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Home My WebLink AboutNon Res Block Party - Keller Park Church1316 COUNTY -CITY BUILDING' 227 W, JEFFERSON BouLLVARD Sou'ru BEND. INDIANA 46601-1830 CITY OF SOUTui BEND PETE B,UTTIGIEG, MAYOR BOARD OF PUBLIC WORKS May 22, 2018 Carrie Badertscher Keller Park Church 1003 W Bryan Street South Bend, IN 46616 RE: Event Name: End of School Block Party Street Closure: Bryan St. from Sherman Ave. to Inglewood Place Dear Ms. Badertscher: PHONE 574/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting hold on May 22, 2018, approved your request to close the above referenced street for your event scheduled for June 9, 2018 from 10:30 a.m. until 2:00 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 cither 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) 235-925 1. Sincerely, Linda M. Martin., Clerk Enclosure c Gene Eyster, Police Department Ed Gleckler, Traffic & Lighting (jARY A, GILo,r SOZANNA M. FRITZBER(I ELIZA13iii,1-i A. MARADIK JAMEs A. Mumf,'R THERESE J . DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 4/25/2018 TO: YEd leckler, Traffic & Lighting ne Eyster, Police Department att Longfellow, Engineering hris Dressel, Community Investment Federico Rodriguez, Fire Department ':Jackie Appleman, Park Department Jill Sciccitano, Downtown South Bend FROM: Linda M. Martin, Clerk. - SUBJECT: Non- Residential I -. Party -End of School Block Party Street Closure: Bryan St between Sherman Arne and Inglewood PI LOCATION: DATE AND TIME: June 9, 2018 10:30 a.m. to 2:00 p._m. SPONSOR: Carrie Badertscher DATE DUE: May 1, 2018 FAX OR E-MAIL TO: 235-9171 1 lmartin(asouthbendin.gov RECOMMENDATIONS AND COMMENTS: By Date �CCE FOR USE OF AND BLOCKING OF SS TO, THE PUBLIC ITAO RIGHT-OF-WAY FOR NON-RESIDENTIAL BLOCK PARTIES The Board of Public Works must have FOUR (4) weeks prior notice of the event. A NON-REFUNDABLE APPLICATION FEE OF $125.00, IN THE FORM OF A CERTIFIED CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE INCLUDED WITH APPLICATION. Fee Paid 7 ApplicantName: 161 Address: City- S tate: zip: Phone: Email: Y tw je.,r r 00 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 Location Street Closure Narne of Street Fro in In Date of Event v') am. Time: Registration/Setup [I P. in. Approximate Number of Attendees ito (Describe Area/Route) 1:1 a. nil Start P p.m. End Answer the following appropriately: 1. This event will have nausic (live or other), a. I understand the Noise Ordinance described in the Agreement/Permit 2. Required Information to .Accompany Application a. Certified Check of Money Order in the Amount of $125.00, or: b. For Certified Nonprofit Organizations. Copies of the 50 1 (c)(3) Internal Revenue Exemption Status Document and a current copy of Forin 990 of Form 990-EZ are included with this application, and additionally filed with the Office of the City Clerk, 01 Floor, County - City Building, 227 W. Jefferson Blvd., South Bend , lndiaiia. c. Certificate ofInsurance d, Maps, drawings and setup plan of the area e. A copy of a flyer or door hanger that has been distributed to all affected property owners. 3. a. This event involves City streets b. This event involves County roads c. This event involves State highways Updated 9/2017 Yes Yes Yes ❑ No D' Yes El No EK Yes 0 No D"', Yes n No ❑ Yes No ❑Yes No 1 d, This event involves the use of the sidewalk F] Yes 2"' No .............. c , This event i600cal ' egional/national event (Please circle the D/ ' Yes E] No appropriate event type) f. Affected property business owners have been notified of this event. [:1 Yes F1 No & There is/are resident(s) affected by the event that may need ADA F] Yes aNo transportation assistance to their residence. h. I understand that I must arrange a meeting with all affected governmental agencies to organize the above event (Call Marcia ET / Yes n No Qualls, Customer Service Manager, 235-5939 to organize meeting). IF ALCOHOL IS TO BE SERVED OR SOLD Alcoholic beverages will be served 0 Alcoholic beverages will be sold Certified Check or Money Order for $400.00 must be submitted with application. ❑ 0 Application cannot be processed without deposit, 0 Deposit will be returned upon inspection of event area by the Board of Public Works. 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 CWTIC 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 Cotrunission at (317) 234-4315 for nacre information. • Application cannot be processed without a copy of this license. application only. Event end times are pursuant to the recommendations of the South Bend Police Department, 13, IF ALCOHOL IS TO BE SERVED OR SOLD a Certified Check or Money Order for $400.00 must be submitted with application. The application cannot be processed without a deposit. The deposit will be returned by the Board of Public Works upon inspection of the event area after the event, and provided there is no damage to the area. Names, phone numbers, and qualifications (e.g. Off -duty police officer, professional security gqiard, or event APPLICANT) of THREE security guards to monitor underage drinking, must be submitted with the application. A drawing must be submitted showing fencing around serving area, and trash receptacles. For a temporary liquor license call the Alcohol and Tobacco Commission at (317) 234-4315 for more information. Application cannot be processed without a copy of this license. 14. 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 the event described above. Ihavc read the Application and,permit and the Agreement for the "Use of Right -of -Way for Special Events" 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 day of 4ri 1 20 APPLICANT Signature Printed Name BOARD OF PUBLIC WORKS APPROVAL A jjPresident Member Member Member Member RETURNFORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phonc: (574) 235-9251 - �? k o a Date 4125/2018 1003 W Bryan St - GoogIe Maps Go, gle Maps 1003 W Bryan St ,L 71 �y Uuw Nq 01-10k, WPPLY 1.3 D 0 in Hi 1003 W Bryan St South Bend, IN 46616 D. 1, 9 u. 9 9 It%� Go: gle Map data, �2018 Google 200 ft P.. ..... . ..... https:/Iwww.goog!e,com/maps/place/1003+W+Bryan+St,+South+Bend,+IN+46616/@41.7010178,-86.2669707,17z/data=!'3m1!4b1!4m593m4!IsOx88112d57c5eO8