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HomeMy WebLinkAboutStreet Closure - Gina Jozwiak1316 (-.'o(jN,ry-CTn, BuILDING 227 WJFFFERSON BouLEVARD Sol 1.111 BFND. INDIANA 46601-1930 CITY OF SOUTH BEND PETE BLJTTTGTEG, MAYOR I BOARD OF PUBLIC WORKS October 9, 2018 Gina Jozwiak 2923 Corpus Christi Drive South Bend, IN 46628 P11OW" 574/235-9251 FAX 574/ 235-9171 RE: Event Name: Oakwood Village Fall Social 2018 Street Closure: Oakbrook Dr. from Intersection at Corpus Christi Dr. to Cul de Sac Dear Ms. Jozwiak: The Board of Public Works, at its meeting held on October 9, 2018, approved your request to close the above referenced street for your event scheduled for October 20, 2018 from 1:00 p.m. until 5:00 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 $50.0�0 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 GA RY A. GiLoi, SUZANNA M. Fm]ZBi-1'R(j Ei.,iZABF'.TH A. MARAINK JAMEs A. Tj ]ERESE J. DORAU { k4 I APPLICATION FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC *' BIGHT -OF -WAY FOR A RESIDENTIAL BLOCK PANTY 186 The Board of Public Works must have four (4) weeps prior notice of the event. 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: l D"b P Organization: � �" C)r"r)(E-, OW ne t' Asoo CkAi Oil • O wc)() C a qc '6 !�� State: p W Address: A Phone:J � � y 1�"n1 11: Sewn,aary Contact _ S C E , Address: _ )S City: State: Phone' - q60 — 0,309 Email: This application is trade 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 * V._ � Street ll f;,' r) Gxm016SWDriw ail TljrA) Street Closure A.i)r' From � : O PM OJOierX0 - daR To oo u . — cU I X Date of Event 0 C: 4 , 20 Time Setup ❑a.r , M. Start oo �.m. M. End 5, 00 ©a.m." a.m. d � .Tune Time i Approximate Number of 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, No copy of the flyer distributed is included. • There is/are resident(s) affected by the event that may need ADA ❑ Yes No transportation assistance to their residence. • This event will have music (live or other). `des No • Payment of $0.00 fee payable to City of South Bend included Yes No Updated 08/2017 • For Certified Nonprofit Organizations: Copies of the 501(c)(3) internal El 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 NO Alcoholic beverages will be servedEl Alcoholic beverages will be sold ❑ 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: ❑ • 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) 2344315 for more information. • AppUption cannot be processed without a copy of this license. .jc9U`a'fl itr,. � - C Ci APPLICATION wu PEACE FOR USE OF AND BLOCKING OF ACCESS TO PUBLIC A RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY 1865 City of South Bend, Indiana • 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 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 3 terins 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 7:0O 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 IB ARD OF PUBLIC WORKS APPROVAL President Member Member V 71 R I ".- Member RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 1()Z 0 1-�Z_2 Date RESIDENT SIGNATURES Page 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: /s t ck�bml )'� from DokbTuoy— D,- to (Dqo�- OV)YW-) ' T-' Street Name Cross Street Cross Street Date of Event 1. 6. Signature Name Address Z� C��, Phone No. a�G - 3 Z JLI I Date 2. 7. Signature Name Address Z.3Zq 0, �,�� .�, i! Or Phone No. 5 7 q- Z.9 7- I q7 a Date I 3. 8. Signature Name S (A S 2) rYL Address 230 S G a brbo )L -J-)-y Phone No. 9 , () 1* r10 Date - 1 4. 9. Signature Name ju- )o e L8 &) Dsb w IC6- Address Phone No. 57 q - o? �7 f Date q .- 1 6~ M� u Signature y NameSCAP,13EC 1< Address �Zq) - (!0RP145 e N,O1 ST I Phone No. 57 `T ` q b '"0 N Date -j Updated 912017 Signature r 4'Ltr6j`L� Name l V-1 D �7r Address �c?cq CC)( a V Phone No. &j `7 -- S -j Date Signature J,j " -'�'7 rl, 0 4 Name W i 6 A VA O D D Address J C:k V kr (` Phone No. " Date Signature ` R.L Name O 6'1 Vl t el 13 ro M e, 1 Address Phone No. - -40 -7Q ;� G7 Date Signature Name �c Address 22)1, Phone No. Date Signature Name Address Phone No. Date Ls) 6 - III IIIIII IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII� k/ Street view: FIENTAC41 Save the Date - FaH Social 2018 1 st Homeowner's Association Social! Get to know your neighbors (Meet and Greet)! Who? All Residents of Oakwood Village Where? Outside, at the intersection of Corpus Christi & Oakbrook Drive When? Satuirday, October 20, 2018 2 - 4 PM Why? This will be a fun, social gathering to meet and visit with your neigihbors. There will be light refreshments, burgers, hotdogis and a bounce house for the kids! oa kwoodvi I la ge hoa @gm a i 1, co rn South Bend, Indiana 46626