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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 (TENANT FINISH) PERMIT APPLICATION
1. Building Permit Application: Completed Application for Other Structures shall be
submitted.
2. Four (4) Sets of Building Plans: Plans shall have a seal from a design professional and
shall be designed in accordance with 2003 International Building Codes as adopted by
the City of Louisburg. One set of plans will be returned with the building permit. This set
should be kept on the job site during construction.
3. Four (4) Sets of Sprinkler Plans: One set of plans will be returned with the building
permit. This set should be kept on the job site during construction.
Inspections:
1. Rough Inspection (including):
Electrical
Plumbing
Mechanical
Structural
2. Sprinkler Inspection
3. Gas Pressure Inspection (Interior)
4. Overhead Ceiling Inspection
5. Hood Inspection (Restaurants Only)
6. Final Inspection
Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
COMMERCIAL (TENANT FINISH) PERMIT APPLICATION
The following inspections are required on all new construction:
The building permit must be posted at the job site.
1. 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.
2. Electrical: Electrical service inspection shall be done when meter base or disconnected is
set, and the underground or overhead has been run.
3. Gas: Gas inspection pressure test at 10 psi for 15 minutes.
4. Fire Sprinklers: Submit four (4) copies of plans for review prior to installation. Test
sprinkler system upon completion of installation.
5. Fire Hood: Contact Louisburg Fire Chief at 913-837-4700 for inspection.
6. Other Inspections: Other inspections as required for the specific project.
7. Final Inspection: A Certificate of Occupancy may be issued upon completion of the
project. A temporary Certificate of Occupancy may be issued if there are items not
completed that are not life safety issues. Cost 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 913-837-5811 and leave the following information:
Site Address
Contractor’s Name
Type of Inspection
Permit Number
Contact Name 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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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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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: _________________________________________________________________________
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Completed 13 July 2020

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