TEMPORARY TENT STRUCTU RES

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1 2-3 WEE PRIOR TO THE EVENT PLEAE UBMIT THE APPLICATION yourself. rental company application) 2. igned Authorization Letter from current owner if 3. ite Plan (see sample with application) 5. Completed form for Fire Department (included with 4. 2 ets of Construction Plans can be obtained from the property is owned by someone other than 1. Completed application including date of event. PLEAE PROVIDE L a.. r - weddings, family reunions, BBQ s, etc. for events such as TRUCTU RE TEMPORARY TENT

2 Date received r Roll number - Application number permit number (if different) Application for a Permit to Constructor Demolish Effective January 1, 2014 Page 1 of4 Telephone number Fax Cell number Municipality Postal code Province treet address Unit number Lot/con. Last name First name Corporation or partnership P. Owner (if different from applicant) - Telephone number Fax Cell number Municipality Postal code J Province treet address Unit number Lot/con. c Ap pllcant Applicant Is (Jowner or F]Authonzed agent of owner ( obtain from rental compan & forward plans by PDF to UBMIT 2eN öfpaper plans only & Descriptionofpmposedwodc permission or copy of contract. property please submit a letter of owner s If you are not the legal owner of the Proposed use of budding Current use of building New construction U Alteration/repair EDemoItion DC0n0ai Last name First name Corporation or partnership B. Purpose of application Project value est. $ Area of work (m4) Municipality Postal code Plan number/other description A. Project information Building number, street name Unit number Lot/con, (Name of munidpality, upper-tier municipauty, board of health or conservation authority) Application submitted to: EVERN TOWNHIP For use by Principal AuthorEi, Application for a Permit to Construct This form is authorized under subsection 8(1.1) of the 8uiIding Code Act, 1992 EVENT TENT y)

3 Telephone number Fax Cell number Municipality Postal code Province treet address Unit number Lot/con. Application for a Permit to constructor Demolish used in the administration and enforcement of the Building Code Act! Questions about the collection of personal information may be addressed to: a) documentation is true to the best of my knowledge. contravene any applicable law. the chief building official to determine whether the proposed building, construction or demolition will 7(1 regulation made under clause )(c) of the Building Code Act, 1992, to be paid when the is application made. resolution or regulation made under clause 7(1 )(b) of the Building Code Act, Payment has been made of all fees that are required, under the applicable by-law, resolution or schedules are submitted). applicable fields have been completed on the application and required schedules, and all required Building Code (the application is made in the correct form and by the owner or authorized agent, all G. Required chedules Plan Act? If no. go to section 0. i. Is proposed construction for a new home as defined in the Ontario New Home Warranties Yes No ii. Is registration required under the Ontario New Home Warranties Plan Act? jyes No Hi. If yes to (ii) provide registration number(s): i) Attach chedule 1 for each individual who reviews and takes responsibility for design activities. H) Attach chedule 2 where application is to construct on-site, install or repair a sewage system. H. Completeness and compliance with applicable law i) This application meets all the requirements of clauses (5) (a) to (d) of Division C of the H) This application is accompanied by the plans and specifications prescribed by the applicable by-law! iu) This application is accompanied by the information and documents prescribed by the applicable by law. resolution or regulation made under clause 7(1 )(b) of the Building Code Act, 1992 which enable iv) The proposed building, construction or demolition will not contravene any applicable law. I. Declaration of applicant 1. The information contained in this application, attached schedules, attached plans and specifications, and other attached 2. If the owner is a corporation or partnership, I have the authority to bind the corporztinn nr nrtnarchin ignature of applicant Personal information contained in this form and schedules is collected under the authority of subsection 8(1.1) of the Building Code Act, 1992, and will be (OWNER TO IGN APPLICATION) unless otherwise indicated, Appointed Authorized Agents The Applicant & Builder are (print name) / Date 7 the Chief Building Qfficial of the municipality or upper-tiermunicipality to which this application is being made! or, b) the inspector having the powers and duties of a chief building official in relation to or plumbing for an upper-tier municipality, sewage systems board of health or conservation authority to whom this applicalion is made, or, c) Director. Building and Development Branch, Ministry of Municipal Affairs and Housing 777 Bay t., 2nd Floor. Toronto, M5G 2E5 (416) Effective 1, January 2014 Page 2 of 4 y declare that: F. Tarlon Warranty Corporation (Ontario New Home Warranty Program) Last name First name Corporation or partnership (if applicable) E. Builder (optional)

4 I IL tflmp Uf.fl!iN kt.e I 6 Township of evern ite Plan Guide & Example It is important that an accurate and complete site plan be submitted with your application, failure to do so can result it being returned as incomplete. Include an address block 1234 Example treet evern, ON ABUITING ROAD ALLOWANCE... I Driveway Location Include any natural features] (streams, rocks, wooded areas, steep slopes, etc.) Location of ALL existing & proposed structures on the property with setback distances to ALL property lines. I Well Location II) L ize of Buildings eptic Bed & Tank Location I IP... PLEAE RECORD MEAUREMENT IN MURE P rope rty Line ( > *eqj Measurement

5 Number of expected attendees: (Please Print) WHERE TENT I ET-UP LOCATION ANDIOR ADDRE 1-50 = 2(4) = 3 (6) = 4(8) = 5 (10) = 6 (12) = 7(14) = 8 (16) anitary Facilities (water closets) sufficient? Persons = number of water closets/portable toilets each - (male and female) Fire Department Access (ensure parking is arranged to allow for emergency vehicles to safely proceed to tent location) Extension Cords used safely? Are bleachers being used? Is tent located at least 3m of other tents? Is tent located at least 3m from property line? (tamped label usually found inside flap of tent) Tent meets ULC-5109 & NFPA 701 Flame retardant standards. Has a building permit for the assembly of this tent been obtained? Relative to tent, where would these devices be located? Must not be located adjacent to an exit or access to an exit. intended for use? Are open flame devices such as gas heaters, barbeques and fuel4ired appliance and general enforcement of regulations as proper use and storage of combustible materials determined by lessee. fire watch duty: egress clear, enforcement of no smoking policy, Person designated employed for uch duties to include: keeping the means of YE NO Address: Name: Phone: Provide the name, address and telephone number of person(s) or company providing the tent rental: Locations Number Type: Number, type and location of portable fire extinguishers provided: Location of nearest telephone to call 911: ERViCE TENT- Inspection

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