HomeMy WebLinkAboutStreet Closure - Victor and Lois Steward1316 COUNTY-Crry BUILDING
227 W. JEFFITSON Boul,EVARD
01 ITH REND. INDIANA 4660,1-1830
CITY OF SOUTH BEND FETE BUTTIGTEG, MAYOR
BOARD OF PUBLIC WORKS
August 14, 2018
Victor and Lois Steward
2515 Bonds Avenue
South Bend, IN 46628
RE: Event Name: 01 Annual Bonds Street Block Party
Street Closure: Bonds Ave. from Olive St. to Meade St.
Dear Mr. and Mrs. Steward:
NIONjl,", 574/235-9251
F "AX 574/ 235-9171
The Board of Public Works, at its meeting held on August 14, 2018, approved your request to close
the above referenced street for your event scheduled for September 1, 2018 from 7:30 a.m. until 8:00
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) 235-925 1.
Sincerely,
Linda M. Martin,, Clerk
Enclosure
CHARY A. Gn,(.'),r SUZANNA M. FRITZBE.Ro ELiZABETit A. MARADIK JAMEs A. MUELLER T1 I E Rr.s r., J. DORA U
APPLICATION
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC
RIGHT-O&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:
Organization-,
State:
zip
Address:13
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1111 61 w
Phone:
57 / Email. Z11
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Secondary Contact
Address:
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city: 50, t3,t State:
Phone: Email:
This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of
the speciffiedpubli rigijhj�t-oif-way by Applicant for the holding of the hereinafter described event.
Event Name
Street Closure
Name of
Street
From
ohve
To
Date of Event
S,
20
Time
S
❑Start
Will, EIP-m.
End
V 1
Da.m. El
Time
Time
Approximate Number of
Attendees
Please answer the following appropriately:
• This event will be open to residents outside the immediate
El
Yes
E]
No
neighborhood.
• All residents on the affected block have been notified and invited. A
EF
"Yes
❑
No
copy of the flyer distributed is included.
• There is/are resident(s) affected by the event that may need ADA
F-1
Yes
M-'No
transportation assistance to their residence,
I
• This event will have music (live or other).
tM
'Yes
Ze
Ej
No
• Payment of $50,00 fee payable to City of South Bend included
s
s
E]
No
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Updated 08/2017 1.
/ . . .......
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 wr e served ❑ Alcoholic bcvQrgges will be sold ❑
0 must be submitted w' h application.
Certified Check or Money Order for $wtto�H'
El
• Application cannot be processed t deposit.
• Deposit will be returned upon inspectionevent area by t Board of Public Works.
Names and phone numbers of THREE security ard/ism uded•
To monitor underage drinking.
• Qualifications must be listed (e.g. Offduty policr, professional security guard, or event
APPLICANT).
A drawing must be submitted showing:
❑
• Fencing around serving area
/Provided \ens
• Trash receptacles.
o AElle trash receptacles must e proper disposal of refuse.
Temporary liquor license.
❑
• Call the Alcohol & Tobacco Co sion at (317) 234-4315 for ore information..
• Application cannot be rocessed ithout a copy of this license.
APPLICATION
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC
RIGHT-OF-WAY FOR A IZESIDENTIAL. BLOCK PARTY
City of South Bend, Indiana M Board of Public Works
PERMIT AND AGREEMENT FOR THE
USE OF RIGHT-O&WAY FOR BLOCK :PARTIES
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. Brock parties are allowed solely for neighborhood events. No black party application will be
approved for private parties.
3. All residents within the affected area roust be notified of this event. The APPLICANT must
obtain signatures fi-om 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.
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.
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 L� b day of
APPLICANT Signature
20
Printed Name 1"Pl,S SruJb d r �'�brt bZ ,
�f BOARD OF PUBLIC WORKS APPROVAL
Presi ent Member Member
Mem er Member Date
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone; (574) 235-9251
RLSIDENJ SIGNATURES Page of ' 2--
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:
615 from
V t'�' to --)Ve, 'V e
Street Name Cross Street Cross Street
Date of Event
Signature
Name
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Address
P'hone No.
Date
2.
Signature
Name
Address
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Phone No,
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Date
3.
Signature
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Name
Address
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Phone No,
Date
4�
Signature
Name
Address
Phone No.
Date
S.
Signature
Name
Address
Phone
Date
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7.
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Signature
Name
Address 661veL
Phone No. 39� WS�I--M/2
Date
Signature
Name nf'"l,
Address 6otvdX'
Phone No. 9
Date
Signature
Name
Address a"
Phone No.
Date
SignatureiAt
Name
Address
Phone No.
Date
Signature p)
Name
Address a4,34, 'geluc-&'
Phone No,
Date
0
RESIDENT SIGNATURES Page 2, 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'
Street Name Cross Street Cross Street
Date of Event
Signature
6.
. . ........... .
Signature 'V\�
P)V
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Nam"
Address
Address
Phone No.
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Phone No.
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Date
Date
2.
Signature
Signature
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Name
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Address
Address
Phone No.
Phone No.,,
Date
Date
Signature
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I
Signature
Name
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Name
Address
Address
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Phone No.
Phone No.
44-
Date
Date
4.
Signature
7 Q 9.
Signature,
Name
Name
Address
66A,�e,&c
Address
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Phone No.
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Phone No.
Date
Date
5. Signature
10.
Signature
Name
Name
Address
60N,
Address
Phone No.
Phone No.
Date
Date
Updated 4/2013 5