2024-0444 Docuslgn Envelope ID:BB2CC934-B7B6-49E9-980E-B227520E45EE
Office Use Only
FIRE MARSHAL TENT APPLICATION
Permit it: 2Q21\---0
Permit Fee:$16500-
Invoice It: N
Reviewed by:
Office of the Fire Marsha(
742 Bay Road,Queensbury,NY 12804
518-761-8206/8205 www.queensbury.net
NOTICE: Tent sales require Planning Board Approval
Please contact the Planning Department at least 3 months prior to the date of the sale
Project Location: Afrims(ADK Dome) Tax Map ID It:: - DC-1 ` ,1
Dates of Installation: Set up Wednesday 10/16 by end of day
CONTACT INFORMATION:PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Samantha Bennett
Mailing Address,C/S/Z: Special Olympics NY.94 New Kerner Road,Suite 208 Albany NY 12203
Cell Phone:J. 518 )992-4809 Land Line:_(
Email: sbennett@nyso.org
•Property Owner(s):
Name(s): Afrim's Sports
Mailing Address,C/S/Z: 636 Albany Shaker_Rd,Albany,NY 12211
Cell Phone: ( ) Land Line: ( 518) 438-3131
Email: afrimsports@gmail.com
•Tent Contractor(s):
Name(s): Entertainment 1 Rentals,Tara N
Mailing Address,C/S/Z: 433 Lower Main St,Hudson Falls,NY 12839
Cell Phone:_( ) Land Line:_( 518 )792-0929
Email: tara.elpresents@gmail.com
Please submit Workers' Comp documentation with this application
DECLARATION:
I acknowledge that this is not a permit but only an application for a permit and no work shall
commence prior to approval.All work will be in accordance with the approved plans and in
accordance with the Town of Queensbury and the NYS Fire and Building Codes.
If,for any reason,this application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
J have read and agree to the above:
APPLICANT NAME: Samantha Bennett
—6tpned by:
APPLICANT SIGNATU 211rat,at, Lazt Lwu. DATE:
•—,00soesw0$5100_
PROPERTY OWNER NAME: Afrim Afrim Nezaj
PROPERTY OWNER SIGNATURE: 4/f2& DATE: 9-3-24
•
FM Tent Application v Revised 3/2023
TEMPORARY STRUCTURE WORKSHEET
STEP 1
USE and OCCUPANT LOAD FACTOR(OLF)Indicate the type of use and circle the corresponding OLF. You'll use this
number in Step 2.
TENT USE OCCUPANT LOAD FACTOR/OLF(sf.ft./person)
Concentrated assembly use(chairs only,not fixed,no furniture) 7
Unconcentrated assembly(tables and chairs) 15
Standing space only assembly use(no obstructions permitted) 5
Retail and all other uses 30
STEP 2
OCCUPANT LOAD Enter the length and width of each tent in the spaces below.Multiply these numbers to determine the total
square footage for each tent.Divide the total square footage by the OLF(Step 1)to determine the Occupant Load for each tent.
Tent 1 40 x 80 = 3,200 — 15 = 214
Bocce Length Width Area OLF Occupant Load
Lunch
Tent 2 x = — =
Length Width Area OLF Occupant Load
Tent 3
Length Width Area OLF Occupant Load
STEP 3
REQUIRED EXITS Using the Occupant Load(Step 2)for each tent,determine thetotal number of exits and minimum required
width for each exit.Please note:The key difference between a tent and a membrane structure for exiting purposes is that a
membrane structure utilizes traditional doors and door frames versus a simple opening or removal of a tent side wall panel.
Occupant Load(Step 2) Required#of Exits Minimum width of each exit(in inches)
Tent Membrane
1—9 1 72 36
10—199 2 72 36
200—499 3 72 72
500—999 4 96 72
1000—1999 5 120 96
2000—2999 6 120 96
Over 3000* 7 120* 96*
*The total width of all exits shall not be less than the total occupant load multiplied by 0.2 inches per person.
Exiting through other,nearby tents,is NOT an acceptable configuration.
•
FM Tent Application Revised 3/2023
STEP 4
EXITING SUMMARY Using the Occupant Load(Step 2)use the Table in Step 3 to determine the corresponding Required
Number of Exits and Minimum Width of each exit.Provide a summary of this determination below.
Tent 1 Bocce Lunch
Required#of exits 3 Width of each exit 72
Tent 2
Required#of exits Width of each exit
Tent 3
Required#of exits Width of each exit
STEP 5
FIRE EXTINGUISHERS Using the square footage of each tent(Step 2)indicate the appropriate number of fire extinguishers are
needed for each tent.
Size of Tent(sq.ft) Min.#of fire extinguishers Fire Extinguisher Summary
1—200 1 Tent 1: Bocce Lunch 5
201—500 2 Tent 2:
501—1000 3 Tent 3:
1001—3000 4
3001—5000 5
5001—7000 6
7001—9000 7
9001—11000 9
Add 1 additional 2A: 10BC extinguisher for each additional 2000 sq.ft.,or fraction thereof.
STEP 6
ANCHORING Tents or membrane structures shall be designed and installed to handle the elements and prevent collapse.Please
indicate the location of all anchoring weights(minimum of 5001bs.).
Each vertical support will be anchored with a minimum of a 500#weight.
All corners will be anchored with a minimum 500#weight.
EXAMPLE OF A 20'x 40'TENT:
1.11
0 0
0 0 0
500# 500#
500# 500#
500# TENT 500#
500# 500#
500# o 0 0 500#
0 0 0
ac
•
FM Tent Application Revised 3/2023