EA190147 - Temporary Use - Outdoor Event - Issued Date 04/10/2024 PERMIT
City of Eagana Permit Type: Temporary Use
3830 Pilot Knob Rd A,° ° �w�®�, Permit Number: EA190147
Eagan, MN 55122 `'�� #��m EAGAN
(651)675-5675 11111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 9 0 1 4 7
Date Issued: 4/10/2024
Site Address: 4201 Lexington Ave
Lot: Block: Addition:
PID:
Use: Twin Cities Goodtime Softball League
Description:
Sub Type: Outdoor Event Comments:
Work Type: Multiple Day Event
Description: Softball Tournament
Active From Date: 5/24/2024
Active To Date: 5/26/2024
Comments:
Fee Summary: TU -Outdoor Food Sales $25.00
Total: $25.00
Contractor: Owner: - Applicant -
Twin Cities Goodtime Softball
PO Box 580264
Minneapolis MN 55458
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
ti
I For Office Use I
IPermitEAGAN #: I
Fee: $25 00
j Date Received: 3/2 6/2 0 2 4
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5660 1 FAX: (651)675-56941 JH
sianpermits0citvofeaaan.com I Staff:
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: --r 1 •(es '� &�Ae- 1 7e wc— r
Applicant Address: ICJ 0 ` _TrC I�h �S 7 J 6
Phone: I L S a � Z � Email: G w v 6 , Ca M
Event Address: c Q 'e vn^ W
Business Name: Zoning
(if applicable) District:
Purpose of
event: '{ Cc t ��1rt"�C�►M E:•1 f
Event Details Dates of event&
days of the week: &Y 2q 2
Times of event: Start: 512- 74M (v�� Finish: Z� r
Set up begins at: Take down completed
(Date/Time) �A-' by: (Date/Time)
Maximum number of people in L I- II j�
attendance on any day: ���71� ��7W t' Lfh �tr'L
Name of individual
responsible for event:
Event �^- I y Contact phone
Contact Address: tt��7 /lolp(( (�y� during the event: J ! 7
InforrhatiOrlPhone: -�S —d �a q
J 1 Alternative Phone:
Fax: Email: n
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 1 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.
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
APPLICANT SIGNATURE| 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 | understand this is not a permd, but only an application for permh, and work is not to start without a
permit;that the work will be in accordance with the approved plan in tie case of work which requires a review and approval of plans.
x
x
Applicant's Printed Name Applicant's Signature
DatLfi
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FOR OFFICE USE
STAFF APPROVAL
Required NA Department Name Date
E] E] Planning&Zoning Joe Hartmann 4/9/2024