Fillable 2020 Temporary Outdoor Dining Registration Form Fillable PDF (City of Blaine)

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2020 Temporary Outdoor Dining Registration Form Fillable PDF (City of Blaine)

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The 2020 Temporary Outdoor Dining Registration Form Fillable PDF (City of Blaine) form is 3 pages long and contains:

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  • 27 other fields

Country of origin: US
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U.S.A. forms for City of Blaine

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1 | P a g e
GENERAL INFORMATION
The City of Blaine has established a policy and procedure to allow for new or expanded outdoor seating areas for
restaurants in response to social distancing and occupancy requirements for restaurants to open for on-site
dining due to the COVID-19 pandemic.
Restaurant Name:
Property Address:
Restaurant Contact Person:
Contact Phone:
Restaurant Contact Email:
Property Owner:
Property Owner Phone:
Property Owner Email:
PART 1 – TO BE COMPLETED BY ALL RESTAURANTS
Please read and check each box to confirm all parties understand the standards and requirements for
temporary outdoor dining areas.
Initial
Requirement
If parking stalls are used for seating, sufficient parking must exist. Analysis of parking will be based on the
number of outside seats, whether curb-side pickup occurs and the number of employees. If restaurants
are allowed to operate with indoor dining, a reanalysis of parking requirements may occur.
Signage shall be limited to temporary banners and directional signage for parking. No signage is
permitted off-site or in the right-of-way.
All activity must be on the subject property and requires landlord approval if space is leased.
Chairs and tables must be displayed and stored in a neat and orderly manner.
Any seating cannot block fire exits, fire lanes, ADA accessible routes or handicap parking stalls.
Any tents must meet applicable state and local fire codes. Tents with sides over 400 sq. ft. and tents
without sides over 700 sq. ft. require a separate tent permit. Any other temporary structures must meet
state and local fire and building codes. Contact City of Blaine Fire Inspections for tent permit information.
No fee is required for the tent permit.
Maximum outdoor seating capacity shall be consistent with the latest Governor's Executive Order.
All food and beverages must be prepared inside the building or within a preexisting outdoor bar. No
temporary bars, food prep areas, grills, etc. are permitted outside the building.
Any heating apparatuses must be approved and meet applicable codes.
No “tailgating” is permitted.
Hours of operation of an outdoor dining will/shall be restricted to the hours of operation of the restaurant's
interior space. Outdoor dining area shall not operate between the hours of 1AM and 7AM. New outdoor
dining areas shall close by 10PM if located within 200 feet of a residential property.
10801 Town Square Drive
Blaine, MN 55449
Phone: (612) 422-0557
probinson@blainemn.gov
2020 TEMPORARY OUTDOOR DINING
REGISTRATION FORM
2 | P a g e
PART 2 – TO BE COMPLETED BY ALCOHOL LICENSE HOLDERS
Complete this section if alcohol will be sold, served or consumed in the temporary outdoor dining area.
Initial
Requirement
License holders must notify their insurance provider of the amended licensed premise where liquor will
be consumed or served.
License holders must provide proof of updated liquor liability insurance that covers alcohol
sales/consumption in any expanded outdoor areas.
The applicant certifies that all federal, state and city alcohol regulations shall apply to the temporary
outdoor dining area and compliance shall be met.
Seating for restaurants with on-sale liquor licenses must be contiguous to the restaurant and delineated.
No alcohol shall be consumed or served outside of designated areas.
A Special Event Permit is required for any type of activity other than dining as defined in the Special
Event Permit ordinance. No fee is required for Special Event Permit.
REQUIRED DOCUMENTATION
All restaurants must read, sign and submit this form and the information listed below. Completed forms and
related information can be emailed to probinson@blainemn.gov.
Please submit the following with this form:
A narrative that details the request and must include number of employees, number of outdoor tables and
hours of operation.
A site plan that details the location of the outdoor dining, seating layout and floor plan (please indicate space
between seating on plan), proposed fencing, occupancy number and the location of temporary structures, if
any.
A traffic management and parking plan that details the number of stalls taken away for new outdoor dining
locations, number of stalls remaining on site, traffic flow, and in the case of a multi-tenant retail building, a
parking plan that details where all tenants in the building have designated stalls.
A shared access letter of agreement signed by both parties, if adjacent parking lots not owned by the
applicant are to be used for off-site parking. Please note that all outdoor dining must be located on the
restaurant premises and not on an adjacent site.
A letter from the property owner, if different from the applicant, stating they are in agreement with the plans
presented.
Alcohol license holders must also submit:
o A site plan indicating the delineation plan for the temporary outdoor dining area and how
ingress/egress will be provided.
3 | P a g e
ACKNOWLEDGEMENT
By signing below, I hereby certify the following:
The information provided on this form correct.
I will comply with all building code and fire code regulations and understand that violations of such codes
may be grounds for revocation of my ability to install temporary outdoor dining.
I have read and acknowledge the city standards (outlined in Part 1 and 2) regarding temporary outdoor
dining.
I have read and understand the temporary outdoor dining shall be removed no later than April 31, 2021.
I understand the city may inspect the outdoor dining area any time to enforce compliance with the above
provisions. Additionally, the city may require the temporary outdoor dining to be closed if it is detrimental
to the health, safety and welfare of the general public.
(For alcohol license holders) I understand that this application alters the licensed premise of my alcohol
license. Any violations of federal, state or city regulations in the temporary outdoor dining area may result
in civil or criminal penalties against me or my license. I further understand that liquor liability insurance
must be kept in-force for the temporary outdoor dining area.
________________________________________________________________________________ ___________________
Restaurant Owner Signature Date
________________________________________________________________________________ ____________________
Property Owner Signature Date
________________________________________________________________________________ ____________________
Property Owner Signature Date
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2020 Temporary Outdoor Dining Registration Form Fillable PDF (City of Blaine)

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Completed 12 February 2021

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