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U.S.A. forms for City of Louisburg

BROWSE CITY OF LOUISBURG (KS) FORMS

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Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
COMMERCIAL BUILDING REQUIREMENTS
Building Permit Application:
Completed Application for Other Structures.
Completed Application for Commercial Water and Sewer.
Completed EFV form.
Five (5) sets of Building Plans:
Plans shall have a seal from a design professional and shall be designed in accordance
with the 2003 International Building Code as adopted by the City of Louisburg. One set
of plans will be returned with the building permit. This set is to be kept on the job site
during construction. The cost of a plan review will be added to the building permit fee.
Five (5) copies of Site Plan:
As approved by the Planning Commission.
Property Deed:
Showing legal ownership and the legal description of the property.
Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
COMMERCIAL BUILDING INSPECTIONS
The following inspections are required on all new construction:
The building permit must be posted at the job site.
1. Footings: All footings shall be inspected prior to concrete being poured.
2. Foundation Walls: All foundation walls shall be inspected prior to concrete being
poured.
3. Underslab Utilities: All underslab plumbing and electrical shall be inspected prior to
covering.
4. Concrete Slabs: All concrete slabs shall be inspected prior to concrete being poured.
5. Concrete Flatwork (Public): City sidewalks and approaches shall be inspected to
concrete being poured. Five (5) foot sidewalks shall have three (3) #4 bars across the
entire length of the sidewalk. Provide crossbars for rebar. Rebar shall be on chairs.
Sidewalks and approaches shall have Granite Mix concrete. Minimum thickness of
approaches shall be 6 inches. Approaches shall have at a minimum #4 rebar on a 24-inch
grid, tied 50%, and on chairs. Approaches shall have a maximum slope of 1/4”per foot.
6. Concrete Flatwork (Private): Inspection is required prior to concrete being poured.
7. Braced Wall Inspection: Inspection of braced walls in building.
8. Window Inspection: Inspection of window installation and flashing.
9. Rough-in Inspection: Inspection includes plumbing, electrical, mechanical, and the
framing of the structure. Inspection is required prior to the installation of any insulation
or sheet rock.
10. Electrical: Electrical service inspection shall be done when meter base or disconnect is
set, and the underground or overhead has been run.
11. Sewer: Sewer shall be inspected prior to covering pipe.
12. Gas: Gas inspection pressure test at 10 psi for 15 minutes.
13. Water Main: Pressure test and chlorination required prior to acceptance by City.
14. Fire Sprinklers: Submit plans for review prior to installation. Test sprinkler system upon
completion of installation.
15. Knox-Box: Obtain Knox Box application from Louisburg Fire Chief (837-4700). Contractor
shall coordinate the location of the Knox Box with Fire Chief. Inspection to ensure
installed location is acceptable.
16. Storm Water Detention: Inspection required for underground detention piping,
detention pond and outlet structure, and all inlets and piping prior to being covered.
17. Asphalt: Inspection to ensure proper drainage to storm water inlets.
18. ADA Access: Inspection of ramps to building for proper slope and installation. Inspection
of walkway from city sidewalk to building.
19. Site Plan: Inspection to ensure compliance with site plan: exterior of building, trash
enclosure, landscaping, etc.
20. Other Inspections: A Certificate of Occupancy may be issued upon completion of
project. A temporary Certificate of Occupancy may be issued if there are items not
completed that are not life safety issues. Cost of a temporary Certificate of Occupancy is
$2,000 for 90 days ($1,750 refundable upon final inspection.)
It is the responsibility of the contractor to call for inspections and to verify they are completed
before any work progresses. To schedule an inspection, call the Building & Zoning Department
at 837-5811 and leave the following information:
Site Address
Contractor’s Name
Type of Inspection
Permit Number
Contact and Phone Number
Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
APPLICATION FOR OTHER STRUCTURES
Date: _____________ Permit # ______________________________
Property Owner: ____________________________________________________________________________________
Property Owner Address: _________________________________________ Phone: _____________________________
Contractor: (Must be Licensed in Miami County)
Contractor Name: ___________________________________________________________________________________
Contractor Phone: ______________________________ Email: _______________________________________________
General: _________________________________________ Mechanical: _______________________________________
Electrical: ________________________________________ Plumbing: _________________________________________
Foundation: ______________________________________ Site Utility: ________________________________________
Roofing: _________________________________________ Fire Sprinkler: ______________________________________
Description of structure to be constructed: _______________________________________________________________
Estimated cost of new construction: _____________________________________________________________________
Size of structure: Width ____________ Length ____________ Total square footage ____________
Intended use of structure: _____________________________________________________________________________
Principal material to be used in construction: _____________________________________________________________
I, ______________________, hereby certify that the information provided herein is true and correct and that all Zoning
Regulations shall be complied with. I certify that all contractors listed above are licensed under the Miami County,
Kansas, Contractor Licensing Code. I further understand that any permit based upon false or incorrect statements of a
material fact necessary to the issuance of the permit, shall be void.
Date: _____________ Signature: __________________________________________________
Office Use Only
ATTACHED:
_____________ Site Plan _____________ Building Plans _____________ Date Paid
_____________ Amount Due _____________ Receipt #
Assigned address: ___________________________________________________________________________________
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Office of Utilities
215 S. Broadway, Louisburg, KS 66053
913-837-5371 · louisburgkansas.gov
Application for Gas and/or Water Service for the Builder
Date: _____________
Do you want: Gas: __________ Water: __________
Builder Name: ______________________________________________________________________________________
Mailing Address: ____________________________________________________________________________________
Contact Name: ______________________________________________________________________________________
Contact Phone: _______________________________________ Email: _________________________________________
Address for service: _________________________________________________________________________________
Lot # __________ Subdivision: _________________________________________________________________________
Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
Natural Gas Requirements
Name: _______________________________________________________________________________
Meter Address: ________________________________________________________________________
Type of Units BTU each Comments
Furnace 1: ________
Furnace 2: ________
Water Heater 1: ________
Water Heater 2: ________
Fireplace: ________
Cooktop: ________
Grill: ________
Generator: ________
Other: ________
Other: ________
Other: ________
TOTAL BTUs
Name: _______________________________________________________________________________
Signature: _________________________________________________________ Date: ______________
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Completed 13 July 2020

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