Fill - Free fillable Temporary Street Closure Pilot Application (Office of Innovation and Technology) PDF form

TEMPORARY

STREET CLOSURE PILOT

APPLICATION

PhiladelphiaDepartmentofStreets

6/11/2020

TheCityisseekingpartnerstopilotcommercialstreetclos

ures.Itisrecommendedthatfoodservingbusinesses

thatarenotabletosatisfytherequirementsofsidewalkcafelicensingorparkinglane“Streeteries”consider

participatinginthispilotprogram.Theprogramwillsupportsociallydistancedcommercialactivitystartingwith

outdoordininginthepublicrightofway.



ApplicationsaresoughtfromBusinessImprovementDistricts,MerchantAssociations,andothersponsorswho

demonstratetheabilitytomaintainahealthy,safeandnuisancefreecommercialenvironmentforaperiodfrom8

to48hoursinthecourseofPhaseYellowofthePandemicResponse.I

ndividualbusinessesmayapplyasa

sponsorbutareencouragedtocollaboratewithneighboringmerchantsorseektheassistanceofanumbrella

organization.

Pleasefilloutapplicationandreturnbyemailtostreetclosure@phila.gov.Applicationswillbereviewedona

rollingbasis.

I) SPONSORINFORMATION

SPONSORORGANIZATION(PLEASEPRINT)

OrganizationName:ROWUnitLogNo.(ifresubmitting)

SponsorExecutiveFirstName: Middle Last Suffix

Address(includingStateRouteNumbers,ifknown):

AdditionalStreetFrontages(includeStateRouteNumbers,ifknown):

Email:

ACCOUNTABLECONTACTPERSON(PLEASEPRINT)

ContactFirstName: Middle Last Suffix

Address(includingStateRouteNumber,ifKnown):

Phone#: Fax#

Email:

II) Q U ESTIONNAIRE

A) Describehowtheclosurewillbeutilized(Attachadditionalinformationifneeded):

1) Hoursofoperation:__________________________________________

2) Willfoodbe:

 servedatthetable?  Yes  No

 servedcurbside?  Yes  No

 servedfrominside?  Yes  No

3) Howmanyserverswillbeworkingatanytime? _______________

4) Howmanytableswillbeinthestreetatmaximum? _______________

5) Howmanytablesmax.willbeinthePublicRightofWayincludingsidewalks? _______________

6) Howmanyseatsmax.willbeinthePublicRi

ghtofWayincl.sidewalks? _______________

7) Howlargeislargesttable(approx.diameterorrectangleinfeet)? ____diameterOR____x____

8) Willalcoholbeserved?  Yes  No

Ifyes,listeachestablishmentservingalcoholandtheirlicensenumber:

_______________________________________________________Lic#:___________________________

_______________________________________________________Lic#:___________________________

B) ContactInformation

Providename,two(2)pointsofcontactwithcellnumbers,physicaladdress,andemailforallestablishments

participati

nginproposedclosure.Thisoneapplicationwillcoverallparticipatingbusinesses.

(Attachadditionalinformationifneeded.)

Business:____________________________________________________________________________________

BusinessAddress:_____________________________________________________________________________

Businessemail:_______________________________________________________________________________

Contact#1Name:____________________________________________________________Cell:______________

Contact#2Name:____________________________________________________________Cell:______________

Business:___

_________________________________________________________________________________

BusinessAddress:_____________________________________________________________________________

Businessemail:_______________________________________________________________________________

Contact#1Name:____________________________________________________________Cell:______________

Contact#2Name:____________________________________________________________Cell:______________

Business:___

_________________________________________________________________________________

BusinessAddress:_____________________________________________________________________________

Businessemail:_______________________________________________________________________________

Contact#1Name:____________________________________________________________Cell:______________

Contact#2Name:____________________________________________________________Cell:______________

Business:___

_________________________________________________________________________________

BusinessAddress:_____________________________________________________________________________

Businessemail:_______________________________________________________________________________

Contact#1Name:____________________________________________________________Cell:______________

Contact#2Name:____________________________________________________________Cell:______________

C) SketchProposedLayout

Provideasketchoftheblocksrequestedforclosureandtheproposedlayoutofoperations.Showboth

participatingandanynon‐participatingestablishmentsalongtheblocks.Identifyanybusinessestha

tare

notamemberoftheorganization.

D) CertifyCompliance

Theaccountablecontactpersonlistedabovemustcertifybelowhavingreadandunderstoodcurrent

guidancefromtheCityofPhiladelphiaandTheCommonwealthofPennsylvaniaonOutdoorDiningand

ConductingBusinessingeneralduringtheYellowPhaseofthePandemicEmergency.ThisincludesTheCity

ofPhiladelphiaOutdoorDiningGuidelines(Link)andtheCity’sSaferatHomeGuidance(Link).

PrintedName:_____________________________________________________________________________

AffiliationtoS

ponsor:_______________________________________________________________________

Signature:____________________________________________________________Date:____/_____/______

III) CONDITIONS

A) SPONSORS:

1. Must obtain additional approval by PennDOT for closures on State Routes. The City will

coordinate this process, but approval is subject to the discretion of the Commonwealth.

2. Must be responsible for notification and coordination with non-participants including

residents, registered community organizations (RCOs), and neighboring businesses.

3. Each participating establishment must agree to the terms of this pilot/application.

4. Participation cannot be limited to members or affiliates of the sponsoring organization.

Businesses located adjacent to a closure will be given priority to participate in a commercial

street closure regardless of who is sponsoring.

5. Can add establishments in the course of the closure if the establishment agrees to the terms

of the permit subject to the discretion of the Commissioner, and, if adequate space is made

available to accommodate them.

6. Must ensure that patrons arriving at the closure are advised of their responsibilities to wear a

mask when not eating and maintain social distance. This may be achieved through a

prominent display and if possible, in-person reception. Displays should direct patrons to

https://www.phila.gov/guides/safer-at-home/ for further information.

7. Must place trash and recycling receptacles at the end of each closed block. Outdoor hand

washing stations may be required if sponsors cannot verify that socially distanced access to

interior hand washing is adequate to serve the maximum patronage.

8. Must ensure all participating establishments will employ personal protective equipment to

protect staff and customers as applicable per public health guidance.

9. Must ensure that all deliveries and waste & recycling collections are made safely and in a

manner that does not impact social distancing, ADA or safe circulation by pedestrians, bikes

or other vehicles.

10. Must maintain clear access to public utilities, fire hydrants, building entrances, crosswalks.

11. Must ensure that under ALL weather conditions, public access to interiors will always be

either socially distanced or restricted if social distancing is not achievable. This requirement

must be communicated to all businesses and patrons.

B) PARTICIPATINGBUSINESSES:

1. Shall not provide outdoor dining service in advance of reviewing and agreeing to abide

by Philadelphia Outdoor Dining Guidance (Link).

2. Must have a valid Food License.

3. Must either have no tax liabilities or be enrolled actively in a payment program with the City

to resolve outstanding liabilities

4. Must provide an email addresses for an owner and two points of contact including an active

cellular phone number.

5. Must ensure cleaning and sanitizing any materials or surfaces that the public might contact.

6. Must place tables, chairs, and other materials out during the period covered by the permit

and not before. This means planning for set up, hours of service, and break down within the

permitted closure period.

7. May serve alcohol with valid liquour license in accordance with State Guidance which may

allow for service and consumption on sidewalks.

8. Must roll trash and recycling containers to the end the closed block for pickup for any closure

that a closure is left in place overnight.

9. Must ensure parties are 6 persons of fewer per Health Department requirements.

10. Must establish and enforce a time limit for each party. There must be no overlap in time

among parties.

11. Cannot allow persons to join a party that is seated unless they are identified as late at the

time of seating.

12. Must minimize waiting and ensure that all patrons are socially distanced.

13. Must secure tables and chairs every night and prior to the expiration of the permit. This must

always allow for an ADA and Complete Streets compliant pedestrian path.

14. Must clean and sweep all areas assigned to them during the closure.

Pleasereturnbyemailtostreetclosure@phila.gov.

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