EA187078 - Temporary Use - Outdoor Event - Issued Date 09/26/2023 PERMIT
City of Eagan Permit Type: Temporary Use
3830 Pilot Knob Rd ,,. ; % .', Permit Number: EA187078
Eagan, MN 55122 ---• -•-• EAGAN
(651)675-5675
111111111111 IN 111111
www.cityofeagan.com * E R 1 9 7 0 7 8
Date Issued: 9/26/2023
Site Address: 2645 Vikings Cir
Lot: 5 Block: 1 Addition: Viking Lakes 2nd
PID:10-82011-01-200
Use: Vikings * 1 0 — 8 2 0 1 1 — 0 1 — 2 0 0
Description:
Sub Type: Outdoor Event Comments:
Work Type: Single Day Event Start 5pm
Description: American Heart Association Finish 8pm
Active From Date: 9/28/2023
Active To Date: 9/28/2023
Comments:
Fee Summary:
Total:
Contractor: Owner: - Applicant -
American Heart Association
2750 Blue Water Rd
Ste 200
Eagan MN 55121
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
r------------------
I For Office Use
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Permit#:
---- -- EAGeI Fee:
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I Date Received: 9/20/2023 I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5660 1 FAX: (651)675-5694
I Staff: JH I
sianoermits(d.)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.
❑ 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: American Heart Association
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Applicant Address:
` t 2750 Blue Water Rd Ste 250 Eagan MN 55121
i t
Phone:
6512768679 Email: michelle.hall@heart.org
----- - ��� ..�,...� .•�.,�..�..�_�_���
r 2645 Vikings Circle, Suite 200, Eagan, MN 55121
Event Address: -
Business Name: Zoning
(if applicable) TCO Plaza Turf District:
t Purpose of
event: Fundraiser
&Event Details- Dates of event l days of the week: Thursday, September 28th, 2023
Times of event: Start: 5:00 PM Finish: 8:00 PM
Set up begins at: Take down completed
(Date/Time) 12.00 PM by: (Date/Time) 9:00 PM
Maximum number of people in 100
attendance on any day:
Name of individual Michelle Hall
responsible for event:
Eventt Contact hone
t 2750 Blue Water Rd Ste 250 Eagan MN 55121 p 6512768679
Contact � Address: during the event:
Information
Phone: Alternative Phone:
Fax: Email: michelle.hall@heart.org
OUTDOOR EVENT PERMIT Page 1 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/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. (NFPA 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 rn
Will there be a request for contract Police Officers? ❑ Yes rll 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
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 Michelle Hall X Michelle Hall
Applicant's Printed Name Applicant's Signature
9/20/203
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.cityofeagan.com/subscribe.
FOR OFFICE USE
STAFF APPROVAL
Required NA Department Name Date
❑ Planning &Zoning Joe Hartmann 9/26/2023
❑ City Clerk Beth VanHoose 9/22/2023
® ❑ Fire Department Darrin Bramwell 9/26/2023
0 ❑ Police Department Nate Tennessen 9/26/2023
❑ ❑ Public Works
❑ ❑ Parks
❑ Building Inspections Anders Kittelsen 9/22/2023
Required NA Fees
4u ❑ Temporary Outdoor Event Registration NA 0
❑ ❑ Temporary Sign Permit $25.00
❑ ❑ Sound Amplification $75.00
❑ ❑ Outdoor Food Sales $25.00
❑ ❑ Cultural/Entertainment Event $25.00
❑ ❑ Fireworks Display $105.00
❑ ❑ Tent and Canopies
(separate permit required) See Building Permit
Total Fees 0
Required Inspections: ❑ NA ❑ Final
Permit Comments: The site shall be kept neat and orderly and the event shall not interfere with
pedestrian safety, vehicular movement, emergency access, and existing activities.
OUTDOOR EVENT PERMIT Page 5 of 5