1. The name, address, and phone number of the individual, group, or organization sponsoring the fireworks display.

2. The name, address, and phone number of the individual who will act as the operator of the fireworks display.

3. The name, address, and phone number of the supplier of the fireworks to the operator, if different than the operator.

4. Evidence of financial responsibility of the sponsor of the event or the operator of the fireworks display in the form of a current general liability insurance policy with minimum combined limits of liability of not less than five million dollars ($5,000,000.00). It shall be a condition of any permit issued pursuant to this chapter that the town shall be included as an additional insured under such policy.

5. The date and time of day at which the fireworks display is to be held, with a proposed inclement weather or fire restriction date and time in the event the display is required to be postponed due to weather conditions or fire restrictions.

6. The exact location planned for the fireworks display.

7. The number of assistants to the operator that are to be present.

8. The approximate number and kinds of fireworks to be discharged at the display.

9. The manner and place of storage of such fireworks prior to delivery to the fireworks display site.

10. A diagram of the grounds on which the fireworks display is to be held showing the point at which the fireworks are to be discharged, the location of all buildings, highways and other lines of communication, the lines behind which the audience is to be restrained, and the location of possible overhead obstructions.

11. Such other information as the building official may reasonably require to determine compliance with the town's fireworks code and this chapter.