Kentucky Temporary Structures Kts Site Placement Application
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1
2PUBLIC PROTECTION CABINET
Department of Housing, Buildings and Construction
Steven L. Beshear
Larry R. Bond
Manufactured Housing Section
Governor
Acting Secretary
101 Sea Hero Road, Suite 100
Frankfort, Kentucky 40601-5412
Ambrose Wilson IV
Jack L. Coleman
Phone: 502-573-0365
Fax: 502-573-1057
Commissioner
Deputy Commissioner
Kentucky Temporary Structures (KTS)
KTS Site Placement Application
NOTE:
Indicate the Manufacturer's Model # _________ DOES THIS TENT HAVE KY TENT MODEL APPROVAL? _________
NAME OF PERSON
IS THE SITE REVIEW FEE
YES
SUBMITTING PLANS
PHONE (
)
-
INCLUDED WITH PLANS?
NO
MAILING ADDRESS: ______________________________________________________________________________________________________________________________________________________
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
BUSINESS & PROJECT NAME: __________________________________________________________________________________________________________________________________________
PROJECT LOCATION:
________________________________________
NO./ STREET, HWY or ROAD ( Please do not indicate P.O. Box or Postal Routes )
CITY
COUNTY
OWNER OR CUSTOMER: _____________________________________________________________________________________________________ PHONE (
)__________ - _______________
MAILING ADDRESS: ______________________________________________________________________________________________________________________________________________________
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
ARCHITECT (NAME & FIRM)___________________________________________________________________________________________________ PHONE (
)__________ - _______________
AS THE ARCHITECT LISTED ABOVE, I AM RESPONSIBLE FOR CONSTRUCTION CONTRACT ADMINISTRATION.
YES
NO
MAILING ADDRESS: ______________________________________________________________________________________________________________________________________________________
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
DEALER NAME:_______________________________________________________________________________________________________________ PHONE (
)__________ - ______________
MAILING ADDRESS: ______________________________________________________________________________________________________________________________________________ ________
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
MANUFACTURER NAME:_______________________________________________________________________________________________________ PHONE (
)__________ - ______________
MAILING ADDRESS: ______________________________________________________________________________________________________________________________________________________
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
SITE CONTRACTOR:__________________________________________________________________________________________________________ PHONE (
)__________ - ______________
MAILING ADDRESS: ______________________________________________________________________________________________________________________________________________________
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
BUILDING INFORMATION
NUMBER OF TENTS IN THIS SUBMITTAL: ___________
USE OF TENTS
i.e.... COOKING, SALES, DANCING,,DINING or other ( please specify)____________________________________________
IF NOT A TENT WHAT TYPE OF TEMPORARY STRUCTURE IS BEING SITED :
PERFORMING STAGE
ELEVATED FLOOR SYSTEM
OTHER: _____________________________
2
.
TENT/ STRUCTURE MEASUREMENTS: ________ WIDE BY ________ LONG
TOTAL AREA IN NEW BLDG. OR ADDITION: ____________________ FT
WHAT DATES WILL THIS TENT/STRUCTURE BE PLACED ON SITE? __________________________________________________________________________________
KTS SITE SUBMITTAL CHECKLIST
THE SITE SUBMITTAL SHALL INCLUDE THE FOLLOWING:
Site Plan w/ tent location/distances to adjacent buildings and property lines
Anchoring details based on reaction factors
Floor plan including emergency lighting and exit sign locations
Operational manuals per Model Approval
Dates of temporary use
Emergency shut down procedures due to severe weather including the maximum wind speed before evacuation (not to exceed 75% of
deigned listed wind speed)
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