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Kinston Department of Fire and Rescue
P. O. Drawer 339, 401 E Vernon Avenue Kinston, North Carolina 28502 Office Phone: 252-939-3164 Fax Phone : 252-939-3157
Mandatory Permits Application for Tents and Air Supported Structures in Excess of 700 Square Feet (net)
Business Name (if applicable)
Date of Application*
Date of Application
Location of Business:
City
State
Zip Code
Phone Number of Business
Business Website
Information of Applicant
Name of Applicant*
Middle Name
Last Name*
Address of Applicant*
City*
State*
Zip Code*
Contact Phone Number*
Email Address*
Information of Business Owner (if not applicant)
Name of Business Owner
Last Name
Address of Owner
City
State
Zip Code
Phone Number of Owner
Email Address of Owner
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Application Contact Information

Application Details Information
Location of the Tent or Structure*
City
State
Zip Code
Dimensions of the Tent or Structure*
Square Foot Area of the Tent or Structure*
Date and Time of Tent or Structure to be Erected*
Date and Time of Tent or Structure to be Erected
Date and Time of Tent or Structure to be Erected
Date and Time of Removal of the Tent or Structure*
Date and Time of Removal of the Tent or Structure
Date and Time of Removal of the Tent or Structure
Dates and times of operations while Tent or Structure is in Use*
Dates and times of operations while Tent or Structure is in Use Start Date
Dates and times of operations while Tent or Structure is in Use Start Time
—
Dates and times of operations while Tent or Structure is in Use End Date
Dates and times of operations while Tent or Structure is in Use End Time
Name of Person Responsible for Erecting/Removing of the Tent or Structure (if not the applicant)
Last Name
Responsible Party's Phone Number
Responsible Party's Email Address
Estimation of Cost*
Please list the Estimation Cost of Erecting and Removing the Tent or Structure
Description of Bracing and Anchoring*
Please explain how the tent or structure will be braced and anchored to prevent collapse.
Flame Retardant Information
Please upload or provide a signed and dated Affidavit or Affirmation containing Flame Retardant Information shall be retained on the premises at the tent(s) location. The following shall be addressed in the Affidavit or Affirmation:
Affidavit or Affirmation Information
* Date fabric was last treated with flame retardant solution. * Trade Name or kind of chemical used in treatment. * Name of the person or firm treating the material. * Name and address of the owner of the tent.
Interior Plans
Please upload or provide an Interior Plan showing proposed location of displays, tables, seating, number of exits and location of aisles.
Occupation Load
Maximum Occupant Load will be determined with the Interior Plans provided.
Sketches, Maps, Site Plans and Drawings
Please upload or provide any and all pertinent files of Sketches, Maps, Site Plans, Evacuation Routes and Drawings showing the location of fire protection equipment and/or the operation in its entirety to include showing distances of the tent or structure to adjoining buildings, property lines and roads.
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Application Details Information

Application Agreement
Permit Fee: $100.00
Payment
Upon completion of the Application, Date when the Application will be signed, then select Send and Print. This will allow you to print the Application for your signature. Sign in the Applicant's Signature space. Bring signed application in when making the payment for the permit. Payments are required to be paid in full prior to the issuance of the Permits, and can be made by Check, Cashier's/Banker's Check, Money Order or Credit/Debit Card Payment** at the Kinston Department of Fire and Rescue (Headquarters) Station 1, 401 E Vernon Avenue, Kinston, North Carolina 28501, during business hours, or by mailing or delivering a Check, Cashier's/Banker's Check or Money Order made out to the City of Kinston in care of the Kinston Department of Fire and Rescue at P. O. Drawer 339, Kinston, North Carolina 28502. ** (Conditions of Credit/Debit Card Payment can be made over the phone with the Administration Assistant of the Kinston Department of Fire and Rescue by calling 252-939-3164)
Date and Time of Payment Instructions*
Date and Time of Payment Instructions
Date and Time of Payment Instructions
By marking the date and time indicates that the instructions have been read and Applicant is agreeing to contacting the Administration Assistant to schedule and make the payment prior to issuance of the Permit.
The Undersigned hereby makes application for a permit and the inspection of all work described above and hereby agrees to comply with all regulations and other Laws applicable to the use and type of work being performed.
Applicant's Signature
Date Signed
Date Signed
Approval Signature
Date Approved
Date Approved
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Application Agreement

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Mandatory Operational Permit Application for Tents and Air Supported Structures in Excess of 700 Square Feet (net)

Steps

Step One

Application Contact Information

Application Details Information

Application Agreement

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