HomeMy WebLinkAbout2014-11-05 P & R Packet CITY OF CENTERVILLE
PARKS & RECREATION AGENDA
Wednesday, November 5, 2014—6:30 p.m.
I. CALL TO ORDER
1. Roll Call
II. SET AGENDA
III. APPEARANCES
IV. CONSIDERATION OF MINUTES
1. Parks & Recreation Committee Minutes of October 1, 2014
V. COMMITTEE BUSINESS
1. No One Left Hungry 5K& 8K Run—September 19, 2014
a. Anoka County Permit—Applied For
2. Skate Night—Strategy for Promotion
3. Drinking Fountain (Homemade?)
4. Promotion of Music in the Park—Mr. John VonDeLinde & Mr. Andy Soltvedt Desire to
See Flyers & They Ensure They Are Placed—Flyer Must be Completed By February, 2015
VI. UPDATES
1. Council Updates—Council Member Steve King (Centerville Lions Donation)
2. Bunker Stable Has Been Contacted—Waiting for Contract
3. Purchase of Basketball Equipment—P. Palzer
On-Going Items
VII. ACTION ITEM(S) REVIEW
VIII. ADJOURNMENT
*REMINDERS**
Planning&Zoning Commission Meeting—November 3, 2014, 6:30 p.m. (Council Chambers) (P.H. 7087 20"
Avenue & 6995 20th Avenue)
Parks & Recreation Committee Meeting—November 5, 2014, 6:30 p.m. (Council Chambers)
City Council Meeting—November 12, 2014, 6:30 p.m. (Council Chambers)
City Council Meeting—November 26, 2014, 6:30 p.m. (Council Chambers)
Absentee Voting September 19, 2014 — November 3, 2014—City Hall Regular Hours Except Saturday,
November 1, 2014 (10:00 a.m. — 3:00 p.m.) & Monday, November 3, 2014 (7:30 a.m. — 5:00 p.m.)
PARKS AND RECREATION COMMITTEE
Wednesday, October 1, 2014—6:30 p.m.
Pursuant to due call and notice thereof, the Parks & Recreation Committee of the City of
Centerville held a scheduled meeting on October 1, 2014 at the City Hall location.
Present: Chairperson Jon Grahek
Committee Member Chris Bettinger
Committee Member Patrick Branch 0 Q
Committee Member Brian Peterson 0
Committee Member Suzanne Seeley D
Committee Member Nick Twohy O
Committee Member Kevin Waeghe
Also Present: Council Member, Steve King
Linda Neudecker, Recording Secretary
Absent: Committee Member Kevin Amundsen
Public Works Director,Paul Palzer
I. CALL TO ORDER
Chairperson Grahek called the October 1, 2014 Meeting of the Parks & Recreation Committee to
order at 6:42 p.m. in the Council Chambers at City Hall.
Roll Call—see above
II. SET AGENDA
Motion was made by Committee Member Branch, seconded by Committee Member
Waeghe to set the agenda. Under COMMITTEE BUSINESS: by adding number 5. No
One Left Hungry 5K& 8K Run& number 6. Photo of homemade drinking fountain. All
in favor. Motion carried.
III. APPEARANCES~None
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IV. CONSIDERATION OF MINUTES
Motion was made by Committee Member Grahek; seconded by Committee Member Branch
to approve the September 3. 2014 minutes, as amended — with 2 corrections: Committee
Business#9 correct spelling of Healty to Heathy and Updates#2 correct spelling of pasted to
passed. All in favor. Motion carried.
V. COMMITTEE BUSINESS
1. 2015 Ice Skating Parties to be scheduled
After discussion, it was moved by Committee member Branch, seconded by
Committee Member Seeley to schedule the 2015 Ice Skating Parties for Saturday,
January l Oth, including the Hayride and February 7th. All in Favor. Motion
carried.
2. Schwans Super Rink—Annual 1 hour skate donated to the City
This hour was offered to the Boy/Cub Scouts,with a date to be scheduled.
3. Budget Status
A 5 year Park Improvement Projects spreadsheet was provided to the Committee
by Committee Member Branch which lists the projects the Committee has
selected as priorities within the next 5 years. The Committee requested this
document be attached to the minutes each month.
4. Park Facility Permit Application
An application submitted by Ms Nicole Carlson for the use of the Laurie LaMotte
Park on Sunday, September 28, 2014 from 4:00 pm to 8:00 pm was approved by
the City Staff.
5. No One Left Hungry 5K& 8K Run—September, 2015
6. Drinking Fountain
Committee Member Grahek submitted a photo of a homemade drinking fountain
that could made rather than purchase a ready to mount fountain for one of the
locations by the ball fields. Tabled to November.
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VI. UPDATES
1. Council Updates—Council Member Steve King
Budget—A request for$15,000 was made on September 14, 2014. The budget
numbers should be available by December.
2. Promotion of Music in the Park
Mr John VonDeLinde & Mr. Andy Soltvedt, Anoka County, desire to see flyers
prior to approval for placement by February, 2015. The Committee requested to
know what criteria they need for this task to be accomplished because details of
the event would be finalized until May or June. Tabled to November.
3. Movies in the Park—Brian Peterson
This activity was held on September 13, 2014 with the Allison singing
and playing guitar, followed by a karaoke sing along for the kids, then by the
movie "Frozen". It was very well attended with over 300 in attendance. Follow
up evaluation discussed that it was better to purchase large quantities of popped
corn from the Mueller Movie Theater rather than popping it onsite. Hot cocoa was
also provided. The date for 2015 was set for Saturday, September 12th with a rain
date of September 19th
4. Budget Status
Funds that have been raised for park equipment to date: $2500 from the Run in
July, $500 from the Lions, $500 from and $300 from 2013. There was
discussion regarding who pays for the installation of the equipment—Public
Works or an outside contractor. Park maintenance is in the city budget, not the
budget of the P & R committee.
5. Purchase of Basketball equipment—Mr. Palzer
Mr. Palzer was not present so there was no update from him. The committee did
discuss that the equipment could be ordered by staff and installation would be
dependent on the weather. No additional information was received regarding the
Water Fountains at LaMotte&Acorn Creek Parks or the Electrical Service at the
LaMotte Pavilion.
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VII. OTHER
1. Fete de Lacs - 2015
This event is scheduled for July 24 - 26, 2015 with the Run held on July 25th. The
Lions will hold their activity the week before on July 17-19th. The date for the Parade
and Fireworks are yet to be determined. Dance???
2. Vice-Chairman of P & R Committee
Committee Member Waeghe formally accepted the nomination for this position.
VIII. ACTION ITEMS REVIEW
Items that have been completed will be removed; some are still open and additional items
discussed at this meeting will be added. A revised Action Item List, as of the November 5, 2014
meeting will be included with the minutes to be approved.
Items that have been completed as of October 1, 2014 will be removed:
• These include item numbers: NONE
Items that are to be deleted as of October 1, 2014 will be removed:
• These include item numbers: NONE
Corrections/Revisions:
• These include item numbers:
13-028 add: belongs to Anoka County, is 4,000-5,000 years old; Committee Member Seeley
will check with the Minnesota archeologist, Austin Jenkins regarding more information, i.e.
what tribe(s); check to see if there are dollars available from Legacy Funding for this
project.
13-029 add: See Park Improvement Projects
14-001 revise: remove: (for basketball court) & add: Future Projects; remove P. Branch and
add J. Grahek and change On-going to February,2015
14-012 change to City Administrator
14-022 add: adapters from '/"to XLR for speakers;add Tom Lee, Consultant; add Ongoing
14-023 add: Chris as the assigned person
14-024 add: S. Seeley as the assigned person
14-025 add: P&R members as the assigned person
Items to be added are:
14-026 —Contact Bunker Lake Stables to make reservation for 1-10-15; Staff; ASAP
14-027—Check on school district start date in 2015; B. Peterson; January,2015
14-028 - Skate Night— put on Agenda for November, 2015, need strategy for promotion;
possibly expand to include other winter activities i.e. mini winter carnival
during the day; Committee Members
Items that are priority items and need to be done ASAP are item numbers: NONE
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Change dates to Ongoing: NONE
IX. ADJOURNMENT
Prior to adjournment, Committee Chair Grahek recognized former Committee Chair Pat
Branch for his focused leadership and years of service to the City of Centerville P & R
Committee.
Motion was made by Committee Member Branch, seconded by Committee Member
Peterson to adiourn the meeting. Meeting was adiourned at 8:54 p.m. All in favor.
Motion carried.
Submitted by: Linda Neudecker, Secretary
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ACTION ITEMS
PARKS RECREATION
Assigned
# Item Person Date Status
Kiosk- Cornerstone Park- Create Inserts for Kevin
12-013a Kiosk Waeghe On-Going Oen
Kiosk @ Cornerstone Park-Remove All
Outdated Materials &Replace Seasonal
12-013b Programs/Events Staff On-Going Open
Plan to Address Signage for Indian Mound-
Belongs to Anoka County,is 4,000-5,000
years old(Check w/MN Archeologist Austin
Jenkins more info., i.e. tribe) & dollars
13-028 available from Legacy Funding S. Seeley On-Going Open
Plan for Parks Irrigation - See Improvement
13-029 Projects P &R On-Going Open
Send request to these organizationsfor
donation of funds (Dead Broke, Centennial
Youth Hockey, Shake Your Shamrock/Front
Runner& Centerville Lions Club) to be used
14-001 for future projects J. Grahek Feb. - 2015 Open
City/Ski Club Purchase of St. Paul Water City
14-012 IDistrict- in 2015 budget? Administrator On-Going Open
K.
Amundsen/Sta
14-016 Park Use Application Forms - Uniformity ff On-Going Open
Estimate of Cost- Electrical Services at
14-020 LaMotte Pavilion- Waiting on bids P. Palzer ASAP Open
Music in the Park- Purchase cords,
equipment cases, 8'banner and adapters
14-022 from 1/4" to XLR for speakers T. Lee Open
Promotion for Music in the Park - Request
to Place Flyers in Anoka County Park
14-023 1(Wargo, Campground& Beach) for 2015 C. Bettinger Feb. -2015 Open
Promotion for Music in the Park-
Distribution of Flyers in Anoka County Park
(Wargo, Campground& Beach) &
14-024 Centerville Parks S. Seeley May- 2015 Open
Promotion for Music in the Park- June&July-
14-025 Distribution of Flyers @ Water Ski Shows P &R 2015 Open
Following October 1, 2014 Meeting Page 1
Parks&Rec balance thru 10-31-14
Parks REVENUE ACTUAL BUDGET DIFFERENCE
R 101-45201-34780 Recreation Fees $ - $ -
R 101-45201-34781 8K Run $ 4,260.00 $ 2,500.00 $ 1,760.00
R 101-45202-36200 Miscellaneous Revenues $ -
Lions Donation R 101-45202-36230 Contributions and Donations $ 1,000.00 $ 1,000.00
TOTAL RECEIPTS $ 5,260.00 $ 2,500.00 $ 2,760.00
Parks/Rec.Committee EXPENSES ACTUAL BUDGET DIFFERENCE
Minute taker E 101-45200-100 Wages and Salaries(GENERAL) $ 342.00 $ 900.00 $ 558.00
E 101-45200-122 FICA $ 26.14 $ 100.00 $ 73.86
E 101-45200-438 Meeting Per Diem $ 1,240.00 $ 1,800.00 $ 631.86
TOTAL COMMITTEE EXPENSES $ 1,608.14 $ 2,800.00 $ 631.86
Parks/Rec Programs EXPENSES ACTUAL BUDGET DIFFERENCE
'Warming House attendants E 101-45201-100 Wages and Salaries(GENERAL) $ 2,414.00 $ 3,000.00 $ 586.00
E 101-45201-122 FICA $ 184.37 $ 200.00 $ 15.63
E 101-45201-151 Workers Comp Insurance Prem $ 283.32 $ 200.00 $ (83.32)
E 101-45201-370 Park Programs $ 1,426.49 $ 2,350.00 $ 923.51
E 101-45201-371 Music in the Park $ 2,498.20 $ 2,200.00 $ (298.20)
E 101-45201-373 8k Run/Walk $ 1,739.17 $ 2,300.00 $ 560.83
E 101-45201-374 Movies in the Park $ - $ - $ -
E 101-45201-374 Park and Rec Reserve $ - $ 750.00 $ 750.00
E 101-45201-428 ACH Charges(on line fees) $ 46.50 $ - $ (46.50)
TOTAL PARK/REC PROGRAM EXPENSES $ 8,592.05 $ 11,000.00 $ 2,407.95
Park Benches
E 101-45202-500-Capital Outlay-park benches $ 2,679.00
Cement $ 556.82
Labor $ -
Framing $ 35.98
total cost for benches thru 6-19-2014 $ 3,271.80
*** Lion's Donation for benches $ 500.00
$ 4,080.53 unspent budget for 2013 see below
$ 1,308.73
PARK IMPROVEMENT PROJECTS—5 YEAR PLAN
AMOUNT/
TARGET FUNDS ESTIMATED
YEAR PROJECT LOCATION RESERVED? COST COMMENTS
2014-2015 Basketball Court LaMotte Park Yes 3,800-4,500 Hockey Rink
2015 Irrigation Hidden Spring Park No
2015 hTi ation Acorn Creek Park No
2015 Irrigation Corner Stone Park No
2015 Irrigation McBride Park No
2015 Drinking Fountain LaMotte Park No 10,000
2015 Drinking Fountain Acorn Creek Park No 9,500
2015 Drinking Fountain McBride Park No
2015 Electrical Improvements LaMotte Park No
COMPLETED PROJECTS
July,2014 Park Benches
a. 2 @ Trailside Park along trail
b. 1 @ Eagle Park Tennis Court by tennis court
c. 1 @ LaMotte Park Volleyball Court by volleyball court
d. 1 LaMotte Park Playground by playground
Se t., 2013 Volleyball Court-LaMotte Park
October 1,2014
antervil(e
Centerville
Special Event Permit Application
No One Left Hungry 5K, 8K & Kids Run/Walk
Submitted October 29, 2015
1. TITLE,PURPOSE,AND BRIEF DESCRIPTION OF EVENT:
_General Background Information:
• The following section contains background information that the Council Members, and
City Staff and other supporting agencies may find useful.
• This is a new event in Centerville. All running/walking events are on the same day-
September 19, 2015. The course will be set up on Thursday and Friday September 17th
& 18th. This will be the same course as the annual Centerville Festival of the Lakes
runs.
• This event benefits the homeless in Minnesota. People in need from rural and suburban
areas tend to migrate to the larger cities. It is the intention of the event organizer to
personally take the benefits to those in need where ever they are in our State. Thus the
statement of purpose is to benefit the homeless in Minnesota rather than Anoka or
Ramsey Counties.
• These events are co-hosted by the Centerville Main Street Merchants and No One Left
Hungry Soup Kitchen. The primary event organizer is Ms. Marsha Marcussen, an
employee of Centerville Floral and Design. Ms. Marcussen's brother was a homeless
person on the streets of St Paul. He has been missing for the past year. The St Paul
police presume that he has died.
• Deb Vanruden, Centerville Floral and Design, and Mike Giovinazzo, American Family
Insurance,have organized a consortium of Centerville business owners to assist Ms.
Marcussen's efforts to raise funds benefiting the homeless. They have endorsed her
work and will assist by promoting this event to their customers.
• No One Left Hungry Soup Kitchen is another effort by Ms. Marcussen to help those in
need. She is the prime mover. The soup kitchen is associated with her parish church
and is financially supported through donations and the Marcussen family. It serves one
day each week and has been in operation for the past 14 years.
• No One Left Hungry is in the process of establishing a 501(c)3 non-profit corporation.
It is our understanding that obtaining 501(c)3 status is a length process. A reasonable
expectation is to gain that status in the June or July time frame.
• Homeless Minnesota is a state program with an objective of ending homeless in
Minnesota. Anoka county has a supporting program and an action committee to
coordinate county and regional efforts benefit the homeless - Anoka County
Community Continuum of Care(CoC). Mr. John VonderLinde, Anoka County Parks
Director, suggested that if we work with a county agencies working with the homeless,
the county may waive the users fee ($1.00 per runner) for this event. We have not yet
contacted the CoC coordinator.
• I (Patrick Branch)jointed this team at the invitation of Mike Giovinazzo. Mike has
been a consistent supporter of the City and all the city has done to promote it's
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business,parks, trail, and general community life. He asked that I meet with Ms.
Marcussen to discuss the possibility of holding a running event in Centerville to benefit
the homeless. Marsha is a runner. She has a good understanding of the complexities of
holding an event of this kind and size. My responsibilities are setting up the race
course and coordinating the run including the necessary county and city permits.
• The runs will be on a U.S. Track and Field certified course. After one mile of
Centerville streets, the course follows the county trail west on Main Street (hwy 14) and
around Centerville Lake through Rice Creek Chain of Lakes Regional Park ending in
Centerville's Laurie LaMotte Memorial Park. The races will be chip timed by a
professional timing team. Contracts have not yet been signed,but we intend to use Zap
Events for on-line registration services and Front Runners (Randy Fulton, White Bear)
as the professional timer.
• The race committee members are all volunteers. One hundred percent of the funds
raised,in excess of expenses,will go directly to benefit the homeless.
• We are requestinp- a waiver to all park fees and deposits.
New Application: Yes Renewal of or Change in Application:
CONTACT PERSON: Patrick Branch
TELEPHONE: cell 703-501-6815 OR
pbranch(a),centervillemn.com
2. IDENTIFYING INFORMATION:
Attach a written communication from the organization(s)in whose name the event will be advertised which
authorizes you,the applicant,to apply for this special event permit on its/their behalf.
Applicant's Name: Patrick Branch Title: No One Left Hungry 5K, 8K& Kids Run
Course Coordinator
Mailing Address:1618 Hunters Ridge Lane, Centerville, MN 55038
Affiliation: No One Left Hungry Run Committee
Day Phone: 703 501-6815 Evening Phone: 703 501-6815
Emergency Phone: 651-252-8325 (Marsha Marcussen, Race Director)
3. EVENT PRINCIPALS:
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Following, please list the names, addresses and telephone numbers of all the principals involved in any of
the proposed special event. Include professional event organizers, event promoters, financial underwriters,
commercial sponsors,charitable agencies for whose benefit the event is being produced,the organization(s)
in whose name the event is being advertised, and all others administratively, financially and
organizationally involved as principals in the production of the proposed special event. Make additional
copies of the following as needed to include as of the principals involved in the proposed special event.
Name: Centerville Main Street Merchants and No One Left Hungry Soup Kitchen.
Sponsors are to be determined.
Organization/Business/Agency/Affiliation: Centerville Main Street Merchants are
independent business in Centerville. Other than co-hosting this event they are not
otherwise affiliated. No One Left Hungry Soup Kitchen is affiliated with a catholic
parish in North Branch Minnesota.
Is this a non-profit organization? No - not yet. 501(c)3 status is pending. We are an
All Volunteer Committee. All "profits" will go to benefit the homeless in Minnesota.
If you are making application under non-profit status,proof of non-profit status must be attached to this
application
Mailing Address: Marsha Marcussen c/o American Family Insurance
1883 Main Street, Centerville,MN 55038
Day Phone: _651-426-1658 Evening Phone:
Title and functional responsibility with regard to the event: Race Director, Overall
responsibility for all aspects of the event to include fund raising,benefit distribution,
promotion, sponsors,
Mailing Address: Patrick Branch 1618 Hunters Ridge Lane Centerville MN
55038 Day Phone: ,703-501-
6815 Evening Phone:
Title and functional responsibility with regard to the event: Run Course Coordinator.
Responsible for laying out the course, conducting the race, and coordinating the race
course with local government and community.
4. REQUESTED EVENT COMPONENTS:
Date requested: September 19, 2015 Alternate date: None
Requested hours of operation: _6:00 a.m. To: 10:30 a.m. Actual time of the event is
7:00 to 9:30 a.m. Permit request is for the expected time of the event plus or minus an
hour.
Set up beginning date and time: Some set up will be done on September 17th and
18th,with final set up on September 19 from 6:00 to 7:00 - a.m..
Complete dismantle date and time: September 19, 2015 by 11:00 A.M.
Page 3 of 14
Schedule of events:
• 6:00 a.m Set up
• 7:00 - 8:00 Registration
• 8:00 - 9:00 8K Run/Walk
• 9:00 - 9:30 Kids run
• 9:30 - 10:00 Awards Ceremony
• 10:00 a.m. Site clean up
Describe the number and type of animals (if any) to be used in this event: No Animals
Attach a draft of the entry form for participants and/or spectators. We have not drafted
our entry and waiver forms yet. They will be very similar to those used by the City of
Centerville for their annual Fete des Lacs events.
Anticipated number of participants: _It is a bit early for an accurate estimate. The
dream goal is 1000 runners. That is a very ambitious goal, 500 runners may be more
realistic. A major media blitz is being planned to attract as many runners as possible.
Spectators: 100
5. INSURANCE: Insurance certificate will be provided when it is available.
Attach to this application either an insurance policy or a certificate of insurance including the policy
number, amount, and the provisions that the City of Centerville is included as an additional insured.
(Please note that insurance requirements depend upon the risk level of the event. Also,if your event can be
classified as first amendment expressive activity, insurance requirements can be waived under certain
circumstances.)
6. SANITATION:
Attach your "Plan for clean-up/Material Preservation". Include number, type and location of trash
containers to be provided for the event. Indicate who and how man will be responsible for emptying and
cleaning up around containers during the event. Indicate who and how many will be responsible for
cleaning up after animals if they are present during the event. Indicate who and how many will be
responsible for cleaning up after the event. Describe the number,type and location of portable toilets to be
provided for the event (or permanent toilets to be used in the event.) Include any other plan you have for
ensuring post-event cleanliness and material preservation of city facilities,equipment,premises and streets.
A deposit of$500 will be required for clean-up and restoration. If premises are left in satisfactory
condition,this deposit will be refunded in full following inspection.
Sanitation Plan: Please waive the deposit. These events will start and finish in Laurie LaMotte
Memorial Park. The sanitation plan will be coordinated with the Waste Management. Every
reasonable effort will be made to make this a green event. We will use the recycling program set up
for the Centerville Fete des Lacs Runs. Mr Greg Berger,a retired environmentalist with the state of
Minnesota, will oversee this function. Waste Management will place additional waste and recycle
containers as necessary.
We will want to open the rest rooms in the park. In additional portable toilets will be strategically
place in LaMotte Park at the rate of one per 100 participants/spectators(industry standard).
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7. LOCATION:
Please attach a map of your event land design. Check off below items that apply to your
event and indicate them on the attached map. Use, where necessary, a "to scale"
drawing.
A. X If a route is involved, the beginning and finish area with arrows.
B. _X_ If a route is involved, the places where buses, autos or other motorized
vehicles need to be considered.
C. If a route is involved, attach separate maps giving two or more alternate routes.
D. Entertainment or stage locations (grandstand operators should provide you with
a "to scale"drawing.)
E. _na Alcoholic beverage concession area.
F. Non-alcoholic concession area.
G. X Food concession area.
H. General Merchandise concession areas.
I. _X_Portable toilet facilities (indicate number).
J. _X Event participant and/or spectator parking areas.
K. _X_Event organizer's command post.
L. _X_First aid facilities.
M. na—Fireworks or pyrotechnics site.
N. _na–Vehicle fuel handling sit.
O. na– Cooking areas.
P. _na_Electrical sources to be used for cooking.
Q. tables, enclosures, etc.
R. Temporary or permanent structures constructed for the event.
S. Site of electrical wiring to be installed for the event.
T. Trash receptacles (indicate number)
U. Other- Please describe.
8. AVAILABILITY OF FOOD, BEVERAGES AND/OR ENTERTAINMENT:
If there will be music, sound amplification or any other noise impact, please describe,
including the intended hours of the music, sound or noise:
A decision has not been made regarding music. We may use it . We will use a bull horn
at the start and finish line We will have a bull horn or amplifier for the race announcer at
the end of the race course in Laurie LaMotte Memorial Park.
Will alcoholic beverages be served? Yes No X
PLEASE NOTE THAT SALES OF LIOUOR/ALCOHOL IS PROHIBITED IN
CITY PARKS UNLESS THE EVENT IS A CITY CELEBRATION AND PRIOR
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APPROVAL AND APPROPRIATE LICENSES ARE OBTAINED BY CITY
COUNCIL ACTION.
If yes, describe what system will be used to ensure that alcoholic beverages will be
consumed by persons 21 years and older:
If yes, describe how, where, when and by whom the alcoholic beverages will be served: _
If a casino party, a dance, or live entertainment is part of your event, please describe:
Please describe all of the activities of your event for which a license is required, for
example: a cabaret license, etc. Attach all required licenses to this application. Please
note that certain licensing may be required by City, County and State agencies, such
as a Large Assembly License for gatherings over 1,000 people, some types of food
handling licensing, Gambling License, Cabaret License, etc. It is your responsibility
to check with the City Clerk or local authorities to determine what licensing is
required prior to submitting this application.
NA
Will food and/or non-alcoholic beverages be served? Yes
If yes, describe sanitation measures, food handling procedures and the nature of the food
(such as pre-packaged foods, hot dogs, pre-mixed soda, unpeeled fruit, raw meats,
vegetables, fish or peeled and cut fruit.
Food item: This area is still to be determined. There will be post event food and drink.
We may find a sponsor to do this for us, but that is not vet arranged. All other foods and
drink will be pre-packaged unless prepared by a sponsor in their commercial kitchens.
We will provide water to the runs on the race course and at the finish line. No food
preparation is anticiapted.
If yes,you will need a permit from the Anoka County Department of Environmental
Health. Please attach a copy of the permit to this application.
9. SECURITY AND SAFETY PROCEDURES:
Describe your proposed procedures for set up, operation, internal security and crowd
control: Security and crowd control will be worked out with the Centennial Lakes
Police Department. Following the pattern use by the Centerville Fete des Lacs runs. of
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There will be a written contingency plan coordinated with police and fire departments
prior to the event.
If the event is to occur at night, describe how you are going to light the event area in
order to increase the safety of participants and spectators coming to and leaving the
event:
The event will not be at night.
If your event includes vehicles or animals, describe the minimum and maximum speeds
of the event and the minimum and maximum intervals of space to be maintained between
units: _
We will use a lead and follow up vehicle possibly a 4-wheeler. The lead
vehicle will be traveling approximately 15 miles and hour the follow up vehicle will be at
the slowest walkers pace.
Attach to this application a copy of your building permit(s) if you are installing any
electrical wiring on temporary or permanent basis and/or if you are building any
temporary or permanent structures such as bleachers, scaffolding, a grandstand, stages or
platforms.
Attach a copy of your fire department permit(s) to this application if you will use parade
floats; an open flame; fireworks or pyrotechnics; vehicle fuel; cooking facilities;
enclosures (and tables within those closures); tents, air supported structures, canopies, or
fabric shelters.
Give the name, address and phone numbers of the agency or agencies which will provide
first aid staff and equipment if required. Attach additional sheets if necessary.
Name of agency: N/A
Name of Representative:
Address:
Day phone: Evening phone:
Indicate medical services (if required) that will be provided for this event:
Ambulances: Doctors:
Nurses: Paramedics:
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10. VENDORS OR CONCESSIONAIRES:
Describe what vendors/concessionaires you will allow in conjunction with the event, and
the purpose of these concessions:
Describe how you intend to regulate, monitor and control the type, number and quality of
vendors/concessionaires whom you may permit to operate in conjunction with the event:
We will not have vendors in the sense that is implied in this section . We will have water
and sports drink to provide to the runners and walkers. We intend to have a small amount
of energy foods at the end of the event.
11. CITY SERVICES/EQUIPMENT:
Describe city services and/or equipment requested for this event: City barricades, cones,
signs,picnic tables and other equipment which may be borrowed on an as-available basis.
You should make advance arrangements to pick up and return this equipment. If you or
any volunteers cannot pick up and return this equipment, please attach a letter requesting
these services and explaining why your organization cannot perform them. This will be
reviewed,then approved or denied by the public works foreman.
City Services will be coordinated with Centerville Public Works. We will need a couple
of tables at the finish line. Traffic cones at critical intersections. Traffic control will be
coordinated with CLPD.
12. OTHER PERTINENT INFORMATION:
Please list below any other miscellaneous information you feel would be important and
have a bearing on the approval of this Special Event Permit request:
13. FEE STRUCTURE/EVENT CHARGES:
If there is a fee or donation required as a condition of attendance or participation of this
event, please describe the amounts to be collected from various categories of participants
or spectators:
At least some of the cost will be covered by sponsors. There will be aparticipants
fee of approximately$45.
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14. If a donation is requested on a purely voluntary basis, describe how you intend to
inform participants/spectators or others that they may participate in the event whether
they make a donation or not:
Centerville
Special Event Permit
NAME AND TYPE OF EVENT: No One Left Hungry 5K, 8K and Kids Run .
DAY, DATE AND TIME: Saturday Sept 19, 2015 8:00 race start time
1. PARKS AND RECREATION DEPARTMENT
FINAL APPROVAL AND SIGN OFF
Signature Title
Date:
Please check or use N/A (not applicable) where appropriate:
1. Final check has been made of application requirements.
2. Event is approved by City Council.
3. All required permits are issued and on file.
4. Refundable clean up fee has been paid.
5. Insurance Certificate is on file with City Clerk
6. Surety Bond is on file to secure payment for applicant's obligation
to the
City.
7. Application is complete.
8. Special conditions are attached.
REVOCATION: Upon mutual consent, the City Council may revoke a special event
permit if the conditions set fourth in the permit application are not being followed.
Permit is hereby revoked:
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Signature Title
Date:
Reason(s) for revocation:
TO BE REVIEWED/APPROVED AND SIGNED BY AFFECTED
CITY DEPARTMENT HEADS
2. PARKS AND RECREATION DEPARTMENT
Special Events Coordinator: Date:
Initial/sign-off-
3. POLICE DEPARTMENT
Approved by:
Signature Title
Date:
1. Emergency vehicle access.
2. Traffic/safety street closures.
3. Appropriate barricades. (# Required)
4. Police personnel required/available.
5. Portable toilet facilities. (# Required)
6. First aid facilities.
7. Internal security and crowd control.
8. nighttime lighting.
9. Other provisions as may be required by this department.
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4. LICENSING AND INSURANCE
Approved by:
Signature Title
Date:
1. Dance and/or live entertainment.
List types or permits or licenses required:
2. Alcoholic beverages.
3. Peddlers.
4. Noise abatement.
5. Other provisions as may be required:
INSURANCE: Your insurance coverage must be reviewed and approved by
the City's insurance carrier.
1. Public liability insurance naming City of Centerville and other public
agencies
additionally insured is required.
2. Hold harmless forms executed and failed.
3. List and approve/disapprove other insurance coverage as may be
required.
5. FIRE DEPARTMENT
Approved by:
Signature Title
Date:
1. Emergency vehicle access.
2. Use of fireworks, pyrotechnics, vehicle fuel, open flame.
3. Cooking facilities.
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4. Occupancy and spacing of tables, enclosures.
5. Parade, floats.
6. Tents, air supported structures, canopies.
7. Other provisions as my be required by this department:
6. BUILDING DEPARTMENT
Approved by:
Signature Title
Date:
Electrical:
1. Plan check/inspection of any wiring installed on a temporary or permit
basis.
2. Permit(s) attached.
Structural Plan:
1. Plan check/inspection of any temporary or permanent structures,
including
bleachers, scaffolding, grandstand,reviewing stands, stages, or
platforms.
2. Permit(s) attached.
3. Other provisions as may be required by this department:
7. PARKS AND RECREATION DEPARTMENT
Approved by:
Signature Title
Date:
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I. Park permit(s) required. (to be attached)
2. Ballfield Usage Permit.
3. Beach permit required. (to be attached)
4. Trash containers required. (#
5. Portable toilets required. (# )
6. Applicant's plan for cleanup, site restoration and material preservation
(recycling)required and attached.
7. Other provisions as may be required by this department:
8. PUBLIC WORKS DEPARTMENT
Approved by:
Signature Title
Date:
1. Trash containers required. (#
2. Portable toilets required. (#
3. Special animal clean up required.
4. Barricades provided, as available. (# )
5. Cones provided, as available. (# )
6. No parking signs provided, as available. (# )
7. Applicant's plan for clean up and material preservation (recycling)
required
and attached.
8. Other provisions as may be required by this department:
9. STATE, COUNTY AND CITY HEALTH DEPARTMENT
Approved by:
Signature Title
Date:
1. Food and/or beverage served.
2. Permit(s) attached.
3. Food cooked.
4. Permit(s) attached.
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5. List other health licensing obligations as may be require:
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