriansJawfully using said city stre.et.
The claimant, Debrina Heup, has been damaged as a result of the injuries sustained and
has incuned medical and hospital charges, other associated damages, as well as pain and
suffering. The claimant is lli1able to demand a sum certain in damages at this time as she remains
disabled and continues to receive medical treatment for the injuries sustained.
' 1 . y ~
Dated at Newport, Rhode Island this .. day of September, 2011.
Debrina Heup
By her attorney,
Francis S. Holbrook II, (3412)
Miller Scott & Holbrook
122 Touro Street
NewpOli, RI 02840
401-847-7500
Fax: 401-841-8534
2
".
PROOF OF SERVICE
I hereby celiify that on the date below I served a copy of this "NotiCe of Injury to City of
NewpOli", dated , by delivering said papers personally to the City
Clerk's Office, City of Newport, Newport, Rhode Island.
Address:
City Clerk
Newport City Hall
43 Broadway
NewpOli, RI 02840
Name of Authorized Agent Accepting Service:
City Clerk's Office
Newpprt City Hall
43 Broadway
NewpOli, RI 02840
Date: September _.__, 2011.
Constable
Service Fee: $, _
S:\JAbram\Personal hijury\Nolice oflnjuTy\HEUP, Debrina,wpd
3
J IThe Motorists Insurance
.. Group,You know
P.O. Box 182476, Columbus, Ohio 43218-2476
September 6, 20II
Attn: Julie Forgue
Newport Water Authority
43 Broadway
Newport, R1 02840
I
n SEP 12 2011
Director of Utilities
City of Newport, RI
Our Claim Number
Our Insured
Date of Loss
Your Policy Number
Your Claim Number
CLM0076050
Vitor Fellows
08-01-2011
Unknown
Unknown
Amount of Loss
Property Damage
Medical Payments
Personal Injury Protection
Other
Insured's Deductible
Total Amount Requested
$8,419.01
$8,169.01
$0.00
$0.00
$0.00
$250.00
$8,419.01
SUBROGATION NOTICE
We have been informed that you are the iusurance carrier for the party designated above as your
insured. Our investigation indicates the loss was caused by the negligence of your insured.
Please accept this letter as notice of our subrogation rights. Enclosed is our documentation to
support our claim.
Kindly forward payment for the Total Amount Requested as noted above or contact the
undersigned within 15 days to avoid litigation or arbitration. Please send your check to:
The Motorists Insurance Group
P.O. Box 182476
Columbus, Ohio 43218-2476
As part of our review and administration of this claim, we may provide to you nonpublic, personal
information about our policyholder. This disclosure is permitted, yet limited, by federal and state
Privacy laws. Accordingly, your company, including any agents or employees, is not authorized or
permitted to use the information we provide for any reason other than the review and
administration of this claim. Additionally, you may not disclose or share this information with
anyone, except as is required to process the claim. Please be sure to reference the Claim Number,
CLM0076050, correspondence to ensure proper routing.
'the MCiioilsls 'Insurance Group
Molorisls Mutual Insurance Company
Motorisls lile Insurance Company
MICO Insurance Company
American Hardware Mutual Insurance Company Wilson Mutual Insurance Company
AHM Insurance Agency, Inc. Broad Street Brokerage, llC
Iowa Mutual Insurance Company
Iowa American Insurance Company
Phenix Mutual Fire Insurance Company
Phenix Mutual Insurance Company
Adam Cacchione
Subrogation Adjuster
(800)200-2550 Ext. 5
Adam.cacchione@motoristsgroup.com
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To City of Newport, R.I.,
Director of Utilities
City ef Newport, RI
Aug. 31, 2011
My name is Charlie Holder and I am the General Manager of The Pier Restaurant
at 10 Howard Wharf. On Saturday, August 16, 2011at approximately 1:00pm it
was noticed that water was coming up through a small sink hole on Thames St
and Howard Wharf. The water traveled down the wharf into a sewer which drains
out into Newport Harbor. At approximately 4:30pm, United Water came down to
survey the leak and informed The Pier Restaurant that the leak was from our
sewer line which runs up Howard Wharf and connects to the city sewer line. Due
to this discovery, The Pier Restaurant was told to shut down their septic tank,
which pushes all waste from the restaurant to the main sewer line on Thames St.
To do so would require The Pier to close for business, which being in the middle
of the weekend in August would prove to be financially burdening. The Pier had
to call in Hallman Septic Systems to keep a pump truck on location to constantly
pump out the built up waste in the septic tank until the sewer line was fixed.
The Pier Restaurant, again being informed that it was responsible for the leak,
also had to bring in a construction crew to open a hole on Thames St. to find the
origin of the leak and fix the problem. R.J. Cawley Contracting, Inc. was brought
on site on Tuesday August 19
th
to begin excavation. Representatives from United
Water and City of Newport were on hand to survey the work. Upon excavation it
was deemed that the leak in the pipe was caused by a blockage at the connection
of the sewer line from The Pier Restaurant on Howard Wharf to the city's main
sewer line on Thames St. It was deemed by those on hand that the blockage was
caused by negligence from the installation of new sewer lines on Thames St. This
fact is also stated in the assessment in R.J. Cawley's invoice.
Howard Wharf 0 Newport, RI 02840 0 Tel 401.847.3640 0 Fax 401.847.3645
After the pipe was fixed and the blockage removed, Traver's Plumbing was
brought in by The Pier Restaurant to jet out the sewer line on Howard Wharf to
ensure the pipe was draining properly into the City's main sewer line. Fernco
Services was also brought in to give an estimate on the replacing of the #1 pump
in The Pier's septic tank which was damaged due to a work overload brought on
by the blocked pipe.
As a result of the negligence during the reconnection of the sewer line on Howard
Wharf to the City's main sewer line on Thames St., The Pier Restaurant is
requesting a complete reimbursement of all work done on this project from The
City of Newport, R.I .. The total amount of all work done comes to $19,275.00.
Attached are copies of all bills for work done during this situation.
Any questions on this situation may be referred to Peter Kyriakides, business
owner of The Pier Restaurant, 10 Howard Wharf Newport, R.1. 02840 or by cell
phone at 374-2727 or myself at (239)272-5005.
Thank you for your expedient cooperation on this matter.
S;'a
=tTclrlie Holder, General Manager, The Pier Restaurant
THE CITY OF NEWPORT
RESOLUTION
OF THE
COUNCIL
NO. _
WHEREAS, On August 7, 2011, at 1:09 pm, the Newport Fire
Department received a call reporting two people in
distress in the waters near 12:00 O'clock High
adjacent to Ocean Avenue, near Wynan's Avenue, and
they immediately dispatched Engine 2, Engine 5,
Rescue 2, Marine 1, the Special Hazards Truck with
the Water Rescue Trailer and Car 2, followed by Car
1 to the scene, and
WHEREAS, within 3 minutes Rescue 2 was on the scene, sizing
up the situation and making preliminary rescue
attempts by lowering a rope to one of the stricken
swimmers. And they were soon joined by the rest of
the rescue team in a valiant lifesaving endeavor to
rescue both swimmers. And the result of this
undertaking was the saving of a young man's life
that would have surely been lost, had it not been
for their experience and training taking over, and
shaping a professional, well-organized, and
courageous effort by all involved. And
WHEREAS the rescue of only viable victim was quickly
accomplished by all the personnel who were on site,
and the rescue team leadership showed courage and
restraint, and resisted the temptation to send
personnel into the water again to attempt to
recover the second victim who's exact location was
unknown, and who had already expired, and which
would have only led to responder casualties because
of the extremely unfavorable environmental
conditions. And the heroic efforts of all rescue
personnel were performed expertly and selflessly.
And support was provided by United States Coast
Guard, RIDEM Environmental Police, Jamestown Fire
Department, East Greenwich Fire Department Dive
Team and the Rhode Island State Police.
RESOLVED: that the Council of the City of Newport and its
citizens, hereby recognize and sincerely thank the
following Police & Fire personnel: Car 2, Captain
Francis Young, Engine 2, Captain Brian Dugan,
Firefighters James Brown and Andrew Palmer.
Special Hazards, Firefighters David Sieben and
George Stepalavich, Marine 1; Lt. David Murphy
Firefighters, Derek Crossman and Daniel Young,
Rescue 2; Lt. Michael Eyre, Firefighter Christopher
Mariotti, Fire Alarm/Dispatch Allan Gray, and
Newport Patrol Officer Anson Smith, and for their
heroic team efforts in the face of grave danger to
the victims and themselves and provided not only
physical but emotional support to the families in
their hour of great need.
JEANNE-MARIE NAPOLITANO
CHARLES y. DUNCAN
KATHRYN E. LEONARD
NAOMI L. NEVILLE
HENRYF. WINTHROP
IN COUNCIL
READ AND PASSED
Kathleen M. Silvia
City Clerk
CITY OF NEWPORT
ORDINANCE
OF THE
COUNCIL
NO.
AN ORDINANCE IN THE AMENDMENT OF TITLE 3 OF THE CODIFIED
ORDINANCES OF THE CITY OF NEWPORT, RHODE ISLAND, REVISION OF
1994, AS AMENDED, ENTITLED, "PERSONNEL."
BE IT ORDAINED by the City of Newport:
SECTION 1. Chapter 3.20 of the Codified Ordinances of the
City of Newport, Revision of 1994, as amended, entitled,
"Promotions, Transfers and Demotions," is hereby further
amended as follows:
Section 3.20.010. Promotions.
DELETE in its entirety: Paragraph I. "Appointment of
Police and Fire Chief from Forces."
SECTION 2. This ordinance shall take effect upon its passage
and all ordinances or parts of ordinances inconsistent herewith
are hereby repealed.
IN COUNCIL
READ AND PASSED
Kathleen M. Silvia
City Clerk
Houlihan. Managhan & Kyle, Ltd.
Counsellors at Law
Keith B. Kyle
keith@hmandklaw.com
Kevin O. Hagan
khagan@hmandklaw.com