Mayor & Board of Trustees
Regular MeetingBriarcliff Manor, NY · March 1, 2017
Agenda
AGENDA
MARCH 1, 2017
BOARD OF TRUSTEES
VILLAGE OF BRIARCLIFF MANOR, NEW YORK
REGULAR MEETING - 8:00PM
Board of Trustees Announcements
Village Managers Report
Public Gomments
1. Fire Department Memberships
2. Minutes
. February 16, 2017 Regular Meeting
THE NEXT REGULAR BOARD OF TRUSTEES MEETING WILL BE
MARCH 16,2017 AT 8:00PM
VILLAGE OF BRIARCLIFF MANOR
BOARD OF TRUSTEES AGENDA
MARCH 1,2017
1. FIRE DEPARTMENT MEMBERSHIPS
BE lT RESOLVED, that the Board of Trustees of the Village of Briarcliff Manor
hereby approves the under 18 membership of Patrick C. Prendergast to the
Briarcliff Manor Hook & Ladder Company.
BE lT RESOLVED, that the Board of Trustees of the Village of Briarcliff Manor
hereby approves the under 18 membership of Maxwell P. Galman to the
Scarborough Engine Company.
DENNIS L. REILLY, CHIEF
Briarcliff Manor ROBERT M. GARCIA, 1"t ASSt, Ch¡Ef
Fire Department PETER J. FULFREE, 2Nd ASSI. Ch¡Ef
111 1 Pleasantville Road Emergency 911
Briarcliff Manor, NY 10510 Chief s Office (914) 941-0879
Fax (914) 944-2758
Office of the Chief
lr E-mail : fdchief@briarcliffma nor.org
r.-t, I ì i
DATE July 23,2076
TO Christine Dennett, Village Clerk
Briarcliff Manor Board of Trustee's
FROM: Chief Dennis Reilly - Briarcliff Manor Fire Department
SUBJECT: NEW MEMBER - Request for Village Approval
Honorable Mayor and Trustees;
Patrick C. Prendergast, born April 28, 1999 and residing at902 Pleasantville Road, Briarcliff
Manor, NY has applied for membership in the Briarcliff Manor Fire Department.
The applicant listed above, has been vetted by the Hook & Ladder Membership Committee
and determined to meet the criteria set forth by the Briarcliff Manor Fire Department.
FURTHERMORE, the Chief of Department has performed an Arson Background Check on
said member who has been found to have NO record of Arson Conviction.
The Chief of Department Requests that the Village of Briarcliff Board of Trustee's approve
the application set before you and send such confirmation to Chiefs Office at your earliest
convenience.
FURTHERMORE, the Chief of Department has met with the Parent[sJ of the applicant, who
has signed and certified the Consent and Release Form for the Applicant. The Chief of Department
Requests that the Village of Briarcliff Board of Trustee's approve the application set before you and
send such confirmation to Chiefs Office at your earliest convenience.
for your assistance
Dated: luly 23,2076
D nt
ùlÇ)z,tT
& Ladder Company Dated:
9 at-t1
k - Christine Dennett Dated:
\r*- :
BRIARCLIFF MANOR FIRE DEPARTMENT
FOR OFFICE USE
1111 Pleasantville Rd, Briarcliff Manor, NY 1.0510
MEMBER ID #
UNDER 18 NEW APPLICANT
PARENTAL CONSENT AND RELEASE FORM
We, the parents or legal guardians of , (hereinafter known as the "applicant") are aware
that the applicant wishes to join the Briarcl¡ff Manor Fire Department (hereinafter known as the "Department"). We
understand that this signed consent by the parents or legal guardians and the applicant is required as a prerequisite of the
applicant's acceptance into membership in the Department because the applicant has not yet attained L8 years of age.
We understand that membership in the Department is an inherently hazardous undertaking.
We understand that the applicant will be required to attend such training courses as are required by the Chief of the
Department, and will become familiar with, and adhere to, the bylaws of the department.
We understand that the applicant will be subject to the orders of the Departmental Chiefs and Officers of the company to
which the applicant is assigned, both in the firehouse and at all alarms.
We have been provided with and have read and fully understand the Rules and Regulations governing activities permitted
for members of the Department that are under 18 years of age.
By signing a copy of this consent and release form, we hereby acknowledge that, pursuant to section 19 of the volunteer
firefighters benefit law, the benefits provided by the volunteer firefighters benefit law shall be the exclusive remedy of the
applicant, or his or her spouse, parents, dependents, next of kin, executor or administrator, or anyone otherwise entitled to
recover damages, at common law or otherwise, for or on account of an injury to the applicant in the line of duty or death
resulting from an injury to the applicant in the line of duty, as aga¡nst the Village of Briarcliff Manor, its employees or
agents, and any person or agency acting under governmental or statutory authority in furtherance of the duties or activities
in relation to which any such injury resulted.
This consent and release form must be signed by the applicant and parents or guardians of the applicant and all signatures
must be notarized.
SIGNATURES MUST BE WITNESSED BY A NOTARY PUBL'C
Parent/Guardian 1- PRINT NAME Parent/Guardian 1 - SIGN NAME
/¿ !Êl_èfJ2o / ("
Parent/Guardian - PRINT NAME Parent/G ian2 - Slchl NAME
/9n^k
licant - PRINT NAME Applicant - SIGN NAME
.{ri"t Pr¿nàorqos l-
U18 CONSENT & RELEASE FORM - PAGE LOF 2
APPLICANT NAME: MEMBER ID#
.
PARENT 'I ?D,AN 7
(STATE OF NEW YORK )
(couNTY oF wESTCHESTER )ss
:{¡r
On the I day of in the year 20 before me the undersigned, personally appeared
ally known to me on the basis of satisfactory evidence to be the
ividual( whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the indiv¡dual(s)
or the person on behalf of which the individual(s) acted executed the instrument.
GEORGINA O
Publle , st
Notery'No
01GU
€UelifiêC ì{ì Westchester
qril È;lu:v<, tr...¿r.¡sl-2f tÎ
PARENT 'I \DIAN 2
(STATE OF NEW YORK )
(COUNTY OF WESTCHESTER )ss.:
Eu1-pro fr.n"L-'r..sÉ personally known to me on the basis of satisfactory evidence to be the
indiriidual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s)
or the person on behalf of which the individual(s) acted executed the instrument.
Lr EOROI hlA G UALDII'l
Ncts ry Pub lic St.l tL' of j.t tì L,/ yk
l'l GU 6251 BI L;
APPLICANT
(STATE OF NEW YORK )
(COUNTY OF WESTCHESTER )ss.:
personally known to me on the basis of satisfactory evidence to be the
ed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s)
or the person on behalf of which the individual(s) acted executed the instrument.
Notary Pub
U18 CONSENT & RELEASE FORM . PAGE 2OF 2
DENNIS L, REILLY, CHIEF
Briarcliff Manor ROBERT M. GARCIA, 1"tASSt. ChiEf
Fire Department PETER J. FULFREE, 2"d ASSt. ChiEf
1'111 Pleasantville Road Emergency 911
Briarcliff Manor, NY 10510 Chiefs Office (914) 941-0879
Fax (914) 944-2758
Office of the Chief
oPc¡r,lrzf s E-mail: fdchief@briarcliffmanor.org
,90r
DATE: February 20,201,7
TO Christine Dennett, Village Clerk
Briarcliff Manor Board of Trustee's
FROM Chief Dennis Reilly - Briarcliff Manor Fire Department
SUBJECT NEW MEMBER - Request for Village Approval
Honorable Mayor and Trustees;
Maxwell P. Calman, born March 3, 2000 and residingat2S3 Macy Road, Briarcliff Manor, NY
has applied for membership in the Briarcliff Manor Fire Department.
The appìicant listed above, has been vetted by the Scarborough Engine Company
Membership Committee and determined to meet the criteria set forth by the Briarcliff Manor Fire
Department.
FURTHERMORE, the Chief of Department has performed an Arson Background Check on
said member who has been found to have NO record of Arson Conviction.
The Chief of Department Requests that the Village of Briarcliff Board of Trustee's approve
the application set before you and send such confirmation to Chiefs Office at your earliest
convenience.
FURTHERMORE, the Chief of Department has met with the Parent(s) of the applicant who
has signed and certified the Consent and Release Form for the Applicant. The Chief of Department
Requests that the Village of Briarcliff Board of Trustee's approve the application set before you and
send such confirmation to Chiefs Office at your earliest convenience.
T for stance.
Dated: February 20, 20'J,7
Chief of D epartment
È'l À) Àa
- Scarborough Engine Company Dated:
a-a5-t1
Vi k - Christine Dennett Dated:
BRIARCLIFF MANOR FIRE DEPARTMENT
FOR OFFICE USE
1111 Pleasantville Rd, Briarcliff Manor, NY 10510
MEMBER D #rõ7\
UNDER 18 NEW APPLICANT
PARENTAL CONSENT AND RELEASE FORM
We, the parents or legal guardians of AX IJ¿ LL Lnû (hereinafter known as the "applicant") are aware
that the applicant wishes to join the Briarcliff Manor Fire Department (hereinafter known as the "Department"). We
understand that this signed consent by the parents or legal guardians and the applicant is required as a prerequisite of the
applicant's acceptance into membership in the Department because the applicant has not yet attained 18 years of age.
We understand that membership in the Department is an inherently hazardous undertaking.
We understand that the applicant will be required to attend such training courses as are required by the Chief of the
Department, and will become familiar with, and adhere to, the bylaws of the department.
We understand that the applicant will be subject to the orders of the Departmental Chiefs and Officers of the company to
which the applicant is assigned, both in the firehouse and at all alarms.
We have been provided with and have read and fully understand the Rules and Regulations governing activities permitted
for members of the Department that are under 18 years of age.
By signing a copy of this consent and release form, we hereby acknowledge that, pursuant to section 19 of the volunteer
firefighters benefit law, the benefits provided by the volunteer firefighters benefit law shall be the exclusive remedy of the
applicant, or his or her spouse, parents, dependents, next of kin, executor or administrator, or anyone othenruise entitled to
recover damages, at common law or otherwise, for or on account of an injury to the applicant in the line of duty or death
resulting from an injury to the applicant in the line of duty, as against the Village of Briarcliff Manor, its employees or
agents, and any person or agency acting under governmental or statutory authority in furtherance of the duties or activities
in relation to which any such injury resulted.
This consent and release form must be signed by the applicant and parents or guardians of the applicant and all signatures
must be notarized.
SIGNATURES MUST BE WITNESSED BY A NOTARY PUBLIC
Parent/Guardian 1- PRINT NAME n 1- SIGN NAME
P¡aneeJ AJ 2 J_ËJ2o_
Parent/Guardian 2 - PRINT NAME nt/Guardian IGN NAME
S/¿r', Añ ra CA&4 nJ L é
Applicant - PRINT NAME Applicant - SIGN NAME
44 qxV €¿t- (, Ar^,'r ¡tñ LJ-þ-J2o-
U18 CONSENT & RELEASE FORM - PAGE LOF 2
APPLICANT NAME: fl\<lJ etL- CÀrr'l MEMBER ID# ßogt
PARENT/GIIARDIAN 7
(STATE OF NEW YORK
(couNTY oF WESTCHESTER )ss.
on the 40., or F-r¿6cy4c V in the year ZOI 7 ,before me the undersigned, personally appeared
Ddrcw c A¿ n Alv personally known to me on the basis of satisfactory evidence to be the
individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s)
or the person on behalf of which the individual(s) acted executed the instrument.
STEVEN A VESC¡O
NOTARY PUBTIC.STATE OF NEW YORK
No' OIVEó213074
Ouolllled ln Weslchestel Counly
My commlsllon Explres November
23' 201 ] Notary Pu
PARENT- " RDIAN 2
(STATE OF NEW YORK
(couNTY oF wESTcHESTER )ss
on the -0úo^, ot
'fl\( ù"4îV in the year 20 l7 , before me the undersigned, personally appeared
91-e,{th{,v;e c,4(øA4/ personally known to me on the basis of satisfactory evidence to be the
individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s)
or the person on behalf of which theC{Wylflta{lÊòeß"d executed the instrument
NOTARY PUBTIC-SIATE OF NEW YORK
No.01VEó213874
Quollfled ln Weslchesler Counly
My Comml¡llon Explreo November 23, 201'/
Notary P tc
APPLICANT
(srATE OF NEW YORK )
(COUNTY OF WESTCHESTER )ss.:
on the g^o^u o¡ fa\cuÆY in the year 20 17 ,before me the undersigned, personally appeared
n^A* w( i-L Q t¿ tn Ê N personally known to me on the basis of satisfactory evidence to be the
individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument, the individual(s)
or the person on behalf of which the r31{{y¿$Âl{t¿rq5¡l6d executed the instrument.
NOTARY PUBLIC.STATE OF NEW YORK
No.0tvEó213874
Quollfled ln Weslchesler Counly
My Commlr¡lon g,(phc¡ Ngvembt 21,2OlJ
lic
U18 CONSENT & RELEASE FORM . PAGE 2OF 2
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