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3464 Washington Dr - Outdoor Food Sales Permit r For Office Use s*e License#: �' ' % %...• +��� EAGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsna,cityofeagan.com Permit Fee: $25.00 2018 OUTDOOR FOOD SALES PERMIT Outdoor Food Sales include sale or service to the general public of prepared food or beverage from a temporary structure or stand or a mobile food unit as defined by MN State Law. Outdoor Food Sale Permits are limited to 90 days for each issued permit and no more than 4 permits shall be issued in a calendar year. Please include the following with your permit application submittal: ❑ A site plan, including adequate off-street parking ✓ Events are not allowed in the public Right-Of-Way(ROW). f 3/(70 ✓ Events are to take place in an area no less than 10 feet from all property lines. E Jk NT ev e R 3 L e TS 51%W I Events are to be a minimum of 100 feet from residential zoned property lines. cup-KY/4Z—WR'OTE:1D Pewvtls tGyh ✓ Outdoor Food Sales events shall take up no more than 5%of the total lot coverage ❑ Events shall comply with City Code sign regulations. A separate Sign Permit may be required. ❑ Tents/canopies greater than 400 square feet and stages require a Building Permit. ❑ The hours of event operation to comply with City Code. ❑ Parking on adjacent parcels is prohibited without owner written approval. ❑ Any sound between 10:OOPM&midnight(12:OOAM)requires a Sound Amplification Permit. O Written permission of fee owner. Event Address: 32ttoit r S u j1 U 1 ► WV& .,okletiri �O) �. Zoning Business Name: k o \ tyt }\ a District (i f applicable) ose of cia Purpevent: L{ _) l 4 �) ' ! Event Details Dates of event& daysweekeIAA t vaL tyn t ft O k Times of event: Start: q` t I, Finish l t 04 l I t _ r Set up begins at 6 vp,(y} Take down completed ,l (Date/Time) p-\ 111 , by:(Date/Time) t VU Maximum number of people in o ) v914 attendance on any day: Applicant Name: 'li' . � ly4`s (Individual Address: Vv OMt f f t Ut t rI ' �4 i organizing event) Phone: i, g Alternative ! '} (1 Phone: V� L I �.1 Page 1 of 2 Email Fax: ry—i1 vet t f ` Io li 1 t Name of individual � �(� jj} responsible for event: Tile } �i1 Event �1,t�1(� � tt Contact hone Contact �V! \ 1 p /fir during the event: �"t tJ Information* �' Phone: ts k , �� , ( �� Alternative Phone 01O � ! }` Fax Email: [ f'otlitat v--w .W *This person must be present at all times during the event and act as the on-site contact for City officials during the event. The permit shall be presented to any City official or law enforcement officer upon demand. Describe the event in detail. CIC5\O\W L v\\\Wvu Aorlatio% \JRoml V\' ddirk to %OA, w\vv..,c1cfil' s (Agit NNkov v w t w Uel pave \oc . Attach 2 copies of a Site Plan. Include location of tents, stages,booths,first aid/relief stations,dumpsters, portable toilets, sound amplification equipment,signs and banners. NOTE:Additional Permits may be necessary I hereby acknowledge that I have read this application, state the application is correct, an gree to comply with Eagan, MN laws regulating�)fjoutdoor food sales,and all other City Codes and State laws. t 1tt 4� t r I Applicant's pointed Name Applicant's -i gnature X 04 Date You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at wwwcltvofeagan.com/subscribe. FOR CITY OFFICE USE ONLY Permit reviewed by: 1 n Planni Date i tP Page 2 of 2 1 i a 211111 111 ! cz .. ii11 1 1 . _gill 4 1 s i i :ir ! - §il. t liii ii i q _ 1 g ia1� 1 1 i { F 1 a d e s 1 as$ a iii i :x: 11a i --�_ 3 35E 31y15?J31N1 ���Km.uzos li "s � zk: .18 WC 3 8 II gIll 111 • I 4 u i ill o1s a m : _ s >`�.. i f i° 111111111 1 PI 111 [11111111 U^ `Sil IE o IMMO Y IS 1 `l .....4 ‘1:10 4. ) ."-1.*--- &I4 > .le Wti t'S OIIIIA 0. s 4 s i 'f....) 01., co e0 X ' I HII c)1., ..,. i . 0 ., \,....,___. ,.._......., A.,,P ° g <2 ock2 2 _ Q I [ II� IIIlllIII IIt ° if o > . L,1 CT ..._ ( J 1. u_i .s._\F . ,D . _ N _ ..'''. .-. — 9 E —Lr w aM� u� a yl S n. MEI �.�.r.au i • ..._______y la t - AO 132LL5 -hR13O3d ci 1 4 1 !A SaU g , 63 I ZQ °, ocv o II �� E 'i € F a 4 a „. Ms. y www_ T e 4 w ii)11-- ;*cf.. aa'1tnaaoa:J ._ O O r: ,, . i (I) Nrii 4 fitf-t.-- . - .,• E 311110, • ., t7)TO Cl) O ] AV S]OOM w U c c w Y c�a v� z co -2 O E co .2 J w U ) r. 3 .2 Cl) h �¢ to "' *, . . r 2 R. li". 'i. CSA Cd j ,. . . V 4„04 . . rp• . > Mary Granley From: Building Inspections Sent: Tuesday,April 10, 2018 12:50 PM To: Mary Granley Subject: FW: Shed and Shred Event of 7 ► ; Amy Griffin sj 4`' ' �"`z t. Clerical-Community Development '" "` "' " 3830 Pilot Knob Rd I Eagan, MN 55122 4 I' 4,tir �"�: ,;° Office:651-675-5672 ¢4rssi https://www.citvofeagan.cor From: Kathy Davis [mailto:frontdesk490@kw.com] Sent: Tuesday, April 10, 2018 12:41 PM To: Building Inspections Subject: Fwd: Shed and Shred Event Here is written confirmation from our Property Management. Kathy Davis Director Of First Impressions Keller Williams Integrity Realty I KW Commercial Midwest (D) 651.379.2800 I (F) 651.379.2Aoo 3464 Washington Drive, Suite 100 Eagan, Minnesota 55122 Forwarded message From: Chad Sandey<CSandey@mfcproperties.com> Date: Tue,Apr 10, 2018 at 12:34 PM Subject: Shed and Shred Event To: "frontdesk490@kw.com" <frontdesk490@kw.com> Cc: Lauri Lundquist<LLundquist@,mfcproperties.com>, Curtis Colon<ccolon@mfcproperties.com> Hi Kathy, 1 This is written confirmation that you can hold your event in the parking lot areas designated for food trucks and event vehicles. The landlord has given KW our consent to hold the event in the shared parking lots on the day of the event. If there are any questions about this consent,please contact me at the number below. Thanks Chad Chad E. Sandey MFC Properties Corporation (651)452-3303 (651)452-3362 fax (612) 799-5868 cell csandev@mfcproperties.com 2 1 .�"....1 VETER-7 OP ID:CD Al D" DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 03/08/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ) CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kraus-Anderson Insurance NAME: Kraus- Anderson Ins.House 2000 Polaris Parkway (PANIC.N.Em:800-236-3884 ,No):614-796-7855 Columbus,OH 43240 EMAIL Kraus-Anderson ins.House ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INSURERA:Westfield Insurance Company 24112 INSURED Veteran Shredding,LLC INSURERS: 2860 W.View Drive New Prague,MN 56071 INSURER C: INSURER 0: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ( THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS e CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HER ADDL.SUAR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDDIYYYY) IMMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE I X I OCCUR CWP4607342 06/01/2017 06/01/2018 DAMAGETO RENI ED 100 000 PREMISES(Ea ottwrence) $ , MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 R GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY I 1 PRCT O- I I LOC PRODUCTS-COMP/OP AGG 5 2,000,000 lE OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A X ANY AUTO _ CWP4607342 06/01/2017 06/01/2018 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS _AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUREACH OCCURRENCE $ 1,000,000 A EXCESSLIAB CLAIMS•MADE CWP4607342 06/01/2017 06/01/2018 AGGREGATE $ 1,000,000 DED X RETENTION S 0 $ WORKERS COMPENSATION X STATUTE J ER H AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVEYINWCP4682627 05/01/2017 05/01/2018 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I I N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Ix required) 1 I CERTIFICATE HOLDER CANCELLATION PIOWO-1 Pioneer Power Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2500 Ventura Drive ACCORDANCE WITH THE POLICY PROVISIONS. Woodbury,MN 55125 AUTHORIZED REPRESENTATIVE ( 'fes Pt Q�tc` O 1988-2014 ACORD CORPORATION. All rights reserved. I ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 I 1 i I 1 I - I 1 i i I 1 1 1 INSURANCE IDENTIFICATION CARD I (STATE) MN COMPANY NUMBER COMPANY ID COMMERCIAL 0 PERSONAL 41840 Allmerica (Financial Benefit In POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE AWX-A805971-02 1/1/2018 1/1/2019 YEAR MANEIMOOEL VEHICLE IDENTIFICATION NUMBER 2015 Ieuzu 16, Truck JALC4W165177002008 AGENCY/COMPANY ISSUING CARD I USI Insurance Services National (BEM) 1 8000 Norman Center Dr, Ste 400 Bloomington ON 55437 (612) �� INSURED 509-1001 i 1 INSURED r r/=The Arc Minnesota, Inc. • 2446 University Ave W L St. Paul MN 55114-1741 I SEE IMPORTANT NOTICE ON REVERSE SIDE ) I THIS CARD MUST BE KEPT IN THE INSURED VEHICLE AND PRESENTED UPON DEMAND I 1 ) IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible.Obtain the following information: 1.Name and address of each driver,passenger and witness. 2.Name of Insurance Company and policy number for each vehicle involved. I ACORD 50(2007102) S ACORD CORPORATION 1U$.2001.All rights resolved. 1 1 1 4 1 I i Page l of 1 1 1 cv - ------ ,-,----„,-,-,____ --,T=-,-,-__-_,_----------------------------c City of Eagan LICENSE: 00002468 1 Keller Williams Integrity Realty ,)% t 1) Expiration: 7/8/18;, 11 3464 Washington Dr '414- P41.i'1 EAGANIII Eagan MN 55122 Pursuant to all applicable I , CMS V LLC statutes statutes and ordinances and I h I conditioned upon payment of V required license fee. License i granted for the term and I License Type: Outdoor Food Sales Permit purpose stated. = I 0 POST AT LOCATION LICENSED gat- NOT TRANSFERABLE City Clerk i 0-------- --7-'-------------77-- - -- - - ----- -5--=,:,-----=-17 -----=1---- --- 1-1- 1-a-.;-ELM-----Mt-E-s--. 11:777-7 ,--1-.=1:::::=--t mut CUT HERE City of Eagan Expiration: 7/8/18 3830 Pilot Knob Road Eagan, MN 55122 Descriotion Time Units Fee Mail To: Keller Williams Integrity Realty Jen Horwath 3464 Washington Dr, Ste 100 Eagan MN 55122