2012-00115CITY OF MONTICELLO * 2 0 1 2- 0 0 1 1 5*
505 WALNUT STREET
DATE ISSUED: 04/02/2012
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS : 9320 CEDAR ST S
PIN : 155169001010
LEGAL DESC : MONTICELLO BUSINESS CTR 3RD ADDN
LOT 001 BLOCK 001
PERMIT TYPE : BUILDING
PROPERTY TYPE : COMMERCIAL
CONSTRUCTION TYPE : TEMPORARY
VALUATION : $ 500.00
NOTE: 30' X 50' TEMP TENT
APPLICANT BUILDING PERMIT FEE 24.91
STATE SURCHARGE, BLDG VAL 5.00
WAL-MART REAL EST BUSINESS TR
TOTAL 29.91
1301 LOTH ST SE
PROP TAX DEPT #8013 PAID WITH CHECK # 10037280
AR 72716-0555
OWNER
WAL-MART REAL EST BUSINESS TR
1301 LOTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
AGREEMENT AND SWORN STATEMENT
I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. I understand that the work
will be in accordance with the plan that has been approved by
the Building Official. I agree that any damage caused to
public property including but not limited to curb, sidewalk,
public utilities and signs will be repaired at my expense.
Applicant
Date
Bldg Official Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
DEVELOPMENT SERVICES
I BUILDING INSPECTIONS
a
iNIONTICELLO• NIN 55362
P I D -I- _—. ...-.. _-._.._ .
City Hall 76 95-371 I Buildin = Ins ections 763) 395-3060 Fax (76 ) ` 295-4 404
NIONTICELLO ( -
BUILDING PERMIT APPLICATION
Please Print- INCOMPLETE APPLICATIONS WILL NOT 13E ACCEPTED.
SITE ADDRESS: Walmart parking lot - 9320 Cedar Street
LEGAL: Lot Block Plat
Property Owner Name: Walmart Stores, Inc. Phone: 479_273-4219 —
Address: 2001 S.E. 10th Street C i ty: Bentonville State: AR Zip: 72716
Contractor Name: TNT Fireworks Phone: 701-400-7661
State License #:
Address: 2109 59th Avenue South City: Fargo State: ND Zip: 58104
Eng./Architect Nance: Phone:
Address: City: State: _ Zip:
Plumber Nance: Pholle:
Address: City: State:_ Zip:
Meeltattieal name: Phone:
Address: City: State: Zip:
Tvve of Work Tvue of Construction Building Informatiott
New Single Family Use of building
Addition Duplex of stories
Alteration Multi -Family Floor area scl. ft.
Repair Conuncrcial Estimated value
Move Industrial of constrttctian S
Other E Residential Garage Is this at ••Master Plaur" peMNRule 011icl• 1300.
0160 Subp.67 Yes NO Description oftr-
ork:Erection ofTent -- _ FOR ROOF & SIDING PER.MITS, PLEASE PROVIDE #
OF SQUARES OF SHINGLES &/
OR SIDING. I hereby
apply for it permit for construction .as that the intinmation I h,a%e provided abet%c is complete and accurate. I agree that
the work till he conducted in conformance tt ith the ordin;utees of the Cit} of \lonticello and %%ith the Laws of the State ul' \linneaaa: and that
I undersumod that this application is not a pennh ;mtl that the %%ork is not to start "ithout a permit. I tither understand that the work ill be
in accordanec kith the plan than has been approved by the Building Official. I agree that any Jantage caused to public pngmrty including but not
limited to curb. side talk, public utilities ;md signs a ill be repaired at uq expense. SEE BACK
FOR PLUMBING iAND \MECHANICAL
INFO. irAnt Sinnatur Appjilrltion
ate
t
r
t 4PPLIC-iNT: Ple(ise s/t())r fivtit)-es that ore (tppliruble
f•h•e .Suppression : (if upplic•uble) Plunthiu,,: (if etpplie•ethle) 11ec•hurlicecl: (iPipplic•ublrl
u. Fixture Tvue Nn. Vislurc Tvpc u. FiNturc Tvnc
Spr;nkler Iierrcic tt finer Closer (toiler/ hin•julev
Other /spec•iulIS Derive, Il Atub Gas.11etev
Lavatory (crush hasin) Rtrtr a /lour!
Shower Gus Ramw
liirc•hen .Sink tt irrc r Ucvner
Dishwasher lir C'onrlil;onill",
biumilrr Tnh Mech. Firr/,lac•e
Riv .-Ilprnr: (if applicable)
C'(othes Washer Butlrroora(s) L•xhalr.+r Full
Wafer Heater l it• Evcharr','cr•
1'rirru! firer
n. Fi.\nu e'1'vue DrinkinA, Fountain Gus Openin,t u•io Fl1111T
Flour Druht
Slop .S'ink
ether Ilydrunra
TOTAL
SJ Per Fivnn•rl
77) 7: IL
S9 Per Fixtorel
FOR CITY USE ONLY
1'rce Ordinance [fanclont Yes No
FEES: Other IlandoutS 1 es \o
Bldut Permit ----•-----
Plan Review
State Surcllitt•'_te
131(hy. Total
P1111'1. Perlllit ----•-
l• Ixllll't:i
Surcluu•tsc
Pleb. Total — — ---
iceh. Permil —
Hxtlu•cs
Slll'e11:11'1e
Mech. Toral •-------
Sea er Access
Watcr Acces;--
Water Meter
deter Sille$ "fax-
Nlcret- Total
sew &. Water Permit
Trunk Waler
Trunk S,mitary Se„c,
Trunk Storm Sc%Cr
Lifi Station
TOTAL FEES:
AD1)I rio.N.m. INFORMATION:
Valuation: —--------•--___-•
Construction Type:
Occupancy Group:
Division:
Square Fooalge:
of Storics: --- --- _ __-_—
elf Residential Units:
axinttun Occupancy: ___..
Eire Sprinklers: Ye; L—J- No
OR, st •ect Parkin- Covered:
0Cl=Su•ce[ Parking l;ncoverecl:-----•-----_._.__...__.__.
Building official
WaImart= ,.
Save money. Live better.
2001 SE 101h Street
Bentonville, AR 72716
Phone 479-273-4219'
Fax 479-204-2263
April.crawford@wal-mart.com
January 1st, 2012
To Whom It May Concern,
American Promotional Events, Inc. dba TNT® Fireworks is an approved National
Supplier for 2012 to conduct fireworks sales on our stores' parking lots where this
type of promotion is legal. Events usually run 7 to 12 days with set up beginning
approximately 5 days prior to the event.
An American Promotional Events, Inc. dba TNT@ Fireworks representative will call
you to introduce the company and discuss your participation in the event.
Participation is encouraged and does add additional income to your other income
account. The Store Manager must approve the store's participation and placement
on the parking lot by store stamping the Pre -Sale Survey. All stores have researched
and approved by the Walmart Realty Department. TNT@ Fireworks is responsible for
obtaining all necessary permits and/or licenses and must display such permits
and/or licenses at each location.
Thank you in advance for your cooperation in this matter and if you have any
questions, please contact Automated Consumer Services at (479) 273-4219.
Best Regards,
April Crawford
Manager Consumer Services
Walmart Stores, Inc.
Jun-24 10 09:46a - Larry Jensen
1
763-427-8498 p.2
M A/ P 32()
TNT FIREWORKS
A Tent placement Worksheet must accompany eadh.and every Lease Agreement
STAND /TENT PLACEMENT/ WORKSHEET
ADDRESS "I J D
OTY &le U 'STATE 144 Al Zip
TENT/ STAND SIZE iY _S'
STORE NAM E I LOCATI ON 0 ° lllaif+
STANDITENTSET UP DATES BETWEEN 11d 4 -AND 0
STAND l TENT TAI(E DDWN DATES BEWTEEEN71 AND 71P
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3