EA190206 - Temporary Use - Outdoor Event - Storm Creek - Issued Date 04/12/2024 PERMIT
City of Eagan Permit Type: Temporary Use
Eagan,
3830 1MN 55b Rd w*� �� � ® EAGAN
Permit Number: EA190206
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 9 0 2 0 6 *
Date Issued: 4/12/2024
Site Address: 915 Blue Gentian Rd 900
Lot: 2 Block: 1 Addition: Robins 2nd
PI D:10-64451-01-020 111111111111111111111111111111111111111 1111WHIMM
Use: Storm Creek * 1 0 — 6 4 4 $ 1 — 0 1 — 0 2 0
Description:
Sub Type: Outdoor Event Comments:
Work Type: Single Day Event
Description:
Active From Date: 4/19/2024
Active To Date: 4/19/2024
Comments:
Fee Summary: TU-Outdoor Food Sales $25.00
TU-Temporary Signage $25.00
Total: $50.00
Contractor: Owner: - Applicant -
Storm Creek
915 Blue Gentian Rd 4900
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.
1 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
1 $ i Vu `�� � Permit#:� �
EAGAN
` I Fee: $5 0 . 0 0
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'— I Date Received: 4/11/2024
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 i
(651)675-5660 1 FAX:(651)675-5694 I staff: JH I
sianoermitsacityofeagan.com –––--–--–--–----
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OUTDOOR EVENT PERMIT APPLICATION
Attach 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.
A) EVENT INFORMATION
Name: ChA Ge WAY- I StOrr`'1 GrG�k.
Applicant Address: °I15 bwefae,ir,ti a4 tLd � °Io 0
Phone: � 5( -323 '03(0 Email: G4►(oCa� `�tDIrYYiCP��ifL . CtJh'2
Event Address: 81t►c C16 n i-iG ) 100
Business Name: Zoning ��
(if applicable) 'Qrh't (jr��/jL. District:
Purpose of
event:
Event Details Dates of event& G r"'days of the week: 1 Iii du'L} , �Pn I
Times of event: Start I Finish: to P m
Set up beginsat: � ' (� f Take down completed t I 0
(Date/Time) 0 ``VA by:(Date/Time) "l 0
Estimated highest attendance
of any event day:
Name of individual Srrn
responsible for event: G�n10e W arol r G C,#-.
Event p Q (7jContact phone r1-6 +_a?,S -03LO
Contact Address: `�� l��I/_ olt" Wl (V. � during the event: W
Information
Phone: Alternative Phone: rr��
Fax: Email: G (r
OUTDOOR EVENT PERMIT Page 1 of 6
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D) CONTRACT POLICE OFFICER
Will there be a request for contract Police Officers?
El 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.
E) 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)
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Sizes of the sign(s): 1. 15X FJ 2• 3.
Message of the sign(s): 1. 2• 3.
Dates of sign placement: ��' y 'L0
The combined square footage of all signs cannot exceed 100 square feet. �-1� J)
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.
F) FIREWORKS
Application must be completed and returned at least 15 days prior to the date of display.
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 1 pyrotechnic special effects prior to display:
V
Type of fireworks I pyrotechnic special effects to a"
char
❑ 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 j
or have been treated to achieve flame retardancy. (NFPA 1126:4-3.2).
Contract Firefighters are required for all pyrotechnic displays. Call the Fire Department at(651)675-5900 for
additional information.
OUTDOOR EVENT PERMIT Page 3 of 6 y
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H) RECYCLING
Will there be at least 300 attendees? Yes ❑ No
Will the event generate at least 1 ton (8 cubic yards) of trash per location (i.e., each ❑ Yes 11 No
sporting event location)?
Will the event generate food scraps back-of-house(i.e., non-public food-prep areas)? ❑ Yes o
Recycling is required.
✓ All paper and cardboard,cartons,glass bottles and jars, metal cans,and plastics labeled#1,#2 and#5 must be
properly sorted and recycled.
✓ Each trash container must have a recycling container within 10 feet.The City of Eagan provides portable
recycling and trash containers that can be checked out free of charge.
✓ Applicant must educate all event staff,volunteers, event vendors,and housekeeping/custodial contractors on
what and how to recycle using the Recycle Right Guide:
https://www.co.dakota.mn.us/Environment/Business/Requirements/Documents/RecycleRightRacyclingTrash.pdf
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 Moe VWard x ���
Applicant's Printed Name Applicant's Signature
y 11� 12y
Date
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OUTDOOR EVENT PERMIT Page 5 of 6
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