Upper Brookville, NY · Nassau County
Request for Fireworks Display Permit
Sponsors and display companies use this application to request a permit for a fireworks display in the Village of Upper Brookville.
What this form is
This application requests a permit for a fireworks display and asks for sponsor, display company, operator, assistant, event, location, content, and storage details. It lists a $750 fee and requires proof of insurance or bond; outdoor and indoor displays have additional attachment requirements. Indoor displays also require a written pyrotechnics plan submitted at least five days before the performance.
Who needs it
Sponsors and display companies planning a fireworks display in Upper Brookville use this application to request a permit.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it requests no notarized attachment or sworn step.
How to submit this form
- 1
Download The Application
Download the fireworks display permit application PDF.
- 2
Complete The Application
Fill in the sponsor, display company, personnel, event, location, content, and fireworks storage information.
- 3
Gather Required Attachments
Attach proof of insurance or bond and any required display diagrams or indoor-display plan documents.
- 4
Submit To The City
Submit the completed application and attachments to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the fireworks display permit application?
- Sponsors and display companies planning a fireworks display in Upper Brookville use the application to request a permit and provide event and safety information.
- What attachments does the application request?
- It requests proof of insurance or bond. Outdoor displays require an area diagram; indoor displays require a written plan and additional supporting documents and diagrams.
- Do I need a notary for the fireworks display permit application?
- No. The application calls for the applicant's signature and date, with no notary or notarized attachment specified.
- How do I submit the fireworks display permit application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Request for Fireworks Display Permit doesn’t need a notary — but if you have another Upper Brookville form that does, a commissioned online notary can help.