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Street Closure - Emee Miller
1316 COUNTY-GTY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIAN.A 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS July 12, 2016 Emee G. Miller 344 S. Sunnyside South Bend, IN 46615 RE: Event Name: Wayne Street Block Party Street Closure: East Wayne Street from Eddy Street to Sunnyside Dear Ms. Miller: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on July 12, 2016, approved your request to close the above referenced street for your event scheduled for July 31, 2016 from 3:00 p.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 $50.00 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) 235-9251. Sincerely, �J � ll Linda M. Martin, Clerk Enclosure c: Gene Eyster, Police Department Federico Rodriguez, Fire Department Marcia Qualls, Streets Ed Gleckler, Traffic & Lighting GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK TAMES A. MUELLER THERESE J. DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 6/23/2016 TO: Ed Gleckler, Traffic & Lighting Gene Eyster, Police Department Xhrbitt Kerr, Engineering ris Dressel, Community Investment Federico Rodriguez, Fire Department Marcia Qualls, Engineeic g FROM: Linda M. Martin, Clerk ^SUBJECT: STREET CLOSURE ROMMENDATION LOCATION: E Wayne St. from Eddy to Sunnyside DATE AND TIME: July 31, 2016 SPONSOR: Emee Miller DATE DUE: July 5, 2016 FAX OR E-MAIL TO: 235-9171 / Imartin(6)southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date SoUrH APPLICATION FOR THE USE OF, AND BLOCKING OF ACCESS TO THE PUBI, . (^ \� RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY Wi PeAC The Board of Public Works must have four (4) weeks prior notice of the event: I8e5 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 INCLUDEJ) WITH APPLICATION. Applicant Name: Address:3L)y 5-suvtn4Sk8'-City: dt � r�e� State: y 13 Zip (-4Wi S Phone: 5gLy - 3-\S This application is made 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 OAne sk B IoC k Pay tj Street Closure Name of Street V V 1-ZA�kl k From �_,� To Date of Event �J 1 20 1 Time Setup 3 : oor rn ❑ Start .41: C 0- ❑a.m. ❑ End �.C�O ❑a.m. Eg". a.m. L,p m. p.m. Approximate Number of Attendees Please answer the following appropriately: • This event will be open to residents outside the immediate neighborhood. • All residents on the affected block have been notified and invited. A copy of the flyer distributed is included. • This event will have music (live or other). • Payment of $50.00 fee payable to City of South Bend included or: ❑ Yes R, No ©Yes ❑ No ©Yes Yes • For Certified Nonprofit Organizations: Copies of the 501(c)(3) Internal ❑ Yes Revenue Exemption Status Document and a current copy of Form 990 of Form 990-EZ are included with this application, and additionally filed with the Office of the City Clerk, 4t' Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. IF ALCOHOL IS TO BE SERVED OR SOLD Alcoholic beverages will be served ❑ 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, 1 No No No FOR Updated 4/2013 Names and phone numbers of THREE security guards ❑ • 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. APPLICATION 4SOU FOR THE USE OF AND BLOCKING OF ACCESS TO THE PUBLI 4" r RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY `w��°` 7' City of South Bend, Indiana • Board of Public Works 1865 PERMIT AND AGREEMENT FOR THE USE OF RIGHT-OF-WAY FOR RESIDENTIAL BLOCK PARTIES Pursuant to Local Ordinance No. 10224-13, 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 of Form 990-EZ are filed with this application and with the Office of the City Clerk, 4' Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. 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 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. 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 Board of Works reserves the right to deny any block party application based on traffic and speed limit records. No street maybe closed with a speed limit over 30 MPH or considered to be a major arterial. 8. 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. 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 condition of the South Bend Municipal Code and Board of Public Works' policy adopted in Resolution No. 21-2011 on February 28, 2011 11. 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. 12. Notification of approval/denial of this request will be issued by return of this form, upon signed authorization by the Board of Public Works. 13. 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 maybe denied based on any false or incomplete information. Dated this day of j 20 APPLICANT Signature fir' Printed Name BOARD OF PUBLIC WORKS APPROVAL Lam/'s", A.i, it r .. 0 T -- Presi(dd�'e'nt I LI LL Member l Member tuber 244�/ 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 • Fax: (574) 235-9171 • E-Mail: publicwks@southbendin.gov Due to unfortunate circumstances last year, we were unable to collect neighborhood dues. Neighborhood dues help pay for the insurance on our lampposts & the Wayne & Eddy, grounds keeping and our neighborhood picnic. We are asking for $20 per Please Save the Date of June 12th for our household. All dues are !Neighborhood get-together on the island. Brats voluntary. Contributions and hot dogs will be provided. Please bring a over and above the $20 dues are always welcome otluck dish to share and your choice of and appreciated. Cash or everage. The picnic will feature kids' games, check are acceptable and ike races and music. Our rain date is July 31 st. can made out to: Linda Riley 1326 E. Wayne N. South Bend, IN 46615 We're looking for a great gardener or grounds keeping expert who can lend their time and talents to our common areas. If Please leave your house you love to dig in the dirt, please contact Bob Wolosin, number on the check or a Neighborhood Association President, at rwolosin(a gmail.com note if you pay with cash. Dues can be mailed or left 1, !. at Linda's mailbox. RESIDENT SIQLATURES 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: Street Name Date of Event 1. / 2. 3. El 4 to Cross Street Name n✓�L4 V'(-41 is�7i Address Gr E, 4 S Phone No. Z 477 Date S (' Signature Name Address Phone No. Date Signature Name Address Phone No. Date 0 7. A Signature 9' Name Address Phone No. Date Signature 1 Name Address Phone No. Date Signature Name Address Phone No. Date Signature Name Address Phone No. Date Signature Name Address Phone No. Date Signature Name Address Phone No. Date 0. Signature Name Address Phone No, Date Cross Street Updated 4/2013 5