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HomeMy WebLinkAboutStreet Closure - New Birth Christian Ministries1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND_ INDIANA 46601-1830 SOUTAB�; A, �d U ACE G'.. W' PF,ACF. 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS July 26, 2016 Ms. Bonnie Gathright New Birth Christian Ministries 749 Harrison St. South Bend, IN 46616 RE: Event Name: Neighborhood Block Party/Community Block Party Street Closure: Harrison St. from Van Buren St. to Lindsey St. Dear Ms. Gathright: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on July 26, 2016, approved your request to close the above referenced street for your event scheduled for August 13, 2016 from 10:00 a.m. until 4:00 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 the street. 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, Linda M. Martin, Clerk Enclosure c: Gene Eyster, Police Department Federico Rodriguez, Fire Department Marcia Qualls, Engineering Ed Gleckler, Traffic & Lighting GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT 7/13/2016 TO: JEd Gleckler, Traffic & Lighting Nbene Eyster, Police Department Corbitt Kerr, Engineering Chris Dressel, Community Investment Federico Rodriguez, Fire Department vMarcia Qualls, Engineering FROM: Linda M. Martin, Clerka SUBJECT: STREET CLOSURE RECOMMENDATION LOCATION: Harrison from Van Buren to Lindsey DATE AND TIME: August 13, 2016 SPONSOR: New Birth Christian Ministries DATE DUE: July 19, 2016 FAX OR E-MAIL TO: 235-9171 / Imartin(ailsouthbendin gov RECOMMENDATIONS AND COMMENTS: By Date APPLICATION THE USE OF, AND BLOCKING OF ACCESS TO THE PUBLI4Px` RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY .i: • R The Board of Public Works must have four (4) weeks prior notice of the event. 1865 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 APPLICAT`I�ON. Applicant Name: e&) �/"ii ` �/�✓/� /%�/'I'JIN Address:"?gq 1 jjj}1 �j6X c. • City: �6• /0 State:..%-1/ Zip y66,4,6 Phone: Cy�q qcq / 3/,Q This application is made to the City of South Bend, Indiana, Board of Public Works, for the use of the specified public ri ht-of--way by Applica for the h mg of he `hereinafter described event: (� Event Name ��/�fi�OQC�QD(� �j©Cr(Lty�1�9Y11lJ1�tYti7t'�OC(� i(71Q�4( Street Closure Name of a01L& sJO�, / I Street 1 , From Date of Event �0 Time Setup 10 �20 �l Start ICJ NCypf� ❑a.m. ❑ a.m. O� p.m. p.m. Approximate Number of Attendees Please answer the following appropriately: • This event will be open to residents outside the immediate neighborhood. End y ❑a.m. M/pm. Yes ❑ No • 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: • For Certified Nonprofit Organizations: Copies of the 501(c)(3) Internal 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, 41h Floor, County -City Building, 227 W. Jefferson Blvd., South Bend, Indiana. [✓� Yes ❑ No [� Y❑ No [� Yeses ❑ No Yes ❑ No IF ALCOHOL IS TO BE SERVED OR SOLD Alcoholic beverages will be served ❑ Alcoholic beverages will be sold ❑ Certified Check or Money Order for $4 0. 0st be submitted with application. • Application cannot be processed w JF4�sit. • Deposit will be returned upon insp ctivent area by the Board of Public Works. 0 Updated 4/2013 Names and phone numbers of THREE security guards ❑ • To monitor underage drinking. • Qualifications must be listed (e.g. 9 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 FOR THE USE OF, AND BLOCKING OF, ACCESS TO THE PUBLIC. RIGHT-OF-WAY FOR A RESIDENTIAL BLOCK PARTY "' 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 �(L l l 20 �(p APPLICANT Signature &W, / Printed Name pnln[ G, (sAjz�Dil BOARD OF PUBLIC WORKS APPROVAL Pres � ember Member C 4-- ti / .2 v /� Member Y6mber Date RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 9 Fax: (574) 235-9171 • E-Mail: publicwks@southbendin.gov RESIDENT SIGNATURES Page of We have been informed, agree to, and request that the Board of Public Works of the City of JSoouthh ,Bend authorize a block party in the areadescribedas: � (U'fit-['6'1 from �/�-w to Street Name Cross Street Cross`Street Date of Event 1. Signature Name 6. Signature Address Phone No. J *! (,- Date Signature Name t� loatr.�W4/�— Address 71Y IlayriSon T* Phone No. 47),3/0 - 753Y/O - 7,53Y Date /3 3. Signature 8. Name Address Z (Q Phone No.UKIa) S ( 7 8 Name Sr t1E1k)< < Address 'iO I Phone No. Date Signature ` `1 Name UDG�VG 0KiL'JCx Address 91'i�eJo— 'O e Phone No. Date Signature Name Address ej .0 G"f Phone No. Date Date Signature 4 ��',(j ('j.'� Signature Name Name Address Address Phone No. Phone No. Date Date 5. 10. Signature -- L G-- --� Signature Name �(�,, ® G1jr Iv �e �� Name Address 8 0 V - S 7T , Address Phone No. Phone No. Date Date Updated 4/2013 5 �ryl li Deportment of (he CAa�NI ITreasury 1 S Internal Revenue service P.O. BOX 2508 CINCINNATI OH 45201 NEW BIRTH CHRISTIAN MINISTRIES PO BOX 3353 Eli SOUTH BEND IN 46614 024194 In reply refer to: 9999999999 Sep. 19, 2014 LTR 3367C So 16-1743819 000000 00 00029888 BODC: TE Employer identification number: 16-1743819 Tax form: 1023 Document locator number: 17053-247-57101-4 For assistance, call: 1-877-829-5500 Dear Applicant, We received your application for exemption from federal income tax and your user fee payment. During the initial review process, applications for exemption are separated into two groups: 1. Those that can be processed based on information submitted 2. Those that require additional information to be processed If your application falls in the first group you'll receive a determination letter within approximately 90 days from the date of this notice stating that you re exempt from federal income tax. If your application falls in the second group, you'll be contacted when your application has been assigned to an Exempt Organizations specialist for review. You can expect to be contacted within approximately 180 days from the date of this notice. After 180 days, if you haven't been notified your application was assigned to a specialist, you can contact Customer Account Services Monday through Friday at the toll -free number shown above to check on its status. The individual calling on your behalf will need the following information: * Your name * Your employer identification number (EIN) * The document locator number listed above and assigned to your request * A proper power of attorney submitted with your exemption application, unless the individual calling is an officer or director and legally authorized to represent you The IRS doesn't issue "tax-exempt numbers" or "tax-exempt certificates" for state or local sales or income taxes. If you need exemption from these taxes, contact your state or local tax offices. Most organizations are required to file an annual information return 9999999999 Sep. 19, 2014 LTR 3367C SO 16-1743819 000000 00 00029889 NEW BIRTH CHRISTIAN MINISTRIES PO BOX 3353 SOUTH BEND IN 46614 (Form 990, Form 990-EZ, or Form 990-PF) or electronic notice (Form 990-N, the e-Postcard) while their applications for exemption or miscellaneous determination requests are pending. If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. Visit www.irs.gov and type "annual exempt organization return: who must file" in the search box for information on the types of organizations that are required to file annual returns or notices. To receive the Exempt Organizations' EO Update, an electronic newsletter with information for tax-exempt organizations and tax Practitioners, go to www.irs.gov/charities and click on "Free e-Newsletter." For tax forms, instructions, and publications, visit www.irs.gov or call 1-800-TAX-FORM (1-800-829-3676). Sincerely yours, Tamera Ripperda Director, Exempt Organizations YOU ARE INVITED TO A COMMUNITY BLOCK PARTY Host by New Birth Christian Ministries Cory L. Gathright Sr. Pastor 747 Harrison Avenue Date: Saturday August 13, 2016 Time: 12 noon till 4 pm Location: 700 block of Harrison Avenue For Information please call 574 404-6310