HomeMy WebLinkAbout2016-05-02-J01F Fireworks Permit_Celebrate Waukee AGENDA ITEM:
CITY OF WAUKEE, IOWA
CITY COUNCIL MEETING COMMUNICATION
MEETING DATE: May 2, 2016
AGENDA ITEM: Consideration of approval of a Fireworks Display Permit for the City of
Waukee for Saturday, June 4, 2016 in Centennial Park beginning at 9:30
p.m. and ending at 10:00 p.m., [Celebrate Waukee]
FORMAT: Consent Agenda
SYNOPSIS INCLUDING PRO & CON: J & M Displays will detonate the display in
Centennial Park as part of the Celebrate Waukee festivities.
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
PREPARED BY: Becky Schuett
REVIEWED BY:
PUBLIC NOTICE INFORMATION –
NAME OF PUBLICATION:
DATE OF PUBLICATION:
4/27/2016 iawaukee.civicplus.com /Adm in/FormCenter/Subm issions/Print/637
http://iawaukee.civicplus.com /Adm in/FormCenter/Subm issions/Print/637 1/2
Print
Fees
Permit Fee: $10
Deposit: $200
First Name
Matt
Last N ame
Jermier
A ddress
230 West Hickman Road
C ity
Waukee
State
IA
Zip
50263
Email
mjermier@w aukee.org
Home Phone
B usiness Phone
515.987.0007
Cell Phone
515.707.0147
Community association or organization
Amusement park or fair association
Waukee city agency / agencies
Group of individuals who are citizens of Waukee
A pplicant represents one of the following:
D ate(s) of Display Start Time End Time
Location of Display
Centennial Park Southwest Corner
C ompetent Operator Responsible for Display
Fireworks Display Application Submission #637
Date Submitted: 4/26/2016
6/4/2016 9:30 PM 10:15 PM
4/27/2016 iawaukee.civicplus.com /Adm in/FormCenter/Subm issions/Print/637
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Kelm Brueschke
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.
B usiness Phone
515.321.2761
Cell Phone
515.321.2761
Type and Size of Fireworks in Display
3", 4", & 5" Aerial Shells, 3", 4" & 5" Finale Strings/Shells, Large Cakes See Attached for more details.
D escribe 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 Celebrate Waukee 20160604.pdf
I Agree
Signature*
I hereby agree to release and hold harmless and indemnify the City of Waukee, Iow a, 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.
I Agree
Fire Chief Signature
The Fire C hief of the City of Waukee, Iow a, has reviewed the application and all supporting materials and hereby
recommends to the Waukee City Council that the application be approved.
Fire Chief Initials Date Approved
I Agree
Mayor Signature
The City Council of the City of Waukee, Iowa, hereby approves the application for fireworks display within the City of
Waukee, Iowa.
Mayor Initials Date Approved
I Agree
C ity Administrator / Clerk Signature
mm/dd/yyyy
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