Village Of Sackets Harbor
 Forms 

Forms

Documents:
FOIL Request Form (PDF - 33.0 KB)
Tree Request Form (PDF - 320.7 KB)

Special Permit   #                             

VILLAGE OF SACKETS HARBOR APPLICATION FOR EVENT PERMIT – LONG FORM

PO Box 335

Sackets Harbor, NY 13685 315/646-3548

Complete the following application, provide event layout and return no less than 90 days prior to the event. A deposit fee of $75.00 must be included with the application.  For more information, call 315/646-3548.  Additional requirements may be distributed upon event approval.

 


Location: Visitor Center        


Band Stand        


Trail System         


Other:                                                               Please list requested location (i.e. Village streets, parking lots, etc.) The following locations require a written approval or permit from owner’s attachment to the application.


Seaway Trail Building         


Battlefield         


School         


Court Building         


LDC        


American Legion         


Madison Barracks        


 

Application Date:                                        

Name of Event:                                                                       Actual Date of Event                                             

 

Type of Event:             Run             Walk             Performance              Festival

 

Other (Specify)                                                                                                           

 

Reason for Event:                                                                   Fundraiser:        Yes      No

 

Will alcohol be served? :        Yes         No                 Will food be served? :        Yes          No

 

Who will hold alcohol permit?                                                Food permit?                                     

 


Set-Up Time:                 


Date:                 


Tear-Down Time:                  


Date:                 


(must be before


11 AM following day unless other arrangements are made)

 

Actual Start Time of the Event:              AM or PM     Actual End Time of the Event:             AM or PM

These times are used to estimate Village Services and should be accurate at application submittal.  Changes to these times will require approval from the Village Clerk and may incur additional fees.

Starting                                          Location                                          of                                          Event:                                                                                                                                                                          Ending Location                                                              of                                                              Event:                                                                                                                                                                Estimated number of attendees:                                      Estimated number of vendors:                           

(Vendors may require an additional permit) Estimated number of performers:                                    Estimated number of vehicles:                           

Will you be using any of the following:      Tents              Heating Devices            Generator           Other         If so, please explain:                                                                                                                             

 

 

Designated Event Parking Location(s):                                                                                                       


Name of Organization:                                                                                                                                   

 

Event Organizer (Primary Contact must be an individual that is responsible for the event):

Primary Contact:                                                                       Primary Phone:                                        Address:                                                                                                Fax #                                                               Email:                                                                                                                                                    Secondary Contact:            Secondary Phone:                                               Address:                                                         Fax #                                                                                                Email:                                                           

 

Village Staff Needed:       Police               DPW                Other                     

 

Will you be:            impacting streets, sidewalks        having an open flame, fireworks             Animals serving alcohol                          having amusement rides

using portable restroom(s) - 1 unit is required for every 50 attendees If any are checked, there may be some additional requirements.

 

Describe the event and state the purpose or objective of the proposed event (Attach additional sheets as needed):

 

 

 

 

 

 

 

Will there be any activity in the public right-of-way (i.e. public sidewalks, streets, parking lots, etc.) before, during or after the event? A drawing of the event route or layout is required.

 

 

 

 

Describe the event equipment included in layout (tents, tables, chairs, stages, etc.):

 

 

 

 

 

 

Electricity required:             Yes         No            Do you plan to use amplified sound?        Yes           No

 

Please explain:                                                                                                                                               

 

 

Filing of Application:  Application and $75 security deposit is due 90 days prior to event.

 

Fees: All applicable fees must be received a minimum of 60 days prior to the event.


Please initial items 1 – 7:

 

            1. The applicant (organization) agrees to indemnify, defend and save harmless the Village of Sackets Harbor, and all of their officers, employees and agents from all suits arising from the operation of this permit, or as a result of the consequences of any act, omission, neglect or misconduct on the part of anyone associated with the applicant on this event.

         _2. All applicants are required to clean up during and after each event, returning the areas used to the condition prior to the event. Failure to do so will result in cleanup costs charged against the security deposit and/or assessed to the applicant.

            3. The applicant accepts the conditions stipulated herein and must in all cases abide by the instruction of the Village Board, Mayor, his/her designee or the Village Police.

         _4. It is understood that this permit is not transferable and may be revoked at any time at the discretion of the Village Board, Mayor, his/her designee for failure of applicant, employees, agents, or contractors to comply with the terms and conditions of this permit.

         _5. This permit becomes effective at the time of approval by the Village Board.

         _6. One port-a-potty required for each 50 attendees

         _7. All events will conclude by 9:00 pm.

         _8. All cleanup and removal of items must be completed before 11:00 the following morning.

           9. The applicant agrees to all insurance requirements listed below.

 

               If any of these conditions are not met, the applicant (organization) shall forfeit their deposit and will give up the use of the Village property on the assigned date.  Additionally, if the event is cancelled, for any other reason, with less than a 60 day notice, the deposit will be forfeited.

 

INSURANCE: All events require insurance – The Village of Sackets Harbor MUST be named as additional insured.

1.  General Liability Insurance - $1,000,000 per occurrence, $2,000,000 in general aggregate.

This insurance may be through your caterer, or you may need to acquire a one day event rider. Please contact your insurance carrier.

2.    Liquor Liability Insurance – if liquor is served – same amounts as above.

3.    Product Liability Insurance – if food is served – same amounts as above.

4.    Proof of Workers Compensation Insurance for any employee, contractor or subcontractor (if your caterer is hiring servers).

All insurance certificates must be received a minimum of 60 days prior to the event.

 

Rents for use of Bandstand, Market Square Park, Village Lawn

1.   Bandstand:  Rental Fee $100.00 per hour for non-wedding events. 2.   Village Lawn:

a.   Walks, runs, etc. with a short registration period the day of the event i.        Not for profit  as approved by the Village Board: No charge

ii.      For profit: $100

b.    Events using lawn and/or Bayard Street

i.      Not for profit events: $150 for 4 hours and $25 each additional hour ii.         For profit events: $500 for 4 hours and $75 each additional hour

3.   Chamber of Commerce events preapproved by the Village Board will be no charge.

 

 

I have carefully read and will abide by the foregoing Application, policies, requirements and fees that follow and swear that statements I made therein are true and correct to the best of my knowledge and belief.

 

 

Signature of Person Completing Application                                                        Date


SUMMARY OF DEPOSITS AND FEES DUE

Hours        Charge                                  Charge                 Total

 

$75.00                                         $75.00

$100.00                               Hrs @ $100

$75.00

 

 

 

 

X

Deposit

 

 

 

 

Bandstand

 

 

 

 

Walks, runs, etc. - short registration

 

 

 

Not for profit as approved by the Village

 

 

 

For profit

 

$100.00

 

 

Events using lawn and/or Bayard Street

 

 

 

Not for profit as approved by the Village

4

$150.00

 

Not for profit as approved by the Village over 4 hours

 

$25.00

$150 +

 

For profit

4

$500.00

 

 

For profit over 4 hours

 

$75.00

$500 +

 

 

no charge

 

$100.00

 

 

 

$150.00

(Hrs x $25)

$500.00

(Hrs x $75)

 

 

 

 

Total Fee Received:


Note:  All Signatures are Required For Approval