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PARK/TRAIL PERMIT APPLICATION
Park or Trail Requested _____________________________________________________________
Organization: _____________________________________________________________
Contact Person: _____________________________________________________________
Mailing Address: _____________________________________________________________
Phone Number(s): _____________________________________________________________
Email Address: _____________________________________________________________
Date & Time of Event: _____________________________________________________________
User Group Size: _____________________________________________________________
Type of Event: _____________________________________________________________
Use of Tent Anticipated? __________________ Use of Amplified Sound Anticipated? __________
1. Fees: 6-49 Persons $25.00
50-100 Persons $50.00
101 + Persons $100.00
(a) A refund of the permit fee will be issued only if written notice of cancellation is received 48 hours
prior to the event. Refunds can take 4-6 weeks.
2. Park/Trail Use Security Deposit: $100.00
Comfort Station Use - Tutelo Park (optional, see 4.4): $100/key
Security deposit returns shall be initiated after an inspection of the park or trail has been conducted and
no damage found, and upon return of the comfort station key. All debris, such as confetti, spray
string, balloons, etc., must be cleaned up. Refunds can take 4-6 weeks.
3. Insurance:
(a) Groups 25 to 100 persons: Special event coverage must be obtained with the Town named as
additional insured.
(b) Groups over 100 persons: Special event coverage must be obtained with $1,000,000 liability
coverage with the Town named as additional insured.
TOWN OF ITHACA
PUBLIC WORKS DEPARTMENT
114 Seven Mile Dr., Ithaca NY 14850
publicworks@town.ithaca.ny.us
PHONE (607) 273-1656 FAX (607) 272-6076
Approved September 2013
4. Other Information:
(a) Town parks and trails are open at dawn and close one-half hour after sunset.
(b) Pets are allowed but must be leashed or caged. Owners are responsible for the clean-up of any
pet waste.
(c) TENTS: By New York State Law, tents larger than 200 square feet (10’x20’) and canopies
larger than 400 square feet (20’x20’) require a permit from the Building Department.
(d) In the case of events of more than two hours duration, where toilet facilities are not already
available (or opted against at Tutelo Park), the permit applicant shall furnish at their own
expense portable toilet facilities sufficient for the size of the user group.
(e) Parking on the grass is prohibited.
(f) Grills will be cleaned by the Public Works Department.
(g) The Town of Ithaca has the right to impose any conditions upon the use of the park or trail it
deems necessary.
(h) The Town of Ithaca has the right to revoke this permit at its discretion.
By signing below, you agree to abide by all the rules and regulations presented to you in this application as
well as those in the Town of Ithaca Code, Chapter 200 Parks and Recreation Areas.
You further agree to pay for all damages to any area being used which may be caused by your organization’s
use.
You also agree not to hold the Town of Ithaca responsible for any and all accidents, injuries, damages, and
monetary losses from your organization’s event.
Print Name: ______________________________________ Title: ___________________________
Signature: ______________________________________ Date: ___________________________
All Fees Must Accompany Application
Office Use Only
Received By: ______________________________ Date: ____________________________
Approved: _________ Denied: __________ Reason for Denial: ________________________
Number of Comfort Station Keys Requested: _______ ID# of Keys _________________
Security Deposit _________________ + Key Deposit _________________ + Fee ________________
Total Received ___________________ Cash or Check #: ________________
PWD Inspection of Comfort Station Conditions after use __________________
PWD Inspection of Park Conditions after use __________________
Comments:
Comfort Station Key Returned to PWD: ___________
Date of Voucher for Refund of Security Deposit(s): _______________
Approved September 2013
SUPPLEMENT TO PARK/TRAIL PERMIT APPLICATION
(Applicant Copy)
1. Additional Information when holding an event at Tutelo Park:
(a) Town parks and trails are open at dawn and close one-half hour after sunset.
(b) Pets are allowed but must be leashed or caged. Owners are responsible for the clean-up
of any pet waste.
(c) Handicapped and elderly guests, as well as any necessary deliveries, may be dropped off
at the pavilion. All vehicles must stay on paved areas and be parked in the parking lot after
discharging guests or supplies. The gate shall be locked after all drop-offs/pickups at/from the
pavilion.
(d) Any trash generated shall be placed in the trash bin near the trailhead in order to prevent
animals from tearing bags apart. All debris, such as confetti, spray string, balloons, etc.,
must be cleaned up.
(e) Use of water for the purpose of recreation (slip-n-slide, water balloons, etc.) is prohibited.
(f) Both male and female comfort station doors shall be locked at the end of the event and lights
shall be turned off. Please notify Public Works if there are any issues at
(607) 273-1656, such as automatic flushers not turning on or off, lights not working, etc.
(g) Field games should only be played in areas designated for that activity.
(h) Renters shall make arrangements to obtain and return the comfort station key from the
Public Works Department, if applicable.