HomeMy WebLinkAboutRatify Approval - Street Closure - Fremont Youth Foundation1316 COUN'ry-Crry Buu,DING
227 W. JFFFERSON BOULEIVARD
Soul i INDIANA 46601 -1930
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
August 28, 2018
Kim Clowers
Fremont Youth Foundation
301 S. St. Louis Blvd.
South Bend, IN 46617
PHONE 574/235-9251
FAX 574/ 235-917 1
RE: Ratify Approval - Event Name: Fremont Park Stop the Violence Back to School Event
Street Closure: Fremont St. from W. Hamilton St. to Marquette Blvd.
Dear Ms. Clowers:
The Board of Public Works, at its meeting held on August 28, 2018, ratified their approval of your
request to close the above referenced street for your event that scheduled for August 19, 2018 from
12:00 p.m. to 8:00 p.m. Enclosed please find a copy of your approved pert -nit.
If you have any further questions regarding this matter, please call this office at (574) 23 5-925 1.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. Giw'r SUZANNA M. FRITZBI�[w E�,IZAW,'.'ni A. MARADIK JAMS s A. MUE11,0z Tr ERESE J. DORAL)
APPLICATION
TO
FOR USE OF AND BLOCKING OF •. PUBLI
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 4F A CERTIFIED
CHECK CAR MONEY GIRDER, PAYABLE TO THE CITY 4F SOUTH BEND, MUST BE
INCLUDED WITH APPLICATION.
Applicant Name:
�U 0
Organization:
State:
Zip.
Address:
Phone:
Email: A;
Secondary Contact
°I
&
_Age
Address; c)r6\-\Q
City: State.
Phone.��.'� � —"�"d. Email:
This application is made to the City of south Bend, Indiana, Board of Public Works, for the us of
the specified public right-of-way by Applicant for the holding of the hereinafter described event:
Event Name
_
Name of
Street Closure
Street
From
St
To
Date of Event
, �c
20
Ti�nne
Setup
a.m. .m.
Start
❑a.m. ,m, End l❑a,m,
j
Time
Time
p.m.
Approximate Number of
Attendees
oc)
Please answer the following appropriately:
a This event will be open to residents outside the immediate
Yes
❑
No
neighborhood.
® All residents on the affected black have been notified and invited. A
Yes
❑
No
copy of the flyer distributed is included.
o There is/are resident(s) affected by the event that may need ADA
El
Yes
No
transportation assistance to their residence,
• This event will have music (live or other).
Yes
No
• Payment of $50.00 fee payable to City of South Bend included
El
Yes
No
Updated 08/2017
APPLICATION
FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC
RIGHT-OF-WAY FOR A RESIDENTUL BLOCK PARTY
City of South Bend, Indiana a 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
attain 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 transportationtotheir 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 Iiability, 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 .1 Lj_ day ofy t AY 20
APPLICANT Signature
Printed Name p�
B ARD OF PUBLIC WORKS APPROVAL
President M mber Member
Member Member
RETMN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251
Date
TI
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