Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
APPLICATION FOR ADDITIONS
Date: _____________ Permit # ______________________________
Applicant Name: ____________________________________________________________________________________
Property Owner: ____________________________________________________________________________________
Property Owner Address: _________________________________________ Phone: _____________________________
Contractor: (Must be Licensed in Miami County) Circle type of contractor: General / Mechanical / Foundation / Roofing
Electrical / Plumbing / Site Utility / Fire Sprinkler / Irrigation
Contractor Name: ___________________________________________________________________________________
Contractor Address: _________________________________________________________________________________
Contractor Phone: ___________________________________________________________________________________
Legal description of building site: (attach copy of deed).
Describe proposed work to be done: ____________________________________________________________________
Estimated cost of new construction: _____________________________________________________________________
Size of structure: Width ____________ Length ____________ Total square footage ____________
Describe present use of existing structure: ________________________________________________________________
Will structure require sanitary facilities: ________ If yes, please explain: ________________________________________
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:
_________ Copy of Deed _________ Entrance Permit _________ Date Paid
_________ Site Plan _________ Sanitation Permit _________ Receipt #
_________ Building Plans _________ Amount Due
Assigned address: ___________________________________________________________________________________
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