"Kts Site Placement Application" - Kentucky

This Kentucky-specific "Kts Site Placement Application" is a document released by the Kentucky Department of Housing, Buildings and Construction.

Download the fillable PDF by clicking the link below and use it according to the applicable legal guidelines.

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Download "Kts Site Placement Application" - Kentucky

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PUBLIC 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
www.dhbc.ky.gov
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)
PUBLIC 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
www.dhbc.ky.gov
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)
PUBLIC PROTECTION CABINET
Department of Housing, Buildings and Construction
Steven L. Beshear
Larry R. Bond
Building Codes Enforcement
Governor
Acting Secretary
101 Sea Hero Road, Suite 100
Frankfort, Kentucky 40601-5412
Ambrose Wilson IV
Jack L. Coleman
Phone: 502-573-1795
Fax: 502-573-1059
Commissioner
Deputy Commissioner
www.dhbc.ky.gov
Kentucky Temporary Structures (KTS)
KTS Model Approval Plan Application Form
DATE OF THIS APPLICATION _______________________________
This form to be completed by Manufacturer's Representative. Please CHECK ONE:
Initial Model Approval
Kentucky Building Code Edition to be reviewed under ___________________
Previously Approved KTS Tent Re-evaluation for design changes or new code cycle
MANUFACTURER INFORMATION
NOTE: Complete the following information for the manufacturer or indicate your Kentucky assigned Kentucky Temporary Structure (KTS) number,
here if applicable : _______________________________
MANUFACTURER'S NAME: __________________________________________________________________________________________________________________
MAILING ADDRESS: ________________________________________________________________________________________________________________________
CITY/STATE/ZIP: __________________________________________________________________________________________________________________________
FACTORY LOCATION: ______________________________________________________________________________________________________________________
NAME OF FACTORY REPRESENTATIVE: ______________________________________________PHONE NUMBER: ________________________________________
EMAIL ADDRESS: _________________________________________________________________________________________________________________________
MODULAR BUILDING INFORMATION
PROPOSED MODEL NAME OF TENT:
MODEL #: _________________________________________________
OVERALL TENT SIZE:
____
WIDTH
____
LENGTH
AREA PER FLOOR: _______________________________________________________________________________________________________________________
MODEL PLAN SUBMISSION CHECKLIST
Note: Please check each item included with your Model Plan
All of this information is required with the Model Plan Submission.
Cover Letter or Letter of Transmittal
Reaction factor for anchoring
The minimum distance between any Kentucky approved Tents
1
Manufacturer’s Specifications
Plans drawn to minimum scale of
/
" = 1'-0"
exceeding 15,000 or used in cooking regardless of size and any
8
other tent, canopy membrane structures or parked vehicles,
Title Sheet indicating code information
Design Professional seals and signatures
buildings or structure shall be Twenty feet measured from the
4 Exterior Elevation Views
Flame Propagation Criteria for tent covering Per
support ropes or guy wires
NFPA 701
Design Wind Loads
Please be advised all previous model plan reviews are invalid if
Plan Review Fee of $250.00. Make check payable to
the model has not been resubmitted for our review and approval
the Kentucky State Treasurer.
under the new codes.
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