Fireworks Display and Pyrotechnic
Special Effects Requirements
Glenwood Springs Fire Department
101 West 8
th
Street
Glenwood Springs, CO 81601
(970) 384-6480 FAX: (970) 945-8506
Emergency Contact Phone Number
:
A.M.
P.M.
Hours of Operation:
Operator:
Business Name
:
License No.:
Address:
Phone:
Permit No.:
Date
Issued:
Date Received:
Standby Fire Apparatus At the time of permit application, the Fire Chief shall determine standby fire apparatus
requirements.
Handling and Use All handling and use of fireworks and pyrotechnic special effects material shall comply with
Chapter 56 in the 2015 Consumer Fireworks - 5609.1 International Fire Code and Ordinance 18 in the City of
Glenwood Springs Municipal Code.
Insurance The permittee shall furnish a bond of certificate of insurance in the minimum amount of $
Special Conditions:
Inspector's Signature:
Attach a diagram of the grounds on which the display is to be held, showing the following:
1. The point at which the fireworks are to be discharged.
2.
The location of buildings, highways and other lines of communication.
3.
The lines behind which the audience will be restrained.
4. The location of nearby trees, telephone lines and other overhead obstructions.
Date:
Date:
Applicant's Signature:
Permit Fee $100 Includes one site inspection
