PERMIT REQUEST - OPEN FLAME / PYROTECHNIC

Use this permit application to apply for a permit to use Open Flames or Pyrotechnics in front of an audience. Open Flames and Pyrotechnics are prohibited in the city of Ashland unless a permit has been obtained from Ashland Fire & Rescue. Requests should be made at least five (5) working days prior to the event. Larger events may require longer processing times.

At the end of this application will be a place to upload an Event site plan and a List of open flame or pyrotechnics to be used. Please be specific in the types of flames and/or pyrotechnics as to type, number of and when they will be used. Please have this ready before applying for the permit. Please include the following information on your site plan:

Event Name & Date
Interior diagram of the space being used
Property lines and dimensions in feet (if outdoors or in a temporary structure)
Adjacent Buildings and distance in feet (if outdoors or in a temporary structure)
Tent and/or booth locations and dimensions in feet
Location of open flames and/or pyrotechnics
Barricades
Exits
Fire Extinguishers

APPLICANT INFORMATION

* NAME

* PRIMARY PHONE (no punctuation)

Extension (if any):

ALTERNATE PHONE (no punctuation)

Extension (if any):

* EMAIL

* STREET ADDRESS

* CITY

* State

* Zip Code

EVENT INFORMATION

* EVENT NAME

* EVENT LOCATION

* PHYSICAL ADDRESS OF EVENT LOCATION:

* NAME OF PROPERTY OWNER AT EVENT LOCATION

* START DATE OF EVENT (MM/DD/YYYY)

* END DATE OF EVENT (MM/DD/YYY)

IF A SINGLE EVENT, PLEASE STATE START TIME & END TIME OF EVENT (hh:mm am/pm). IF THERE ARE MULTIPLE EVENT DATES & TIMES, PLEASE INCLUDE THE ENTIRE SCHEDULE HERE OR UPLOAD AS AN ADDITIONAL DOCUMENT AT BOTTOM OF FORM.

* My event will occur:

Indoors

Outdoors

* Will you be using open flames or pyrotechnics?

Open flames

Pyrotechnics

Both

* Please explain how you plan to use open flames and/or pyrotechnics.

* Describe your event and provide any additional helpful comments.

Site Plan Upload: The site plan needs to show a general overview of the area of your performance. Label all distances/dimensions in feet. Please show performance area boundaries, audience location(s) and fire extinguisher locations. If outdoors, also include the following information: the proximity of your event to adjacent buildings, public ways, tent and/or booth locations (and dimensions of each), and distances to property lines.

(allowed file types: .doc, docx, .pdf, .jpg, .png, .gif, .bmp, .xls, xlsx, .txt, .wpd)

Open Flames / Pyrotechnics Description Upload: Provide a list with a detailed description of the open flames and pyrotechnics to be used, where they will be used and for how long they will be used.

(allowed file types: .doc, docx, .pdf, .jpg, .png, .gif, .bmp, .xls, xlsx, .txt, .wpd)

Additional/Supplemental Document Upload: Upload an additional or supplemental document here. If you want/need to submit multiple documents for upload, consider scanning to a single file or combining into a single PDF before upload.

(allowed file types: .doc, docx, .pdf, .jpg, .png, .gif, .bmp, .xls, xlsx, .txt, .wpd)

After selecting submit, you will receive an email confirming that your application has been received. Please note that until a permit is signed by you and an Ashland Fire & Rescue representative, the permit has not been issued.

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PERMIT -Open Flame/Pyrotechnic Permit

PERMIT REQUEST - OPEN FLAME / PYROTECHNIC

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