Fillable Block-Party-Permit April 27, 2006

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Block-Party-Permit April 27, 2006

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The Block-Party-Permit April 27, 2006 form is 3 pages long and contains:

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U.S.A. forms for Town of Frederick

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• •
•
Block Party Permit Request Form
Please complete the information below. A Town representative will contact you regarding
availability. Requests must be received at least one week in advance of the date
requested in order to be accommodated.
There is a $25.00 Block Party Permit Fee associated with all block party permits.
Name __________________________________________________________________
Address __________________________________________ Zip___________________
Phone Number ___________________________
Email Address____________________________________________________________
Date Requested____________________
Time Requested (All events must end at dusk, due to safety concerns)
Beginning:_____________ AM or PM Ending:_________________ AM or PM
This permit application is to be used for the gathering of neighbors on a block,
not individual private parties. Please provide a sketch of the segment of street
that is planned to be used for this event, showing the streets that will be blocked
and addresses affected by the street closure.
Street(s) that will be closed off (for example, Oak St. between 4
th
and 5
th
Streets)
________________________________________________________________________
________________________________________________________________________
It is the responsibility of the party pulling this permit to assure that all affected streets are
properly barricaded. Public Works will provide barricades for the event; they will be placed
on/near the street corners before your event so you can put them in place when you’re
ready for the street to be closed. You will be responsible for placing the barricades in the
same place when event is over. Emergency access must be maintained at all times.
Payments and deposits can be made by calling 720-382-5500 with credit card information
or coming into Town Hall at 401 Locust St. Frederick, CO 80530 and paying with check,
credit card or cash. You may also mail a check to PO Box 435, Frederick CO 80530.
Return this completed form to Susan Eberl at seberl@frederickco.gov or mail to PO Box
435, Frederick CO 80530.
• •
•
By signing below, I/we hereby acknowledge that I/we have received a copy of the
Frederick Block Party Rules and Regulations, and that I/we have read and fully understand
the content. I/we release the Town of Frederick from and agree to save and hold
harmless, defend and indemnify the Town of Frederick from all claims and damages or
liability of any kind that may result from my/our performance of services or use or
occupation all Public Rights-of-Way, including claims alleging negligence or other wrongful
acts or omissions of the Town. I/we agree that neither the Town of Frederick, nor any of
its officers, agents, volunteers, assistants, or employees shall be held responsible or made
subject to any claims, including any claim for negligence, seeking to assess damages or
liability for or arising from personal injury or property damage to self or others in
attendance during the use of the Public Rights-of-Way. I/we release and agree to save
and hold the Town of Frederick harmless for any claims for damages to myself resulting
from suspension, revocation or modification of the permit.
________________________________________ ______________
Signature Date
________________________________________ ______________
Town Staff Date
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• •
•
Block Party Permit Rules and Regulations
Please initial each section showing that you acknowledge and agree to the requirements.
______ A Block Party Permit is required for blocking or barricading any Town-owned
right-of-way, for the purpose of neighbors gathering. Private, individual parties do not
qualify for this permit. There is a cost of $25.00 for the permit.
______ Prior to submitting a request, you must make contact with residents affected by
the blocking and all parties must be in agreement and have no objection to the blocking.
We suggest you contact your HOA for their permission as well.
______ Requests submitted to the Town will be sent to the appropriate departments
within the Town as well as the Frederick-Firestone Fire Department for their approval.
Requests must be approved by all affected departments before a permit is issued.
______ Refunds will be given only if the Town receives a cancellation notification 14 days
in advance of the reservation. In the event of inclement weather, no refunds will be given,
but you may choose another date, that will have to be approved by all departments.
______ It is the applicant’s responsibility to obtain and set up barricades at the streets
intended to be used for this event. These barricades must conform to the Manual of
Uniform Traffic Control Devices standards. Public Works can provide barricades for the
event that meet Manual of Uniform Traffic Control Devices standards. The applicant may
also rent barricades from a local rental company, if they so choose. The applicant is
responsible for setting up and taking down all barricades. All barricades must be readily
removable in order to provide immediate access to emergency vehicles. Emergency
access must be provided at all times.
______ All public rights-of-way and facilities must be cleaned of any and all debris and
garbage after the event; if the area is not returned to the original condition, the Town
may charge you for clean up fees. If the barricades are damaged upon return, you will be
responsible for the cost of replacing the barricade for the Town.
______ If you have any issues with barricades or the public-owned area, please call the
Public Works Department at 720-382-5800 (M-F, 7am-4pm), 303-598-8429 (on-call
phone number for calls outside office hours).
______ Public consumption of alcohol within the public right-of-way is not permitted
under the Frederick municipal code. Violators will be ticketed and required to appear in
the municipal court.
______ Event must conclude by dusk, unless written consent is given.
• •
•
Block Party Permit Rules and Regulations
Please keep this page for your reference.
A Block Party Permit is required for blocking or barricading any Town-owned right-of-way,
for the purpose of neighbors gathering. Private, individual parties do not qualify for this
permit. There is a cost of $25.00 for the permit.
Prior to submitting a request, you must make contact with residents affected by the
blocking and all parties must be in agreement and have no objection to the blocking. We
suggest you contact your HOA for their permission as well.
Requests submitted to the Town will be sent to the appropriate departments within the
Town as well as the Frederick-Firestone Fire Department for their approval. Requests
must be approved by all affected departments before a permit is issued.
Refunds will be given only if the Town receives a cancellation notification 14 days in
advance of the reservation. In the event of inclement weather, no refunds will be given,
but you may choose another date, that will have to be approved by all departments.
It is the applicant’s responsibility to obtain and set up barricades at the streets intended
to be used for this event. These barricades must conform to the Manual of Uniform Traffic
Control Devices standards. Public Works can provide barricades for the event that meet
Manual of Uniform Traffic Control Devices standards. The applicant may also rent
barricades from a local rental company, if they so choose. The applicant is responsible for
setting up and taking down all barricades. All barricades must be readily removable in
order to provide immediate access to emergency vehicles. Emergency access must be
provided at all times.
All public rights-of-way and facilities must be cleaned of any and all debris and garbage
after the event; if the area is not returned to the original condition, the Town may charge
you for clean up fees. If the barricades are damaged upon return, you will be responsible
for the cost of replacing the barricade for the Town.
If you have any issues with barricades or the public-owned area, please call the Public
Works Department at 720-382-5800 (M-F, 7am-4pm), 303-598-8429 (on-call phone
number for calls outside office hours).
Public consumption of alcohol within the public right-of-way is not permitted under the
Frederick municipal code. Violators will be ticketed and required to appear in the municipal
court.
Event must conclude by dusk, unless written consent is given.
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Block-Party-Permit April 27, 2006

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Completed 12 July 2020

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