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Home My WebLink About11-282JUNE 28, 2011 11 -282 RESOLUTION (CARRIED 7 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / OSHKOSH AREA HUMANE SOCIETY TO HOLD BARKING TO THE BEAT 2 AT 1925 SHELTER COURT & PARKING LOT / JULY 23, 2011 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to Oshkosh Area Humane Society (Nikki Hronis) to hold Barking to the Beat 2, on Saturday, July 23, 2011, from 4:00 p.m. to 10:00 p.m., in accordance with the municipal code and the attached application, with the following exceptions /conditions: BE IT FURTHER RESOLVED that as a condition of approval, the Event Organizer shall pay the City's actual costs for extraordinary services. Cost Estimates for Extraordinary Services none APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK GENERAL EVENT INFORMATION I Name of Special Event: Start Date: /!/ End Date: � odds EVENT SUN MON TUE WED THUR FRI SAT DATE O' SETUP TIME M START TIME 1914 STOP TIME �O TEAR DOWN / CLEAN UP COMPLETED Location of Event: 's Estimated Attendance (daily & total): 4&0 Number of Booths. 40 Organization(s) Sponsori (includ Event: L 6 Briefly describe your event. Be sure to include the purpose of the event and all nl�nnorl nt4h ificc APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY CLERK Primary Contact: Ali [ I S Daytime Telephone: L- Cell Phone: 91 ,' Y�i - 4q , 69 Fax: Emai & Zkgl Address: o,l Zl� (Sulam c�e��Y City: State: Secondary Contact: O h e- t I �i�5 "e-jy� A 1- Daytime Telephone: 9 1T -303 - 3111 rel Cell Phone: J . Address: City: 6- Onsite Primary Contact: Cell phone: Fax: Email: Address: City: _ Onsite Secondary Contact: Cell phone: Fax: Email: Address: City: _ State: Zip Code: NOTE Either the primary or secondary onsite contact must be present onsite at all times during the event. Zip Code: State: R Zip Code: State: Zip Code: 7 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK SPECIAL EVENT CHECKLIST (please check all boxes that apply) Is your event a: ❑ Festival / Music Concert • Religious / Educational • Rally / Memorial Street I Block Party ❑ Parade / Fun Run / Walk- a -Thon ❑ March utilizing any Public Property ❑ Public Assembly for Political Purpose ❑ Sport Tournament (Fishing, Soccer, etc.) ❑ Other Location of event: • Park or other public property • Public street, sidewalk, alley, or right of way Private property Will you have )� Alcoholic beverages OAJL? (Additional permit required from City Clerk) Food & non - alcoholic beverages (Additional permit required from Health Dept.) Non - food related sales and /or display booths (No additional permits required) ,)q Tent and /or Canopy -UP - TYPE (Additional permit required from Inspections Dept.) (Digger's Hotline must be contacted minimum of 3 days before digging) ` ❑ Generator(s) and /or additional electrical facilities 1 � (Additional permit required from Inspections Dept.) ❑ Fires or Candles (Additional permit required from Fire Dept.) ❑ Fireworks (Additional permit required from Fire Dept.) ,1� ❑ Activities in a park outside of normal operating hours (Waiver required from City Council) ,1 ❑ Barricades 1 `� (Approval from City Clerk's office if in right of way) APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Amplified Sound ❑ Animals included or allowed in event (animals must be licensed and have proof of vaccination) Cooking Equipment (Fire Department approval required) We have made arrangements for Restroom and hand washing facilities Solid waste and recycling services Event insurance ❑ Public safety & security / EMS services ❑ Electricity/ Generators Fire extinguishers 04 Advertising with banners or signs f - Drinking water ❑ Grey water and grease removal -- G1!MSS HJIC -KE -- Weather contingencies ❑ LP Gas ❑ Tent Heating Space Intentionally Leff Blank D APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Special Event Public Safety and Security Plan Name of Event: Location of Event: � Q ��tF? lti �P r �°�� . r✓� KOSU! 1 Date of Event -Du L Time the Event is to Open: 4pm Sponsor of the Event: Estimated Attendance (daily and total): 4�0Pc?+ Emergency Contact Information: Name: �� f - 011115 Daytime Phone Number: V40 -- Cell Number: / Name: e rT( ko5eL3 A-�-- Daytime Phone Number: 0 Cell Number: Name: Daytime Phone Number: Cell Number: Primary Location of Event Staff at Event Site: Emergency Notification of the Public The public will be notified of safety and /or security issues in the following manner: Eoleri4l N lM&)O 10 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Emergency Medical Services Name of Provider: 1 Contact Person / Telephone Number: Location of Provider at Event Site: Fire Protection II Name of Provider: 1 Contact Person / Telephone Number: Location of Provider at Event Site: Number of Fire Extinguishers: Location of fire access roads: Security Name of Provider: 1 1 Contact Person / Telephone Number: Location of Provider at Event Site: Location of Missing Persons Station: Event Parking Locations: 11 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Severe Weather Contingency Shelter Locations: Have you confirmed that the locations will be open and available? Who will determine if your event is canceled or held? Phone number: Public Safety Site Plan Provide a schematic drawing of the event site location. The drawing must be legible and drawn to scale. The public safety plan must include the following items if they will be provided, or if they are required. 1. Location of booths, stages, and event structures 2. Location of first aid stations 3. Location of information / ticket booths 4. Boundaries of the event 5. Location of fences 6. Location of exits and gates (gates must be numbered) 7. Location of Fire extinguishers 8. Location of severe weather shelters 9. Location of Fire / EMS access road 10. Location of security staff 11. Location of emergency contact event personnel 12. Location of assembly area and approximate occupant amounts 13. Location of event parking 14. Location of barricades 15. Location of generators 16. Location of temporary roadways 12 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Other Provide any other information that you feel should be considered Yes No I have reviewed and have considered the Contingency Plan information provided by the City of Oshkosh along with this application (pages 11, 12) I have reviewed and understand the City's Insurance requirements for Special Events as described in this document 1, F' (pages 13, 14, and 15) I am enclosing the event's Public Safety Site Plan (see page 9) am enclosing other information that I believe is necessary or helpful to describe the planned event SIGNATURE I am allowed to sign this application on behalf of the event sponsor. The information contained in this application for a Special Event permit is true, correct, and complete to the best of my knowledge. if there are any changes to the Special Event, I agree that I will promptly notify the City of Oshkosh of these changes and request approval of them., Date (print dame) (print title with organization) 13 SPECIAL EVENT INDEMNIFICATION AND HOLD HARML AGREEMENT (Medium and High Risk Events) EVENT: �� (K l - ORGANIZER: All The event organizer agrees that it, and not the City, will be solely responsible for all incidents related to the event. This responsibility of the organizer to the City includes but is not limited to the actions of the event organizer, its officers, employees, agents, and volunteers, along with event vendors, contractors, subcontractors, participants, and visitors. In consideration for the City's approval of the Special Event, the organizer of this event agrees to indemnify and hold harmless the City of Oshkosh, and its officers, council members, agents, employees, and authorized volunteers, from, for, and against and agrees to defend the same from and against, any and all suits, claims, grievances, damages, costs, expenses, judgments and/or liabilities, including costs of defense and reasonable attorneys fees, and further agrees to pay any settlement entered into or on behalf of, or judgment entered against, the foregoing individuals and/or entities. The event organizer shall abide by the City's insurance requirements for the event, including the addition of the City of Oshkosh, and its officers, council members, agents, employees, and authorized volunteers as additional insured's for the event. The individual(s) signing this agreement has the authority to enter into this agreement on behalf of the organizer(s) of the Special Event. EVENT ORGANIZER 5 (print n4me,of organizer) (title) (print name) (print title) 7/// ( date) (signs e) (title) e'g& L- LAV 321� fiA/gfo4 I (prin name) (print title) 17 Event Organizers are responsible for obtaining all approvals, permits and licenses required for an event. In addition to the Special Event Application and Permit, you may be required to obtain approval for specific items associated with your event; or, complete and submit applications for additional licenses or permits. Park Shelter Reservation Application — Many of Oshkosh's parks have shelters which are available for public use. You must contact the City Parks Department to reserve a shelter. Fees are listed on the Parks Department webpage at: www.ci.oshkosh.wi.us/Parks/park shelter fee schedule.asp Temporary Restaurant Permit — Required if food or beverages, other than prepackaged items, will be sold or served at an event. Temporary Restaurants will be inspected and licensed on site during Special Events by the Health Services Division. Information related to this permit is available under the Food Protection Heading from the Health Services Division webpage at: www.ci.oshkosh.wi.us/Health Services /environmental health services.asp Temporary Class "B" Retailers License — Required if your event will be selling or distributing beer /alcohol at your event. Temporary Class "B" licenses are G� issued through the City Clerk's Office and applications should be submitted with your application for your Special Events Permit. Temporary Use Permit -- Required for temporary use of a structure or site on private property within the City of Oshkosh. Temporary uses include, but are not limited to, temporary signs; tents greater than 200 square feet; anq outside salP� Temporary Use Permits are issued through the City's Planning Services Division. An application for Temporary Use Permit is available online at the Division's webpage at: www.ci.oshkosh.wi.us/Community Development/Planning Services /assets /pdf /a pplication forms /temporary use permit.pdf Applications for a Temporary Use Permit should be submitted with your application for your Special Events Permit. Fireworks and Burning permits — Required if you will have any type of fireworks or open flame in a public assembly area. See www.oshkoshfd.com click on "Prevention" in the left side column for more information. 22 Other Requirements: Diggers Hotline — (800- 242 -8511) must be contacted whenever a tent or other temporary structure will be erected and the ground will be penetrated by stakes, tools or equipment. The Winnebago County Sheriff's Department should be contacted whenever D any water patrol activities may be necessary in coordination with the event. Wisconsin Department of Natural Resources (WDNR) should be contacted regarding any water resource implication of the event, including the use of 1� fireworks over the waterways. Application for Permission to Detour State Trunk Highway Traffic — If your event would require closing or temporarily detouring traffic on any State Trunk Highway within the City, permission .must be obtained through the Wisconsin Department of Transportation and an Application for this permission must be filed through the City. 23 j IL L4 2011 "No Fleas Market Vendor List For July 23, 2011 "Barking to the Beat 2" Street Dance/Fundraiser 1. Helen Grim- 920 -235 -6074 Braided rugs /jewelry 2. Lisa Martin: crtrstr @tds.net WI Sheltie Rescue 3. Jeff& Joyce Engelman Wooden crafts 4. Rachel Abraham: rachelannamassageagmail.com chair massages 5. Jackie Phillips: Jackienbart a,aol.com jewelry 6. Deb Suess - 920 - 379 -5869 Wildtree Dips & Sauces 7. ' Annabelle Wojahn: kolinsk a,new.mcom Bead magnets 8. Vickie Coash - Grundy: 623 - 340 -0692 purses from ties 9. Joanne Banek: 235 -3549 Leashes, animal purses 1O.Lisa Lubeley- Schneider: 231 -1664 napkins /dish towels I (.Cassandra Gerber: 920 - 851 -4103 artist/jewelry 12.Susan McIlraith: 920 - 233 -2577 bead knitting 13.Jodi Bauer: 235 -0011 cat trees, dog beds, toys 14.OAHS Merchandise table Info, T-shirts, etc. 15.Karie Curtis: 920 - 312 -4643 pet furniture, ramps 16.Scott Shipps: 920 -574 -8927 cat training services 17.Lori Ann: sakura ifts g new.rr.com Baby B Sweet /jewelry 18.Kathy Beulen: 920 - 685 -2889 Painted Garden Bricks 19.Pat Golliher: 233 -3651 Avon 20.Laura Harvey& Jennifer Johnson "Stampin Up" cards 920 - 734 -0091 Mary Kay Cosmetics 21. Leslie Cider: 920 -527 -9449 Handbags /line drawings 22. Lisa - Valley Organics: valley organics @new.rr.com lawn service 23. Kelli Faskel: 715 -412 -2258 western attire, biker gear 24. Gina Fullerton: ginafullerton @live.com "Just Jewelry" 25. Kathy Joubert: Kioubertl a,gmail.com Sensee Candles 26. Kirsta Remey's Kids: 920 - 379 -3662 bracelets 27. Liz Nazario: nazarioelizabeth ayahoo.com Purses 28. Cindy Paffenroth: tcpaffenroth a,tds.net Park Lane Jewelry 29. Tina Ausbin: Ausbin a,sbcglobal.net rummage /variety 30. Becky Chirhart: 920 -410 -0274 shawls /jewelry 31. Mary Koepke: 920 - 203 -6505 Baby blankets 32. Darla Anderson: 292 -3763 Antiques /coke stuff 33. Amanda Fischer: 920 - 948 -1361 handmade soaps