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HomeMy WebLinkAboutTUP2013-4147NOV 2 CITY OF GRAPEVINE TEMPORARY USE & PUBLIC ENTERTAINMENT PERMIT APPLICATION SEC. 15-9. The application for the permit shall be filed not less than thirty (30) days before the first performance and shall contain the following information. 1. Z's =0 Name. -:5i� oi-� &z a -, 5-1, 0 V 2 Address /9 0 &Cji'ck,:,e-�2 Phone no. �IT-310 2 fax no. 2. Property owner Name 4ma-61 �,_z Address IV103 e&'PITr ZI,d /S P V Phone no. 70 q29-6� fax no. 3. Address of temporary use or entertainment 4. Date or dates of proposed entertainment _ :1)e c r 20 1-3 to b c 24213 5. Kind or type of entertainment 6. Total number of off-street or highway parking space 7. Total number of people participating in the event at this location le 8. Number of restrooms available within facility . 0�,�„��;�zti— � �ec ,`t'? 9. Time and hours of temporary use J�r FTA CITY OF GRAPEVINEDIEVELOPMENT SERVICESP 0 BOX 95104.GRAPEVINE.TEXAS.76099.(817)410-3154.FAX (817)410-3018 O:\ZCU\Forms\appAemp use public ent.doc 2 10. Number of outdoor speakers, all speakers shall face away from residential areas, please show location of speakers and the direction they are facing on site plan. use on property I own at Owner (print) Owner signature The State of ::�)(a --) County Of hereby authorize to request a temporary Before Me0aianic, Lov� n (notary) on this day personally appeared �Rail r CA (property owner) known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same for the purposes and consideration therein expressed. (Seal) Given under my hand and seal of office this A. D. —U 1�2 AMANDA LOVEN Notary Public, State of Texas :j My Commission Expires MAY 3, 2016 day of FOR OFFICIAL USE,! CITY MANAGER RISK MANAGER DEVELOPMENT SERVICES DIR FIRE ov, POLICE HEALTH o r 6 ft d s ;0 (®s CITY OF GRAPEVINE. DEVELOPMENT SERVICES.P 0 BOX 95104.GRAPEVI NE.TEXAS. 76099.(817)410-3154. FAX (817)410-3018 0:\ZCU\Forms\app.temp use public ent.doc 3 Q, I= I= imim I= I=,=, mimImfm i Mimi= im I =I=, M, M/ Mr. Ir - - - - - - - - - - - - - - -- - - - - - - - - - - - - - 11 1 10 000 CERTIFICATE OF LIABILITY INSURANCE 1iiaZ o 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING WSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERT94CATE HOLDER. IMPORTANT. It the certificate holder is an ADDITIONAL INSURED, the pol(cy(ies) must be endorsed. 0 SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies msy require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorserr►ent(s). MCHENRY INSURANCE SERVICES, INC. 904 S. ROUTE 31 MCHENRY, IL 60050 LAIC, No,Eal: 815- 385 -8660 1 (Atc.No)S15- 385 -8'727 1 INSURED AMIMICAN SPORTSMAN SKOOTING C;S URR, INC c/o Amponn, INC 14103 MARIAH CT CHANTILLY, VA 20151 (703) 263 -9795 A:PHILADELPHIA B: r..nVF=RAAF.A C r- rMFIf:ATP NIIMRFR� aPtnetnni NIflaar =p- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I� TYPE OF INSURANCE I suaR POLICY NUMBER JMWWD DIYYYV MM ID LIMITS A X, COMMERCIAL GOMPAL LIANUTY CLAIMS-MADE I " I OCCUR 11/08/13 11/08/14 EACH OCCURRENCE $ 1, 00,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY Cl PERK F-� LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPJOP AGG $ 21000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON- OWNED HIRED AUTOS AUTOS E I I Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per PERT accident $ $ X UMBRELLA LIAR EXCESS LIAB ][ OCCUR CLAIMS -MADE 09/12i13 09i12i14 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10, 00 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILTY YIN ANY PROPRIETOWPARTNER/EXECUTIVE OFMCERlMEMBER EXCLUDED? ED (mo t In NN) H describeunder . DESCRIPTION OF OPERATIONS below NIA - STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE ' $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS ( VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED, BUT ONLY AS RESPECTS ITS LIABILITY ARISING OUT OF THE ACTIVITIES OF THE NAMED INSURED. CITY OF GRAPEVINE DEPARTMENT OF SERVICES PO BOX 95104 GRAPEVINE, TX 76099 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W11M -T44E POMMPROVISIONS. ©1988 -2013 ACORD CORPORATION. All rights reserved. ACORD 25 (2013/04) The ACORD name and logo are registered marks Of ACORD AA PARTY Ft TENT RENTAL www.aapartyrental.com Mon- Fri: 7:30am - ► :OOPM Sat: 8.00am - 5:00prn Sun: 1-4prn DELIVER Sportsman Shooting Center Yes 1960 Enchanted Way Grapevine, TX 76051 SALES RENTAL DATE PERSON 12-6-13 Chris call hour ahead QTY 1 100 ft 2219 Cheyenne St Irving, TX 75062 Phone: 972.257.1106 Fax: 972.261.0029 PHONE: 817.310.382 office Randy Sykora PHONE: 469.221.6431 sett E-MAIL: ITEM DESCRIPTION 20x4O tent on grass gAllj �-, f— f�# -, � Customer will get tent permit "Basic" Detivery/pick up services are: business- to dock or receiving door. At a home- delivery and pick up to garage. i Extended services available at additional fees, Renter Must be at least 18 years of age and have his/her Texas Drivers License present at time of rental. EXTENDED DELIVERY 150.00 SUBTOTAL 800.00 TAXES 66.00 TOTAL 866.00 Items on this order cannot be deleted or modified after you reserve them. Only reserve an item when you are sure you will not cancel it. This reservation guarantees that we will hold these items exclusively for you. Customer holds harmless AA Rental against any injuries and or property damage caused by negligence on behalf of AA Rental, and indemnifies AA Rental from all liabilities to any third parties arising from any negligence on our behalf. I have reviewed the website and acknowledge the descriptions of the above products and polices. If equipment is not picked up or if reservation is cancelled, your payment wilt be forfeited. No refunds/returns 12-9-13 UNIT PRICE LIKE TOTAL 550.00 550.00 1.00 100.00 11/25/2013 345308924684 CARD # INVOICE Batch #: Appro%,,al Cod°: Entry Mettrod: Mode: Ai Code: MITI 0 AA REl1,'AL 2219 CHEfENNE ST IRVIW-, TX 750627264 CREDF17 CARD 11ISA SALE TID; )336,01147 Kx,X�y`XXV,XAX2420 04736D f4anual Online 'YYY I aqte ILU Pay 4vve tot anoint according to ca d issuer atji,eeoienLl (,,Merchant agreement tI 0 e(lilt Vouchef) MIERCHANT COPY SSC Event Details — Larue/Aimpoint Event Dec 7.8 th 2013 Grapevine,, TX 76051 The event will consist of a 2 day demonstration by Larue Tactical, showcasing their newest AR-15 rifle. Customers will come to our facility to see the demonstration, eat some 13130, and socialize. The tent will be for overflow with 2 8ft tables with 16 folding chairs for people to eat off of. The event is scheduled for Saturday 12-7-13 from 9:00am-9pm and from Sunday 12-8-13 from 10:00arn to 7:00prn Randy Sykora General Manager Sportsman Shooting Center 0 41, a (12/2/2013} Susan Batte - Re: Temp Use App man Shooting Center Page 11 From: Ronald Hudson To: Batte, Susan Date: 12/2/2013 9:32 AM Subject: Re: Temp Use App - Sportsman Shooting Center Approved Lt. R. Hudson Grapevine Police Department 817-410-3276 >>> Susan Batte 12/02/2013 9:09 AM >>> please see attached application and let me know if you approve (12/3/2013) Susan Batte - RE: Temp Use App - Sportsman Shooting Center _ Page From: "Renee L. Minnfee" < To: Susan Batte <Sbatte @grapevinetexas.gov> Date: 12/3/2013 8:49 AM Subject: RE: Temp Use App - Sportsman Shooting Center I am okay with this. Renee Minnfee, MPH RS Sanitarian I 1101 S. Main Street, Rm 2300 Fort Worth, TX 76104 817.321.4979 (office) 817.321.4961 (fax) From: Susan Batte [Sbatte @grapevinetexas.gov] Sent: Monday, December 02, 2013 9:20 AM To: Renee L. Minnfee Subject: Temp Use App - Sportsman Shooting Center please see attached application and let me know if you approve (12/2,/2013) Susan Batte - Re: Temp Use App - Sportsman Shooting Center Page 1 From: Craig Reed To: Susan Batte CC: Randie Frisinger Date: 12/2/2013 3:29 PM Subject: Re: Temp Use App - Sportsman Shooting Center No motorized equipment within 20 feet of tent. No smoking signs must be in tent. Must have minimum of a 2A10BC fire extinguisher in tent. No cooking inside of tent. Craig Reed #749 Captain / Assistant Fire Marshal Grapevine Fire Department 601 Boyd Drive Grapevine, TX. 76051 creed@grapevinetexas.gov 817- 410 -8100 >>> Susan Batte 12/2/2013 9:09 AM >>> please see attached application and let me know if you approve From: "Renee To: Susan Bmth*<G napavinabexes.0ov~ Date: 12/3/20138:49AK8 Subject: RE: Temp Use App - Sportsman Shooting Center | am okay with this. Renee K8innhea. MPH R8 Sanitarian | 11O1S. Main Street, Rnn23O0 Fort Worth, TX7G1O4 817.321.4079 (ofhoa)817.321.4981(hax) From: Susan Batte [Sbatte@grapevinetexas.gov] Sent: Monday, December U2.2O138:2OAK8 To: Renee LK8innfne Subject: Temp Use App - Sportsman Shooting Center please see attached application and let meknow if you approve 10. Plumber of outdoor speakers, all speakers shall face away from residential areas, please show location of speakers and the direction they are facing on site plan. "I, use on property 1 own at Owner (print) ffi9� Owner signature The State off'.c 1) County Of -112 1/110 04 hereby authorize to request a temporary Before Me 0i(l .a n aG Laze n (notary) on this day personally appeared of ' (property owner) known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same for the purposes and consideration therein expressed. (Seal) Given under my hand and seal of office this _ day of itryi A.O. �aQ- --- ,._ +��� + %.,e AMANDA LOVBN � r °� Notary Public, State of Texas i r � My Commission Expires '•m:;r•�►' MaY s, 2016 otary ignature sue +t ++ FOR OFFICIAL USE ONLY CITY MANAGER RISK MANAGER ZP4 DEVELOPMENT SERVICES DIR FIRE POLICE HEALTH CITY OF GRAPEVINE. DEVELOPMENT SERVICES.P O BOX 95104. GRAPEVINE .TEXAS.78099.(817)410- 3154.FAX (817)410 -3018 OAZCU1Famslapp.temp use public ent.doc 3