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Junction City Geary County City of Milford
Job Address____________________________________________________ Start Date _________________
Commercial ______ Residential ______ Occupancy: ______ Type of Construction: ______
Structure use:
____________________ Legal Description: _______________________________________________
NAME MAILING ADDRESS/CITY/STATE/ZIP PHONE
PROPERTY OWNER
OWNER as CONTRACTOR
I, AS OWNER, WILL RESIDE AT THE ABOVE LISTED JOB ADDRESS
AS MY PRIMARY RESIDENCE ONCE CONSTRUCTION IS
COMPLETED.
Signature
FULL NAME OF CONTRACTOR/ COMPANY AS LISTED ON LICENSE
BLDG CONTRACTOR
Electrical Contractor
Plumbing Contractor
Mechanical Contractor
Concrete Contractor
Gas Contractor
Sewer Contractor
Engineer/Architect
MH Install Contractor
Class of work: New Addition Remodel Replace Repair Fire Fencing MH
Describe Work to be Performed: _______________________________________________________________
_______________________________________ Project Valuation (Total): $________________________
Living Area ________________SF Units ______________ Fence Material ______________
No. of Bedrooms ______ No. of Bathrooms ______ No. of Fireplaces ______ Levels/Stories ______
Garage ________SF
Attached Detached Basement ____________SF Finished Unfinished
Heating-A/C:
Gas Oil Propane Electric Heat pump other _______________
Central Air
TYPE of ROOF ____________________________ No. of Squares ________________
Land Area _______________SF or ACRE
Water Supply:
City Water Rural Water Private Well
Meter Size ________ Line Size ________
Sewage Disposal:
City Sewer Septic Lagoon
Off-Street Parking ______ No. Enclosed ______ No. Outdoors ______
Building Permit Application – New Construction
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In case of emergency, vandalism, or any other need to contact someone, please list at least 1 (one) On-Site/After
Hours Emergency Contact for the City of Junction City Police or Fire Departments to contact if necessary.
On-Site/After Hours Emergency Contact: 1.__________________________________________________________
Phone Numbers: ______________________________________________________________________________
On-Site/After Hours Emergency Contact: 2.__________________________________________________________
Phone Numbers: ______________________________________________________________________________
On-Site/After Hours Emergency Contact: 3.__________________________________________________________
Phone Numbers: ______________________________________________________________________________
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE CODES OF THE CITY OF JUNCTION CITY AND/OR GEARY COUNTY, KANSAS. I CERTIFY
THAT THE FACTS AND INFORMATION IN THIS APPLICATION, INCLUDING ANY ATTACHMENTS, ARE TRUE, COMPLETE, AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I FURTHER CERTIFY
THAT THIS APPLICATION DOES NOT CONTAIN ANY FRAUDULENT, MISREPRESENTED OR FALSE STATEMENTS.
______________________________________________ _____________________
Applicant Signature Date
Permit Application must be completed in its entirety with all required attachments and must be
signed by the applicant or it will not be processed.
PERMITS MUST BE POSTED ON THE JOB SITE AND VISIBLY SEEN FROM THE ROADWAY.
NOTE: An attachment must accompany this application showing, by surveyor’s certificate on an approved drawing, the location of the proposed
construction. The drawing must be signed by the applicant.
***OFFICE USE ONLY***
PARCEL ID:________________________________________________
Use Zone Plot Plan Flood Plain Elevation Site Insp. Record Meter Order
PLANS ZONING ENGINEERING TAXES PAID OFFICE
APPROVED BY:
METER FEES $__________________
__________________________________________________ PERMIT FEES $ __________________
Code Administrator Approval Date CRAFT FEES $ __________________
TOTAL FEES $__________________
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1. Permits are not approved until you have them in your possession.
2. A Storm water Prevention Plan shall be on site until the entire site has 70% vegetation and a notice of
termination has been sent to KDHE.
3. A stop work order may be placed upon builders until such time that a site investigation reveals proper
erosion and sediment control has been completed.
4. Required Inspections –
Footing / Foundation
Underground Plumbing
Sewer Tap, Trench & Compaction
Water Line, Trench & Compaction
Framing
Rough Electrical, Rough Plumbing, Rough Mechanical
Final Electrical, Plumbing, Mechanical, Wall Finishing’s, Grading, Sidewalks, Driveways and Erosion
Control.
NOTE: No inspection will be done if erosion control is not in place and road way is not cleared of mud and
construction debris.
5. Zoning Requirements –
Setback in accordance with City Ordinance Section 405
Storm water run off in accordance with City Sub Division Regulation
Site Plan prepared and signed by a registered Kansas design professional, drawn to Scale
No obstruction in easement i.e. fences, tress, shrubs, detached buildings
6. Drawings –
Any project larger than a Duplex will require four (4) sets of prints that have been stamped by an approved
engineering firm of the State of Kansas. All residential projects will require a copy of the site plan/survey.
7. I, the undersigned, have read and agree to the requirements as listed above,
Printed Name Signature Date
Building and Code
Department
PO Box 287
700 N Jefferson
Junction City, KS 66441
785-238-3103 ext 182
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