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EA185344 - Temporary Use - Outdoor Event - Issued Date 07/19/2023 PERMIT City of Eagan ® ® , ® Permit Type: Temporary Use 3830 Pilot Knob Rd ®®®,® m®. , Permit Number: EA185344 Eagan, MN 55122 om®® ®®-• EAGAN (651)675-5675 111111111111 www.cityofeagan.com * E R 1 8 S 3 4 4 Date Issued: 7/19/2023 Site Address: 2600 Vikings Cir Lot: 1 Block: 1 Addition: Viking Lakes 2nd PID:10-82011-01-010 Use: MN Vikings Football * 1 0 — 8 2 0 1 1 — 0 1 — 0 1 0 Description: Sub Type: Outdoor Event Comments: Work Type: Single Day Event Per JH okay for both dates of 8/3/2023 and 8/8/2023 Description: MN Vikings Training Camp Fireworks Start l Opm End l O:l Opm Active From Date: 8/3/2023 Active To Date: 8/9/2023 Comments: Fee Summary: TU-Fireworks Display $104.00 0720.4085 TU-Fireworks Surcharge $1.00 9001.2195 Total: $105.00 Contractor: - Applicant - Owner: RES Specialty Pyrotechnics Minnesota VIkingsfootball LLC 21595 286th St 2600 Vlkings Cir Belle Plaine MN 56011 Eagan MN 55121 (952)873-3113 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApplicantlPermitee: Signature ssued B : Signature INSPECTION RECORD City of Eagan Permit Type: Temporary Use 3830 Pilot Knob Rd Permit Number: EA185344 Eagan, MN 55122 Date Issued: 7/19/2023 (651)675-5675 www.cityofeagan.com Site Address: 2600 Vikings Cir Lot: I Block: 1 Addition: Viking Lakes 2nd PID: 10-82011-01-010 Use: MN Vikings Football Sub Type: Outdoor Event RES Specialty Pyrotechnics Work Type: Single Day Event (952)873-3113 Description: MN Vikings Training Camp Fireworks Dave Pearson Inspection'Type Date Inspeetot Final * Contractor is responsible for erosion control * House#s required for final inspection. * 4-hour notice for permanent water turn-on for new building: 651-675-5200. L VI -7/19 r-----------------, I For Office Use 4 4- I IPermit#:EAGAN V Fee: $105 . 00 I �1 I I Date Received: 7/18 2 0 2 3 I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5660 1 FAX: (651)675-5694 I Staff: JH signpermits@cityofeagan.com _________________ OUTDOOR EVENT PERMIT APPLICATION ® Attach 1 copy of a Site Plan The site plan shall include locations for parking, tents, stages, booths, sound amplification equipment, fencing, food/alcohol serving areas, signs, banners, portable toilets, trash, and First Aid. W1 Attach written permission of the property owner. Please note: ✓ Events under this permit are not allowed in the public right-of-way. If your event is going to take place on City property or within public streets or trails, please contact the City Clerk at(651)675-5000. ✓ The location of your event should be 10 or more feet away from all property lines. ✓ This event must be a minimum of 100 feet from residential zoned properties. ✓ Recycling is required. Recyclables must be collected, including paper and cardboard, cartons, glass bottles and jars, metal cans, and plastics labeled#1, #2, and#5 (Dakota County Ordinance 110, 16.05). • Recycling containers must be clearly labeled and located within 10 feet of each trash receptacle. • Event employees, volunteers, and custodial contractors must adhere to Dakota County requirements. A) EVENT INFORMATION Name: Carl James Rugh Applicant Address: 2600 Vikings Circle, Eagan, MN 55121 Phone: 612-219-3756 Email: rughc@vikings.nfl.net Event Address: 2600 Viking Circle, Eagan, MN 55121 Business Name: Zoning (if applicable) Minnesota Vikings Football District: Purpose of event: Minnesota Vikings Training Camp Event Details Dates of event& days of the week: Times of event: Start: Approx. 10prr Finish: Approx. 10:10pm Set up begins at: Take down completed (Date/Time) 8/3 7:00pn1 by: (Date/Time) 8/3 10:30pm Maximum number of people inC 000 O I e attendance on any day: J Name of individual responsible for event: RES Pyro Event Contact phone Tracy Vanasek 612-750-7672 Contact Address: 21595 286th street during the event: Information Phone: 952-873-3113 Alternative Phone: Fax: Email: melissa.hamilton(a)-respyroX OUTDOOR EVENT PERMIT Page 1 of 5 B) TENTS, CANOPIES, & STAGES rr��11 Will there be any tents(more than two sides)or canopies(two or fewer sides)at the ❑ Yes BrJ No event? If you answer"no," please proceed to the next section. Does any tent exceed 400 square feet? ❑ Yes OC.I No If you answer"yes," please have the tent contractor apply for a Commercial Building Permit. Inspections are required prior to use of a tent that exceeds 400 square feet. Does any canopy exceed 700 square feet? ❑ Yes No If you answer"yes," please have the canopy contractor apply for a Commercial Building Permit. Inspections are required prior to use of a canopy that exceeds 700 square feet. Will there be any stages or elevated platforms at the event? ❑ Yes No If you answer"yes," please contact Building Inspections at(651)675-5675 to see if a Commercial Building Permit is required. C) TEMPORARY SIGNAGE Will there be signs posted at the event? ❑ Yes No If you answer"no," please proceed to the next section. Number of signs: (maximum of 3) Sizes of the sign(s): 1. 2. 3. Message of the sign(s): 1. 2. 3. Dates of sign placement: The combined square footage of all signs cannot exceed 100 square feet. Signs must be placed securely and in a sound manner to ensure safety of the public& in accordance with reasonable standards employed by sign makers. D) FOOD & ALCOHOL Will food be served at the event? ❑ Yes ® No If you answer"no," please proceed to the next section. ��II Will alcohol be served at the event? El Yes 0 No If you answer"no," please proceed to the next section. If you answer"yes," please contact the City Clerk's office at(651)675-5000 for Liquor License requirements. OUTDOOR EVENT PERMIT Page 2 of 5 E) FIREWORKS Will there be a display of Fireworks at the event? ® Yes ❑ No If you answer"no," please proceed to the next section. Name of Supervising Operator: Tracy Vanasek Certificate Number: B-0586 Manner&place of storage of fireworks/pyrotechnic special effects prior to display: N/A Delivered DaV of Show Type of fireworks/pyrotechnic special effects to be discharged: Multishot cakes with 2.5"max Diameter Quantity: 26 ❑ Attach proof of$1,000,000 Bond or Certificate of Insurance. ❑ Attach a diagram of the display facilities,drawn to scale. Illustrate the following: ✓ Location of where the fireworks/pyrotechnic special effects are to be discharged ✓ Location of ground pieces ✓ Location of all buildings, highways, streets, communication lines, or other possible overhead obstructions ✓ Location of lines behind which the audience will be restrained ✓ Fallout radius for each pyrotechnic device used during the display Pyrotechnics plan requirements: Certifications that are set,scenery, and rigging materials are inherently flame- retardant or have been treated to achieve flame retardancy.(NFPA 1126:4-3.2) Application must be completed and returned at least 15 days prior to the date of display. F) CONTRACT POLICE OFFICER Will there be a request for contract Police Officers? ❑ Yes No If you answer"no," please proceed to the next section. If you answer"yes,"please contact the Eagan Police Department at(651)675-5700. OUTDOOR EVENT PERMIT Page 3 of 5 G) SOUND AMPLIFICATION II--77II Will there be amplified sound at the event? ❑ Yes qu No If you answer"no," please proceed to the next section. r�77 Will there be amplified sound after 10PM? ❑ Yes V II 1 No Has this location previously received City Council Approval for Sound ❑ Yes ® No Amplification? If liquor will be present and amplified sound is scheduled to occur after 10PM, City Council approval is required. City Council approval may take up to several weeks. Please contact the City Clerk's office at(651)675-5000 for submittal requirements. Name of individual responsible for event*: Contact phone number during the event: Contact Email: *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 applicant and the contact person shall be responsible for compliance with the terms and condition imposed by the permit and Section 10.31. The applicant or contact person shall maintain the permit on the permitted premises at all times during which the permitted electronic sound system or audio equipment is in use. The permit shall be presented to any City official or law enforcement officer upon demand. Description of electronic sound system or audio equipment: Type of sound to be generated(live music, recorded music, announcements,speeches,etc.): Sound will be generated during these hours each day: Name of contractor/individual responsible for sound: Address: Phone: Alternative Phone: Will there be hired speakers/performers at the event? ❑ Yes ® No If yes,name individuals Description of entertainment to be provided: Name Address City/State/Zip Name Address City/State/Zip Name Address City/State/Zip Sound produced under the permit shall not exceed the maximum allowable sound pressure level as measured by Type 1 or 2 decibel meter,using the A-weighted fast response scale meeting ANSI Specifications,Section 1.4—1971. o '/a mile radius from the property line,3-5 feet above ground level—55 decibels o %mile radius from the property line,3-5 feet above ground level—50 decibels OUTDOOR EVENT PERMIT Page 4 of 5 APPLICANT SIGNATURE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Melissa Hamilton X Applicant's Printed Name Applicant' Signa re 07/18/2023 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 www.citvofeaaan.com/subscribe. FOR OFFICE USE STAFF APPROVAL Required NA_ Department Name- Date_, ❑x ❑ Planning&zoning Joe Hartmann 7-19-2023 ❑ Q City Clerk Q ❑ Fire Department Darrin Bramwell 7-19-2023 ❑ x❑ Police Department ❑ Q Public Works ❑ Q Parks ❑ 0 Building Inspections Required NA Fees ❑ ❑ Temporary Outdoor Event Registration NA ❑ ❑ Temporary Sign Permit $25.00 ❑ ❑ Sound Amplification $75.00 ❑ ❑ Outdoor Food Sales $25.00 ❑ ❑ Cultural/Entertainment Event $25.00 ® ❑ Fireworks Display $105.00 $105 . 00 ❑ ❑ Tent and Canopies (separate permit required) See Building Permit Total Fees $105 . 00 Required Inspections: ❑ NA ❑x Final Permit Comments: The permit holder shall be responsible for the actions of its employees or agents with regard to the display of fireworks on the licensed premises OUTDOOR EVENT PERMIT Page 5 of 5 Vikings Training Camp Maximum Shell Size: 2.5" August 3, 2023 and August 8, 2023 NFPA 1123 Fallout Zone Radius: 175 ft A 1's r E ES PYRO- Spectators Parking X Shoot site O Fallout zone Q l ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 7/15/2023 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(ies) 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 NAME: Acrisure, LLC dba Britton Gallagher&Associates PHONE 216-658-7100 FAX No):216-658-7101 One Cleveland Center, Floor 30 A/ N Ext 1375 East 9th Street A DRIESS: Info britton alfa her.com Cleveland OH 44114 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Everest Denali Insurance Company 16044 INSURED 2027 INSURER B:JAMES RIVER INS CO 12203 RES Specialty Pyrotechnics Inc 21595 286th Street INSURER C:Axis SUr lus Ins Company 26620 Belle Plaine MN 56011 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1018898512 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DDIYYYY MM/DD/YYYY B GENERAL LIABILITY 00090431-4 4/1/2023 4/1/2024 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $100,000 CLAIMS-MADE rx] OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 F_7POLICY X PRO- LOC $ MBINED INGLE LIMIT A AUTOMOBILE LIABILITY SIBCA00190-231 4/1/2023 4/1/2024 COS Ea accident 1 000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED Pera cZI DAMAGE $ AUTOS C UMBRELLA LIAB X OCCUR P001000273872-04 4/1/2023 4/1/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED__FFRETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- Y LER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatoryin NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. Display Date:August 3,2023 and August 8,2023 Location:Twin Cities Orthopedics Performance Center;2600 Vikings Circle;Eagan, MN 55121 Minnesota Vikings Football, LLC and their respective agents,directors and employees;Twin Cities Orthopedics Performance Center;City of Eagan,MN Above listed is/are included as Additional Insured respects to the General Liability policy as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Minnesota Vikings Football, LLC ACCORDANCE WITH THE POLICY PROVISIONS. Greg Bostrom 2600 Vikings Circle AUTHORIZED REPRESENTATIVE Eagan MN 55121 __/ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD