HomeMy WebLinkAboutStreet Closure - Ambassador of Love Ministries1316 COUN'ry-CrrY BUILDING
227 W, JL:I^FERSON BOULEVARD
SoIIn� t31:s"r� ). 1NIDIANA46601-1830
BOARDCITY OF SOUTH BEND PETE BUTT1G1EG, MAYOR
PUBLIC WORKS
May 22, 2018
Connie Retzloff
Ambassador of Love Ministries Church
1632 W Indiana
South Bend, IN 46613
RE: Event Name: Block Party
Street Closure: Nash St. from Dubail Ave. to Indiana Ave.
Dear Ms. Retzloff:
P1IOMr 574/ 235-9251
FAX 5741235 91.71
The Board of Public Works, at its meeting held on May 22, 2018, approved your request to close the
above referenced street for your event scheduled for May 26, 2018 from 9:00 a.m. to 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 (1.0') 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 cast of $50.00 per cone as
a result of any missing or damaged canes.
If you have any further questions regarding this matter, please call this office at (54) 235-9251.
Sincerely,
u.
Linda M. Martin, Clerk
Enclosure
c: Gene Eyster, Police Department
Ed Gleckler, Traffic & Lighting
GARY A. GILOT SUZANIVA M, FRITZBFRo EI..IZABkE'ni A. MARADIK JAME:s A. MUELLER THERESE J. DORAU
SUBJECT:
INTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT'4127120�18
'j'Ed Gleckler, Traffic& Lighting
ene Eyster, Police Department
att Longfellow, Engineering
�Chris Dressel, Community Investment
V,Federico Rodriguez, Fire Department
Marcia Qualls, Street De Fartment
Linda M. Martin, Clerk
STREET CLOSURE RECOMMENDATION -
Ambassador of Love Ministries -Block Party
LOCATION: Nash St from Dubail Ave to Indiana Ave
DATE AND TIME: Mav 26,20118 9:00 a.m. to 2:00 p.m.
SPONSOR: Ambassador of Love Ministries
DATE DUE: May 1, 2018
FAX OR E-MAIL TO: 235-9171 / Imartinft—southbendin.go
a I I i 1 1111 1 0 - 1 r 1114
By Date
APPLICATION PEACE 4,
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY. q6 1 86 5
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:
5 51 A"
Organization:
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City:
State:
Address:
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Phone:
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Secondary Contact
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Phone: As A 9, wf Email: 'tl rye
This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of
the specified ublic right-of-way by Applicant for the holding of the hereinafter described event:
Event Name
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Name of
Street Closure
Street
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Date of Event
20
Time
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( am. Elp.m
Start
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14a.m. Elp.m.
End
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p.m,
Time
Time
Approximate Number of
SO
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
Yes
Ej
No
copy of the flyer distributed is included.
• There is/are resident(s) affected by the event that may need ADA
0
Yes
No
transportation assistance to their residence,
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• This event will have music (live or other).
0
—9—yes
No
• Payment of $50.00 fee payable to City of South Bend included
0
No
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Updated 08/2017
• 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 E]
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 is included
• 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,
6 Call the Alcohol & Tobacco Commission at (317) 234-4315 for more information.
o Application cannot be processed without a copy of this license.
'..ram
APPLICATION
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC Y�r
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY ys6s
City of South Bend, Indiana • Board of Public Works
PERMIT AND AGREEMENT FOR THE
USE OF RIGHT-OF-WAY FOR BLOCK PARTIES
1. Pursuant to Local Ordinance No. 10102-11, 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 fiom the fee provided copies of the 501(c) (3) Internal Revenue Exemption Status
Document and a current copy of Form 990 or Form 9990-EZ are filed with this application.
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 applicant is responsible, prior to the event, for determining if there are any residents affected
that could potentially need assistance in accessing their residence. The applicant is responsible
for providing said resident access or transportation to their property.
5. 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. The APPLICANT will be liable for the replacement cost of $50.00 per cone as a
result of any missing or damaged cones.
b. Block parties must end by 8:00 p.m.
7. A street will be blocked off from intersection to intersection only. No half -blocks or alleys can
be blocked off.
8. 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.
9. 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.
10. The APPLICANT agrees to allow residents that live on the above -referenced block access in and
out of the restricted area as needed.
11. 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
12. 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.
13, Notification of approval/denial of this request will be issued by return of this form, upon signed
authorization by the Board of Public Works.
14. 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 day of
APPLICANT Signature -
Printed Name
Cc) 10 YJ
20
BOARD OF PUBLIC WORKS APPROVAL
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President Member Member
Member
Member.
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251
Date
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RESIDENT SIGNATURES
We have been informed,4ree to, and request that the Board of Public Works of the City of
South Bend authorize a block party in the area described as:
Nash Street from Indiana Ave. to Dubail Ave.
Street Name Cross Street Cross Street
Date of Event
1. Signed
Signed
Name
Name
Address
Address
Phone
Phone
3. Signed
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Signed
Name
Name
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Address—/
Address
Phone
Phone
4, Signed5
Signed
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Name
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Name
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Address
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Phone
Phone
5. Signed
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Signed ts
Name
Name
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Address
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Address
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Phone Phone
RESIDENT SIGNATURES
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:
Nash Street from Indiana Ave. to Dubail Ave.
Street Name Cross Street Cross Street
Date of Event
1. Signed
5. Signed
Name
Name
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Address
Address
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Phone
Phone
2. Signed
6, Signed
Name
Name
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Address
Phone
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Phone
3. Signed
7. Signed
Name
Name
Address
Address
Phone
Phone
4. Signed
8. Signed
Name
Name
Address
Address
Phone Phone
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:
,Nash Street from Indiana Ave. to.Dubail Ave.
Street Name Cross, Street Cross Street
Date of Event �S.)
1. Signed Z' S. Signed 26V�
Name
Address
Phone
2. Signed
Name
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Address
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3. Signed
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6. Signed
Name C-) �2
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7. Signed
Name
Address
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8. Signed
Name
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Phone
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