Fireworks Display Permit Application
Fireworks Display Permit Application Summary
This is an official application form from The Borough of Hollidaysburg, PA for residents or operators seeking permission to display and use fireworks within the borough. The form is divided into three main sections: Applicant Information, Fireworks Display Information, and Borough Authorization.
I. APPLICANT INFORMATION
Applicants must provide:
Fireworks Operator Details:
- Full name, street address, city/state/zip
- Daytime and evening telephone numbers
- Fax number and email address
- Insurance company name (with certificate of insurance attached)
References (two required):
- Each reference must include:
- Name
- City, State, Zip
- Telephone number
- Each reference must include:
II. FIREWORKS DISPLAY INFORMATION
Applicants must specify:
- Display Date and Time
- Location of the fireworks display
- Description of the event or setup
- Types of Fireworks to be used (list all types)
- Site Plan — must be attached showing area layout and setup
III. APPLICANT AGREEMENT
The applicant must sign and date the form, confirming they:
- Have read and understand local ordinances regulating fireworks
- Agree to comply with all federal, state, and local laws
- Assume full responsibility for any personal or property damage caused by the fireworks display
IV. BOROUGH AUTHORIZATION
This section is completed by borough officials:
Proof of Insurance Attached? (Yes/No)
Bond Attached? (Yes/No)
Permit Fees Paid:
- Event Fee amount and date paid
- Annual Fee amount and date paid (if applicable)
Fire Marshall Review:
- Option to recommend issuance or denial of permit
- If denied, written reasons must be provided on the form
- Fire Marshall signature and date required
Final Decision:
- Permit Granted or Denied (check one)
- Borough Manager signature and date required
Important Notes
- All attachments (insurance certificate, site plan) are mandatory.
- The form must be fully completed and signed before submission.
- Final approval rests with the Fire Marshall and Borough Manager.
This form ensures public safety and legal compliance for fireworks displays in Hollidaysburg. Residents planning such events should submit this application well in advance of their planned display date.