2013-00223CITY OF MONTICELLO
505 WALNUT STREET
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: ERRECT A 20' X 40' TENT FOR FIREWORK SALES
APPLICANT
WAL-MART REAL EST BUSINESS TR
1301 LOTH ST SE
PROP TAX DEPT #8013
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
snumangmuffum
2 0 1 3— 0 0 2 2 3*
DATE ISSUED: 05/22/2013
BUILDING PERMIT FEE 24.91
STATE SURCHARGE, BLDG VAL 5.00
TOTAL 29.91
PAID WITH CHECK # 10049552
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
DEVELOPMENT SERVICES
BUILDING INSPECTIONS
305 WALNU•r STREET, SUITE I
NIONTICELLO, SIN 55363
NIONTICELLO City Hall (763) 295-271 I
PER,\4IT a _ "LbZZ?b
PID
Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING PERMIT APPLICATION
Please Print- INCOzMPLUE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: Walmart parking lot - 9320 Cedar Street ZONED_
LEGAL: Lot Block Plat
Property Owner Nanic: 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
State License F:'
Address: 2109 59th Avenue South
Eno./Architect Name:
Address:
Plumber Name:
Address:
Mechanical Nante:
Address:
Tvve of Work
New
Addition
Alteration
Repair
Move
Other
City: Fargo
City:
City:
City:
Tvi3e of Construction
Single Family
Duplex
IVll.11ti-Family
Commercial
Industrial
Description of t,O,.k: Erection of Tent _
Residential, Garage
Other
P liotie: 701-400-7661
State: No Zip: 58104
Phone:
State: _ Zip:
Phone:
State: Zip:
Phone:
State: Zip:
Buildin; Information
Use of building
tr of stories
Floor area scl. ft.
Estimated value
Of construction S
Is this it "Master Plan" per.NIN Rule
1300.0160 Subp.0 Yes O No
FOR ROOF S SIDING PERMITS,
PLEASE PROVIDE # OF SQUARES
OF SHINGLES S/OR SIDING.
I hereby apply for a permit for construction as described and acknowledge that the inibmiation I have provided aboN e is complete and accurate. I
agree drat the work "ill he conducted in conformance a ith the ordinances of the Cit% of Monticello and %%ith the Laws of the State of Minnesota:
and that I understand that this application is not a pernih and that the work is not to stun «ithout a permit. l f nlher understand that tic 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 a ill be repaired at my expense.
SEE BACK FOR PLUMBING
OANllMINFO.' NFECHANICALINFO. ' is
nt Signature Applic Ion Dat Z
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APPLIC-INT.- Please sl!(nt, fivtares that arcs applicable.
Fire .Srulnression : (if applicable) I'lumbinu: (i/•applic•uble) Mechanical: (r f appliruble)
T' No. Fixuu•c'lluc u. Fixlure Tvue No. FW11rc'1\•nc
Shrinklr - llrnrk Water Ch,set (toilcl) I in rror<
Other /Special l•SDedre Uurlrinh Gas.11elcr
Lurutory (,rush hasinl range Hood
Slrun•er Gus knn.,-e
kitchen Sink iI lien //ruler•
Dishwasher I h• C ollrlilinnirr,"
Lannrlrr TO ttech. Firrphrre
Fire.Ilarvu: (if applicable)
C7ulhes11asher• Buthrounl(s)Exhulml/•ill
II lifer healer Air C•.rchrrrr,er
1 •ciao! nr'rer
i
No. 1'iaturc'll p`
Drinkin; Fowitoin Gas Openir , n•/u Firnrr•e
i Floor nrrrhr
h of nevices slip Sirlk
other l/t(h•uuts
TOYAL 7 *07AL
S9 Pev Fixon•e•1 S9 Per Fixture)
FOR CITY USE ONLY
FLIES:
3lelg. Permit
Plan Review.
Stab Surchante
131c1b. Total
Plms. Pernut
l• lxttll•es
Surchar-e
Pling. 'Total — — ---
leeh. Pernlil —
1'IxltINS
Sureharse
Alech. Total -----
Sewer Access -------
Water ;\ccesS
Meter Saps Tax
letcr'I'ott l — _ —
Sew &. Water Pel•Iltll
1 rtlltk Watet•
Trunk Sanitary Sneer
Trunk Storm Se" er
Lifi Station
TOTAL. FEES:
Tree 01•dinance Handout Yes \o
Other Handouts Yes No
ADDI l•IO\:U. INFORMATIO.N:
Valuation:
COIIsIfIICllolt'f p•: — -- ------
Occupancy GroLIP _._-.---.--._.----.—.
Division:
Squar0 Footage: _—_ ---
of Stories:
of Residential Units: --- --
iaxilntun Oceupaney.-
Fire Sprinklers: 1'es \n
Off Sri -eel Parkin:: Covered:
OtT-Su•eet Parking Uncovered:—
Building officialMIT: —
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Jun 24 10 09:46a Larry Jensen 763-427-8498 p.2
TNT RREWQRKS
A Tent Placement Warksheet must accompany each.and every Lease Agreement
STAND I TENT PLACEMENT WQRKSHEET
ADDRESSDY,
CITY ` I 77 /z STATE A" ZIP
TENT STAND SIZE -:?D
STORE NAME 1 LoCAT o # D
STAND I TENT SET UP DATE ;ETWEEN 6 IdSTANDfTENTFAKEDOWNDAWEEN711
mom
17
r
AND 0/
AND 7%
Walmart ,
Save money. Live better.
8Wftnv1U% AR 72710
Ph= 478-273-421 U
Fax 470-204-2203
A YM.=WfDrdDWW4nartcwn
January 15t, 2013
To Whom it May Concern,
American Promotional Events, Inc. dba TNT® Fireworks is an approved National
Supplier for 2013 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 been
researched and approved by the Walmart Realty Department. TNT® Fireworks is
responsible for obtaining all necessary permits and/or licenses and must display
such pennits 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,
O;a GVA 4
April Crawford
Manager Consumer Services
Walmart Stores, Inc.