EA186461 - Temporary Use - Outdoor Event - Issued Date 08/31/2023 PERMIT
City of Eagan
Permit"': Temporary Use
3830 Pilot Knob Rd Permit Number: EA186461
Eagan, MN 55122 EAGAN
(651)675-5675 111111111111 IN 11111111111111111111111111111 IN
www.cityofeagan.com * E R 1 8 6 4 6 1 *
Date Issued: 8/31/2023
Site Address: 2600 Vikings Cir
Lot: I Block: I Addition: Viking Lakes 2nd
PID:10-82011-01-010
Use: 1 0 — 8 2 0 1 1 — 0 1 — 0 10 *
Description:
Sub Type: Outdoor Event Comments:
Work Type: Single Day Event Start 8:30 am
Description: Gillette Childrens Hospital Walk Finish 11:30 am
Active From Date: 9/23/2023
Active To Date: 9/23/2023
Comments:
Fee Summary: TU-Outdoor Food Sales $25.00
Total: $25.00
Contractor: Owner: - Applicant -
Gillette Children's Hospital Foundation
200 University Ave E
St. Paul MN 55 101
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 Issued By: Signature
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I For Office Use
•, I Permit#: 186461
I Fee: $25 . 00
EAGAN
I
I I
I I
I Date Received: 8/2 5/2 0 2 3
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5660 1 FAX: (651)675-5694 I I
signpermits(ftityofeagan.comI Staff: JH
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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.
0 Attach written permission of the property owner. Brenna Bonewitz from MV Venturs is CC'd on the
email
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.
Name: Gillette Children's Hospital Foundation
Applicant Address: 200 University Ave East, Saint Paul, MN 55101
Phone: 651-303-0958 Email: sherrisavage@gillettechildrens.com
Event Address: 2600 Viking Circle, Eagan 55121
Business able) Viking Lakes MV Ventures zoning
(if applicable) g , District:
Purpose of Fundraising walk for Gillette Children's Hospital.Walk will be on the trail around the two lakes.
event:
Event Details Dates of event&
days of the week: Saturday, September 23 2023
Times of event: Start: 8:30 a.m. Finish: 11 :30 a.m.
Set up begins at: 6.00 a.m. Take down completed 1 .00 p.m.
(Date/Time) by: (Date/Time)
Maximum number of people in 500
attendance on any day:
Name of individual e Sherri Sava
responsible for event: g
Event Contact phone 651-303-0958
Contact Address: during the event:
Information 651-308-9824 (Ann)
Phone: Alternative Phone:
Fax: Email: sherrisavage@gillettechildrens.com
OUTDOOR EVENT PERMIT Page 1 of 5
B) 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 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: 3 (maximum of 3)
Sizes of the sign(s): 1. 4' x 3 2.4' x 3 3 4' x
Message of the sign(s): 1.
Directions to parking and ADA spots 2. Directions to parking and ADA spots 3. Directions to parking and ADA spots
Dates of Sign placement: (day of event) Saturday, September 23, 2023
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 rn
Will food be served at the event? t71 Yes ❑ No
If you answer"no," please proceed to the next section.
Will alcohol be served at the event? ❑ 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 �I
Will there be a display of Fireworks at the event? ❑ Yes* 0 No
If you answer"no," please proceed to the next section.
Name of Supervising Operator: Certificate Number:
Manner&place of storage of fireworks/pyrotechnic special effects prior to display:
Type of fireworks/pyrotechnic special effects to be discharged:
Quantity:
❑ 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. (N FPA 1126: 4-3.2)
Application must be completed and returned at least 15 days prior to the date of display.
*Contract Firefighters are required for all pyrotechnic displays. Call the Fire Department at(651) 675-5900 for
additional information.
F) CONTRACT POLICE OFFICER
Will there be a request for contract Police Officers? ❑ Yes 0 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
Will there be amplified sound at the event? ® Yes ❑ No
If you answer"no," please proceed to the next section. 77II
Will there be amplified sound after 10PM? El Yes 0 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*: Sherri Savage
Contact phone number during the event: 651-303-0958
Contact Email: sherrisavage@gillettechildrens.com
*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:
DJ software, small speakers, microphone for short announcements.
Type of sound to be generated(live music, recorded music,
announcements,speeches,etc.): DJ music and announcements
Sound will be generated during these hours each day: 8:30 a.m.-1 1 :30 a.m.
Name of contractor/individual responsible for sound: DJ DMiI
Address: SPSTYLEPRODUCTIONS@GMAIL.COM
Phone: 612.803.0920 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 '/<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 Sherri Savage X 5&t�
Applicant's Printed Name Applicant's Signature
8/20/23
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.cityofeacian.com/subscribe.
FOR OFFICE USE
STAFF APPROVAL
Required NA Department Name Date
0 ❑ Planning &Zoning Joe Hartmann 8-28-2023
] ❑ City Clerk Beth VanHoose 8-31-2023
❑ Q Fire Department
Q ❑ Police Department Nate Tennessen 8-28-2023
❑ ❑ Public Works
❑ ❑ Parks
❑ ❑ Building Inspections
Required NA Fees
❑ ❑ Temporary Outdoor Event Registration NA
❑ ❑ Temporary Sign Permit $25.00
❑ ❑ Sound Amplification $75.00
x❑ ❑ Outdoor Food Sales $25.00 $25 . 00
❑ ❑ Cultural/Entertainment Event $25.00
❑ ❑ Fireworks Display $105.00
❑ ❑ Tent and Canopies
(separate permit required) See Building Permit
Total Fees $25 . 00
Required Inspections: ❑ NA ❑ Final
Permit Comments:
OUTDOOR EVENT PERMIT Page 5 of 5
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