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2020-00506CITY 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: SETUP A TEMPORARY TENT TO SELL FIREWORKS APPLICANT WAL-MART REAL EST BUSINESS TR 1301 IOTH ST SE PROP TAX DEPT 48013 AR 72716-0555 OWNER WAL-MART REAL EST BUSINESS TR 1301 1 OTH 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 iiiiiiiiiiiiiiiiiiiiiillillillillillillilliililim 2020-00506* DATE ISSUED: 06/17/2020 Permit #: 2020-00506 BUILDING PERMIT FEE 24.91 STATE SURCHARGE, BLDG VAL 0.25 TOTAL 25.16 Payment(s) CHECK 10170781 25.16 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY Of Monticello BUILDING SAFETY PERMIT #J—c 505 WALNUT STREET, SUITE I MONTICELLO, MN 55362 City Hall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404 BUILDING PERMIT APPLICATION Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. SITE ADDRESS: WALMART PARKING LOT - 9320 CEDAR ST ZONED LEGAL: Lot Block Plat Property Owner Name: WALMART, INC. Address: 702 SW 8TH STREET Contractor Name: TNT FIREWORKS State License #: Address: 4003 HELTON DRIVE EngJArchitect Name: Address: Plumber Name: Address: Mechanical Name: Address: TviDe of Work New Addition Alteration Repair Move We Other TENT SET UP Description of work: SETTING UP A TEMPORARY Phone: City: BENTONVILLE State: AR Zip: 35630 Phone: 256.740.6158 City: FLORENCE State: AL Zip: 35630 Phone: City: State: Zip: Phone: City: State: Zip: Phone: City: State: Zip: Tvne of Construction Single Family Duplex V Multi -Family Commercial Industrial Other Building Information Use of building of stories Floor area sq. ft. Estimated value of construction $ I hereby apply for a permit for construction as described and acknowledge that the information I have provided above is complete and accurate. I agree that the work will be conducted in conformance with the ordinances of the City of Monticello and with the Laws of the State of Minnesota; and that I understand that this application is not a permit and that the work is not to start without a permit. I further 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. SEE BACK FOR PLUMBING t. 01.02.2020 AND MECHANICAL INFO. Applies fgnatnre v Application Date l APPLICANT: Please show_ vaures that are applicable. Fire Suvnression : (if applicable) Plumbine: (if applicable) Mechanical: (ifapplicable) No. Fixture Tvae No. Fixture Tvne No. Fixture Tvve Sprinkler Heads Water Closet (toilet) Furnace Other /Special FS Device Bathtub Gas Meter Lavatory (wash basin) Range Hood Shower Gas Range Kitchen Sink Water Heater Dishwasher Air Conditioning Laundry Tub Mech. Fireplace Clothes Washer Bathroom(s) Exhaust Fan Fire Alarm: (ifapplicable) Water Heater Air Exchanger Urinal Dryer No. Fixture Tvue Drinking Fountain Gas Opening w/o Fixture Floor Drain of Devices Slop Sink Other Outside Faucet TOTAL TOTAL IFOR CITY USE ONLY I Future Owner Information• Tree Ordinance Handout Yes No Other Handouts Yes No Name: Address: City: ADDITIONAL INFORMATION: Valuation: State: Zip: Construction Type: Occupancy Group: Phone #: Division: Square Footage: of Stories: of Residential Units: Maximum Occupancy: Fire Sprinklers: Yes No Off -Street Parking Covered: Off -Street Parking Uncovered: Building Official PT: KA STATEMENT OF PURPOSE American Promotional Events dba TNT Fireworks Is submitting for approval for the attached application. Location address: 9320 Cedar Street, Monticello, MN 55362 The purpose Is to sell Minnesota State approved fireworks In a temporary tent from, approximately, June 19V' 2020 - July 6' 2020. The tent will be erected about three days prior to the sale and removed within two to five days of completion of the sale. The hours of operation will be from gam-10pm, or as dictated by local location ordinances. There will be two fire extinguishers readily accessible. "No Smoking," age limit signs, as well as "No Discharging Fireworks within 300ff signs will be posted and enforced. There will be a minimum of two people onsite at all times and the product will be secured 24/7 to ensure safety. If you have any questions, please do not hesitate to call me at 256-740-6158. Sincerely, Virginia Hightower Permitting Coordinator hightowerv@tntfireworks.com AMERICAN PROMOTIONAL EVENTS, INC. P.O. BOX 1318.4511 HELTON DRIVE - FLORENCE, AL 35630 PHONE (256) 764-6131 - FAX (205) 533-6043 www.tntfireworks.com t;" MONTICELLO FIRE MAIRSHAL - -- ReVIQW9d fc 4 e Code Compliance li< App i .To r "EV A - mod{? ukW j('' fr"'Y, jJ jF°y' jam,'; rl:- LOAS Assoruncnts Table Assartrr er+tE Assort nods Table Table Assor nts I!s$orten®robs Y----------- Aasorimerrt8 Table ; Asrso rnants Table ` 7 Fountolne Fauntatns Fountelft i Foun tns Table j, Table Fourrtalns Fouistnins Fountains Foun trta Table Table c"2 i Novelty yz' @. ........... Table Y American Pride OUT E14TER elvetwayAdd-ttnn Ir 0 iws 01 Ke`aaz iegether L-g categoly Priced 10VUSeit tO highest. Your highest priced Ezsoit-trent vAill be on Vic end of teble S. You tr i11 xnmiat the Night tide of your teat io I6e11 emctllf Elhe the Lei: side. i I iVICFIyTIcf¢E.LO FIRE MARSHAtrj4 ' AtAwsed for Cnda COMplience & Approved PL&W-A-GRA r 2d - PY AsrsorgmQnts ateD__ _— . _._...... Table 1 Assortinants Assortments Table Table a Aseosrnerils Assortments aasbmr®rds Assartrnents Table Table i . FountainsFountains a Fountain Fountains Table Table Fountains Fountains Fountains Fountains Table' s Table tdav©toy , , " `• Novelty ATablemerican Pride Add -One T T !1 r . EXIT ENTER t3iyaar ay place ail iietils togetlier by categcty priced logiest to highest. Your highest priced F-swearient rrill be on the end of (able S. You MI -I vmnt the Rlight side of your tent to loom exactly like the Left side. To Whom It May Concern: We plan to sell Minnesota -approved Consumer Fireworks during the July 411 holiday season in the Wal- Mart parking lot at 9320 Cedar Street. We are allowed 12 days of operation at the said location, which we plan to operate from June 24 —July 5, 2020.Our normal business hours are 9:00 A.M. to 9:00 P.M. We can concur with all the following criteria: Not be detrimental to property of improvements in the surrounding area or to the public health, safety, or general welfare. Be compatible with the principal uses taking place on the site. Not have substantial adverse effects or noise impacts on nearby residential neighborhoods. Not include permanent alterations to the site. Not maintain temporary signs associated with the use or structure after the activity ends. Not violate the applicable conditions of approval that apply to a site or use on the site. Not interfere with the normal operations of any permanent use located on the property; and Contain sufficient land area to allow the temporary use, structure, or special event to occur, as well as adequate land to accommodate the parking and traffic movement associated with the temporary use, without disturbing environmentally sensitive lands. Sincerely, Jacob Quam TNT Fireworks Minnesota Area Manager o uami@tntfireworks.com 612-263-4666 Wholesale Distributor OC TNT FIREWORKS For TNT Use: 776-OC8351 Account No 2805205 Sold To: TANIS ALTIZER-2 4041 MAPLE HURST DR S ROCKFORD MN 55373 ORDER REVIEW Location FMN9320 Ship To: WAL-MART #3624 9320 CEDAR STREET MONTICELLO MN 55362 Page No: i Date: 10/23/19 TNT0001 GARDNERJ Disc Rate 20 Selling Unit Qty Item No Description --_ Price UOM Price Ship Ext Amt. Weight ASSORTMENTS 101040 AMERICAN PRIDE SS GIVEAWAY 1/1 EA 1 14.55 101808 BIG TIMER SS J09 3/1 159.99 EA 127.99 12 1,535.90 116.00 102044 GOOD TIME BAG SS COM 48/1 12.99 EA 10.39 48 498.82 27.00 102046 PYRO PAK BAG SS COM J10 15/1 24.99 EA 19.99 30 599.76 27.80 102048 INDEPENDENCE TRAY SS COM J10 12/1 34.99 EA 27.99 12 335.90 21.50 102052 49'ER SS COM J10 8/1 54.99 EA 43.99 64 2,815.49 196.80 102054 ALL AMERICAN SS COM J10 6/1 84.99 EA 67.99 36 2,447.71 252.00 102056 PERFECT SHOW SS COM J10 4/1 109.99 EA 87.99 24 2,111.81 167.40 102201 HOT ZONE SS COM 12/1 44.99 EA 35.99 12 431.90 33.80 102651 TNT SACK PACK NO WHEELS SS J20 24/1 24.99 EA 19.99 24 479.81 27.00 102652 CENTENNIAL SS ALL J20 4/1 100.00 EA 80.00 8 640.00 18 BASE FOUNTAINS 200165 JUMBO 20 ROCKET FOUNTAIN 72/2 7.00 IP 2.80 144 403.20 27.00 200184 MAD DOG FOUNTAIN 24/1 16.00 EA 6.40 24 153.60 14.00 200759 PURPLE RAIN FTN J07 18/4 7.00 EA 2.80 72 201.60 14.00 200852 RADIANT J11 24/1 15.99 EA 12.79 24 307.01 15.00 200860 ENCORE Jll 4/1 64.99 EA 51.99 4 207.97 34.00 200915 DELIRIUM J114/1 45.99 EA 36.79 4 147.17 10.90 200917 JUMBO PURPLE RAIN J11 12/1 21.99 EA 17.59 36 633.31 62.40 200994 OPENING SHOW J12 4/1 64.99 EA 51.99 4 207.97 17.45 201087 MAKE THE GRADE 36/1 10.99 EA 8.79 72 633.02 60.00 201138 MAGNETIC HEAT 8/1 31.99 EA 25.59 16 409.47 60.00 201165 PICCOLO PETE FOUNTAIN CA J15ST 48/6 9.00 IP 60 288 172.80 17.00 201172 BROADWAY SHOW 4/1 64.99 EA 51.99 4 207.97 22.00 201173 OPTICAL ILLUSION 6/1 45.99 EA 36.79 6 220.75 22.00 201204 ALLEGIANCE 4/1 74.99 EA 59.99 4 239.97 17.45 201207 COOL BREEZE 72/1 7.00 EA 2.80 72 201.60 24.00 201231 USA ROCKET FOUNTAIN J18 96/1 7.00 EA 2.80 96 268.80 14.40 201234 FREEDOM J18 24/1 10.00 EA 8.00 24 192.00 33.07 201235 WILDSIDE J18 12/1 21.99 EA 17.59 12 211.10 20.94 201239 MAIN SQUEEZE J18 18/1 10.00 EA 8.00 54 432.00 87.00 201364 SPARKLE BERRY J19 36/1 12.99 EA 10.39 36 374.11 39.68 201365 TNTTORCHJ1912/1 19.99 EA 15.99 12 191.90 21.16 201373 LIVING THE DREAM J19 8/1 45.99 EA 36.79 8 294.34 25.00 201470 SMILE J20 16/1 19.99 EA 15.99 16 255.87 17.64 201471 SAFARI SUNRISE J20 12/1 19.99 EA 15.99 12 191.90 23.81 201474 TURN UP THE HEAT J20 6/1 60.00 EA 48.00 6 288.00 1.32 201476 CENTENNIAL FOUNTAIN J20 24/1 10.00 EA 8.00 24 192.00 26.46 201477 CENTENNIAL FOUNTAIN XL J20 611 50.00 EA 40.00 6 240.00 13 201479 TENTACLES J20 12/1 19.99 EA 15.99 12 191.90 23.81 201481 GUIDING LIGHT J20 12/1 29.99 EA 23.99 12 287.90 23.81 201483 LIGHT SYMPHONY J20 6/1 39.99 EA 31.99 6 191.95 22.49 201485 LARGE MOUTH J20 12/1 24.99 EA 19.99 12 239.90 13.23 201487 COUNT IT DOWN J20 4/1 64.99 EA 51.99 4 207.97 20.28 201494 TAKE A HIT J2018/1 24.99 EA 19.99 36 719.71 66.00 GROUND SPINNERS****x may* 290142 GROUND BLOOM FLOWER PK 6 J07 10/12/6 3.00 EA 1.20 120 144.00 14.00 NOVELTIES 320285 CHICKEN COOP 36/4 5.00 BG 4.00 36 144.00 4.15 320480 TNT BLASTS BAG 6PK J07 4/12/6 3.50 BG 1.40 48 67.20 2.65 320536 POP -IT'S TNT 6/40/50 1.50 BX 60 480 288.00 26.50 320569 CAN OF WORMS 6/12 3.50 EA 1.40 72 100.80 3.40 x*.xraa * *•*****,gym SMOKE 351036 SMOKE BALLS ASST'D TNT J07 10/12/6 5.00 BG 2.00 120 240.00 11.00 xx**a+nm*+******x*+xna wwxx SPARKLERS 380068 MORNING GLORY #10 48/6/5 10.00 IP 67 864 575.98 49.50 380088 MORNING GLORY #36 48/6 7.00 BG 5.60 96 537.60 26.00 380238 SPARKLER #10 GOLD J09 48/6/5 6.00 EA 4.80 48 230.40 15.40 380245 SPARKLER #20 GOLD J09 48/5 10.00 EA 4.00 48 192.00 18.00 380246 MORNING GLORY #14 30/12/5 2.25 EA 90 360 324.00 14.30 00UNTER CASES 671000 SAT FOUNTAIN CASE A 1/1 1 200096 CUCKOO FOUNTAIN 2.00 EA 1.60 36 57.60 7.50 200757 MINI MONSTER FOUNTAIN J07 3.00 EA 1.20 60 72.00 7.72 201003 MINI CALIFORNIA RKT FIN J12 1.00 EA 80 72 57.60 3.20 671001 SAT FOUNTAIN CASE B 1/1 1 200351 OLD GLORY FOUNTAIN 16.00 EA 6.40 22 140.80 14.95 200614 PINK DIAMONDS J06 10.99 EA 8.79 18 158.26 12.00 200803 VIL RED DEVIL J09 10.00 EA 4.00 36 144.00 7.50 671004 SAT NOVELTY CASE A 1/1 1 320035 PARTY POPPER 6 PK 2.25 BG 1.80 24 43.20 5.00 320091 CRACKLING BALL 4.50 BG 1.80 48 86.40 10.00 320132 LIGHTNING FLASH BOX OF 6 3.50 BX 1.40 40 56.00 8.33 320226 FRIENDSHIP PAGODA TNT 7.00 EA 2.80 16 44.80 1.59 320244 ASST. COLOR SNAKE TNT 4.50 BG 1.80 64 115.20 6.38 320610 SIR DUMPS A LOT 2-PK J 15 5.00 EA 4.00 24 96.00 2.83 320632 MAGIC WHIP J17 4.00 EA 3.20 24 76.80 9.09 671005 SAT NOVELTY CASE B 1/1 1 320152 MONSTER TRUCK 7.00 EA 5.60 12 67.20 2.15 320198 MR. TURTLE 7.00 IP 2.80 32 89.60 3.43 320223 URBAN ASSAULT VEHICLE 7.00 EA 5.60 12 67.20 5.14 390014 PUNK JUMBO J07 05 EA 04 250 10.00 2.49 671010 SAT FOUNTAIN CASE D 1/1 1 201364 SPARKLE BERRY J19 12.99 EA 10.39 8 83.14 8.82 201366 TNT BOTTLE OF SPARKS J19 7.99 EA 6.39 14 89.49 11.11 201372 TOXIC BARREL FOUNTAIN J19 9.99 EA 7.99 20 159.84 15.87 671013 SAT 2 FOR $25 FTN CASE J19 1/1 2 200269 SIZZLER FOUNTAIN 25.00 EA 10.00 18 180.00 13.50 200368 AMERICAN SPIRIT FTN 25.00 EA 10.00 18 180.00 16.54 200616 PINK ICE J06 25.00 EA 10.00 18 180.00 19.84 201374 REVOLUTION FOUNTAIN J19 25.00 EA 10.00 18 180.00 16.54 671014 SAT 2 FOR $50 FTN CASE J20 1/1 1 201139 LET'S DO THIS 30.00 EA 24.00 4 96.00 18.67 201472 JUNGLE FLOWER J20 50.00 EA 20.00 4 80.00 11.46 PROMOTIONAL SUPPLIES x*******x**x 730051 BAG TNT SMALL 500 EA 1/1 12.00 CS 12.00 1 12.00 6.46 730058 BAG TNT LARGE - 500 EA 1/1 16.00 CS 16.00 1 16.00 14.20 730148 WATER CAN EXTINGUISHER 1/1 EA 1 22.00 730329 FIRE EXTINGUISHER IOLBCHEMICAL 1/1 EA 1 20.00 730471 SIGN ROAD ROCKET J10 1/1 27.00 EA 27.00 1 27.00 02 730502 SIGN ROCKET FLAGGER J11 1/1 EA 1 02 730774 FLAG KIT FRAME TENT (10) J141/1 EA 1 4.56 ORDER TOTAL 26,725.99 2,275.29 LBS A +V CERTIFICATE OF LIABILITY INSURANCE 1 t/1/2o20 D/OD/YYYY) I 12/3/ 12/3/2019 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies NAME CT 3280 Peachtree Road NE, Suite #250 PHONE FAX Atlanta GA 30305 E4ML Ertl: lac. Not: 404)460-3600 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC A INSURER A: Everest Indemnitv Insurance Comnanv 10851 INSURED INSURER B : 1359629 American Promotional Events, Inc. DBA TNT Fireworks, Inc. INSURER C : P.O. Box 1318 tNSURER D : 4511 Helton Drive INSURER E : Florence AL 35630 INSURER F COVERAGES CERTIFICATE NUMBER: 12209708 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 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 3OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AI DDT POLICY NUMBER 1 1MOIIDDD)YYYYYI I UDEFFD) Yt LIMITS A X COMMERCIAL GENERAL LIABILITY Y N S18GL00242-191 11/l/2019 I1/1/2020 EACHOCCURRENCE $ 1.0 UM 1 CLAIMS -MADE IXI OCCUR GEN' L AGGREGATE LIMIT APPLIES PER POLICY JECT X LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED H NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAR i HCLAIMS-MAOE OCCUR EXCESS LIAR DED I J RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE N / A OFFICERIMEMBEREXCLUDEDTMandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PREMISES SES (Ea o=rrAGE TO -1 enret 500.000 MED EXP (Any one person) 5.000 PERSONAL a ADV INJURY 1.000.000 GENERAL AGGREGATE 2,000A00 PRODUCTS - COMP/OP AGG 2,000,000 NOT APPLICABLE COMBINED SINGLE LIMB Ea accidents XXXXXXX BODILY INJURY (Per person) XXXXXXX BODILY INJURY (Par accident) XXXXXXX fPeracccide DAMAGE XXXXXXX XXXXXXX NOT APPLICABLE EACH OCCURRENCE XXXXXXX AGGREGATE XXXXXXX sXXXXXXX NOT APPLICABLE STATUTE I ERH E. L. EACH ACCIDENT XXXXXXX E. L. DISEASE - EA EMPLOYEE $ XXXXXXX E. L. DISEASE - POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Additional Insured: Jordan Serfling(TNT Customer) property located at Walmart Parking Lot-9320 Cedar Street Monticello, MN 55362 (FMN9320). Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER 12209708 Walmart Stores, INC 702 SW 8th St Bentonville AR 72716 ACORD 25 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT ' 1988- 201iACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD