NOTE: This permit is for the temporary installation of a tent/canopy/awning only
WEBforms\app_Tents_perm_instr rev 05112015
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TEMPORARY TENT APPLICATION REQUIREMENTS
Provide2completedapplications,signedand notarized
Provide3surveyswithsetbacksanddistancetoallstructures/parkingandwalkways
Provide3setsofplans**includeflamespreadratings
Providedatesandapproximatetimetent(s)willbeused
Provideinsurance,Worker’sCompensation,DisabilityandLiabilityforallcontractors
(I.E.InstallerandElectrician)(
Insurance requirements)
Feeof$200
Weekend inspections will require overtime pay – a minimum of two (2) hours
ADDITIONAL INFORMATION
AsperSection2403.7.2oftheNYSFireCode
Location:Tents,canopiesormembranestructureshallnotbelocatedwithin20feet(6096mm)oflotlines,
buildings,othertents,canopiesormembranestructures,parkedvehiclesorinternalcombustionengines.For
thepurposeofdeterminingrequireddistance,supportropesandguywiresshallbeconsideredaspartofthe
temporarymembranestructureorcanopy.

Exceptions:
1. Separationdistancebetweenmembranestructures,tentsandcanopiesnotusedforcookingisnot
requiredwhentheaggregatefloorareadoesnotexceed15,000squarefeet(1394m2).
2. Membranestructures,tentsorcanopiesneednotbeseparatedfrombuildingswhenallofthefollowing
conditionsaremet.
2.1. Theaggregatefloorareaofthemembranestructure,tentorcanopyshallnotexceed10,000square
feet(929m2)
2.2. Theaggregatefloorareaofthebuildingandmembranestructure,tentorcanopyshallnotexceed
theallowablefloorareaincludingincreasesasindicatedintheBuildingCodeofNewYorkState
2.3. Requiredmeansofegressprovisionsareprovidedforboththebuildingandthemembrane
structure,tentorcanopy,includingtraveldistances
2.4. FireapparatusaccessroadsareprovidedinaccordancewithSection503

**Aspersection2731oftheTownofSmithtownCode‐Plansshallbeprovided.Plansshallbedrawntoscale,
showingexits,aisles,seatingarrangementsanddetailsofstructure,supportoftents,seats,platforms,etc.
NOTE: This permit is for the temporary installation of a tent/canopy/awning only
WEBforms\app_Tents_perm_instr rev 05112015
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AsPersection2732oftheTownofSmithtownCode‐Firewatchersrequired.Oneormorequalifiedpersonsto
serveasfirewatchersshallbeemployedbyallcircuses,carnivalsorotherexhibitionswherelargecrowds
assemble.Theyshallfamiliarizethemselveswithallfireprotectionfacilitiesandfirepreventionfeaturesand
withtheconditionofexitsandshallpatroltheentiretentareaduringthetimeofoccupancy.Theyshallsee
thattheaislesandexitwaysarekeptopenandthatnosmokingrulesareenforced
PlansshallalsoshowcompliancewithSection2403and2404oftheNYSFireCodeandchapter273oftheTown
ofSmithtown.Codesavailableonlineoryoumayrequestacopy.

Note:TheDepartmentofPublicSafetyFireMarshalwillalsobeperforminga
planreviewandmayrequireadditionalitemsforcomplian cewiththe
NYSBuildingCodeandTownofSmithtownCode.
(To be filled in by the Building Department)
S.C.T.M. No. 0800 _______-_______-_______
Application/Permit No. ________________
Zoning District____________
Accepted by ________________ Date ____________
Approved by _____________ Date ____________
Permit Issued _____________ Expires ___________
Recei
p
t No.
____________
Fee
___________
TOWN OF SMITHTOWN
Suffolk County, NY
TENT APPLICATION
THIRTY (30) DAYS REQUIRED TO PROCESS
For the Temporary installation of a
Tent/Canopy/Awning*
TO BE FILLED OUT BY APPLICANT
“TENT APPLICATION”: Is hereby made by the undersigned for a permit, required by Chapter 273 of the
code of the Town of Smithtown for the temporary installation of a tent/canopy/awning.
SIZE: _____________of tent/canopy/awning (circle one)How Many ________ Color of Fabric _____________
Will the following be provided?
Side panels: Yes
No Generator: Yes No Electric Lighting or Outlets: Yes No .
Heating Equipment: Yes No Cooking Equipment: Yes No
ALL INSURANCES MUST BE SUBMITTED WITH APPLICATION
Workers’ Compensation, Disability and Liability - (see Insurance requirements)
PROPERTY OWNER:________________________________Phone no. Fax no._________________
ADDRESS:_________________________________________________________________________________
LOCATION OF TENT:_______________________________________________________________________________
TENANT/BUSINESS (if not Property Owner): Phone no. Fax no._____________
CONTRACTOR: Phone no. Fax no.__________
ADDRESS:___________________________________________________________________________________
DATE OF INSTALLATION:__________________________
DATES & APPROXIMATE TIME TENT TO BE USED:_______________________________________________
NOTE: This permit is for the temporary installation of a tent/canopy/awning only
WEBforms\app_Tents_perm_instr rev 05112015
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AFFIDAVIT
I_____________________________________asthe_______________________________beingdulysworndeposeandstatethatto
 (Print name) (Owner, Owner’s Agent, Architect, Contractor)
thebestofmyknowledgeandbeliefthestatementscontainedinthisapplicationtogetherwiththeplansandspecificationssubmittedareatrueand
completestatementofallproposedworktobedoneonthedescribedpremisesasithasbeenapprovedbytheTownofSmithtownandthatall
provisionsoftheZoningandBuildingOrdinanceandtheStateBuildingCodeandallotherlawspertainingtotheproposedworkshallbecomplied
with,andthatsuchworkisauthorizedbytheowner
Sworntobeforemethis:Signature
________________________________________________________________
_
_______
_
 (Owner, Owner’s Agent, Architect, Contractor)
_______Dayof________________________20________
_________________________________________________

(NotaryPublic,NewYork)

Notary Stamp