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2024-00339 Temporary TentCITY OF MONTICELLO 505 WALNUT STREET MONTICELLO, MN 55362- 763) 295-3060 FAX: (763) 295-4404 ADDRESS 9320 CEDAR ST S PIN 155207001010 LEGAL DESC MONTICELLO BUSINESS CTR 3RD ADDN LOT 001 BLOCK 001 PERMIT TYPE BUILDING PROPERTY TYPE COMMERCIAL CONSTRUCTION TYPE TEMPORARY VALUATION 5,000.00 NOTE: SETTING UP A TEMPORARY TENT FOR 2 WEEKS APPLICANT WAL-MART REAL EST BUSINESS TR 1301 I OTH ST SE PROP TAX DEPT #8013 AR 72716-0555 OWNER WAL-MART REAL EST BUSINESS TR 1301 I OTH ST SE PROP TAX DEPT #8013 AR 72716-0555 AGREEMENT AND SWORN STATEMENT 1 agree that the work will be conducted in conformance with the ordinances of the City of Monticello and with the Minnesota State Building Code. 1 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 2 0 2 4- 0 0 3 3 9 DATE ISSUED: 06/05/2024 Permit #: 2024-00339 BUILDING PERMIT FEE STATE SURCHARGE, BLDG VAL TOTAL Payment(s) CHECK 10226115 117.93 2.50 120.43 120.43 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF Monticello BUII DINC SAFETY 2-ozy-o PERMIT # 505 WALNUT STREET, SUITE 1 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 STREET ZONED LEGAL: Lott; Block Plat 1 fT(01 Its ill I i lnv SS' h-P' Property Owner Name: WALMART, INC Phone: Address: 702 SW 8TH STREET City: BENTONVILLE State: AR Zip: 72716 Contractor Name: TNT FIREWORKS State License #: Address: 4003 HELTON DRIVE Eng./Architect Name: Address: Plumber Name: Address: Mechanical Name: Address: Twe of Work New Addition Alteration Repair Move 5 Other TENT SETUP Description of work: Phone: City: FLORENCE City: City: City: Tvi)e of Construction Single Family Duplex Multi -Family Commercial Industrial V Other TENT SET UP SETTING UP A TEMPORARY TENT FOR 2 WEEKS State: AL Zip: 35630 Phone: State: Zip: Phone: State: Zip: Phone: State: Zip: Building Information Use of building of stories Floor area sq. ft. Estimated value of construction $ 51 equo Da 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. Pt 2-0, Lj SEE BACK FOR PLUMBING 04.30.2024 AND MECHANICAL INFO. Applicant Signature Application Date APPLICANT. Please show fixtures that are applicable. Fire Suppression : (if applicable) Plumbine. (if applicable) Mechanical: (if applicable) No. Fixture Tvae No. Fixture Tvve No. Fixture Tvae 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 Bathrooms) Exhaust Fan Fire Alarm: (if applicable) Water Heater Air Exchanger Urinal Dryer No. Fixture TvDe Drinking Fountain Gas Opening w/o Fixture Floor Drain of Devices Slop Sink Other Outside Faucet TOTAL TOTAL Future Owner Information: Name: Address: FOR CITY USE ONLY Tree Ordinance Handout Yes 10 Other Handouts Yes \ o 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 BPT: / / 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, 2023. 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 ouami(@tntfireworks.com 612-263-4666 Wholesale Distributor ORDER REVIEW Page No: 1 OC TNT FIREWORKS Date: 01/29/24 For TNT Use: 978-OC11051 TNTOOOTHOMPSONA Account No Location Disc Rate 2599707 FMN9320 20 % Sold To: NAN WELLNITZ-2 Ship To: WALMART 3624 1229 BEAR ST 9320 CEDAR STREET OGILVIE MN 56358 MONTICELLO MN 55362 Selling Unit Qty Item No Description Price UOM Price Ship Ext Amt. Weight ASSORTMENTS 101206 BIG BANG - REVISED -CA VERSION 1/1 499.99 EA 399.99 1 399.99 45.00 101808 BIG TIMER SS J09 3/1 229.99 EA 183.99 9 1,655.93 87.00 102046 PYRO PAK BAG SS COM J10 15/1 39.99 EA 31.99 15 479.88 13.90 102048 INDEPENDENCE TRAY SS COM J10 12/1 54.99 EA 43.99 12 527.90 21.50 102052 49'ER SS COM J10 8/1 84.99 EA 67.99 24 1,631.81 73.80 102054 ALL AMERICAN SS COM J10 6/1 134.99 EA 107.99 12 1,295.90 84.00 102129 THE BIG DELUXE SS ALL J11 2/1 299.99 EA 239.99 2 479.98 32.00 102201 HOT ZONE SS COM 12/1 64.99 EA 51.99 12 623.90 33.80 102651 TNT SACK PACK NO WHEELS SS J20 24/1 44.99 EA 35.99 24 863.81 27.00 102652 CENTENNIAL SS ALL J20 4/1 174.99 EA 139.99 12 1,679.90 93.00 102712 THE BIG BOX SS J22 1/1 399.99 EA 319.99 1 319.99 28.00 BASE FOUNTAINS 200165 JUMBO 20 ROCKET FOUNTAIN 72/2 12.00 IP 4.80 144 691.20 27.00 200184 MAD DOG FOUNTAIN 24/1 30.00 EA 12.00 24 288.00 14.00 200759 PURPLE RAIN FTN J07 18/4 13.00 EA 5.20 72 374.40 14.00 200860 ENCORE Jll 4/1 99.99 EA 79.99 4 319.97 34.00 200915 DELIRIUM J11 4/1 59.99 EA 47.99 4 191.97 10.90 200917 JUMBO PURPLE RAIN J11 12/1 39.99 EA 31.99 12 383.90 20.80 200994 OPENING SHOW J12 4/1 99.99 EA 79.99 4 319.97 17.45 201087 MAKE THE GRADE 36/1 9.99 EA 7.99 36 287.71 30.00 201165 PICCOLO PETE FOUNTAIN YELLOW 48/6 16.00 IP 1.07 288 307.19 17.00 201173 OPTICAL ILLUSION 6/1 59.99 EA 47.99 6 287.95 22.00 201204 ALLEGIANCE 4/1 119.99 EA 95.99 4 383.97 38.00 201207 COOL BREEZE 72/1 2.50 EA 2.00 72 144.00 24.00 201231 USA ROCKET FOUNTAIN J18 96/1 13.00 EA 5.20 96 499.20 14.40 201234 FREEDOM J18 24/1 15.99 EA 12.79 24 307.01 33.07 201235 WILDSIDE J18 12/1 29.99 EA 23.99 12 287.90 20.94 201365 TNT TORCH J19 12/1 24.99 EA 19.99 12 239.90 21.16 201373 LIVING THE DREAM J19 8/1 48.99 EA 39.19 8 313.54 25.00 201470 SMILE J20 16/1 20.00 EA 16.00 16 256.00 17.64 201476 CENTENNIAL FOUNTAIN J20 24/1 22.99 EA 18.39 24 441.41 26.46 201477 CENTENNIAL FOUNTAIN XL J20 6/1 62.99 EA 50.39 6 302.35 37.00 201479 TENTACLES J20 12/1 34.99 EA 27.99 12 335.90 23.81 201483 LIGHT SYMPHONY J20 6/1 69.99 EA 55.99 6 335.95 22.49 201485 LARGE MOUTH J20 12/1 34.99 EA 23.99 12 287.90 13.23 201487 COUNT IT DOWN J20 4/1 99.99 EA 79.99 8 639.94 40.57 201498 LA CALACA J21 12/1 39.99 EA 31.99 12 383.90 20.94 201531 CANDY PAINT J20 4/1 109.99 EA 87.99 4 351.97 22.05 201550 FRUIT BOWL J21 12/4 29.99 EA 23.99 12 287.90 18.00 201562 ISLAND ESCAPE J22 12/1 34.99 EA 27.99 12 335.90 18.52 201563 BOMB POP J22 18/1 34.99 EA 27.99 18 503.86 27.78 201573 LAVA PANTHER J22 12/1 44.99 EA 35.99 12 431.90 38.00 201595 MAGIC SEASHELL FOUNTAIN J23 24/1 17.99 EA 14.39 24 345.41 154.32 201596 PUPPY PARTY FOUNTAIN J23 16/1 24.99 EA 19.99 16 319.87 17.60 201599 THE 5 MINUTE SHOWDOWN J23 4/1 89.99 EA 71.99 4 287.97 24.20 201603 FANCY PANTS J23 12/1 44.99 EA 35.99 12 431.90 26.00 201606 MASTER OF SPARKS J23 4/1 89.99 EA 71.99 4 287.97 88 201617 MARTIAN MAN J24 8/1 29.99 EA 23.99 8 191.94 14.11 201618 ETERNAL ERUPTION J24 20/1 24.99 EA 19.99 20 399.84 705.48 201619 ICE BREAKER J24 48/1 7.99 EA 6.39 48 306.82 1,320.66 201622 SILENT INSANITY J24 12/1 39.99 EA 31.99 12 383.90 228.58 201626 WORLD CHAMP J24 8/1 49.99 EA 39.99 8 319.94 28.66 CALIFORNIA CANDLES 230033 FAIRY WANDS J21 48/5 12.99 EA 10.39 48 498.82 10.58 230041 LASER SABER J23 24/1 11.99 EA 9.59 24 230.21 5.29 230044 NINJA STICKS J24 48/5 12.99 EA 10.39 48 498.82 10.58 GROUND SPINNERS 290142 GROUND BLOOM FLOWER PK 6 J07 10/12/6 5.00 EA 2.00 240 480.00 28.00 NOVELTIES 320536 POP -IT'S TNT 6/40/50 3.60 BX 96 720 691.20 39.75 320583A SMALL TANK W STAR 10/12 CC J14 120/1 75 EA 60 120 72.00 6.61 320777 GLOW SNAPS (WINDOW) J22 6/40/50 2.00 EA 1.60 240 384.00 15.00 SMOKE 351036 SMOKE BALLS ASST'D TNT J07 10/12/6 1.50 BG 1.20 360 432.00 33.00 351117 SMOKE STICKS 4-PK J24 48/4 11.99 EA 9.59 48 460.42 10.58 SPARKLERS 380088 MORNING GLORY #36 48/6 10.00 BG 8.00 96 768.00 26.00 380246 MORNING GLORY #14 30/12/5 4.00 EA 1.60 360 576.00 14.30 380402 10 MORNING GLORY J22 48/30 16.00 BX 6.40 48 307.20 16.50 380404 20 GOLD SPARKLER J22 64/5 16.00 EA 6.40 64 409.60 24.00 380405 10 GOLD SPARKLER J22 48/6/5 8.00 EA 6.40 96 614.40 30.80 COUNTER CASES 671001 SAT FOUNTAIN CASE B 1/1 1 200803 L'IL RED DEVIL J09 16.00 EA 6.40 36 230.40 7.50 200614 PINK DIAMONDS J06 17.99 EA 14.39 15 215.88 10.00 200351 OLD GLORY FOUNTAIN 26.00 EA 10.40 26 270.40 17.67 671003B SAT GROUND SPINNER CASE VER 2 1/1 1 290040 JUMPING JACKS 12/12 12.00 IP 40 432 172.80 11.32 290160 POKER CHIP J15 6.00 EA 2.40 48 115.20 2.33 290165 DANCING DEVIL 4.00 EA 3.20 48 153.60 5.67 671004 SAT NOVELTY CASE A 1/1 1 320195 TNT BLASTS 6PK 7.00 BG 2.80 36 100.80 1.82 320460 5K TNT CRACKLING THUNDER 6FT 12.00 EA 9.60 13 124.80 5.42 320035 PARTY POPPER 6 PK 3.50 BG 2.80 24 67.20 1.60 320132 LIGHTNING FLASH BOX OF 6 1.50 BX 1.20 40 48.00 2.82 320632 MAGIC WHIP J17 7.00 EA 5.60 20 112.00 3.33 320244 ASST. COLOR SNAKE TNT 6.00 BG 2.40 64 153.60 5.15 320610 SIR DUMPS A LOT 2-PK J15 7.00 EA 5.60 18 100.80 2.13 671005 SAT NOVELTY CASE B 1/1 1 320152 MONSTER TRUCK 12.00 EA 9.60 8 76.80 1.43 320198 MR. TURTLE 12.00 IP 4.80 30 144.00 3.22 320223 URBAN ASSAULT VEHICLE 12.00 EA 9.60 12 115.20 5.14 390014 PUNK JUMBO J07 10 EA 08 300 24.00 2.99 671006B SAT SMOKE CASE W FUSE J20 1/1 1 350029 ASSORTED COLOR AMMO SMOKE 10.00 EA 4.00 48 192.00 8.97 351061 SMOKE GRENADE W/FUSE PDQ J15 5.00 EA 4.00 60 240.00 13.00 671010 SAT FOUNTAIN CASE D 1/1 1 201372 TOXIC BARREL FOUNTAIN J19 16.99 EA 13.59 18 244.66 14.29 201366 TNT BOTTLE OF SPARKS J19 12.99 EA 10.39 17 176.66 13.49 201232 INFERNO J18 9.50 EA 7.60 20 152.00 21.00 671013 SAT M/M SMALL FTN CASE A J19 1/1 1 200269 SIZZLER FOUNTAIN 40.00 EA 16.00 9 144.00 6.75 200368 AMERICAN SPIRIT FTN 40.00 EA 16.00 9 144.00 8.27 200616 PINK ICE J06 40.00 EA 16.00 9 144.00 9.92 201374 REVOLUTION FOUNTAIN J19 40.00 EA 16.00 9 144.00 8.27 671014 SAT M/M MEDIUM FTN CASE B J20 1/1 1 201139 LET'S DO THIS 80.00 EA 32.00 4 128.00 18.67 201472 JUNGLE FLOWER J20 80.00 EA 32.00 4 128.00 11.46 671018 SAT M/M MEDIUM FTN CASE C J21 1/1 1 201527 LAVA SAUCE FOUNTAIN J21 80.00 EA 32.00 8 256.00 14.11 201529 TNT BARREL J21 80.00 EA 32.00 6 192.00 9.26 PROMOTIONAL SUPPLIES 730051 BAG TNT SMALL 500 EA 1/1 12.00 EA 9.60 1 9.60 6.46 730058 BAG TNT LARGE - 500 EA 1/1 16.00 EA 12.80 1 12.80 14.20 730148 WATER CAN EXTINGUISHER 1/1 EA 1 22.00 730329 FIRE EXTINGUISHER 10LBCHEMICAL 1/1 EA 1 20.00 730502 SIGN ROCKET FLAGGER Jll 1/1 EA 1 02 730506E ELECTRICAL BOX 1/1 EA 1 02 730774 FLAG KIT FRAME TENT (10) J14 1/1 EA 1 46.00 ORDER TOTAL 34,713.10 4,396.37 LBS C ® DATE (MM/DD/YYYY) A C" CERTIFICATE OF LIABILITY INSURANCE ,,,,, 2024 I 4/30/2024 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 WAIVED, 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 I CONTACTNAME: 3280 Peachtree Road NE, Suite #1000 I PHONE FAX Atlanta GA 30305 I MAADDRESS: Exu: lac. Nor IL 404) 460-3600 ADDRESS: INSURER( S) AFFORDING COVERAGE NAIC # INSURER A: Everest Indemnity Insurance Companv 10851 _ INSURED American Promotional Events, Inc. INSURER B 1359629 DBA TNT Fireworks, Inc. INSURER C : P. O. Box 1318 I INSURER D : 4511 Helton Drive Florence AL 35630 INSURER E : 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INEXP DDLSUBDTRTYPEOFINSURANCEPOLICYNUMBER (MM/DDY/YYYYII IMM/DDIYYYYI LIMITS A X COMMERCIALGENERALLIABILITY Y N S18GL00242-231 11/l/2023 Il/l/2024 EACH OCCURRENCE I $ 1,000,000 CLAIMS - MADE IX I OCCUR DAMAGE TO RENTED PREM SES Ea occu encel $ 1,000,000 MED EXP (Any one person) 5,000 PERSONAL & ADV INJURY 1,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY JECTLOC PRODUCTS -COMP/OP AGG 2,000,000 OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT XXXXXXX ANY AUTO Ea accident) EaBODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY AUTOSONLYAUTOSPer accident) XXXXXXX HIRED AUTOSONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per accident) XXXXXXX XXXXXXX UMBRELLA LWB OCCUR NOT APPLICABLE EACH OCCURRENCE XXXXXXX EXCESS LU1B HCLAIMS-MADE AGGREGATE XXXXXXX DED I ! RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NOT APPLICABLE YIN NIA I $ XXXXXXX I PER STATUTE ERH E. L. EACH ACCIDENT $ XXXXXXX E. L. DISEASE - EA EMPLOYEE $ XXXXXXX E. L. DISEASE - POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS / 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 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 12209708 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Walmart Stores, INC ACCORDANCE WITH THE POLICY PROVISIONS. 702 SW 8th St Bentonville AR 72716 AUTHORIZED REPRESENT9T VE 1988- 201.9 ACORD CORPO TION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD TNT® FIREWORKS PLAN -A -GRAM Emergency Exit Table 5 Fountains Table 6 Assortments Table 4 Fountains Assortments Fountains Table 7 Assortments Table 3 Fountains WaterCan Fountains Fountains Table 8 Fountains Table 2 Novelty Fountains Novelty Table 9 Novelty Table 1 Novelty Chem Add One Check Fire Ext. Novelty Table 10 Out Exit Enter CRYQF Nb oao APPROVED FILE COPY REVIEWED FOR CODE COMPLIANCE SSUU"BJ TT0 IELDINSPECTION Signature: _ W*