City of Tulsa Special Event Permit Application

City of Tulsa
09/01/2011
BPAG 01/12/2009
Special Event Permit Application
Page 1 of 3
Summary of Event ______________________________________________________________
Saint Francis Tulsa Tough - Blue Dome Criterium
June 10, 2016
Event Title: ___________________________________________
Date of Event: ________________________
4
200 S Elgin Ave - Blue Dome District
Event Location: ________________________________________
Council District: _________________________
Bicycle Race
Event Description: ___________________________________
(Submit Flyer or Brochure in Electronic Format)
Saint Francis Health System/McNellie's Group
Event Sponsors: _____________________________________________________________________________
3,000
3,000
Anticipated Attendance (participants, staff, vendors, crowd, etc.): Total: ____________
Per Day: ____________
Event Organizer Information______________________________________________________
tulsatough.com
Tulsa Tough Inc.
Organizing Agency: ______________________________
Web Address: ______________________________
malcolm@tulsatough.com
Malcolm McCollam
Agency Contact: _________________________________
Email Address: ______________________________
Malcolm McCollam
918.633.0880
On-Site Contact: _________________________________
On-Site Phone: ______________________________
918.633.0880
Malcolm McCollam
Billing Contact: _________________________________
Billing Phone: ______________________________
214 N Main St #203
Tulsa
OK
74103
Billing Address: _____________________________________________________________________________
Street
City
State
Zip
✔ Fundraiser? / What cause: _________________________________
n/a
Agency Status: Profit ____ Non-Profit ____
Site Plan and Route Map_________________________________________________________
8am
6.10.16
Friday
Date: __________________
Day of Week: _________________
Time: _____________
6.10.16
Street Closing for Set-up, Stages, Tents, etc.:
Date: ________________________
Time: See schedule
Event Set-up:
See attached schedule and map
Street(s) to be Closed: ________________________________________________________________________
__________________________________________________ (Submit a Site Map in CAD/Electronic Format)
Friday
6.10.16
4pm
Date: __________________
Day of Week: _________________
Time: _____________
6.10.16
See schedule
Street Closing for Race, Parade, Festival, etc.:
Date: ________________________
Time: _____________
Event Opens:
See attached schedule and map
Street(s) to be Closed: ________________________________________________________________________
__________________________________________________ (Submit Route Map in CAD/Electronic Format)
6:15pm
Race, Parade, or Escort Start Times: _____________________________________________________________
5:15pm
Daily Festival or Street Party Times: _____________________________________________________________
Tulsa Tough Inc. 918.633.0880
Road Race Service Co. and Phone: _____________________________________________________________
10pm
6.10.16
Friday
Event Closes:
Date: __________________
Day of Week: _________________
Time: _____________
Event Dismantle:
6.10.16
11pm
Friday
Date: __________________
Day of Week: _________________
Time: _____________
6.10.16
Friday
10pm
Date: __________________
Day of Week: _________________
Time: _____________
Street Opening:
6.10.16
Friday
11pm
Date: __________________
Day of Week: _________________
Time: _____________
Street Opening:
Page 2 of 3
Secondary Permit Requirements ____________________________________________________
Yes ✔ No
Is this an Open Air Event?
Yes ✔ No
Alcohol or Beer On-Site?
Yes
No ✔ Concessionaires On-Site?
Yes
No ✔ Food Preparation On-Site?
Yes ✔ No
Tents or Stages On-Site?
✔
Public Property
✔
Private Property
✔
Parking Lot
Alcohol Sales
✔
Beer Sales
✔
Free Beverages
Number of Food Vendors: ______ Number of Item Vendors: _____
Charcoal
Electric
Gas
40x80, 20x20, 10x10
If yes, what sizes: ________________________________________
Yes
No ✔ Other Structures On-Site?
If yes, please explain: _____________________________________
Yes
No ✔ Using a City or River Park? Name and location: ______________________________________
Security, Medical, Traffic, and Parking Plans________________________________________
Yes ✔ No
Security or Police On-Site?
TPD Special Event - 918.586.6054
Agency and Phone: ______________________________________
TPD Operations Plan
If yes, please describe or provide an attachment of your plan: _________________________________________
__________________________________________________________________________________________
EMSA - 918.596.3055
Agency and Phone: ______________________________________
EMSA Medical Plan
If yes, please describe or provide an attachment of your plan: _________________________________________
Yes ✔ No
Medical First Aid On-Site?
__________________________________________________________________________________________
Yes ✔ No
RoadSafe Traffic System - 918.425.4550
Using Barricade Company? Agency and Phone: ______________________________________
If yes, the Barricade Co. providing equipment for the street closure must submit the plan in CAD/Electronic Format.
6.10.16
6.10.16
Equipment Setup: Date: ___________
Time: 7am
________ Equipment Pickup: Date: ___________
Time: 11pm
________
Yes ✔ No
Is there Parking Available? If yes, please describe or provide an attachment of your plan: _____
Private (paid) parking lots and street parking
__________________________________________________________________________________________
Yes ✔ No
Is there Disabled Parking? If yes, please describe or provide an attachment of your plan: _____
Private (paid) parking lots and street parking
__________________________________________________________________________________________
Yes
No ✔ Using a Shuttle Service?
If yes, please describe or provide an attachment of your plan: _____
__________________________________________________________________________________________
Other Related Activities and Information_____________________________________________
Yes ✔ No
Entertainment On-Site?
Fireworks
Inflatables
Live Music
Animals
✔
Recorded Music
Dancing
Other (specify): _____________________
Yes ✔ No
Sound Amplification?
Setup Time: 4pm
________ Start Time: 6pm
________ Finish Time:10:30pm
_______
Yes ✔ No
Certificate of Insurance?
USA Cycling - Pending
Agency and Phone: ______________________________________
Pending
If yes, submit certificate. If no, please explain: _____________________________________________________
At Your Service - 918.272.0568
Portable Rest Rooms?
Agency and Phone: ______________________________________
23
3
Number of Portable Rest Rooms: ________
Number of Disability Accessible Portable Rest Rooms: __________
6.11.16
Equipment Setup: Date: 6.10.16
___________ Time: 7am
________ Equipment Pickup: Date: ___________
Time: 8am
________
Yes ✔ No
Page 3 of 3
Mitigation of Impact______________________________________________________________
Please describe your plan for cleanup and removal of waste and garbage during and after your event: __________
We will hire a trash disposal company that will be on site for the entire event
_____________________________________________________________________________________________
__________________________________________________________________________________________
TBD Number of Dumpsters: _____
5
TBD
Number of Trash Receptacles: _____
Number of Recycling Containers: _____
TBD
Using a Sanitation Service? Agency and Phone: ______________________________________
TBD
TBD
TBD
Equipment Setup: Date: ___________
Time: TBD
________ Equipment Pickup: Date: ___________
Time: ________
Yes ✔ No
Yes ✔ No
Have you presented your event concept to the affected residents, businesses, churches, and schools?
If yes, please attach a complete list of these entities. If no, please explain: _______________________________
Notified Blue Dome District Merchants Association and affected business
__________________________________________________________________________________________
Yes ✔ No
Do you have a sample of the notice that you propose to distribute two weeks prior to your event?
Website
If yes, please attach in an electronic format. If no, please explain: _____________________________________
__________________________________________________________________________________________
COT Streets Dept. to parking meters. COT & TPD to deploy
Yes ✔ No
Other Information? ______________________________________________________________
standard advance warning signage and channelizers to TCP map.
__________________________________________________________________________________________
Affidavit of Applicant_____________________________________________________________
Tulsa Police officers and public safety services, and traffic-control signage and barricades will be required for street closings, traffic/crowd
control, and security. The Organizing Agency has the responsibility to be aware of and comply with City Ordinances and Regulations
including, but not limited to, Curfew Ordinance, City/County Public Health Regulations, and Police/Park Public Safety Requirements. An
application approval does not imply City sponsorship. Review the instructions for further information in reference to Special Events.
I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief that I have
read, understand, and agree to abide by the rules and regulations governing the proposed Special Event. I further certify that I, on the behalf
of the Organizing Agency, am also authorized to commit that agency, and therefore agree to be financially responsible for any costs and
fees that may be incurred by or on behalf of the Event to the City of Tulsa and Police Department. Any omissions will delay the process.
Signature via Email
02/16/2016
Malcolm McCollam
Print Name: __________________________
Signature: ___________________________
Date: _____________
Mail to: Special Event Coordinating Committee, 175
5963East
East2nd
13th
Street,
Tulsa,
74112,
918. 669.6854
Street,
Suite
590,OK
Tulsa,
Oklahoma
74103
Or Email to: sbain@cityoftulsa.org. Your electronic submission will serve as your electronic signature.
For City of Tulsa Special Event Coordinating Committee Use Only
05.26.2016
05.16.2016
02.16.2016
Date received: _________________
Date routed: ___________________
Date for review: ___________________
If any agency feels there are any problems with this application, contact the event organizer and discuss the problems and solutions before
this date: ___________________.
If any problems are resolved or not resolved by that time, a copy of this application and
brief memo
05.23.2016
East
590
Street,Ste
Tulsa,
stating the solution or reason for the objection should be submitted to:Special
Special Event
EventsCoordinating
CoordinatingCommittee,
Committee,175
5963
East2nd
13thStreet,
OK 74103.
74112. For further information or discussion, contact the City
TulsaofPolice
TulsaOffice
OfficeofofSpecial
SpecialEvents
Eventsatat918.669.6854.
918.576.5636.Fax
Fax918.699.3602.
918.699.3602.
Special Event Coordinating Committee Recommendation:
Pending
Yes
No
: ___________________
Date routed to Mayor: _________________ Mayor’s Recommendation:
Yes
No
: ____________________
Date routed to Council: ________________ City Council Approval:
Yes
No
: ____________________
All agency meeting 03.23.2016.
Comments: ___________________________________________________________________________________
_____________________________________________________________________________________________
Blue Dome Criterium
Friday,
June6th
10,
2016
Friday June
, 2014
Bag meters the night before
8:00 AM
Barricades on the side of the streets early morning
8:00 AM
Close Frankford from 2nd St to 3rd Street (local traffic only – Lees and Fleetfeet)
12:00 Noon
Close 2nd Street between Greenwood and Elgin
12:00 Noon
Close ally to the W of FleetFeet
1:00 PM
Close Elgin between 1st and 3rd
1:00 PM
Close 2nd between Elgin and Detroit
4:00 PM
Close 1st Street
5:00 PM
Close Elgin between Archer and the RR tracks (for Fire Works)
5:15 PM
Close whole course (3rd, Detroit and Greenwood)
5:15 PM
Racers on the course
6:15 PM
First Race Starts
10:00 PM
Last race finishes (Podiums)
11:00 PM
Open Streets
3rd Street
Parking
Public
2nd Street
ONE WAY
4th Street
Parking
Garage
DO NOT
4th Street
1st Street
ONE WAY
Parking
Garage
C
A
ENTER
DO NOT
es
ad
ir c
ar
B
Road
Closed
M
fic
af
Tr
ONE WAY
Parking
Garage
3rd Street
Performing
Arts Center
2nd Street
ONE WAY
City
Hall
Jazz Hall
of Fame
ONE WAY
ONE WAY
ONE WAY
ONE WAY
Alley
Cincinnati Avenue
Cincinnati Avenue
Cincinnati Avenue
Cincinnati Avenue
Detroit Avenue
2nd Street
Gate
TSU Grass
Tall
Indian
Store
S&J
Oyster
1st Street
4th Street
Greyhound Bus
Station
3rd Street
R
C oa
lo Cd
se A
d
at
es
M
G
Pit
Tent
Pe
de Vi
PA Dstirsi sua
apn
laB l
yar
C
rie
A
rs
M
B
lu
Vi e S
de ky
o
New
Midtown
Rose
ONE WAY
White Flag
Retro Max
Joe Momma’s
El Guapo's
ONE WAY
Dirty’s
Alley
Alley
Alley
Detroit Avenue
Detroit Avenue
Detroit Avenue
Arnie's
Gate
First
Aid
Gate
Vendor
CAM
Vendor
EMSA
Road
Closed
4th Street
3rd Street
A/V
Drop to
VIP room
at Lee’s
Start/Finish
Dust
Bowl
Dilly
Deli
Gate
Gate
Vendor
Registration
Beer
McNellie's
Albert G’s
DO NOT
Elgin Avenue
Elgin Avenue
Elgin Avenue
Elgin Avenue
ENTER
Alley
R
Public Parking
R
ONE WAY
W
Team
Tent
Road
Closed
Team
Tent
1st Street
Road
Closed
Frankfort Avenue
Road Closed to Thru
Traffic Sign at Archer
Media Only
Road
Closed
Frankfort Avenue
ONE WAY
E
4th Street
Road Closed to
Thru Traffic Sign
3rd Street
Road Closed to
Thru Traffic Sign
Warehouse
2nd Street
ONE WAY
Warehouse
Parking
Public
S
N
Alley
Greenwood Avenue
Parking
Entrance
Only
Keep
Right
Legends
Open
Field
Exit
Only
Greenwood Avenue
C
A
M
R
Open
Field
1st Street
ONE WAY
Open
Field
in the Blue
Dome District
on June 10, 2016
Saint Francis
Tulsa Tough
Road Closed Sign
at Kenosha
R
Road Closed to
Thru Traffic Sign
Greenwood Avenue
DO NOT
Public Parking
ENTER
DO NOT
ENTER
Road
Closed
ONE WAY
Keep
Right
R
C oa
lo d
se
d
STOP
ONE WAY
ENTER