Application for Fireworks Discharge Permit

By-law definition for “Consumer Fireworks” means an outdoor, low hazard, recreational firework that is classed as a type F.1 Firework under the Act, and includes fireworks showers, fountains, golden rain, lawn lights, pin wheels, Roman candles, volcanoes, and sparklers but does not include Christmas crackers and caps for toy guns containing not in excess of twenty-five one-hundredths of a grain of explosive used per cap; The sale and use of Display Fireworks and Special Effect Pyrotechnic Fireworks is specifically regulated federal Explosives Act and Regulations. The sale, storage, or possession of Display Fireworks and/or Special Effect Pyrotechnic Fireworks is not permitted under this sales permit.

Applicant

Application for Permit to Discharge Display Fireworks

Required Documents:

Site Plan Drawing - illustrating location on property where fireworks to be discharged, structures, audience viewing area, parking area, and any other relevant features.

Valid Credentials - Proof that the applicant holds valid credentials issued under the Explosives Act to conduct and supervise the fireworks display (Fireworks supervisor, Pyrotechnician, etc). 

Liability Insurance – Proof of comprehensive general liability insurance in the amount no less than five million dollars ($5,000,000.00) naming the Corporation of the Town of LaSalle as an additional insured and containing a cross liability clause.

Indemnification/Liability Agreement – Signed by an applicant or by an individual having authority to bind the applicant.

Proof of Authorization - Authorization from the owner of the land that fireworks may be discharged from this location.  

Declaration: 

I am the owner or authorized agent of the owner of the above noted property, and I certify the truth of all the statements and representations in this and all other documents submitted.

I acknowledge that it is an offence to provide false information or to contravene any conditions included in the permit.

I am the applicant and authorized agent of the owner for the above application, and I certify the truth of all the statements and representations in this and all other documents submitted. I agree if a permit is issued not to depart from the plans, routes, specifications proposed in this application and to adhere to any and all conditions imposed by the Chief Fire Official in granting a permit. 

Privacy Statement: Personal Information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request. Questions about the collection of this information should be directed to the Director of Council Services/Clerk, Town of LaSalle, 5950 Malden Road, LaSalle, ON, N9H 1S4. Telephone: 519-969-7770