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Home My WebLink About23. 12-82FEBUARY 28, 2012 12 -82 RESOLUTION (CARRIED 6 -0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVAL OF SPECIAL EVENT / UW- OSHKOSH LGBTQ RESOURCE CENTER / UTILIZE CITY STREETS FOR THEIR 3RD ANNUAL LGBTQ ALLY MARCH / APRIL 11, 2012 INITIATED BY: CITY ADMINISTRATION NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that approval is granted to the UW- Oshkosh LGBTQ Resource Center (Liz Cannon) to utilize city streets: High Avenue and Market Street to Opera House Square, on Wednesday, April 11, 2012, from 6:30 p.m. to 7:15 p.m. for their 3 rd Annual LGBTQ Ally March, 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 RET EET I Y CLERK 1� 3 GENERAL EVENT INFORMATION JAN 2 -6 zafz. Official Name of Special Event: XY Start Date: �� h End Date: `�h C OFFICE EVENT DATE SUN MON TUE WED THUR FRI SAT SETUP TIME START TIME STOP TIME 8 �, TEAR DOWN ! CLEAN UP COMPLETED Event: Estimated Attendance (daily & total): Booths. Organization(s) Sponsoring Event: (including addresses) i'a oj�4wa.n �qg C eev� o_Ik : r: of Wl Briefly describe your event. Be sure to include the purpose of the event and all APPLICATION FOR SPECIAL EVENT PERMIT -- TO BE RETURNED TO CITY CLERK Primary Contact: 061 ! Daytime Telephone: . -1 2 2 Cell Phone; - �Dl�'�� ?-- Fax: Email: QnA vi ovi & QW u Address: +1q2m6L ' yd City: State: Secondary Contact: t r Daytime Telephone: q20 . 42.q. 51 krF�____ Cell Phone: 9'2G . [ o - bl b 9, — Fax: Email: I UWCGh - fd Add i City: Zip Code: State: W I Zip Code: Onsite Primary Contact: E 0-6t" i, o vv- Cell phone: q'20 `i 53' 2 5�- Fax: Email: j vL Address: U20 y Ci , )vyta__ N V0 City: 0 1��okj j State: 1N 1 Zip Code:' Onsite Secondary Contact: Cell phone: Fax: Email: City: State: IN 1 Zip Code: NOTE Ether the primary or secondary onsite contact must be present onsite at all times during the event. APPLICATION FOR SPECIAL EVENT PERMIT -- TO BE RETURNED TO CITY CLERK SPECIAL EVENT CHECKLIST (please check all boxes that apply) Is vour event a: ❑ Festival / Music Concert ❑ Religious / Educational ❑ Rally/ Memorial ❑ Street/ Block Party ❑ Parade / Fun Run / Walk -a -Thou �CMarch utilizing any Public Property ❑ Public Assembly for Political Purpose ❑ Sport Tournament (Fishing, Soccer, etc.) * Other Location of e vent: ❑ Park or other public property Public street, sidewalk, alley, or right of way ❑ Private property Will you have: n Alcoholic beverages (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) • Tent and /or Canopy (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 (Additional permit required from Inspections Dept.) • Fires or Candles (Additional permit required from Fire Dept.) • Fireworks (Additional permit required from Fire Dept.) • Activities in a park outside of normal operating hours (Waiver required from City Council) Barricades (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 o Restroom and hand washing facilities o Solid waste and recycling services o Event insurance * Public safety & security I EMS services r Electricity I Generators o Fire extinguishers Advertising with banners or signs o Drinking water a Grey water and grease removal o Weather contingencies o LP Gas o Tent Heating Space intentionally Left Blank APPLICATION FOR SPECIAL EVENT PERMIT - TO BE RETURNED TO CITY CLERK Name of Event: Location of Ever Date of Event: I " Time the Event is to Open; �7 � 9 L i m Cth Sponsor of the Event: � U) -)-Cl M - Estimated Attendance (daily and total): 270 A Emergency Contact Information:_ Name: L C Daytime Phone Number: Cell Number: R 2-6 . �r Name: Daytime Phone Number: R20 •�Z Cell Number: 97-f.9 Name: _ WIPW Ln Y�tr Daytime Phone Number: Cell Number: C12$?. - 1 :�l Sn� _ Primary Location of Event Staff at Event Site: Emergency Notification of the Public Special Event Public Safety and Securily Plan The public will be notified of safety and /or security issues in the following manner: APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Severe Weather ContincleDgy L Shelter Leve �? !1 v .R► Havg you confirmed that the locations will be open and available? will determine if your eyent 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 1 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 APPLICATION FOR SPECIAL EVENT PERMIT — TO BE RETURNED TO CITY CLERK Other Provide any other information that you feel should be considered Yes No iG- I have reviewed and have considered the Contingency Plan information provided by the City of Oshkosh along with this application (pages 11, 12) L ( , 1 have reviewed and understand the City's Insurance requirements for Special Events as described in this document (pages 13, 1 4, and 15) I am enclosing the event's Public Safety Site Plan (see page 9) I am enclosing other information that I believe is necessary or helpful to describe the planned event 1��`�1� rouge 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. 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