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Town of Cornelius
Police Department
21440 Catawba Ave
Cornelius, NC 28031
Ph: (704) 892-1363
Fx: (704) 896-0666

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Cornelius Police Department

Special Event Application

The Town of Cornelius requires that all organizations or persons who are planning an event in the Town of Cornelius obtain a permit from the Police Department. The application must be filed not less than two (2) weeks before the date on which the event is to take place. There is no charge to apply or for the permit itself, if approved. If you are planning an event in the Town of Cornelius, you can come to the Cornelius Police Department Monday through Friday from 9:00 a.m. until 5:00 p.m. to apply for or obtain copies of a Special Events Permit. You can contact the Police Department during these hours at (704) 892-1363.

To be issued a permit, you must supply as much information as possible. Things to consider include:

  • ABC Permits: Mecklenburg County Alcohol Beverage Control Board requires permits for service of any alcoholic beverage. You can contact them at (704) 376-7444.
  • Building Permits: Mecklenburg County Building Standards require permits for any temporary or permanent structures, electrical wiring, tents, cooking facilities, etc. You can contact them at (704) 336-4180
  • Emergency Medical Services: A description of the first aid or emergency medical staffing needs to be included. Provision of emergency medical services may be either at the event or on an “on-call” basis. You can contact Cornelius Fire & Rescue for arrangements at (704) 892-1544.
  • Fire Marshal Permits: Mecklenburg County Fire Marshall’s Office requires permits for any parade floats, open flames, fireworks or pyrotechnics, vehicle fuel, cooking facilities, tents, air supported structures, canopies, or other fabric shelters. You can contact them at (704) 336-2154.
  • Food Service Permits: Mecklenburg County Environmental Health Department requires permits for food service. You can contact them at (704) 335-5530.
  • Noise: Clearly describe any noise, music, or sound amplification devices that will be at the event including the specific hours.
  • Sanitation: You will need to explain your plan of action to promote and maintain a sanitary environment. Include number and location of trash containers to be provided for the event. Indicate who will be responsible for making sure the event location is cleaned after the event. Describe the number, type, and location of portable toilets to be provided for the event (or permanent toilets to be used for the event). This should include identifying any permits you have obtained through the Mecklenburg County Health Department, if required.
  • Other Safety Procedures: Other safety services can be obtained through the North Mecklenburg Rescue Squad at (704) 875-1457.
  • Off-Duty Police Services: Depending on the complexity of your event, the Cornelius Police Department may require the use of off-duty police officers or other trained personnel for a Special Event such as a security firm. All costs associated with this requirement, if applied, is the responsibility of the event sponsor. The rate of pay for off-duty police officers is set annually at a rate commensurate with surrounding agencies. Any event sponsor has the option of providing their own security staff if required.

Waiver of Liability

STATE OF NORTH CAROLINA - MECKLENBURG COUNTY

In consideration of the TOWN OF CORNELIUS granting an appropriate permit to APPLICANT to sponsor or conduct a special event, APPLICANT agrees to waive, release from and hold harmless TOWN OF CORNELIUS as to any and all claims of whatever nature in law or equity which may be alleged by APPLICANT to arise as result of, or as part of, the event for which this permit is issued.

APPLICANT further agrees to defend and indemnify the TOWN OF CORNELIUS, its agents and employees, from any claims, judgements or other remedy that any third person may seek arising from the conduct of the TOWN OF CORNELIUS regarding the event for which this permit is issued.

It is specifically understood that the TOWN OF CORNELIUS, in issuing this permit, is in no way a sponsor of this event.

APPLICANT who submits this form is executing this agreement certifies that he is duly authorized to bind himself and all others who will participate in the proposed event and does hereby bind same to the terms of this agreement.
General Information
Last Name
 First Name
M.I.
   Day Phone
Organization
 Home Phone
Address
 City
State
Zip
 Other Phone
Email Address
Event Information
Name of Event
 Event Coordinator
 Contact Phone
FROM: Date
 Time

AM PM		 TO: Date
 Time

AM PM
# of Participants:   # of Vehicles:   # of Staff:   
Please describe the event location. If no specific address, give directions from I-77:
Please give a detailed description of the event:
Animals on Site? Yes No   Special Needs Participants? Yes No
If yes to either, please describe special accommodations you will provide:
Describe any streets that will be affected by this event:
If this event requires police services list them here:
If this event requires other Town services list them here:
Will the Event have Music, Sound Amplification, or other Significant Noises?
Yes No
Will alcoholic beverages be served?
Yes No
Will food be served?
Yes No
Will you be installing any electrical wiring on a temporary or permanent basis and/or any structures such as bleachers, scaffolding, grandstand, stages, platforms, etc.?
Yes No
By submitting this form, I understand and agree that any Permit issued pursuant to this application is issued on the condition that the answers herein given are true and correct to the best of my knowledge, information, and belief. I further understand and agree that all terms and conditions specified within this application, as well as any additional terms and conditions set forth by any responsible governmental agency, shall apply to each member of my organization who will participate in the event for which the permit is to be issued.


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