HomeMy WebLinkAboutStreet Closure - Lynn Coleman - Lake Reunion 201813 16 COUNTY -CITY BUILDING
227 W. JEFFERsoN Bow,EVARD
SOUTH BFND. INDIANA 46601-1I130
CITY OF Sou'"n-i BEND PEU BUTTfGfEG, MAYOR
BOARD OF PUBLIC WORKS,
July 24, 2018
Lynn Coleman
PO Box 11565
South Rend, IN 46634
RE: Event Name: Lake Reunion 2018
Street Closure: W. Washington St. from Dundee St. to Falcon St.
Date: August 4, 2018
Dear Mr. Coleman:
PHONE 574/235-9251
FAX 574/ 2359171
The Board of Public Works, at its meeting held on July 24, 2018, approved your request to
close the above referenced street for your event scheduled for August 4, 2018 from 9:0�0 a.m.
to 6:00 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 $50.0O 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
GARY A. Cin,oi, SUZANNA M. FRITZBEwj EIAZABETii A. MARADIK JAMEs A. MUELLER T1 IERESE J. DORAU
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 $50.0,0, IN THE FORM OF A CERTIFIED
CHECK OR MONEY ORDER, PAYABLE TO THE CITY OF SOUTH BEND, MUST BE
INCLUDED WITH APPLICATION.
Applicant Name:
Organization:
Address:
Q,�
city:
State:
Zip
Phone:
Email:
Secondary Contact
Address:
City: — State:
Phone: Email:
This application is made to the City of South Bend, Indiana, BoardofPublic Works,
for the use of
the specified ublic right-of-way by Applicant for the holding of the hereinafter described event:
Event Name
Name of
Street Closure
Street
From
To
Date of Event
120 1
Time
I Setup
a-m-EIP.M. Start
a.m. E]P.m.
End
a.m.
P.
Time
i"
Time
Approximate Number of
Attendeesit
Z4
Z
Please answer the following Mpropriately:
-0—No
• This event will be open to residents outside the immediate
17T—'Yes
neighborhood.
• All residents on the affected block have been notified and invited. A
_n
Yes
El
No
copy of the flyer distributed is included,
• There is/are resident(s) affected by the event that may need ADA
_ET
es
No
transportation assistance to their residence.
• This event will have music (live or other).
Yes
M
No
• Payment of $50.00 fee payable to City of South Bend included
Yes
No
0 For Certified Nonprofit Organizations: Copies of the 5 01 (c)(3) Internal
Yes
No
Revenue Exemption Status Document and a current copy of Form 990
or Form 9,90-EZ are included with this application.
Updated 06/2017
IF ALCOHOL IS TO BE SERVED OR SOLD
Alcoholic beverages will be served ❑ b Alcoholic beverages will be sold,
Certified Check or Money Order for $400.00 must be submitted with application.
❑
• Application cannot be processed without deposit. F
• 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:
❑
• 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.
7A
APPLICATION
MACK
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC
RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY
City of South Bend, Indiana e Board of Public Works
PERMIT AND AGREEMENT FOR THE
USE OF RIGHT-OF-WAY FOR BLOCK PARTIES
I 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 from 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 deter -pining if there are any disabled residents,
affected that could potentially need assistance in accessing their residence. The applicant is
responsible for providing said resident 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.
6. 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.
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251
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 F 20
APPLICANT Signature
Printed Name
,OOARD OF PU LIC WORKS APPROVAL
Af
President Member em er
Member Member
7�d 4/)o f
Date
Sh W.91& 416, mm
4-1 Uji 'I =,
Saturday picnicmle Park
Sunday
1
nformation
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Fvi�--f 1, i & $=
1 1 P
RESIDENT SIGNATUR +�5,
Page I 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 C to
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Cross Street
Cross Street
Date of Event
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1.
Signature
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Phone No.
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Date
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2.
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Phone No.
Phone No.
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Date
Date
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3.
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Phone No.
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Date
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Signature
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Phone No.
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Phone No.
Date
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Date
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Signature
Name
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Signature
Name
Address
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Address
Phone No.
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Phone No.
Date
Date
Updated 6/22/12 5
RESIDENT SIGNATURES
Page
o2 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:
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from u n A"
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0
Street Name
Cross Street
Cross Street --
Date of Event
1.
6.
Signature
Signature
Name
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Name
Address
Address
Phone No.
Phone No.
Date
Date
2.
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Signature
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Name
Name
Address
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Phone No.
Phone No.
Date
Date
3.
8.
Signature
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Name
Name
Address
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Address
Phone No.
Phone No.
Date%"'
Date
4.
9.
Signature'
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Name
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Name
Address
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Phone No.
Phone No.
Date
Date
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Name
Address
Address
Phone No.
Phone No.
Date
Date
Updated 6/22/12 5