HomeMy WebLinkAbout2019-04-15-J01H Fireworks Display Permit_4th of JulyAGENDA ITEM: J1H
CITY OF WAUKEE, IOWA
CITY COUNCIL MEETING COMMUNICATION
MEETING DATE: April 15, 2019
AGENDA ITEM:Consideration of approval of a Fireworks Display Permit for the City of
Waukee for July 4, 2019, in Centennial Park (rain date July 5, 2019)
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:
4/5/2019 https://www.waukee.org/Admin/FormCenter/Submissions/Print/2169
https://www.waukee.org/Admin/FormCenter/Submissions/Print/2169 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 St
City
Urbandale
State
IA
Zip
50322
Email
kelmbrueschke@gmail.com
Home Phone
Business Phone Cell Phone
5153212761
Community association or organization
Amusement park or fair association
Waukee city agency / agencies
Group of individuals who are citizens of Waukee
Applicant represents one of the following:
Date(s) of Display Start Time End Time
Fireworks Display Application - Submission #2169
Date Submitted: 4/5/2019
7/4/2019 9:45 PM 10:30 PM
4/5/2019 https://www.waukee.org/Admin/FormCenter/Submissions/Print/2169
https://www.waukee.org/Admin/FormCenter/Submissions/Print/2169 2/2
Location of Display
Centennial Park - Southwest Corner
Competent Operator Responsible for Display
Terry Hubby - J & M Displays
Waukee Municipal Code 622.1(1)b defines a “competent operator” as a person 21 years of age or older who states in the
application that he/she has the necessary knowledge and experience to explode fireworks.
Business Phone
800.648.3890
Cell Phone
515.291.6354
Type and Size of Fireworks in Display
3", 4" & 5" Fireworks Shells, 3" & 4" Finale Strings, Large 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 622.1(2).
Ins Cert Req - Celebrate Waukee 2019-06-01.doc
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.