HomeMy WebLinkAboutStreet Closure - Kristen Darden1316 COUNTY-t)ITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
September 13, 2016
Ms. Kristen Darden
1501 E. LaSalle Ave.
South Bend, IN 46617
RE: Event Name: Block Party
Street Closure: East LaSalle Street from Twyckenham Drive to Ester Street
Dear Ms. Darden:
PHONE 574/235-9251
FAx 574/ 235-9171
The Board of Public Works, at its meeting held on September 13, 2016, approved your request to close
the above referenced street for your event scheduled for September 18, 2016 from 3:00 p.m. until 7:00
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 various streets. 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,
Linda 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 JAMES A. MUELLER THERESE J. DORAU
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT 8/22/2016
TO: Ed Gleckler, Traffic & Lighting
JGene Eyster, Police Department
eorbitt Kerr, Engineering �.,/
Chris Dressel, Community Investment
vKederico Rodriguez, Fire Department ✓
Marcia Qualls, Engineering
FROM: Linda M. Martin, Clerk *
SUBJECT: STREET CLOSURE RECOMMENDATION
LOCATION: E LaSalle from Twvckenham to Esther
DATE AND TIME: September 18, 2016
SPONSOR: Kristin Darden
DATE DUE: September 6, 2016
FAX OR E-MAIL TO: 235-9171 / Imartin(EDsouthbendin.gov
RECOMMENDATIONS AND COMMENTS:
By Date
o4SoU TH N"
4 O
APPLICATION �
FOR THE USE OF, AND BLOCKING OF ACCESS TO THE PUBLI(�
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY
1865
The Board of Public Works must have four (4) weeks prior notice of the event. l
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.
Applicant
Name: Y,i^i�/,
Address: f' of c.t� y 1 Ar. City: �' rwx ,, State: d�Ccyjw Zip '4(w7
Phone: 5n4 -ate-99o2
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:
Event Name-J(eGI- Pax+y
Street Closure Name of Stref L&-Sct l I e A
From 1 L0 y Cr.Rv i h&-m
To �S'1h2f�
Date of Event 01 /1 c f 20 40
Time Setup ❑ Start ❑a.m. End
❑a.m. 17p.m.
a.m. F3]p.m.
m
p.m.
Approximate Number of
Attendees
Please answer the following appropriately:
• This event will be open to residents outside the immediate
❑ Yes 2" No
neighborhood.
• All residents on the affected block have been notified and invited.
Yes ❑ No
A copy of the flyer distributed is included.
• This event will have music (live or other).
❑ Yes 2� No
• Payment of $50.00 fee payable to City of South Bend included or:
Rr Yes ❑ No
• For Certified Nonprofit Organizations: Copies of the 501(c)(3)
❑ Yes [Z No
Internal Revenue Exemption Status Document and a current copy of
Form 990 of Form 990-EZ are included with this application, and
additionally filed with the Office of the City Clerk, 4ch Floor,
County -City Building, 227 W. Jefferson Blvd., South Bend ,
Indiana.
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.
Names and phone numbers of THREE security guards ❑
Updated 4/2013
• 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: El
• 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.
45oU TN %0
APPLICATION
FOR THE USE OF, AND BLOCKING OF ACCESS TO THE PUBLIC o
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY
w
City of South Bend, Indiana • Board of Public Works 1865
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, 4ch Floor, County -City Building, 227 W. Jefferson Blvd., South Bend,
Indiana.
2. Block parties are allowed solely for neighborhood events. No block parry 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 /q day of
APPLICANT Signature
Printed Name
20 l%
BOARD OF PUBLIC WORKS APPROVAL
Preside it Member Member
Member
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
Date
South Bend, IN 46601
Phone: (574) 235-9251 • Fax: (574) 235-9171 • E-Mail: publicwks@southbendin.gov
RESIDENT CI .NAIURF.S
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 party in the area described as:
L
d�.from �Vc_Fzv-'l1G.6v1
to
Street Name Cross Street
Cross Street
Date of Event
Signature
Signature�uq
Name
�� •� Rio �o�p
Namen.rrk'd\
Address
�<t< �. �„f��!2,
Address
Phone No.
Phone No.
Date
Date
2.
Q 7.
Signature
ails
Signature
Name
lS'P.(
Name
Address
CA 6011 klI
Address
Phone No.
2-� 7 (� Zl (J
Phone No.
Date
fr' l !6
Date
3.
8.
Signature
Signature
Name
Lb (C 4 `r�1Q,
Name
Address
j ��� La�gll
Address
Phone No.
3,>d �i i4
Phone No.
Date
K 1'-k I
Date
4.
9.
Signature
Signature
Name
G
Name
Address
Address
Phone No.
-'Y1 —6��%g
Phone No.
Date
/ !v 1
Date
5. 10.
Signature 6ZO_
Signature
Name
Name
Address
3O2 N
Address
Phone No.
�O/ ��r-�� �O q
Phone No.
Date(
YJ
Date
Updated 4/2013 5
—De-C)T%. \ '6
RESWYM SIGNAILRES 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 party in the area described as:
L 1v from "'Y to-L—S�ke—y�
Street Name Cross Street Cross Street
Date of Event
1.
6.
Signature
Signature
Name
'TU\V'\
He
Name
Address
5 o
EA-'AS016,
Address
Phone No.
23-S-3
5-).y
Phone No.
Date
2.
Signature
Name
Address
3.
H
5.
Date
7.
Signature
Name
Address
Phone No.
Phone No.
Date
Date
Signature:
Signature
Name
4-'-L-
Name
Address
'7
Address
Phone No.
Z -3
Phone No.
Date
Date
Signature
9.Signature
Name
M �e LI I AG-J,-
Name
Address
Address
Phone No.
a ZELL j h5LS
Phone No.
Date
Signature
Name
Address
Phone No. L), Zj�
Date O") /I (,'
Date
10.
Signature
Name
Address
Phone No.
Date
Updated 4/2013 5