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HomeMy WebLinkAboutSpecial Event - Neighborhood Block Party - June 17APPLICATION FOR USE OF -` MAI Y. PUBLIC RIGHT-OF-WAY FOR EVENT The following special event has been approved by the Special Events Committee. 1865 Submitted by: Denise Miller Event name: Event Date: Street Closure: Neighbor Block Party June 17 2023 S 31 st St between Vine St & Pleasant St Closure Times: 10:00 am to 7:00 Sidewalk Closure: ❑ Yes Q No Comments: Neighborhood BBQ, games and fellowship. CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member Joseph R. Molnar, Vice President Jordan V. Gathers, Member Attest: Theresa M. Heffner, Clerk Date: May 23, 2023 1 H City of South Bend Special Event Application : Neighborhood Event • W t P CC I r $25 application fee if filed 30 days or greater (up to 180 days) in advance of event Please Bring Completed Application and Payment to: Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN Review the Instructions on the Special Events page before completing the application. Neighborhood Special Event applications must be submitted more than 30 days in advance of the event date or the application will not be accepted. Date of Application: 5--I—VgaqOrganization Name Applicant (Contact) Name: Clare tre- C. IUIJA� Applicant (Contact)Phone: SAY-yoy-49e,-) Contact Email: /'�a�eacc�u.r�.�S3�9WV41t,ee0.� Address: /00(a 5, 3f �= .5••FCML City/State/ZIP: SMAk ge i f) cIGG_� Secondary Contact Name: Contact Phone: PC(aP-39-7 (# Contact Email: Dunn Ko b ie r tot L7 QQ l M Address: �OD�S 3%oJ��C! City/State/ZIP:c-�vTrl oQEn1bz� 11&G/S • Section B - Event Information Event Name : 1 rr E14W.6?0x jdj oa� F'Qe,"M i Expected Attendance: 4vCD Requested Street Closures 31 5 t �� �E From (Cross Street): To (Cross Street): Provide a brief description of the event: %�Ql�� GAm�s� F��LGo u1Sf1�' Date of Event Setup [mm/dd/yy]:0(�//%/2Time: i Begin Date of Event [mm/dd/yy]: Time: A� End Date of Event [mm/dd/yy]: O6117/ 3 Time: Event Cleanup Completion [mm/dd/yy]: (�4b 7/a- 3 Time: �• bo P%�1 Have all residents on the affected block have been notified and invited? gYes ❑ No Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. • Number of households fronting the proposed street closure: Number of households represented by signatures on attached sheet: Will this event have music (live or other)? %Yes ❑ No Section D - Food Will your event have food sales (food vendors, caterers, food trucks, etc.)? ❑ Yes XNo • o If yes, the event coordinator must apply for and receive a St Joseph County Health Department Temporary Event Permit. o Vendor(s) must also applyfor and receive a St. Joseph County Health permit. Health Permits must be filed with the county 30 days prior to the proposed event. Each vendor must obtain necessary permits to serve on -site and displaythese permits at the event. o All applications and guidelines can be found on the St. Joseph County Health Department Food Service website at sichd.org/food-service. Please select food types: ❑ Food Vendor ❑ Caterer ❑ Food Truck 0 Other: �RGds /rrn oa'sS i %V T'465 If a Food Truck, please list company name(s): Please describe how food will be cooked and served: doo^Ej) D/J 6>A11-L5 /�Eis/+Begs c�2 t.c-.�vPP<l' 1�is Fr n LJ Section E - Indemnity & Hold Harmless Aereement • City of South Bend Special Events Committee / Indemnity & Hold Harmless Agreement Date: / Event Date: l�Ll/IC // /� aod3 Organization: 4-C7vt/5-- Applicant (Contact) Name: Applicant (Contact) Phone: Alt. Phone: _ V /-G�GI—Jr�// �L✓%�C, Email: ��4�41�iiu2�.ic /53 4.✓J41� GUM Address: /mow S.3/� Y City/State/ZIP: .ScY.ffi 1T6W'0 �• yG6✓J Event Location (Please describe): Length of Event (Dates/Times): dl7' coo li -2 iV • APPLICANT agrees to indemnify, defend and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, costs, damages or expenses, including attorneyfees, which the Civil City of South Bend, may suffer or incur as a result of any claims or actions which may be made against the City, its agents, employees, or subdivisions by any person, including a participant in the activity, arising out of the approval of this request by the Civil City of South Bend, Indiana, through the Board of Public Works, to close a portion of the public right-of- way for the event described above, or for any harm or damage alleged to have occurred because of the holding of the special event. The undersigned certifies that he/she is authorized to bind the APPLICANT to these terms. Signed on this Date: a3 Authorized Organizer Signature Printed Name and Title C� Section F - Permit & Agreement 1. Pursuant to Local Ordinance No.10628-18, there is a $25.00 non-refundable fee for applications filed 30 days or greater in advance of the event date. Applications filed less than 30 days in advance of the event date will not be accepted. 2. All residents within the affected area must be notified of this event. The APPLICANT must obtain signatures from at least 10 residents that reside along the closed right-of-way and make an attempt to notify all other affected residents. APPLICANTS must include a copy of a brochure or letter of invitation distributed to all affected neighbors describing the event purpose, date, and time. 3. The APPLICANT is responsible, prior to the event, for determining if there are any affected residents that need assistance accessing their residence. The APPLICANT is responsible for providing said resident(s) access or transportation to their property. 4. 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. 5. Block parties must end by 8:00 p.m. 6. A street will be blocked off from intersection to intersection only. No half -blocks or alleys can be blocked Off. 7. The Special Events Committee 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. 8. The Special Events Committee reserves the right to deny any block party application based on information gathered from the South Bend Police Department or other sources. 9. The APPLICANT agrees to allow residents that live on the above -referenced block access in and out of the restricted area as needed. 10. The APPLICANT agrees to abide by all terms and conditions of the South Bend Municipal Code and Board • of Public Works' policy adopted in Resolution No.10628-18 on December,11, 2018. 11. Notification of approval/denial of this request will be issued by return of this form, upon signed authorization bythe Board of Public Works. 12. 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 stereos, speakers, musical instruments, 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). 0 • • 0 I have read the Application and the Permit and Agreement for this Special Event and I affirm the truth of the information provided by me to the best of my knowledge. I understand and agree to the above rules and regulations, and any applicable state and federal laws. I also understand that this application may be denied based on any false or incomplete information. Date: 5- / - ,I oa 3 Applicant Printed Name: _[� ,L%�%�E� z • Pre 'dent c' . Wv Mem er SPECIAL EVENTS COMMITTEE APPROVAL u�i'TI -M Member 5-/&';13 Date • • Neighbor Signature Sheet - Neighborhood Special Event We have been informed, agree to, and request that the Special Events Committee 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: 1. Signature - < 6. Signature Name i a�.f ^ NQ (J Name C Address DI q C 1 Address Ols 5. Phone No. �Y 3� p/ < Y l IlP! Phone No. -4 d 437 Date N� L Date a z Signature 7. Signature Name Name , Address 6 9 5 /_ 7' Address Phone No. Phone No. , g Date y a � Date 3. Signature B. Signature Name Name w d Address S� Address 11bf 3 t4 Phone No. J / 7 �/ �2 i �dry0 J D li U J 7 J/t Phone No. /71 5 %S- 9619 J Date f- Date 4. Signature /. _ �,,/j 9• Signature GHQ Name Name OBBl&- z,;Ijtj Address ' O Address Phone No. �!' vL C1�S Phone No. s?y-J�r���39n� / Date Date �J i-zq-Z3 5. Signature / 10. Signature Name /l, FT ,W't Name (t VufCI , du Address �/7 SD 3! y,-�.. Address lvv G Phone No. C-/ 4 ,�-0'Z—/7$i7 �'f l /3 v Phone No. �t/ 325-5gO5 7� -G Date 7 t4 Z �Z -4 Date A `m �Y m y J-y u Nn'_ N m = Q Q • N T(j L aaE J 2 m S 36th St S 36th St w c (U F _ R W J T C o = N na` > a N G 35th St v LL u S 35th St A N 0 L u `m w adw U O a" aN rn a S 34th St T N N U N L W � H W U C U S 33rd St O y a J C `m c m U E O ( W OE • o N y y no W y N s O v C N Y Y C in'E ,0 at7 m S31 st St c a` u O aJ a W � � N O Q y C ® m 30th St m © d n L O oa N i N a_ ... N H E U C m N to = S 2ath St tN 0 N co y y St 6 m • S 28th E 6 Si O O v S 27th St Q E co Q c 0 S 33rd St S 32nd St . 531st St N S 30th St U U x S 27th St .y DO Logan St � r c m N N a O O S 36th St m 0 N N m c iO a m a S 35th St v Os rn N C C L N N m p A S 33rd St S 32nd SM O 0 0 m N a IL S31st St N S 30th St C m a s z9tn n S 28th St O v_w m LL= C a� a= N " A m S 27th St • t .Cr 1 This Phot. by Unknown Author is licensed under CC By -NC -ND BLOCK PARTY SATURDAY, JUNE 17, 2023 10:00am to 6:00pm Come join together with your neighbors and friends for food, fun, conversation, and games for kids! Adult games are welcome too! A neighborhood block party is a great way to meet those neighbors you don't already know. Clarence and Robbin Hunter from 1006 S. 31' Street will be cooking in front of their house. He is supplying the meats: burgers, brats, chicken, ribs, hot dogs. Bring your own tables, chairs, food service and beverages. A dish to pass would be welcome but not a requirement. The city will provide barricades to close off the street between Vine and Pleasant. If possible, we ask that your cars be moved to the back of your house, or you can park in the Gospel Center lot. We don't need broken windows from an errant is baseball or such. 0 • 0 CITY OF SB SPECIAL EVE 731 S LAFAYETTE BLVD SOUTH BEND, IN 46601 05/011/2023 15:09:11 MID: XXXXX IXXXXXX401 TID: UW800 DEBIT CARD DEBIT SALE Card # XXXX)(XXXJDWf0305 Network: MASTERCARD Cho Card: US Debt AID: A00000CCO42203 ATC: 002A ARQC: 91309509908 SEQ #: 2 Batch #: 50 INVOICE 3 Approval Code: F43470 Entry MeW Contactless Mee: Issuer - PIN Vertkd SALE AMOUNT 02 SgWue Not Requied MERCHANT COPY