Block Party Street Closure Permit Application

For Residential and Non-Commercial Applicants The undersigned applies for a permit for the use of the street area in accordance with the provisions of section 94-2 of the Keene City Code. This application must be received by the Keene Police Department at least four (4) weeks prior to the event.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Alternate Phone

Email(Required)

Is this your first block party application?(Required)

Yes

If no, date of previous application(Required)

Do you plan to have amplified music or operate noise-generating equipment?(Required)

Yes

Street(s) to be closed:(Required)

Between streets __________ and______________(Required)

Event Date(Required)

Start Time(Required)

End time:(Required)

NOTE: Event must end by 10:00 PM

How did you learn about Keene's Block Party program?(Required)

Street closure plan (showing signs and barriers)(Required)

Drop files here or

Max. file size: 100 MB.

Neighborhood Notification Flyer(Required)

What you will distribute to your neighbors, telling them what is happening and when…and inviting them to participate!

Drop files here or

Max. file size: 100 MB.

General Conditions

A simple majority of street residents, whose driveways would be accessed by the closed street, must agree in writing to the closure (a petition-style notice and sign-off sheet would suffice).
The Keene Police Department will consider any conflicting dates of scheduled community events in determining whether to issue a Block Party Street Closure Permit.
Street(s) to be closed CANNOT be a main arterial street, nor can there be any cross streets or access to public / private parking lots along the section to be closed off.
NO alcohol consumption on or across the public way (the street and sidewalks).
Petitioner ensures that all obstructions (tables, chairs, popups etc.) to be located in a single lane to allow vehicle access for emergency services or affected street residents.
Any tents / pop-ups larger than 10’ x 10’ will require inspection by the Keene Fire Department, and no cooking or flame sources are allowed in the roadway.
Keene DPW will drop off appropriate barricades and “No Thru Traffic” signs at each end of the affected street(s) during the weekday prior to the event, and will retrieve them from the same locations the following weekday.
Petitioner is responsible for setting up said barricades and signs (allowing space for street residents or emergency vehicles to drive around them), and for removal of same from the street at the conclusion of the event and returning them to the street corners where Keene DPW had initially deposited them.
Any permit granted is personal to the Permittee only, and may not be transferred in any manner.
The event must end by 10:00 PM.
Any permit granted is revocable, at any time, by the City of Keene or the Keene Police Department, for any reason they deem reasonable and necessary, regardless of any factors presented by the Permittee.
Upon the expiration or revocation of any such permit, the Permittee shall immediately clear all items from the affected street(s) and reopen it to the normal use of the public.

INDEMNIFICATION:

The Permittee agrees to indemnify and hold harmless the City of Keene, its officials, officers, employees and agents against:

Any liability, claims, causes of action, judgments or expenses, including reasonable attorney fees, resulting directly or indirectly from any act or omission of the Permittee, their invitees, subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of the Permittee’s use or occupancy of the public way; and
All loss by the failure of the Permittee to fully or adequately perform, in any respect, all authorizations or obligations under the permit.

Signature(Required)

By signing below, the Permittee acknowledges having read and understood all information on both sides of this form, and agrees to all terms, conditions and requirements listed herein. No permit shall be issued without the valid signature of said Permittee.

Date(Required)