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Home My WebLink AboutFright Fair on Spring Street (BPW Approved 8/9/23) Sqt �4.SQEPART. a" ofv�� Fti A • •` ""` '� ' SPECIAL EVENT APPLICATION Submittal of this application does not guarantee approval of the event. This application must be completed in its entirety.Any applications not completed will be denied automatically. Before applying, please acknowledge that addendum will be utilized in instances where additional liability on behalf of the applicant may occur.Applications must include a detailed site plan which clearly shows all temporary structures including but not limited to tents, portable toilets, stages, bleachers, dumpsters,fencing,inflatables,etc.at the time of submission. If you are applying on behalf of a nonprofit, please provide proof of organization's nonprofit designation. EVENT INFORMATION Name of Event•Fright Fair on Spring Street Type of Event: Family Friendly Street Festival Event Date(s) Oct 28th Event Time 12:00 PM-8:00 PM Event Day 2. Event Time: Event Day 3. Event Time: Event Location 200 block of Spring Alternate Date, Time and Location: Will additional time be needed for set up/break down? (please check) ■YES ❑NO Set up will begin on (date): Oct 28th at (time): 8:00 AM Break down will begin on (date) Oct 28th at (time) 8:00 PM Please provide a detailed description of your proposed event (be specific)' Carbon Copy of event from last year. We will have local artists in booths distributing candy to trick-or-treaters. Jack Daniels will be sponsoring. Live Music will be provided by Missy and the Misfits. The event will free and family friendly. We will provide waste disposal, public restrooms, food trucks etc. We request street barricades and bike racks. Is this event open to the public? (please check) ■YES ❑NO Estimated attendance* 350 Estimated number of teams participating? (athletic tournament only) *Fees may be assessed during post event inspection if actual attendance exceeds above estimate 1 ORGANIZATION INFORMATION Organization producing the event: (please check) ['For Profit •Nonprofit El Governmental ❑Neighborhood Association El Other: Name: Hyperion Ventures LLC Street Address: 246 Spring Street City: Jeffersonville State: IN Zip Code: 47130 Website Phone:270-791-6674 Email: partypartyrocknroll@gmail.com Social Mhealcove246 On-site Contact NameChristopher Palmer On-site Contact Phone: 270-791-6674 On-site Contact EmailChris.palmer4x8@gmail.com Phone number and/or email you want the public to contact for more information and to be listed online: springstreetfest@gmail.com Number of years this event has taken place in Jeffersonville: 1 Is this event produced in other areas? (please check) DYES ■NO If so, where? COST It FUNDING Ticket Prices(if applicable): Adults Children Seniors How will ticket sale revenue be used? If the proceeds of the event are intended for an organization other than the applicant,please provide the following information: Benefit Organization: of funds which will be donated: Contact Person: Contact Phone: Terms of the agreement: 2 ROAD CLOSURE Wilt your event require road closures? (please check) •YES ❑NO If yes, please describe the roads that would be closed and provide the opening/closing dates and times. Also, please attach map detailing closures and cross streets. Name of streets: 200 Block of Spring Street Date/Time of Closure closed 10/28 at 8:00 am Date/Time of Opening Open 10/28 at Midnight PARKING Will you need any parking lots reserved for non-public use? (please check) DYES ■NO Will you be using areas for off-site parking? (please check) ❑YES 0 NO TRAFFIC CONTROL Will your event require traffic control? (please check) DYES ❑NO ALCOHOL Will alcohol be served at your event? (please check) ❑YES ❑NO FOOD Will food be served at your event? (please check) ■YES ❑NO If yes, will food be self-prepared? (please check) ❑YES •NO INFLATABLE ATTRACTIONS: (Please make sure to include on site map) Will inflatable attractions (bounce houses, slides, games) be part of this event? (please check) •YES ❑NO If yes, who win staff the attractions? MI Vendor ❑Event Staff AMPLIFIED SOUND: Will amplified sound be used at your event? (please check) 0 `E$ ■NO If yes,what will be amplified (music, speeches, etc.)? (please check) ■YES 0 NO If yes,what time(s) will sound be amplified? 2.00 pm 8:00 PM If yes,what sound company will provide sound? Systemax AUDIO/VISUAL EQUIPMENT: Please list any A/V equipment to be used at your event. A mid-size PA (2 Speakers and 2 Monitors) 5 Microphones, a Sound Board. 3 FENCING (Please make sure to Include on site map) Will you be using temporary fencing for your event? (please check) •YES ❑NO If yes,what company will provide fencing?The City Jeffersonville REFUSE AND RECYCLING (Please make sure to Include on site map) Will you need refuse containers(dumpsters) for your event? (please check) ■YES 0 NO If yes,how many will be used? 10 trash cans (we will provide dumpsters) If yes,what company will provide refuse and recycling services?The City of Jeffersonville RESTROOMS (Please make sure to Include on site map) Will your event require temporary restrooms?(please check) •YES 0 NO If yes, how many?6 If yes,what company will provide restroom services? On Site Rentals CLEAN-UP: Will you use a cleaning company for event clean-up? (please check) ❑YES •NO If yes,what company will provide cleaning service? ELECTRICITY: Will you be using temporary electric(generator)at your event? (please check) •YES 0 NO If yes,what company will provide electric service?We Own Generators. TENTS (Please make sure to include on site map) Will you be using tents, stages, ticket booths, etc. at the event?(please check) •YES 0 NO If yes,will tents be larger than 150 square feet(larger tents require permit)?(please check)❑YES ■NO If yes, please indicate the number and size of tents and desribe how tents will be used: If yes for larger tents,what company will be providing tents? PROMOTING/ADVERTISING: What type of promotion/advertising do you have planned for your event? We will advertise via our website, through the news and tribune and through public radio stations. 4 SIGN AND RETURN this completed application with supporting documents to the Jeffersonville Parks Department. Attn: City Events Planning Board. Email: oarksinfo@cityofieff.net Mail: 500 Quartermaster Court Jeffersonville, IN 47130 Applicant agrees that the contents of the application are complete, true and accurate to the best of their knowledge, informati d belief, and agrees to ensure compliance with the policies set by the City Events Planning Board. 07/24/23 Signature of Applicant Date *Upon approval by the City Events Planning Board, applicant will be required to pay the Special Event Permit Fee determined by the Board.This fee is usually set at S150 per application, but may be increased depending on use of city services, risk assessment or other factors. **A certificate of insurance is required for all events, with minimum coverage of$1,000,000 liability. The certificate must list the City of Jeffersonville as additional insured, and must be submitted to the Parks Department at least 10 days prior to the event date. This section to be completed by City Events Planning Board PERMIT FEE $ Receipt# APPROVED BY Date g'1- Police Fire: Street /4:Pti Parks:L( Safetl , Director ICJ (" Al1/4""U" 5