Recreational Burning/Fire Permit Application

Address *

Owner Occupied? *
YesNo

Is this a Rental Property? *
YesNo

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip *

Do the property owner and permit applicant have the same address? *
YesNo

First Name

Last Name

Phone

Email

Address

City

State
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Please provide details of WHERE your fire pit will be located, along with dimensions and WHAT you fire pit will be constructed with:

The use of your fire pit is authorized as long as the provisions of the International Fire Code are followed.
Recreational fires and use of portable outdoor fireplaces shall be constantly attended until the fire is extinguished. Safeguards must be in place and fire extinguishing equipment, such as dirt, sand, water barrel / bucket, or garden hose, shall be available for immediate utilization.
This permit does not guarantee you will not be asked to extinguish the fire in certain situations.

Applicant Signature: