EXETER TOWNSHIP FIREWORKS SALES STAND REQUIREMENTS & CHECKLIST
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1 FIREWORKS SALES STAND REQUIREMENTS & CHECKLIST o Complete Application for Fireworks Sales o Complete Application for Fire Prevention Operational permit for Fireworks / explosives - $ o Proof of Insurance coverage o Complete Application for Fire Prevention Construction Tent / Temporary Structure Permit $ o Provide a Site Plan showing stand and distances from structures, power lines etc. o Provide Written Authorization from owner o Provide an Inventory list of all items intended to sell o Obtain other required permits: Zoning, Engineering
2 FIRE PREVENTION PERMIT OPERATIONAL Permits fees for Explosives / Fireworks # and Pyrotechnics Special Effects # shall be $ Today s Date: Business Starting Date: Business Name: Business Street Address: Location / address of work performed: Business Contact Person: Phone: Reason for Application: New Business Change of ownership Change of address Previously operating without permit New location Other than yours, is there another business operating at this address? Yes No If yes, provide the name of the business: A Fire Code Permit is required to maintain, use, store, or handle materials, or to conduct processes, which produce conditions hazardous to life or property, or to install equipment used in connection with such activities. If your business intends upon engaging in any of the following activities, operations, practices or functions, a Fire Code Permit may be required. Please identify all of your business intended activities by placing an X in the box provided. If you require assistance, or would like more information, contact us at When issued, the permit shall be posted in a conspicuous location on the premises and shall be kept on the premises until removed/replaced by the Fire Official or AHJ. The permit shall be renewed annually. Changes in use or owner will require issuance of a new Fire Code Permit. Items below for Fire Official's Office Use Only This section is for application approval only. Inspector Date This section is for on-site final approval only. Inspector Date Permit # AMOUNT RECEIVED Check No.
3 FIRE PREVENTION PERMIT CONSTRUCTION Fee is 1½% of total job cost or $ minimum Today s Date: Business Starting Date: Business Name: Business Street Address: Business Contact Person: Phone: Location / Address of work performed: Reason for Application: New Business Change of ownership Change of address Previously operating without permit New Location Other than yours, is there another business operating at this address? Yes No If yes, provide the name of the business: A Fire Code Permit is required to maintain, use, store, or handle materials, or to conduct processes, which produce conditions hazardous to life or property, or to install equipment used in connection with such activities. If your business intends upon engaging in any of the following activities, operations, practices or functions, a Fire Code Permit may be required. Please identify all of your business intended activities by placing an X in the box provided. If you require assistance, or would like more information, contact us at When issued, the permit shall be posted in a conspicuous location on the premises and shall be kept on the premises until removed/replaced by the Fire Official or AHJ. The permit shall be renewed annually. Changes in use or owner will require issuance of a new Fire Code Permit. This section is for application approval only. Inspector Date This section is for on-site final approval only. Inspector Date Items below for Fire Official's Office Use Only Permit # AMOUNT RECEIVED Check No.
4 APPLICATION FOR FIREWORKS SALES STAND 1. Name of Organization: Address Phone Number 2. Stand Location Address 3. Person in Charge Address Phone Number 4. Is this application accompanied by a public liability and damage insurance policy? YES NO ($1,000,000 minimum) 5. How and where will fireworks be stored when stand is closed? 6. Is transportation vehicle placarded? YES NO 7. Provide a diagram / site plan of the proposed location of the fireworks stand shall be drawn to scale on an 8 ½ X 11 diagram. This diagram shall show the size of the stand; distance from the stand to structures, buildings, fire hydrants, other stands and streets; and parking areas. 8. Required Permits Zoning Tent structure Fireworks Sales Engineering The Fireworks Sales Permit Fee of $500 must be submitted with the application. 9. Provide Inventory List. 10. Provide written authorization from property owner, which allows use of the property. Print Name Date Signature
5 The completed application package, as listed above, must be returned no later than June 15th. Any application received after June 15th will not be approved for the July 4 th sales. Packets may be mailed or delivered in person. The Fireworks Permit will be issued to the applicant at the time of inspection of the fireworks stand. The location of the stand shall be as shown on the approved site plan. The Person in Charge / Applicant (as listed on the application) will be notified when a Permit Application is approved. Approved and licensed fireworks stands are subject to inspection during periods of operation. Strict adherence to established rules and regulations is mandatory. Only State of Pennsylvania fireworks allowed (caps, novelties and fountains) OFFICE USE ONLY *** Fire Inspector must sign after site visit Permit Granted Denied Approved By Title Date FIREWORKS STAND REQUIREMENT CHECKLIST Application for Fireworks Sales Permit $ Application for Tent / Temporary Structure Permit $ Proof of Insurance coverage Site Plan Written Authorization from property owner Inventory list Other permits
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