Occupation of the public domain 1. All requests must be made in writing by using the Occupation of the public domain-city of Montreal form. This form is available at the Access Montreal Office of the Côte-des- Neiges Notre-Dame-de-Grâce borough, open Monday to Friday from 8 :30 am to 5 pm, and Saturdays from 9 am to 12 pm. No reservations can be taken by telephone or verbally. Only written and signed requests will be considered. Incomplete requests will not be treated. 2. You can send your request by mail or bring it in person to the reception of the Access Montreal Office of the borough of Côte-des-Neiges Notre-Dame-de-Grâce located at: 5160, boulevard Décarie Ground floor Montreal (Quebec) H3X 2H9 You can also forward us your request by fax to: 872-4585 3. The request must be sent to the Borough office 50 days before the date of the event. 4. A representative of the Direction de la culture, des sports, des loisirs et du développement social will communicate with you by telephone or in writing 21 working days following the reception of your request. 5. The City of Montreal reserves the right to refuse access to its installations to any organization that does not respect the terms of their contract.
Questionnaire about organisations requesting space of services (To be filled in once a year, the first time your group applies for space) Name of the organization : Activity : 0-5 6-12 13-17 18-55 55+ Address : Postal code : Telephone : Contact person for the city : The representative of the organisation authorizes the Ville de Montréal to publish the information provided above Yes: No: Please circle appropriate response 1. District where head office is located : NDG CDN Other : 2. Municipal electoral district : 29 (CDN) 28 (Darlington) 32 (NDG) 33 (Loyola) 31 (Décarie) 30 (Snowdon) 3. Type of organization O.S.B.L. Public Parapublic Commercial 4. Target population : NDG CDN Borough Municipal Other : 5. Programme for handicapped persons : Yes No 6. Language of correspondence : French English 7. Member of ethno-cultural community (for statistical purposes) : Yes No 8. Incorporation : Yes No Enterprise number : 9. Insurance : Yes No Coverage : Copy enclosed : 10. Resolution from the executive board and list of Board members: Yes No Copy enclosed: 11. Plan of the site (set-up) : Yes No Copy enclosed : Signature : Date :
Arrondissement Côte-des-Neiges Notre-Dame-de-Grâce Direction de la culture, des sports, des loisirs et du développement social 5160, boul. Décarie, bureau 400 Montréal (Québec) H3X 2H9 Téléphone 311 Télécopieur (514) 872-4585 REQUEST TO OCCUPY THE PUBLIC DOMAIN IN ORDER TO HOLD A PUBLIC EVENT Information sheet Please note that reception of this request does not constitute approval of the event. You must obtain all applicable permits and authorizations from our Department and other municipal services prior to distributing any form of publicity regarding your event. Reserved for the administration Date de réception de la demande: Numéro de dossier: SECTION 1 Name of the organization Contact person IDENTIFICATION OF THE ORGANIZATION Title Office phone Fax : Cell phone E-mail : Name of person responsible on site Cell phone Mailing address of the organization SECTION 2 Name of the event GENERAL INFORMATION REGARDING THE EVENT Date(s) and time Description of the event Target clientèle Number of participants expected Deposit : Réservé à l administration Page 3
SECTION 3 Park name EVENT IN A PARK, A GREEN SPACE OR A SQUARE Date(s) and set up times Date(s) and teardown times Attach a set-up plan of the site. SECTION 4 REQUIRED SERVICE AND RENTALS Garbage cans Yes : No : Number : Picnic tables Yes : No : Number : Barricades Yes : No : Number : Delivery location : Restroom access (If applicable) Yes : No : If no restroom facilities are available, you will be required to rent the required facilities. You will need to submit a copy of your contract and their location in the park complete with delivery and pick-up times. Use of sports field Yes : No : Type de field : Schedule : * Please note that the City of Montreal can provide limited equipment subject to availability. Please indicate equipment delivery location on plan. ** A fee may be applicable. Page 4
For sections 5 and 6, equipment supplied by the promoter. SECTION 5 REQUIRING SPECIAL AUTHORIZATION BBQ or cooking Yes : No : What is the cooking method being used : BBQ (please indicate on the plan) Propane How many BBQs? Sale of food Yes : No : If yes, what type of food? Schedule of sale: Sale of promotional items linked to the event (ex :t-shirts, pins) Yes : No : If yes, what products? : Schedule of sale: Sound amplification Yes : No : If yes, according to what schedule? : Banners Yes : No : If yes, how many? : Place Date To from *Submitted to the following municipal services for authorization : Division des Travaux publics de l arrondissement, Service de sécurité incendie de Montréal(SSIM), Service de police de la Ville de Montréal (SPVM), Société de transport de la Ville de Montréal (STM), Division de l inspection des aliments de la Ville de Montréal, Urgences-Santé and others as required. SECTION 6 OTHER EQUIPMENT SUPPLIED BY PROMOTER* Inflatable structures Yes : No : How many? : (please indicate on plan) Tents Yes : No : If yes : What are the dimensions? How many? : (indicate on the plan) Name of renter : Fireproof certification Yes : (please attach) No : Marquises (tents with roof only) Electricity Yes : Yes : No : No : How many? : (indiquer sur le plan) Source : Voltage/Amperage : *Submitted for approval to the following municipal services : Division des Travaux publics de l arrondissement, Service de sécurité incendie de Montréal(SSIM), Service de police de la Ville de Montréal (SPVM), Société de transport de la Ville de Montréal (STM), Division de l inspection des aliments de la Ville de Montréal, Urgences-Santé and others as required. Page 5
SECTION 7 EVENT ON A STREET Please note you must obtain the support of 70% of residents and commerces affected by the street closing. Street name Intersections Complete street closure or partial Date and times of set-up Date and times of teardown SECTION 8 Description or concept of the parade PARADE AND PROCESSIONS* Date and times of the setp u Place of the set up Start time Point of departure Route Arrival time Arrival point Date and times of the t eardown Place of the teardown Number of vehicles Types of vehicles Number of persons taking part in parade *Subject to approval of the following municipal instances : Division des Travaux publics de l arrondissement, Service de sécurité incendie de Montréal(SSIM), Service de police de la Ville de Montréal (SPVM), Société de transport de la Ville de Montréal (STM), Division de l inspection des aliments de la Ville de Montréal, Urgences-Santé and others as required. Page 6
Please attach a plan of your route to your request form. SECTION 9 SECURITY Security agency Yes : No : If yes, name of agency : Name of person in c harge on site How many security agents will be present? copy of your contract. Title : Please include a Telephone Pager Tasks of security a gents Fax Cell phone Number of volunteers What organization are volunteers coming from? Responsabilities of and method for identifying volunteers Identification Age Is a training session scheduled? Method of communication used d uring the event Yes : No : If yes, specify the date, the time and where it will take place: First aid kiosk Yes : No : Specify who is responsible for first aid (Red Cross, Saint-Jean Ambulance, Pro-Med). Please indicate the location of the first aid booth, security agents and/or volunteers. Please note that at every closed intersection, you must guarantee, at all times, the presence of a security agent or volunteer so that he/she can intervene immediately in the case of emergency. Promoters are asked to adapt their event site to so that it is accessible to handicapped or mobility reduced individuals.. Signature : Date : Page 7
MAP Name of the event: Place : Date : Time : Street closure If applicable : DETAILED PLAN North West East South Page 8