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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
APPLICATION FOR REPAIRS
(Reroof, Electrical, Mechanical, Kitchen Remodel, Plumbing, Decks, Sprinklers, Etc.)
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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April 17, 2018
Subject: City of Louisburg Ice Shields /Underlayment and cricket Requirements
The City of Louisburg requires the homeowner or contractor to obtain a permit prior to all roof
repairs and new installations. The City uses the 2003 International Residential Code (IRC). We
require Ice Shields and Underlayment in accordance with the IRC. Please reference IRC Chapter
9, paragraph 905.2.7.1.
"In areas where the average daily temperature in January is 25°F (-4°C) or less or when Table
R301.2(1) criteria so designates, an ice barrier that consists of a least two layers of
underlayment cemented together or of a self-adhering polymer modified bitumen sheet, shall be
used in lieu of normal underlayment and extend from the eave's edge to a point at least 24 inches
(610 mm) inside the exterior wall line of the building.”
In addition the City requires all drip edges to be replaced and crickets/saddles in accordance with
the IRC. Please reference IRC Chapter 9, paragraph 905.2.8.3.
If you have any questions please contact the Planning & Zoning office at (913) 837-5811.
Rusty Whitham
City of Louisburg Planning & Zoning
215 South Broadway
Louisburg KS 66053
913-837-5811
rwhitham@louisburgkansas.gov
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Completed 13 July 2020

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