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HomeMy WebLinkAboutParkTrailPermitApplication 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(s) shall be returned after an inspection of the park or trail has been conducted and no damage found. 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 A TOWN OF ITHACA NEW YORKi 18 21 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.