Untitled POST IN A CONSPICUOUS PLACE NOT TRANSFERABLE
2026 SPECIAL EVENT PERMIT
City of Spring Park
4349 Warren Avenue
Spring Park, Minnesota 55384-9711
(952) 471-9051
Vbereas;, Steve Stapel has paid the required fees as mandated by the Ordinances of the City of Spring Park and complied with
all the requirements of said Ordinances necessary for obtaining this special event permit.
License Details: Issued To:
Number: 26-07 SPEV Steve Stapel
Date: April 30, 2026 4238 West Arm Drive
Type: 70'' Birthday Party, Private Residence Spring Park, MN 55384
Fee Paid: $100.00
Pow, 19berefure, Steve Stapel is hereby licensed and authorized to hold a special event on June 13, 2025 within the City of
Spring Park subject to all the conditions and provisions of said Ordinances for the City of Spring Park.
Issued by the City of Spring Park this 30th day of April, 2026.
By:
Jamie Hoffman, City Clerk
License No.Ol -
.t
CITY OF SPRING PARK
SPRING PARK SPECIAL EVENT/MUSIC CONCERT
On Lake Minnetonka PERMIT APPLICATION
GENERAL EVENT INFORMATION:
❑ Single Day Special Event ,Single day Special E w/Live Music ❑ Multiple Day Special Event
❑ Music Concert-Single Event ❑ Special Event or Music Only-Annual
Name of event: "T��r'`�1 FE G w C W5 -70 7k Q 11:i - E)14-1 P/c,PI-Fy
Type of event(run/walk/bike race wedding, etc): P/-L C'
Description of event: '70 f" IM i PAJpr_� A,T 0 U R_ '4 O US t - 2
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Address or route of event: 'y 2__5 F5 WC_ST aR, (2 I V 1E
Describe event location on the property: g4 (DV P_ N cp IE-
Estimated number of participants: Estimated number of volunteers/staff-
List all dates of event: /kAaY .30-kl'N 2 02 6 Hours of event.
APPLICANT INFORMATION:
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Sponsoring Organization Name Organization Phone
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Organization Address City State Zip Code
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Event Planner Name E-mail Address
Name/Title Contact Person During Event Cell Phone#For Contact Person on Event Day
SPECIFIC EVENT DETAILS-
PARTICIPANTS/GUESTS
Is the event open to the public? ❑Yes jNo
Is public property used for the event?(Dakota Trail,City/County road,City park,etc.) ❑Yeso
If yes,please contact the appropriate entity as additional permits may he necessary.
PARKING&TRAFFIC CONTROL
Will you have a designated responsible person to direct vehicles as to where/how to park? ❑Yeess> To
Approximately how many vehicles are expected? I�� [ly N�1 G lY3�YZS 'p12�i j7)
ON S
On-Site Parking. How many vehicles could be parked on the property?
Off-Site Parking. How many vehicles would need to be parked off the property? J�
List location(s)of off-site parking �x t=ig ' Pzz-,(', 1 r,- A tf-- i g,--1 BO 2�
Describe methods of transporting ests/ artici ants of event from off-site parkin 13 121 1 V F—=w/"s
City of Spring Park-4349 Warren Avenue,Spring Park,MN 55384
Phone: (952)471-9051 /www.Cl.spring-parkmn.us
CITY OF SPRING PARK
SPRING PARK SPECIAL EVENT PERMIT
On Galg Minnetonka APPLICATION CHECKLIST
The following materials must be received for your application to be considered complete:
❑ Complete and signed application.
❑ Application fee and escrow check(if applicable).
❑ For any events with amplified sound or live music-sample of written notice to all property owners within 350 feet
of the location,sent at least 10 days prior to the event,and must include date,time,location of event,and contact
information.
❑ For any annual special events and/or music only events,please include a list of events for that year/season along with dates and
times of the music or event
❑ Copy of your Certificate of Liability Insurance for the event with policy numbers,coverage levels,and which lists
the City of Spring Park and its agents as an additional insured.
❑ Severe Weather/Emergency Response Plan including shelter locations for any events that take place outside.
❑ Alcohol Security Plan describing how alcohol sales and consumption will be limited to specific areas of the event.
❑ Master Site Plan identifying buildings,driveways,neighboring properties,and streets.The site plan must also include
locations for the following items:
• Tents/canopies/temporary structures— Food truck locations
including size • Vendor locations&attractions
• Stage incl. direction of music and size of stage • Fireworks set-up&display area in relation to
• Lighting(for nighttime events)—including size, neighboring properties
direction,and hooding/shielding mechanism • Sanitary facilities
for surrounding properties • Garbage and recycling containment areas
• Music&lified sound—include number& • Temporary barricades or fencing
direction of speakers • Any cordoned-off area(s) for the event
• Parking
❑ Proof of possession of any license or permit which,under federal,state,or local laws or regulations,the applicant is
required to have in order to conduct the event or activity.This may include but is not limited to:
• City of Spring Park
o Food truck,temporary sign,liquor license,building permit(tent/stage/temporary structure)
• Mound Fire Department
o Fireworks,recreational fires,permit for tent/stage/temporary structure
• Hennepin County
o Water Patrol,Health Department,road closures,etc.
• Lake Minnetonka Conservation District
• Three Rivers Park District(Dakota Trail)
Please note the following:
• Payments can be made by check or online on our website at: https://www.cl.spring-park.mn.us
• All other application materials can be sent via email to: jkhoffman0qci.spring-pa rk.mn.Lis.
• Application materials should be received at least 45 days in advance of your event
o For any applications received in fewer than 45 days, City staff will do their best to process all
requests but cannot guarantee that your application will be approved without sufficient time to
process.Please plan accordingly and contact City staff with any questions.
FOOD &BEVERAGE
Will food be prepared on-site? ❑Yes )No
Ifyes,please contact the Hennepin County Health Department as additional permits may be necessary.
Will food trucks be on-sire? ❑Yes o
If yes,how many? List food truck power source:
(A separate permit from the Cite of Spring Park is required for all Mobile Food Units I[')that wish to operate in the Ci
Will alcohol be served at the event? / Yes ❑No
Liquor License Holder: Nzice Phone#:
Will alcohol be contained inside a certain area of the event space? XYes ❑No
Provide alcohol security details:
1 Ns)Cp=— 1-40MV—_— t=N C,C)SSE p/0 07-� i'(D!� � ��C-�i C)
SET-UP (.Separate permits from the Mound Fire Department and/or the Clty Building O�ciall 17I SPA C"l are required)
Will there be canopies or tents? ❑Yes >�`No
If yes,how many? Dimensions:
Provide anchoring details:
Date installed: Date removed:
Will a stage be set-up? ❑Yes o
If yes,provide dimensions:
Date installed: Date removed:
Will there be temporary fencing or barricades? ❑Yes )No
Dimensions: Type of material:
Date installed: Date removed:
GARBAGE&SANITATION
Are there indoor bathrooms available to the event? XYes ❑ No
Will you provide portable bathrooms outdoors? ❑Yes XNO
If yes,how many?
Date installed: Date removed:
Describe trash removal and clean-up plan during and after the event
Pi C L< U f
0NJ TTi 0 CVz,
FIREWORKS&RECREATIONAL FIRES (Separate permits from the Mound Fire Department are required)
Will there be fireworks at your event? ❑Yes No
Will there be recreational fire at your event? ❑Yes No
If yes,how many? Dimensions:
MUSIC&LIFIED SOUND* r / 1
Will there be live music? (Plea e note:di c jockeys or`DJ's"are class ed as live music) a v9�_L rs b a nd� I'es ❑ No
List hours of live music: _N O n N In :5� PM
Will there be amplified sound? (requires on site contact person) XYes ❑ No
List hours and type of amplified sound: N no m . o Ypm
Contact Person: P if Cell Phone#: 5'S 2 ,S-7 - 776
*Please note:The Orono Police Department has the authority to reduce or completely shut dozen line music upon receiving legitimate noise complaints.
PRIVATE PROPERTY OWNER ACKNOWLEDGMENT AND SIGNATURE:
If the event is held on private property,other than the event organizer's prone ,a signature from the property
owner is required.
The applicant has permission to use my property for the event described in this application:
Printed Name: Date:
Property Owner/Agent Signature:
APPLICANT ACKNOWLEDGMENT AND SIGNATURE:
PLEASE NOTE THAT ADDITIONAL PERMITS OR LICENSES MAY BE REQUIRED BY THE CITY,
STATE, COUNTY OR OTHER AGENCIES FOR YOUR EVENT. IT IS THE RESPONSIBILITY OF THE
APPLICANT TO DETERMINE WHICH LICENSES AND PERMITS ARE REQUIRED FOR THE
PROPOSED EVENT AND TO OBTAIN SUCH LICENSES AND PERMITS IN ADVANCE OF THE EVENT.
The applicant agrees to defend, indemnify, and hold harmless the City of Spring Park, its Council members, employees,
officers, contractors and agents from and against any and all liability, claims, causes of action, lawsuits, damages, costs,
judgments and expenses, including attorneys fees, on account of bodily injury, sickness, disease, death and property damage
resulting directly or indirectly from any act or omission arising out of, caused by, or related to the conduct of the activities
authorized by the permit.
The applicant agrees to comply with all applicable codes, ordinances, rules, and regulations of the City of Spring Park with
respect to the Event, including, but not limited to, all codes, ordinances, rules and regulations governing alcohol, noise,
nuisance,building occupancy,public safety,and fire safety.
In the course of your application for a permit,you may be asked to supply non—public data. The purpose and intended use
of this data is to provide a means for the City to evaluate whether you comply with the application requirements for the
general permit application. You may refuse to supply the requested data, but this may result in an incomplete application
which may result in your application being denied. This non—public data may be reviewed by the City of Spring Park,
employees of the City of Spring Park who are assigned to review such information, and the City of Spring Park's legal
consultant. In addition,this data may be reviewed by specific advisory boards and subcommittees of the City of Spring Park,
who assist the City in evaluating your application. You hereby agree to release the data to those boards and subcommittees
for the purpose of effectuating that review.
The undersigned, an applicant for a permit under the rules and regulations of the City of Spring Park, understands and
consents to the release and use of private or confidential data,as described above.
The undersigned represents and warrants that the undersigned is authorized to represent, act on behalf of and bind the
applicant.
The applicant states that the information contained in this application is true, correct and complete. If any information
contained in this application is found to be false or to constitute a substantial misrepresentation of the Event, the application
will be denied and/or the permit revoked.
Applicant Printed Name: _ CR Q,I 1= G wrEl\J Date: 3/8 120 2
Applicant Signature:
(For office use only)
Date application`received: T Property owner permission? ✓Yes No
Fee Amount: Receipt/Check#: Sample written notice to prop.owners? Yes V--- No
Escrow Amount: N Receipt/Check#: Certificate of Insurance? Yes l/ No
Orono Police Dept Approval? A--"* Yes
, / No Severe Weather/Emergency Plan? Yes ✓No
By: Date: / / Alcohol Security Plan? Yes VNo
Mound Fire Dept Approval? "' Yes No Master Site Plan? Yes (/No
By: Datc: Additional permits? Yes ✓ No
City Staff Recommendation? Yes \o Food truck? Yes No
By: Date: Temporary sign? Yes No
City Council Approval? Yes No Building permit? Yes No
Additti��onn��al conditions attached?� Yes No MFD—tent,fireworks,rec.fire? Yes No
Permit#: 4G—0 io/ tt a� c•edV Date: HC/LMCD/Three Rivers? Yes No
Comments:
v _rfAi&41QV
Gbh' -
Jamie Hoffman
From: Greg Pederson <gpederson@moundfire.com>
Sent: Wednesday, April 22, 2026 2:25 PM
To: Jamie Hoffman; Correy Farniok
Cc: Andy Drilling
Subject: RE: Special Event Permit - 70th Birthday Party at Private Residence
I reviewed this application and there are minimal life safety and/or fire code concerns. It appears theywill be
parking in private driveways or on the road.Vehicles parked on the road must be placed so emergency vehicles
can gain access into the neighborhood. Parking on one side of the road only and roadway to be kept clear enough
for emergency_vehicles.
Gregory S. Pederson, Fire Chief
Mound Fire Department
2415 Wilshire Blvd Mound, MN 55364
Office: 952.472.3533 1 Fax: 952.472.3775
chief 1(cDmoundfire.com I www.moundfire.com
IV
From:Jamie Hoffman <jkhoffman@ci.spring-park.mn.us>
Sent: Wednesday, April 15, 2026 12:23 PM
To: Correy Farniok<cfarniok@oronomn.gov>; Greg Pederson<gpederson@moundfire.com>
Subject: Special Event Permit-70th Birthday Party at Private Residence
Attached is a special event permit application for a birthday party at 4238 West Arm Drive on May 30th. It doesn't
look like any tents will be used but they will have a band from noon—4pm.
Let me know if approved.
Thanks!
.4- Jamie Hoffman
15 City Clerk
City of Spring Park
SPRING PARK 4349 Warren Ave
Orifak(41mmetonk4i Spring Park, MN 55384
952.999.7491 (Direct)
952.471.9051 (City Hall)
jkhoffman@ci.spring-park.mn.us
www.ci.spring-park.mn.us
City Hall Hours are Monday—Thursday, 7:30am—5:OOpm, Friday 7:30am - 11:30am
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