HomeMy WebLinkAboutStreet Closure - Linda H. RileyINTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT 6/16/2017
TO: Ydleckler, Traffic & fighting
ster, Police Department
Longfellow, Engineering
Zris Dressel, Community Investment
ederico Rodriguez, Fire Department
Marcia Qualls, Engineering
FROM: Linda M. Martin, Clerk
SUBJECT: STREET CLOSURE R COMMENDATION -East
Wayne St Picnic
E Wayne St N from Eddy St to Sunnymede
LOCATION: E Wayne St S from Eddy St to Sunnymede
July 23, 2017 3:00pm-6:00pm
DATE AND TIME: Rain Date September10, 2017
SPONSOR: Linda H Riley
DATE DUE: June 20, 2017
FAX OR E-MAIL TO: 235-9171 I lmartinAsouthbendin gov
RECOMMENDATIONS AND COMMENTS:
By Date
N
APPLICATION
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC
`
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY
The Board of Public Works must have four (4) weeks prior notice of the event.
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: % r -a- , W k
Organization: _ �; -� f"- ��) � C1�_ ,
Address: -City: _ _ State: zip
Phone: % ! �� 1 c L v V
' Email:
Secondary Contact � - -- 0, n �
Address: -/_�6R7 F . V\l C t
City: _ _C c 1 �l'� B,,:��tl State:
Phone: _ c � i -� 3 C C � Email: C e' C1 C n A. t � :
This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of r � <% I i
specified public right-of-way by Applicant for the holding of the hereinafter described event: l
Event Name CAS - ll n (..-V n (:f—. `��r JVI c_
Name of
Street Closure Street �G �"j C �_ 1" C7 5+ C",_ so
From
To U GO O
Date of Event c_S t) C [ j a 20 1 7 c)N
Start
Time Setup Time �fu O0
Approximate Number of
Attendees G
Please answer the following appropriately:
f VC
End
❑a.m.N""p.m. Time ❑a.m. Zp.M.
• 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 jj Yes ❑ No
copy of the flyer distributed is included,
• This event will have music (live or other). Yes ❑ No
• Payment of $50.00 fee payable to City of South Bend included
• For Certified Nonprofit Organizations: Copies of the 501(c)(3) Internal Yes ❑ No
Revenue Exemption Status Document and a current copy of Form 990
or Form 990-EZ are included with this application.
IF ALCOHOL IS TO BE SERVED OR SOLD
Alcoholic beverages will be served ❑ Alcoholic beverages will be sold ❑
Updated 06/2017 I
City of South Bend, Indiana ® Board of Public Works
PERMIT AND AGREEMENT FOR THE
USE OF RIGHT-OF-WAY FOR RESIDENTIAL BLOCK PARTIES
1. 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, 411, 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 mkst be igclu&q with the application.
U—O-_ 10ec_/
4. The cones will be delivered to The APPLICANT assumes full
responsibility for clean-up and assures the City that all cones will be intain and returned
C�
4 undamaged. ? , ci- r - ; 5+, A ---
5. Block parties must end by 8:00 p.m.
6. A street will be blocked off fi•om 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.
3
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 1 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 day of
APPLICANT Signature
Printed Name
20
BOARD OF PUBLIC WORKS APPROVAL
Member
Member
Member
Date
/l /1;?0/`i
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: publicwks@southbendin.gov
TO: East Wayne St. Residents
1100 & 1200 blocks
RE: East Wayne St. PICNIC
DATE: Sunday July 23, 2017� fQ,
TIME: 4:00 to 6:00 PM
We are planning our ANNUAL East Wayne St. PICNIC
on the above date on the big island between Eddy St.
and Sunnyside Ave. We are notifying you and asking for your
signature to approve this event because you live in the area
that will be blocked off for 3 hours.
Thank you for your cooperation.
Linda Riley
Treasurer
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RESIDENT SIGNATURES page a 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:
from � to
S eet Name Cross Stre t Cross Str et
Date of Event 71c?
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2.
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Signature
Name
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Address
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Phone No.
Date
Signature
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Signature
Name
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Phone No.
Date
Signature
Name
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Name
Address
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Address
Phone No.
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Phone No.
Date
Date
Signature
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Signature
Name
Name
Address
Address
Phone No.
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Phone No.
Date
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Date
Signature
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Signature
Name
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Name
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Address
Phone No.
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Phone No.
Date
Date
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Signature
Name
Address
Phone No.
Date
Signature
Name
Address
Phone No.
Date
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Updated 6/22/ 12 5