Events Application

Please return completed application form and approved COVID plan from Clinton County Health Department and any additional paperwork to:
Mayor's Office
41 City Hall Place
Plattsburgh, NY 12901
Phone (518) 563-7701 or fax (518) 561-7367
carlinb@cityofplattsburgh-ny.gov

Applications and additional paperwork can be submitted electronically or applicant can mail completed application and additional paperwork to the address above. If submitting additional paperwork electronically please click on the link below. PLEASE BE ADVISED that all required paperwork, such as certificate of insurance, alcohol permit from NYSLA, Clinton County health department permits, worker's compensation, etc., must be submitted WITH application. Any application that does not include such supporting documentation will be returned. If application is approved, payment must be received within 2 business days to confirm reservation and only one type of payment will be accepted. Due to COVID 19 please be sure all PAUSE NY requirements are being followed. Also, effective 05-28-2020 the Common Council adopted the following: Any individual who is over age two and able to medically tolerate a face-covering shall be required to cover their nose and mouth with a mask or cloth face-covering when in any City of Plattsburgh Building. This will be in effect until PAUSE NY or other health directives no longer recommend or require face-coverings.

Upload Additional Paperwork

One file only.
5 MB limit.
Allowed types: pdf.
5 MB limit per form.

EVENT INFORMATION

All questions must be answered for event application to be considered complete.

Name

First

Middle

Last

Email Address

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

Fax Number

Location of Event Site:

Plattsburgh City Beach

Macdonough Monument Bandshell

Trinity Park

Harborside-organizers of event are responsible for portopotty rentals

City Marina

Plattsburgh Recreation Facility (Room Fees May Apply)

City Park (Please select from list below)

City Hall Building

Other: Please list in box below

Other Site:

City Hall Auditorium/Rotunda

If the request is for the use of Auditorium/Rotunda, and you are an individual or a for-profit organization, please describe how the event is for a public benefit, and which non-profit civic group the event profits will be forwarded to, including contact information for that non-profit civic group.

Brief Description of Event and Date Requested

If requesting use of electricity or water a fee may apply.

Does event require street closures?

Yes

If so have you notified impacted parties

Yes

Will there be food or beverage served at this event?

Yes

If yes please be aware proper permits will be required. If alcohol is served this no longer qualifies as a small event and Common Council approval will be required.

Other Event Type:

Event Date/Time

Set-Up Date/Start Time:

Tear Down Date/End Time:

Estimated Attendance

Admission Fee

Event Details

Is your group a non-profit/charitable organization?

Yes

If yes, charitable donation #:

Other Event Details

Power Required?

Yes

Water Required?

Yes

Trailer Stage Required?

Yes

Firework

Yes

Sanitation Facilities

Yes

Vendors

Yes

Recycling Event Coordinator

In accordance with the City's recycling policy, any events organized in public spaces need to appoint a recycling coordinator. The recycling coordinator for the event shall be designated to work with DPW about the location of waste and recycling bins. The coordinator shall organize volunteers to direct the public in the use of these bins. Please indicate the contact for the recycling coordinator for this event.

Additional Details/Requirements Not Previously Mentioned:

Alcohol?

Yes

Applicant is responsible for obtaining applicable Liquor License.

NYS Liquor Authority Rules and Regulations
http://www.sla.ny.gov

ROAD CLOSURES/PUBLIC WORKS

Does your event require road closures?

Yes

If so what roads/intersections?

PARADE/WALK INFORMATION

Describe the Proposed Event Route of Parade:

EMERGENCY MANAGEMENT

Designated Emergency Liaison (Event Day):

Cell # of Liaison:

Alternate Contact Person:

Cell # of Alternate Contact:

SECURITY

The City Police Department will not provide security for events. Will your event require security, if so please describe how you will secure the event venue. If no security required simply note such.

First Aid/Training/Evacuation:

Who is responsible for first aid at your event, please identify their location? What training will you provide to your volunteers/staff/participants regarding emegencies? How will you evacuate the area in the case of an emergency/disaster? Location of exits?

TENTS

If you plan on having tents at your event, please list all sizes. Organizer is responsible for dig safe permit and tent must be removed within 24 hours of end of event.

CHECKLIST

Detailed Route Map (parade or walk)

Map of Road Closures

NYS Liquor License/Special Occasions Permit

(Food vendors need permit for Clinton County Health Department, Certificate of Liability listing City of Plattsburgh as additional insured and permit from the City Clerk's Office if approved)

Insurance Certificate

(City of Plattsburgh listed as additional insured)

Application Signed

Please submit the documents mentioned above (if applicable)with your event application. Once all required forms are received your event will be presented to Common Council for approval/disapproval.

By signing, you do hereby hold and save harmless and agree to indemnify the City of Plattsburgh and its elected officials, directors, officers, employees, servants, agents, contractors and their respective heirs, executors, successors with respect to any and all actions, debts, suits, demands, costs, damages and expenses whatsoever arising either directly or indirectly as a result of the rental/use of the facility/park.
Municipal Events Rules
Please click on the link for full text of Municipal Events Rules.
Are you in need of insurance?https://venueliability.com/TULIP/LesseePortal/Home.aspx?cid=WXGZS%2fhTxqezXl4qdSVSdg%3d%3d
Please click on the link for access to purchase insurance.

I have read and understand the Municipal Events Procedures and I will abide by all guidelines therein.

***NOTE: Applications for small events should be submitted 10 days in advance of event. All other events require submission 45 days in advance of event.***

Application Signature

Sign above

Receive an email copy of this form. The City will review application and contact you within 5 business days of status.

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