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2. 
3. City of Middleton Special Events Permit Application

   Visit Middleton

   1811 Parmenter Street, Middleton WI 53562

   1.608.831.3399  |  1.800.688.5694 

    

   https://visitmiddleton.com

   Laura Portz, Convention & Events Services Manager

   lportz@cityofmiddleton.us

   
   

   
   

5. Special Event Permit Application

   Ordinance 7.17

   Application materials, additional City permit applications, and all base permit and license fees MUST be submitted at least forty-five (45) days prior to the event (120 days is recommended for a major event).

7. Organization Name
8. Website address
10. Address1
12. City
13. State
14. Zip
16. Contact Name*
17. Contact E-mail address*
19. Mobile Number*
20. Day Phone Number*
22. Alternate Contact Name*
23. Alternate Contact Phone Number*
27. Event Information
29. Name of Event*
30. Date(s) of Event*
    Date(s) of Event
32. Location of Event*
33. Event Layout*

    You MUST attach a detailed map or diagram of your event indicating the specific location, layout of your event, the direction of the route, including all turns and the number of traffic lanes to be used.

35. Set-up Time Begins*
36. Clean-up Time Begins*
38. Generally describe your event and its purpose*
40. Number of Years in Existence
41. Estimated Parking Needs*
42. Estimated Attendance*
46. Additional Information
48. Was a special event permit ever previously been approved or denied for this event?*

    1. Yes
    2. No
50. Will there be outdoor amplified sound?*

    1. Yes
    2. No
51. If yes, click to apply here
    Outdoor Amplified Sound Permit

    Chapter 7.15 of the Middleton Code of Ordinances $50.00

53. Will alcohol be sold, served, or consumed?*

    1. Yes
    2. No
54. If yes, click to apply here
    Temporary "B" Picnic License Application

    Chapter 7.08 of the Middleton Code of Ordinances $10.00

    Non-profits only

56. Are requesting any city street closures?*

    1. Yes
    2. No

    Chapter 7.17(7), (8)(k), and (9) of the Middleton Code of Ordinances $100.00 fee.  Prepare traffic control plan in conformance with MUTCD.

58. If yes, please indicate start and end times of street closure.
60. Will your event use portions of County or State roads?*

    1. Yes
    2. No

    Chapter 7.17(8)(c) of the Middleton Code of Ordinances. 

61. Provide a copy of your County or State permit
63. Will there be people working/directing traffic?*

    1. Yes
    2. No

    Safety vests must be worn

65. Will your event require a No-Parking Order?*

    1. Yes
    2. No
67. Will park, conservancy land, or trails be used?*

    1. Yes
    2. No

    Advance notification via signage is required for any events requesting trail usage.

69. Have you reserved the park, pavilion, or any other city facitilies for this purpose?*

    1. Yes
    2. No
    3. Not yet

    Chapter 21.02 of the Middleton Code of Ordinances 

70. Park Rental
    Park Shelter Rentals
72. Will items or services be sold or given away?*

    1. Yes
    2. No

    If yes, may have to apply for Outdoor Temporary Sale or Direct Seller's Permit

73. Outdoor Temporary Sale Permit
    Outdoor Temporary Sale Permit

    Chapter 10.48(2)(x)(iii) of the Middleton Code of Ordinances $10.00

    
    

74. Direct Seller Permit
    Direct Seller Permit

    Chapter 7.05 of the Middleton Code of Ordinances $50.00

    
    

76. Will items or services sold at your event present unique liability issues?*

    1. Yes
    2. No

    (i.e. body piercing, massage, tattoo, etc)

77. If yes, provide a copy of the State License

    Chapter 7.11 of the Middleton Code of Ordinances 

79. Will you be using tents, stages, or temporary structures?*

    1. Yes
    2. No

    No inflatable bounce houses are allowed on public property.  

80. Site Marking
    Digger's Hotline

    You must contact Digger's Hotline to have the site marked.  Other lines may be required to be located by the City Utility Department for a fee.  Please include these structures on your site plan (attached above).

82. Does your event include concessions, food preparation areas, and/or do you intend to cook food in the event area?*

    1. Yes
    2. No

    The food vendor(s) will need to be licensed through the state.

84. Will there be an open flame cooking in booths or trailers?*

    1. Yes
    2. No
85. If yes, contact Middleton Fire Department
    Middleton Fire Department

    Middleton Fire Department will need to be notified

87. Will mobile food carts be at your event?*

    1. Yes
    2. No
88. If yes, a mobile food establishment permit is required
    Mobile Food Establishment Permit

    Chapter 7.01 of the Middleton Code of Ordinances 

90. Does your event include the use of fireworks, rockets, lasers, or other pyrotechnics?*

    1. Yes
    2. No
91. If yes, apply for Fireworks Permit here
    Fireworks Permit Application

    Wis. Stat. 167.10 $250

93. Will Liquified Petroleum Gas (i.e. propane) be used?*

    1. Yes
    2. No

    Chapter 5.11 of the Middleton Code of Ordinances 

    https://cityofmiddleton.us/115/City-Code-of-Ordinances

95. Will there be temporary electrical wiring used?*

    1. Yes
    2. No
96. If yes, apply for an electrical permit fee
    Electrical Permit Application

    Chapter 12.09 of the Middleton Code of Ordinances 

    
    

98. Will you need additional refuse/recycling containers?*

    1. Yes
    2. No
99. If yes, contact Pellitteri
    Pellitteri Waste Systems

    Contact Pellitteri or any other hauler at your own cost

101. Do you plan to provide portable toilets at your event?*

     1. Yes
     2. No

     Chapter 6.04 of the Middleton Code of Ordinances.  Ratio 1 to 100 or 1 to 50 for alcohol-focused events.

103. Does this event involve banners/signage?*

     1. Yes
     2. No
104. If yes, apply for Temporary Sign Permit here
     Temporary Sign Permit

     Chapter 22.04 & 22.10 of the Middleton Code of Ordinances $25

     
     

105. Upload Temporary Sign Permit here
107. Will there be a clear path of travel (min 18' wide) for emergency vehicles throughout the event venue?*

     1. Yes
     2. No
109. Will your event involve the use of traffic safety equipment, signs, or barricades?*

     1. Yes
     2. No
110. If yes, see fee schedule
     Middleton Fee Schedule

     Chapter 8.08 & 7.17(9)(d) & (f) of the Middleton Code of Ordinances. 

     
     

112. Will hot air balloons be used?*

     1. Yes
     2. No
113. If yes, contact Middleton Municipal Airport
     Morey Field
115. Do your event plans include any casino games, bingo games, drawing, or lottery opportunities?*

     1. Yes
     2. No
117. Have you met with community groups, residents, businesses, places of worship, schools, Madison Metro bus, postal service and other entities that may be directly affected by your event? If yes, please list.
119. How are you marketing, promoting, or advertising the event? Please list.*
121. General Liability Insurance
     General Liability Insurance

     You are required to obtain general liability insurance for your event.  Please see Chapter 7.17(6) of the Middleton Code of Ordinances for the requirements.

122. Please upload your General Liability Insurance Certificate here
124. Will your event require dedicated coverage by an Emergency Medical Service Provider?*

     1. Yes
     2. No
126. If police services are being requested, please describe services requested.*

     If none, please answer "none"

128. Additional Fees/Costs

     In addition to the aforementioned fees, Special Event organizers will be charged for damage to grounds, buildings, and/or failure to pick up litter generated from the event. 

     •    Damage to grounds includes but is not limited to car and truck rut repairs, skid steer rut repairs, or damage to berms/turf as a result of low-riding vehicles.  Repair of damage will be charged at the rate of $40 per staff hour of repair, equipment and materials at cost (soil, seed, hay, etc.)

      •    Damage to buildings will include but is not limited to vandalism, defacement, and breakage to any buildings, fences, equipment, gardens, tables, trees, barrels, etc.  Repair of damage will be billed at a rate of $40 per staff hour of clean-up.  Equipment, materials and contractor services will be billed at cost (glass, wood, brackets, etc.)

      •    Event organizers will be responsible for the pick-up and removal of all refuse and recyclables.  If the Public Lands Department staff has to clean up following an event, the sponsor will be charged at a rate of $40 per staff hour of clean-up.  Equipment, materials and contractor services will be billed at cost (garbage bags, special trash and recyclable service pick-up, etc.). 

     •    Events requiring police services will be charged a service fee of $30-$60 per hour, per officer.

130. Legal Notice

     I understand the filing of this application does not ensure the issuance of this license.  The Fire Chief or Police Chief may revoke a special event permit or terminate an event in the interest of the immediate public health or safety because of fire, casualty, a natural disaster or a public emergency; or for violation of conditions or restrictions that result in a threat to the health or safety of any participant or the general public.  I also understand that all Special Event organizers and participants must comply with all applicable city ordinances, traffic rules, park rules, state health laws, fire codes and liquor licensing regulations.  Fees for park facilities, food sales permits, tent and fireworks permits and other permits as needed are in addition to the fees submitted for the Special Events Applications.

      FOR GOOD AND VALUABLE CONSIDERATION THE APPLICANT AND/OR THE ORGANIZATION AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF MIDDLETON AND ITS OFFICERS, OFFICIALS, EMPLOYEES AND AGENTS FROM AND AGAINST ANY AND ALL LIABILITY, LOSS, DAMAGE, EXPENSES, COSTS, INCLUDING ATTORNEY FEES ARISING OUT OF THE ACTIVITIES PERFORMED AS DESCRIBED HEREIN, CAUSED IN WHOLE OR IN PART BY ANY NEGLIGENT ACT OR OMISSION OF THE APPLICANT/ORGANIZATION, ANYONE DIRECTLY OR INDIRECTLY EMPLOYED BY ANY OF THEM OR ANYONE WHOSE ACTS ANY OF THEM MY BE LIABLE, EXCEPT WHERE CAUSED BY THE SOLE NEGLIGENCE OR WILLFUL MISCONDUCT OF THE CITY. THE SPECIAL EVENT SPONSOR SHALL SUBMIT A GENERAL LIABILITY INSURANCE POLICY CERTIFICATE.

132. Initial here (understanding of legal notice)*
136. I attest that the above information is true and correct and that any false or incomplete information may result in denial of my application.
138. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
139. Initial here*
141. Please type name as shown on application above*
142. Date*
     Date
Leave This Blank:


144. 1. Receive an email copy of this form.
145. Email address

     This field is not part of the form submission.

146. Submit

* indicates a required field