Fillable Form 72: OFFICE OF CODE ENFORCEMENT AND BUILDING (Incorporated Village of Sag Harbor)

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Form 72: OFFICE OF CODE ENFORCEMENT AND BUILDING (Incorporated Village of Sag Harbor)

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Country of origin: US
File type: PDF

U.S.A. forms for Incorporated Village of Sag Harbor

BROWSE INCORPORATED VILLAGE OF SAG HARBOR (NY) FORMS

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C:\Users\czaino\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\TPZS3A6N\Tent Permit Application- ATTACHMENT 4 (002).doc
OFFICE OF CODE ENFORCEMENT AND BUILDING DEPARTMENT
Village of Sag Harbor
P.O. Box 660
55 Main St.
Sag Harbor, NY 11963
(631)
72
5-2804 fax 4852
kpayne@sagharborny.gov
APPLICATION FOR TENT/CANOPY PERMIT
A PERMIT IS REQUIRED FOR ANY TENT OVER 200 SQUARE FEET, A CANOPY OVER 400
SQUARE FEET, OR A GATHERING OF 50 PERSONS UNDER ANY MEMBRANE STRUCTURE
CANOPY. A structure, enclosure or shelter constructed of fabric or pliable materials supported by any manner, except by air or the
contents it protects, and is open without sidewalls or drops on 75 percent or more of the perimeter.
TE
NT. A structure, enclosure or shelter constructed of fabric or pliable material supported by any manner except By air or the
contents that it protects.
APPLICANT
TENT CONTRACTOR
NAME
_________________________________
NAME
_________________________________
ADDRESS
_________________________________
ADDRESS
_________________________________
CITY/STATE/ZIP
_________________________________
CITY/STATE/ZIP
_________________________________
PHONE
_________________________________
PHONE
_________________________________
CUSTOMER/EVENT LOCATION EVENT INFORMATION
NAME
_________________________________
# PERSONS ATTENDING
_________________________
ADDRESS
_________________________________
EVENT COORDINATOR
_________________________
CITY/STATE/Zip
SAG HARBOR, NY 11963
CONTACT NUMBER
_________________________
PHONE
_________________________________
DATE/TIME OF EVENT
_________________________
TENT/CANOPY DETAILS
DIMENSIONS
___________________________
COLOR
SIDES/DROPS
YES NO IF YES, WHAT PERCENTAGE OF PERIMETER WILL HAVE SIDES? _______________
DESCRIBE
USE
_______________________________________________________________________
_______________________________________________________________________
SIGN/DATE:
_______________________
RECEIVED:
___/___/________
APPROVED: YES NO
NAME:
_______________________
IF DENIED, REASON:
_______________
BY:
_______________
PERMIT NUMBER:
PERMIT FEE IS $100.00, PAYABLE WITH APPLICATION
C:\Users\czaino\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\TPZS3A6N\Tent Permit Application- ATTACHMENT 4 (002).doc
TENT PERMIT APPLICATION GUIDELINES
APPLICATIONS MUST INCLUDE ALL THE FOLLOWING:
A CERTIFICATE OF WORKERS’ COMPENSATION AND LIABILITY INSURANCE FORM
IF HOMEOWNER IS ERECTING TENT, A COMPLETED EXEMPTION FORM
A DETAILED SITE AND FLOOR TO INCLUDE (50 OR MORE PERSONS ONLY):
MEANS OF EGRESS FACILITIES
SEATING CAPACITY
ARRANGEMENT OF THE SEATING
LOCATION OF HEAT AND ELECTRICAL EQUIPMENT
A CERTIFICATION OF FLAME RESISTANCE FOR THE TENT MEMBRANE, SIDEWALLS,
BUNTING AND COMBUSTIBLE DECORATIONS TO INCLUDE:
NAMES AND ADDRESS OF THE OWNERS OF THE TENT
DATE THE FABRIC WAS LAST TREATED WITH FLAME-RESISTANT SOLUTION
TRADE NAME OR KIND OF CHEMICAL USED FOR TREATMENT
NAME OF PERSON OR FIRM TREATING THE MATERIAL
NAME OF TESTING AGENCY AND TEST STANDARD BY WHICH THE FABRIC WAS TESTED
• TENTS MAY NOT BE LOCATED WITHIN 20 FEET OF LOT LINES, BUILDINGS, OTHER
TENTS, PARKED VEHICLES OR INTERNAL COMBUSTION ENGINES.
• NO COMBUSTIBLE MATERIAL SUCH AS HAY OR STRAW SHALL BE LOCATED WITHIN ANY
TENT.
• NO COMBUSTIBLE MATERIAL OF ANY TYPE IS ALLOWED UNDER SEATING.
• COMBUSTIBLE MATERIALS OR VEGETATION THAT COULD CREATE A FIRE HAZARD ARE
PROHIBITED WITHIN 20 FEET OF THE TENT.
• SMOKING IS PROHIBITED IN THE TENT. APPROVED “NO SMOKING” SIGNS SHALL BE
CONSPICUOUSLY POSTED.
• DEVICES EMITTING FLAME, FIRE, OR HEAT SHALL NOT BE PERMITTED INSIDE OR
LOCATED WITHIN 20 FEET OF THE TENT.
• FLAMMABLE LIQUIDS, FLAMMABLE GAS, CHARCOAL OR OTHER COOKING DEVICES
SHALL NOT BE PERMITTED INSIDE OR LOCATED WITHIN 20 FEET OF THE TENT.
• PORTABLE FIRE EXTINGUISHERS SHALL BE PROVIDED IN ACCORDANCE WITH THE
FIRE CODE OF NY STATE.
• EXIT SIGNS SHALL BE PROVIDED AND CONTINUOUSLY ILLUMINATED.
• EXITS SHALL BE ILLUMINATED.
COOKING TENTS
• COOKING TENTS SHALL BE SEPARATED FROM OTHER TENTS BY A MINIMUM OF
20 FEET.
• COOKING AND HEATING EQUIPMENT IS PROHIBITED WITHIN 10 FEET OF EXITS
OR COMBUSTIBLE MATERIAL.
• LP GAS CONTAINERS SHALL BE SECURED OUTSIDE THE TENT. SAFETY
RELEASE VALVES SHALL BE POINTED AWAY FROM THE TENT.
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Form 72: OFFICE OF CODE ENFORCEMENT AND BUILDING (Incorporated Village of Sag Harbor)

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Completed 16 July 2020

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