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1380 Duckwood Dr - GS Labs COVID Testing Registration 2021-02-043830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5685 I TDD: (651) 454-8535 I FAX: (651) 675-5694 I E-mail: planning@cityofeagan.com 2020/2021 Temporary Outdoor COVID-19 Facility Registration Form General Information As a response to the COVID-19 pandemic, the City Council approved Resolution 20-32 allowing an interim policy of administrative review of temporary and/or expanded use of outdoor areas and temporary facilities. This form is intended for temporary outdoor COVID-19 testing and/or vaccination stations utilizing temporary structures, tents, canopies for drive -up or drive -through facilities to administer COVID testing to clients. This form is not required for testing or vaccination facilities administered indoors at existing medical clinics, drugstores, grocery store clinics or other health facilities; please contact City Planning (651-675-5685) to determine the use is permitted under City Code. Business Name: &,..c Loos) L1 t�L iv et Property Address: 13S0 bLICV-vimOc p✓. Business contact person: Business contact email: MN . ss ► z3 Contact Phone: `tOZ '702 to �t \,t,Son (, (A=tj �n ie1 Cayce Property Own ' �1 e Property Owner Phone: Property owner emesJ Ce 01442 (rG , c�mv. Part 1 —To Be Completed By Operator Please read and initial each box to confirm operator understands the standards and requirements for temporary outdoor testing facility. Initial Requirement Cute C LL Testing facility is licensed and/or registered with the State of Minnesota. The temporary outdoor area conforms to all fire and building codes. Temporary structures, including tents, canopies and contractor trailers, may require a building permit. Please call Building Inspections, 651 -675-5675, to confirm and request a permit application. If determined a building is not required, applicants should ensure tents/canopies are properly tied down and snow is quickly removed from the roof. The outdoor testing area shall be kept in a clean and orderly manner. Handicap accessibility has been considered for the temporaryoutdoor testing facility. Temporary signage of no more than three (3) signs of an aggregate total of 100 square feet is allowed with the use. Off -premise signage is prohibited to direct traffic. Hours of operation of a temporary outdoor facility are restricted to the hours of operation allowed by City Code. Gt.. L. Landscaping may not be removed to accommodate testing facilities. The business owner and property owner (if different), understand that all temporary outdoor areas must be removed no later than November 15, 2021. Created 12/8/2020 Updated 12/11/2020 Provide no site Part 2 — Site Plan / Traffic a site plan providing the following information, please check with City staff if a site plan is on file. If plan is on file, applicant may utilize online maps to illustrate the below information. Initial Requirement Cam- Location of the tent, trailer or temporary structure. Include dimensional information from buildings or GLE A minimum of five (5) car lengths (approximately 100 to 120 feet) should be provided behind each ctz4 To ensure pedestrian and customer safety, the owner will utilize traffic cones, ropes, signage or CI_ Traffic queueing shall not interfere with any pedestrian walkways or ADA accessible routes. CLE Traffic queueing shall not block designated fire access drives. Gt_f._ No portion of the outdoor testing area or traffic queueing shall utilize public rights -of -way CLS, No accessible (ADA) parking spaces may be converted into outdoor use areas. C-1-0: -- If determined by the Public Works Director, a traffic management plan may be required if traffic conditions, real or perceived, negatively impact public streets; this may include hiring of traffic management services. By signing below, I hereby certify the following: • The information provided on this form is correct. • I will comply with all building code and fire code regulations and understand that violations of such codes may be grounds for revocation of my ability to install temporary outdoor area. • I have read and acknowledge the City standards regarding temporary outdoor areas. • I have read and understand the temporary outdoor area shall be removed no later than November 1,5, 2021. • I understand the City may inspect the outdoor area any time to enforce compliance with the above provisions. Additionally, the City may require the temporary outdoor area to be closed if it is determined to be detrimental to the health, safety and welfare of the general public. Business Owner Si na ure Property Owner Signature (or email of authorization) 1212,021 D to / Z7/?-12-� Dlate FOR OFFICE USE ONLY ❑ City Engineering Review? Acceptable? Yes❑ No 14 - Traffic Control Plan Required? Yes❑ No `] ❑ City Building Inspections Review? Yes❑ Not - Building Permit Required? Yes❑ No] ❑ City Fire Review? Yes ❑ No fit , 1 / NOTES: C l Cct S.e AA-o AAlp I— ?c i-lk !/2-e.,�-‘e..,A 0 7 J5 �Cc..o r6 ..�l , 5i� A rnA.AA Ja-� wvt o.J`ea e iro c cco.�wsc�7� p e t/3. Accepted by City Planni g/ Date P4J//I?J- Created 12/8/2020 Updated 12/11/2020 Floor Plan Scale: 3/32" = 1'-0" 4350 Baker Road, Suite 400 Minnetonka, MN 55343 952.897.7874 Fax: 952.897,7740 Eagan Convenience Center 1380 Duckwood Drive Suite 109 Eagan, MN 55123 ' v F'gLts-vi THE' TERRACE GROUP �- Leasing Contacts: Rhett Carlson (651) 621-2564 Eric Dueholm (651) 621-2550 Floor Plan Scale: 3/32" = 1'-0" 4350 Baker Road, Suite 400 Minnetonka, MN 55343 952.897.7874 Fax: 952.897.7740 Eagan Convenience Center 1380 Duckwood Drive Suite 109 Eagan, MN 55123 THE TERRACE GROUP Leasing Contacts: Rhett Carlson Eric Dueholtn (651) 621-2564 (651) 621-2550 Kvselteor tr.v.fts tVs.,1.311.1 AtVet.D. NAwneaviM, 4.1 t • .01 03e0ed 0> ,..., r i .0.,FA;"-'1:-:W=1., i FRANKS NURSERY & CRAFTS ADD. OWNER; ANCHOR DANK 1— ] ...1t 1,11,11..,41. .0roir..1,011alt n 4 mot VI .15 I c.'.1'. 4.91tt 0,10V la. > 0 ? 6 z ni o .:, : 1 ; ; 3 •It -* tlg 0114.i ' I.. 11 ill El 2' P 8 r94 2 0 r...) a i 1 — ji ffativey --er"tai. lira% 1402 "1/ry ..)19d rp 1 FRANKS NURSERY & CRAFTS ADD. --**" OWNER; ANCHOR BANK ® ' li 11 S " ` G !piee �° "�`u�. SA si Aa R Z tii I�I 6 N p 1! 1 9 H0 x p£!k^! r' �1Sll l91 r 8 T C _5 -51%4'9 --a-i-wa'it-and Mike Schultz From: Christopher Erickson <cerickson@city-ventures.com> Sent: Thursday, February 4, 2021 9:19 AM To: Mike Schultz Cc: Madeleine Sharp Subject: Re: Eagan COVID Testing Facility Mike, Notes below in BLUE. Maddie, can you help with the Suite # question from Mike? I'm working from home this morning. Chris Erickson From: Mike Schultz <mschultz@cityofeagan.com> Sent: Monday, February 1, 2021 10:38 AM To: Christopher Erickson <cerickson@city-ventures.com> Subject: Eagan COVID Testing Facility Mr. Erickson — I received your Temporary Outdoor COVID-19 Facility registration form for the property located at 1380 Duckwood Drive. A couple quick questions: What is the suite number to the space? MADDIE, CAN YOU HELP WITH THIS ONE? A few questions about administering the COVID test: • The site plan shows 26 patient parking spaces, are there designated parking spaces for the patient? YES, WE SET UP SIGNED AREAS IN THE PARKING LOT SO PATIENTS KNOW WHERE TO GO AND IT KEEPS OUR PATENTS (WHO POTENTIALLY HAVE COVID) IN ONE AREA. IT'S SAFER FOR THE OTHER FOLKS IN THE CENTER AND FOR OUR NURSES THAT COME FROM THE BUILDING TO COLLECT THE SPECIMEN IF ALL PATIENTS ARE LOCATED IN THE SAME PLACE. THIS WAY NURSES ARE NOT RUNNING ALL OVER THE PARKING LOT. THE LANDLORD HAS AGREED TO DESIGNATE SPECIFIC PARKING FOR THIS PURPOSE AT THE PROPERTY. • Is the parking intended to be signed for GS Labs? (designated stalls are not recommended by staff) SEE ABOVE. • Are patient's required to pre -register and set an appointment? YES THIS IS CORRECT. THEY BOOK ONLINE AND THEN SHOW UP AT THEIR SCHEDULED TIME. • Are tests administered within the car, patients do not need to exit vehicle? CORRECT. PATIENTS DO NOT EXIT THEIR VEHICLE. • What is the amount of time to administer the test? Do patients wait for results or are they informed via email or text? TAKING THE SPECIMEN TAKES ONLY A COUPLE MINUTES TYPICALLY AFTER PAPERWORK AND IDENTITY IS VERIFIED. THE PATIENT LEAVES AFTER THE SAMPLE IS COLLECTED, THEN THEY GET THEIR RESULTS ELECTRONICALLY ABOUT 15 TO 30 MINUTES LATER. WE REPORT TO THE COUNTY/STATE DAILY AS WELL. Please provide the above information so I can add it with the application and I'll return the form ASAP. i