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Home My WebLink AboutStreet Closure - Rachel Kusmer1316 COUNTY -CITY BUILDINO 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 Ms. Rachel Kusmer 1023 California South Bend, IN 46616 SOU_ TR ht, u � •e k] PFACF~ . ]S65 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS August 9, 2016 RE: Event Name: Neighborhood Block Party/Community Block Party Street Closure: California Ave. from Sherman Ave. to Harrison St. Dear Ms. Kusmer: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on August 9, 2016, approved your request to close the above referenced street for your event scheduled for August 28, 2016 from 2:00 p.m. until 8:00 p.m. For your information, the South Bend Police Department will monitor this event. Enclosed please find a copy of your approved permit. The Bureau of Traffic and Lighting will deliver barricades necessary to close the street to the applicant's address. You will be responsible for their placement and removal at the conclusion of the closing of the street. Please note that a ten foot (10') clear and unobstructed lane must be maintained at either curb or down the center of the street for emergency purposes and that no fires are allowed in the street. The Applicant will be liable for the replacement cost of $50.00 per cone as a result of any missing or damaged cones. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, Lin a M. Martin, Clerk Enclosure c: Gene Eyster, Police Department Federico Rodriguez, Fire Department Marcia Qualls, Engineering Ed Gleckler, Traffic & Lighting GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK LAMES A. MUELLER THERESE J. DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 7/28/2016 TO: Ed Gleckler, Traffic & Lighting Gene Eyster, Police Department �Corbitt Kerr, Engineering ,Chris Dressel, Community Investment Federico Rodriguez, Fire Department Marcia Qualls, Engineering FROM: Linda M. Martin, Clerkl�,u SUBJECT: STREET CLOSURE RECOMMENDATION LOCATION: California from Sherman to Harrison DATE AND TIME: August 28, 2016 SPONSOR: Rachel Kusmer DATE DUE: August 2, 2016 FAX OR E-MAIL TO: 235-9171 / Imartin(a)southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY The Board of Public Works must have four (4) weeks prior notice of the A NON-REFUNDABLE APPLICATION FEE OF $50.00, IN THE FORM OF A CERTIFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE INCLUDED WITH APPLICATION ^^I — �N, Applicant Name: `hack( � r 4-$50�f1!( � Address: 4 r 3 (Lt�I Grtl��t. City: _SQ p rye State: TN Zip (� J Phone: �,_ ��?y) -;lvl , —(0ycx_� This application is made to the City of South Bend, Indiana„Board of Public Works, for the use of the specified public right-of-way by Applicant for the holding of the hereinafter described event: r1 Event Name 1�~I Lxk ?C10 LL url b _..-- ix (CI ca.l bird Street Closure Name of {( Street �[ I"i rfl l ,' lA`y' _ IW TO _- Date of Event 1u►IC y 4 0 j a_ - Time Setup " 11 El start ❑a•m. L3/ End ❑a.m. Rpm. a.m. p.m. 3 PM p°' Approximate Number of Attendees Please answer the following appropriately: • This event will be open to residents outside the immediate ❑' Yes ❑ No neighborhood. • All residents on the affected block have been notified and invited. A L✓ Yes ❑ No copy of the flyer distributed is included. • This have [3/]Z event will music (live or other). Yes ❑ No • Payment of $50.00 fee payable to City of South Bend included or: Yes ❑ No • For Certified Nonprofit Organizations: Copies of the 501(c)(3) Internal ❑ Yes ❑ No Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are included with this application, and additionally N�/ filed with the Office of the City Clerk, 4ch Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. N A IF ALCOHOL IS TO BE SERVED OR SOLD / Alcoholic beverages will be served ❑ Alcoholic beverages will be sold ❑ Certified Check or Money Order for $400.00 must be submitted with application. ❑ • Application cannot be processed without deposit. • Deposit will be returned upon inspection of event area by the Board of Public Works, Updated 4/2013 Names and phone numbers of THREE security guards ❑ • To monitor underage drinking. • Qualifications must be listed (e.g. Off -duty police officer, professional security guard, or event APPLICANT). A drawing must be submitted showing: ❑ • Fencing around serving area • Trash receptacles. o Ample trash receptacles must be provided to ensure proper disposal of refuse. Temporary liquor license. ❑ • Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information. • Application cannot be processed without a copy of this license. APPLICATION RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY City of South Bend, Indiana • Board of Public Works PERMIT AND AGREEMENT FOR THE USE OF RIGHT-OF-WAY FOR RESIDENTIAL BLOCK PARTIES Pursuant to Local Ordinance No. 10224-13, there is a $50.00 non-refundable fee for residential Block Parties. Non-profit organizations meeting Section 501(c)(3) of the Internal Revenue Code are exempt from the fee provided copies of the 501(c)(3) Internal Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are filed with this application and with the Office of the City Clerk, 4' Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. 2. Block parties are allowed solely for neighborhood events. No block party application will be approved for private parties. 3. All residents within the affected area must be notified of this event. The APPLICANT must obtain signatures from and/or has made an attempt to notify all residents that reside on the block. A copy of a brochure or letter of invitation distributed to all affected neighbors describing the event purpose, date, and time must be included with the application. 4. The cones will be delivered to the APPLICANT'S address. The APPLICANT assumes full responsibility for clean-up and assures the City that all cones will be maintained and returned undamaged. 5. Block parties must end by 8:00 p.m. 6. A street will be blocked off from intersection to intersection only. No half -blocks or alleys can be blocked off. 7. The Board of Works reserves the right to deny any block party application based on traffic and speed limit records. No street may be closed with a speed limit over 30 MPH or considered to be a major arterial. 8. The Board of Public Works reserves the right to deny any block party application based on information gathered from the South Bend Police Department or other sources. 9. The APPLICANT agrees to allow residents that live on the above -referenced block access in and out of the restricted area as needed. 10. The APPLICANT agrees to abide by all terms and condition of the South Bend Municipal Code and Board of Public Works' policy adopted in Resolution No. 21-2011 on February 28, 2011 11. APPLICANT agrees to indemnify, defend and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, costs, damages or expenses, including attorney fees, which the Civil City of South Bend, may suffer or incur as a result of any claims or actions which may be made by any person, including a participant in the activity, arising out of the approval of this request by the Board of Public Works to close a portion of the public right-of-way for a party or similar event. The undersigned certifies that he/she is authorized to bind the APPLICANT to the terms hereof. 12. Notification of approval/denial of this request will be issued by return of this form, upon signed authorization by the Board of Public Works. 13. The City of South Bend Noise Ordinance is in effect at all hours. Between the hours of 11:00 p.m. and 7:00 a.m. certain noises are particularly prohibited. These include operating radio receiving sets, musical instruments, phonographs and other sound reproduction devices if audible fifty (50) feet away, as well as shouting, yelling, hooting, whistling, or singing in the streets in a manner to disturb the peace (Municipal Code 13-57). I have read the Application and Permit and the Agreement for the "Use of Right -of -Way for Block Parties" and I understand and agree to the above rules and regulations. I also understand that this application may be denied based on any false or incomplete information. Dated this t(ty _ day o. APPLICANT Signature Printed Name BOARD OF PUBLIC WORKS APPROVAL L� . C_�ql y4k President Wernher Member Member Member Date RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 9 Fax: (574) 235-9171 • E-Mail: pubiicwks@southbendin.gov :_ 1._a. . Page of We have been informed, agree to, and request that the Board of Public Works of the City of South Bend authorize a block parry in the area described as: fromAyrto r yov, Am. Street Name Coss Street Cross Street Date of Event 6. Signature Name KI(✓ Address 0 J,�; &tA i f an'VCAI Phone No. �2—50� — Z 2. 3. 11 Date Signature Name Address Phone No. Date Signature Name Address Phone No. Date Signature Name Address Phone No. -a6/ DateI ({� 5. f� Signature �G�C%✓�,�� Name (rJ� r I��Uy((,i( ( I (e Address -l�U ccu'i ry&'a)plhe< Phone No. �� -� Date Updated 4/2013 7. Signature (� alk<�44 Name bn, Aley'CAV Address 7a I ma m Phone No. J -N 3& %- Date % y Signature Name��C�� Addressi,dlit�/ Phone No. a 7 7 Date 8. ��Signature ��' Name FU sjt� 1 k4 ti-v i k Address "11c1 Cal-, inn-4 I I p, Ay` Phone No. Date l I 9. Signature n Name Address I SN G( j?� Phone No. Cj iy\� -7' C 2L Date Signature Name j SyWt Address Phone No. Datef.'-�1FG—mil 5 Block Party Concert!!! Sunday, August 28 3-8 PM Featuring Driven -- a local Christian band On California Ave -- between Sherman and Portage Everyone is welcome! Food and activities provided