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EA190311 - Temporary Use - Outdoor Event - MNGI Digestive Health - Issued Date 04/22/2024 PERMIT City of Eagan Permit Type: Temporary Use 3830 Pilot Knob Rd q"qq"® g E A A N Permit Number: EA190311 Eagan, MN 55122 '^--• ••Rp (651)675-5675 111111111111 IN 111111111111111111111111111111 www.cityofeagan.com * E R 1 9 0 3 1 1 * Date Issued: 4/22/2024 Site Address: 1185 Town Centre Dr 200 Lot: I Block: 1 Addition: Gatewoods PID:10-28900-01-010 Use: MNGI Digestive Health * 1 0 — 2 8 9 0 0 — 0 1 — 0 1 0 Description: Sub Type: Outdoor Event Comments: Work Type: Single Day Event Description: Active From Date: 7/31/2024 Active To Date: 7/31/2024 Comments: Fee Summary: TU -Outdoor Food Sales $25.00 Total: $25.00 Contractor: Owner: - Applicant - MNGI Digestive Health 1185 Twon Centre Dr 200 Eagan MN 55123 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 I IQI (3311 + ; ; Permit#: I Fee: $25 00EAGAN I .• I I I Date Received: 4/1/2 0 2 4 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I (651)675-5660 1 FAX:(651)675-5694j Staff: JH sianoerm1ts0_)citvofeaaan.com ----------------- OUTDOOR EVENT PERMIT APPLICATION Q 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. IZ 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: CWON `DylDCAd� Applicant Address: lie) Phone: �_��_ j ter`".►�_ Email: eM it t Y?7eid J 63 ml Event Address: 11 C1- ~� �...__......�. 'i _ _..._�.._ Y1— _L Business Name: Zoning (if applicable) l GW�-t-t._. 1 '�! -- District: Purpose of „ event: [ t�(�G _ .1 YV C, 1 Event Details Dates of event a days of the week: 1 Z-�2-4 Times of event: Start: 1 G CIA _ _._ Finish: = t Set up begins at. Take down completed t (Date/Time) by: (Date/Time) Maximum number of people in attendance on any day: __._ Name of individual responsible for event: Y . --- Event Contact phone C©11taCt Address: t -W-0 _LVVItY1 qY-_#during the event: -6 CJ _ Information C 0.w, MN 55 i 23 Phone: _ _ Alternative Phone: Fax: Email: e11 1 1�GI cl C G OUTDOOR EVENT PERMIT Page 1 of 5 E) FIREWORKS � Will there be a display of Fireworks at the event? ❑ Yes- O No If you answer"no," please proceed to the next section. Name of Supervising Operator: Certificate Number: Manner&place of storage of fireworks I 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 ,-,/ Will there be a request for contract Police Officers? ❑ Yes B 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 6 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 Applicant's Printed Name *Pli6cant's tore �I29Iu�z4 Dais 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.citfofeanan.com/subscribe. FOR OFFICE USE STAFFAPPROVAL Required NA Department Name Date ❑x ❑ Planning&Zoning Joe Hartmann 4-17-2024 Q ❑ City Clerk Beth VanHoose 4-11-2024 0 ❑ Fire Department Darrin Bramwell 4-11-2024 Q ❑ Police Department Nate Tennessen 4-11-2024 ❑ Q Public Works ❑ ❑x Parks ❑ 0 Building Inspections Required NA l=ees ❑ ❑ Temporary Outdoor Event Registration NA ❑ ❑ Temporary Sign Permit $25.00 ❑ ❑ Sound Amplification $75.00 ❑ 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