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EA185773 - Temporary Use - Outdoor Event - Bald Man Brewing Company - Issued Date 08/03/2023 PERMIT City of Eagan Permit Type: Temporary Use 3830 Pilot Knob Rd Permit Number: EA185773 Eagan, MN 55122 EAGAN (651)675-5675 1111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E R 1 8 5 7 7 3 * Date Issued: 8/3/2023 Site Address: 2020 Silver Bell Rd 25 Lot: 1 Block: 1 Addition: Dallas Development PID:10-19600-01-010 11111111111111111111 IN 111111111111111111111 11111M Use: Bald Man Brewing Company * 1 0 — 1 9 6 0 0 — 0 1 — 0 1 0 Description: Sub Type: Outdoor Event Comments: Work Type: Single Day Event Start: 2pm Description: 7th Birthday Bash End: 1 Opm Active From Date: 8/19/2023 Active To Date: 8/19/2023 Comments: Fee Summary: TU-Cultural-Entertainment Event $25.00 0720.4085 Total: $25.00 Contractor: Owner: - Applicant - Bald Man Brewing Company 2020 Silver Bell Rd Unit 25 Eagan MN 55122 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. Applicant/Permitee: Signature sued B : Signature -----------------, R For Office Use I Permit#:_J.1L 15-7-7 I 1 •.•• •..r 'I I I Fee: $2 5 . 0 0 EAGAN I Date Received: 7119/2 0 2 3 I 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I (651)675-5660 l FAX:(651)675-5694 I sianpermitsCa7cityofeagan com I Staff: JH I ----------------- 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. ❑ 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:.—_ �..1_a— v� ;v%' —1 i} �f'► �i h Applicant F Address: Phone: t_ -o -CS p O Email: � ct r►n S'`e. Event Address: 's Business Name: Zoning ( applicable) t-t) 1,4 District: Purpose of JJ I event: t ' �q Event Details Dates of event& days of the week: I Times of event: Start: f} ,A Finish: 16) Set up begins at: Take down completed (Date/Time) a wt by:(Date/Time) __� ki✓1— i Maximum number of people in attendance on any day: ( �1 Name of individual responsible for event: Ct V% Event yrs Contact phone Address: L during the event: C / - Information phone: b 6 06-00 - � Alternative Phone: / Fax: Email: VI^ Z> �d yyiv e OUTDOOR EVENT PERMIT Page 1 of 5 S) TENTS, CANOPIES, & STAGES Will there be any tents(more than two sides)or canopies(two or fewer sides)at the Yes ❑ No event? If you answer"no,"please proceed to the next section. Does any tent exceed 400 square feet? ❑ Yes %kNo 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 91 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. Will alcohol be served at the event? Yes ❑ 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. Certificate Number: Manner$place of storage of fireworks I pyrcctechnic special effects prior to display. Type of flmworks I pyrotechnic special effects to be discharged: No Quantity: Attach proof of$1,000,000 Bond or Certificate of insurance. 19 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 f 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 achieves flame retardancy.(NFPA 1126:43.2) Application must be completed and returned at least 15 days prior to the date of display. F) CONTRACT POLICE OFFICER WIII there be a request for contract Police Officers? ❑ Yes O No If you answer ano:please proceed to the next sedon. If you answer"yes,"please contact the Eagan Police Department at(651)675-5700. OUTDOOR EVENT PERMIT Page 3 of a G) SOUND AMPLIFICATION Will there be amplified sound at the event? *Yes ❑ No If you answer"no,"please proceed to the next section. Will there be amplified sound after 10PM? ❑ Yes 10 Has this location previously received City Council Approval for Sound 119Yes ❑ `"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*: D V%V1 Contact phone number during the event: az — Contact Email: DICL.­_ (:�? -1 c, r`e.L,/t `This person must be present at all times during the event and act as the on-site contact for City officials during the eve t. 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: 1_tn Name of contractor/individual responsible for sound: j S Address: _�,C} ✓��S t' 1 �c le .N ee tr �� J (�1 Phone: fj� Alternative Phone: Will there be hired speakers/performers at the event? Yes ❑ No Description of entertainment to be provided: f yes,name individuals filk S-6 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 '/Y 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 �� �� � � C 6s X Applicant's Prin d Name Applicant's Sign 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 atti w:.clti€cseauc�.cafsutrscrsbe. FOR OFFICE USE STAFF APPROVAL Required NA Department Name date ® Planning&Zoning Joe Hartmann 8-3-2023 Lj City Clerk Beth VanHoose 8-3-2023 Fire Department Darrin Bramwell 7-20-2023 Police Department ® Public Works Parks 17-11 Building inspections Michael Granne s 7-20-2023 Required NQ 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 $25 . 00 ® ® Fireworks Display $105.00 ® ® Tent and Canopies (separate permit required) See Building Permit Total Fees JH Required Inspections: ® NA ® Final Permit Comments: See notes on the site plan OUTDOOR EVENT PERMIT Page 5 of 5 C p ® DATE(MMIDDNYYY) A CCCERTIFICATE OF LIABILITY INSURANCE 6/13/2023 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(les)must have ADDITIONAL INSURED provisions or 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 Diane Follestad NAME: FAX MC Agency,LLC PIC No Ext); 952-828-5320 (AIC,No): 6868 Washington Ave S ADDRESS: dianef@mcageucyllc.com Suite 220 INSURER(S)AFFORDING COVERAGE NAIC# Eden Prairie MN 55344 INSURER A: EMCASCO INS CO 21407 INSURED INSURER B: EMPLOYERS MUT CAS CO 21415 BALD MAN BREWING,INC. INSURER C: Hartford Casualty Iris Co 29424 2020 SILVER BELL RD STE 25 INSURER D: EAGAN,MAI,55122-1030 INSURER E: INSURER F: 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 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MWDD/YYYY) (MM/DD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 500,000 MED EXP(Any one person) $ 5,000 A 6D12959 11/01/2022 11/01/2023 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 K PRO- POLICY �ECT FILOC PRODUCTS-COMP/OPAGG $ 2,000,000 K OTHER: Liquor Liability Liquor Liability Included $ SIM/$2M AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 x ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 6E12959 11/01/2022 11/01/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED $ AUTOS ONLY AUTOS ONLY (Per accident) K UMBRELLA LIAR ^ OCCUR EACH OCCURRENCE $ 1,000,000 B IXcess LWB CLAIMS-MADE 6112959 11/01/2022 11/01/2023 AGGREGATE $ 1,000,000 DED RETENTION$ 10,000 Personal/Advertising Htj $ 1,000,000 WORKERS COMPENSATION V AND EMPLOYERS'LIABILITYYIN /► STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $ 500,000 C OFFICEWMEMBER EXCLUDED? ❑Y NIA 41 WFC AP4AE1 10/15/2022 10/15/2023 Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Cyber Solutions Response Expense Limit 100,000 Aggregate B Data Compromise Coverage 6Q12959 11/01/2022 11/01/2023 Data Compromise Limit 100,000 Aggregate Computer Attack Limit 100,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 107,Additional Remarks Schedule,maybe attached if more space is required) RE Location: 2020 Silver Bell Road,Suites 24-29,Eagan,MN 55122 and Parking Lot Liquor Liability coverage is continuous until cancelled. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Eagan ACCORDANCE WITH THE POLICY PROVISIONS. 3830 Pilot Knob Road AUTHORIZED REPRESENTATIVE Jif f ur¢x Eagan MN 55122 Ma ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD I';a�i Q pingel X 91;=� Compose naa6 Jennifer PingellUSA Inbox 18 1 1 Snoozed Hi Dan, V Sent While approval hasn't been an issue in the past,ownership wants to be sure all procedures are being followed,which include Drafts a your plan with your neighboring tenants and provide details with exact timelines of the events(startffinish). The building is Spaces More remodel project and they want to ensure the timeline dates/times will not interfere with. Please advise the time frames that you are requesting to hold the events)so I can relay that information for continued disc Labels Meet Thank you, [Gmail]All Mail 2020 Silver Bell Jennifer Pingel Accountant Property Manager Property Management Aramark Bands 4 Direct:+1952-346-4672 iennifer,ginge0cushwake.com Bank After-hours service line+1 952-831-1001 Brewer's Association ,,[[i Canning 114111b Va A EFi LD Clover/First Data EKOS email list 3500 American Blvd W,Suite 200 Bloomington,MN 55431 1 USA Employee cushmanwakefield&&M Entertainment Equipment From:Dan Jacobs<daa baldmanbrewing.com> Founding Partners Sent:Friday,June 16,2023 3:57 PM Insurance To:Jennifer PingeVUSA<Jenn6fer.Ping2b cushwake.corn> I n�nnior ' S T a N �. Ol In in 1. (Q ^- Ml L) ^ c 3 aNC)La) m - Q U to O ^ vLL m I v L L ` y O I ..Q (n C Nu Q) (0 a wa W L C f6 X O S I U N L � r LL fi -0 X --r, o ch O 3 Nx 73 c) tor-t t ...✓ c 3 =3 r-- c n y 'O I` >Fy i wx Q) O x N O N U > C OL W