2. North Metro Fire Rescue District
   Fire Prevention Division
   101 Spader Way
   Broomfield, CO 80020
   Phone: 720-887-8217
   Fax: 720-887-8336
   
   Steven Gosselin, Division Chief
4. Creating a Profile
   You do NOT need to create a profile in order to submit your application. If you do want to set up a profile in order to review your submitted application, you must create your profile BEFORE filling out the application and submitting it.
6. Public Record Release

   Please note that plans and other documents submitted to North Metro Fire for review are part of the public record and are available to the public. Submissions to the district also may be forwarded to other governmental entities, including, but not limited to, cities and counties.

8. Burn Location Street Address*
9. City*
11. County (where burn will take place)*
13. Applicant's Name*
14. Applicant's Phone*
16. Applicant's Street Address ^

    ^ if different from burn location address

18. City ^
19. State ^
20. Zip Code ^
22. Contact Info for Responsible Party on Day of Burning

    Please provide the name, phone number and email address for the person in charge of burning if different from the applicant. 

23. Applicant's Email Address*
25. Description of Burn (e.g., reason for burn, materials to be burned, etc.)*
27. Open Burning Requirements Acknowledgement*

    I understand that a permit must be obtained from the Fire District prior to conducting any permit-required open burning.  

    Details and general information for open burning, including the types of open burning requiring a permit, can be found on our Outdoor Burning and Fire Restrictions page (linked here), and our Permit-Required Open Burning page (linked here).

    I also acknowledge that I have read, understand, and will abide by the Standard Requirements for Open Burning document (linked here).

    1. I agree
31. Authorization Required Before Burning*

    Once a permit has been obtained from the Fire District, on the day you wish to burn, you must receive authorization prior to burning by contacting the Fire Prevention Division at (720) 887-8217 or (303) 252-3542. 

    All open burning is subject to daily fire weather conditions and restrictions as determined by North Metro Fire. Open burning is permitted only during daylight hours. 

    1. I understand
33. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree
35. Electronic Signature*
36. Date*
    Date
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field