HomeMy WebLinkAbout2023-04-03 J01E_04 Fireworks Display Permit_4th of JulyAGENDA ITEM:
CITY OF WAUKEE, IOWA
CITY COUNCIL MEETING COMMUNICATION
MEETING DATE: April 3, 2023
AGENDA ITEM:Consideration of approval of a motion approving Fireworks Display
Permit for the City of Waukee for July 4, 2023, in Centennial Park (rain
date July 5, 2023)
FORMAT:Consent Agenda
SYNOPSIS INCLUDING PRO & CON: J & M Displays will detonate the display in
Centennial Park as part of the 4th of July festivities, with a July 5th rain
date.
FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS:
COMMISSION/BOARD/COMMITTEE COMMENT:
STAFF REVIEW AND COMMENT: City staff recommends approval of the application.
RECOMMENDATION: Approve the application.
ATTACHMENTS: I. Application
II. J&M Displays Certificate of Liability Insurance
PREPARED BY:Becky Schuett
REVIEWED BY:
PUBLIC NOTICE INFORMATION –
NAME OF PUBLICATION:
DATE OF PUBLICATION:
J1E4
2/24/23, 2:46 PM https://www.waukee.org/Admin/FormCenter/Submissions/Print/10363
https://www.waukee.org/Admin/FormCenter/Submissions/Print/10363 1/2
Print
Fees
Permit Fee: $10
Deposit: $200
Submit cash or check for permit fee and deposit, made payable to City of Waukee to City Clerk, Waukee City
Hall, 230 W. Hickman Road, Waukee, IA 50263.
First Name
Kelm
Last Name
Brueschke
Address
4104 83rd Street
City
Urbandale
State
IA
Zip
50322
Email
kelmbrueschke@gmail.com
Home Phone
5153212761
Business Phone Cell Phone
5153212761
Community association or organization
Amusement park or fair association
Waukee city agency / agencies
Applicant represents one of the following:
Date(s) of Display Start Time End Time
Location of Display
Centennial Park - Southwest Corner
Fireworks Display Application - Submission #10363
Date Submitted: 2/24/2023
7/4/2023 10:00 PM 10:30 PM
2/24/23, 2:46 PM https://www.waukee.org/Admin/FormCenter/Submissions/Print/10363
https://www.waukee.org/Admin/FormCenter/Submissions/Print/10363 2/2
Licensed and Competent Operator Responsible for Display (as defined by Code of Iowa Section 727.2)
Terry Hubby - J & M Displays
Business Phone
800.648.3890
Cell Phone
515.291.6354
Type and Size of Fireworks in Display
3", 4" & 5" Aerial Shells, 3" & 4" Aerial Finale Shells, Multi-Shot Barrage Units (Cakes)
Describe in as much detail as possible.
Provide evidence of insurance covering permit holder and agents for display in the amounts as specified in
Waukee Municipal Code 41.15(3)B.
Ins Cert - City of Waukee 2023-07-04.pdf
I Agree
Signature*
I hereby agree to release and hold harmless and indemnify the City of Waukee, Iowa, the mayor and City Council of
Waukee, and all those associated with the granting of the permit requested here in, from any and all damages
and/or injuries, which may occur as a result of the use of the fireworks exploded under this permit; either to the
operator or to other individuals as property as well as their heirs, assigns, executors, administrator and beneficiaries.