BUILDING & CONSTRUCTIONPERMIT APPLICATION
CITY OF LEON
KANSAS
Permit #
111 S. Main Street • Leon, KS 67074 • 316-742-3438
Complete all applicable sections and attach required plans. Incomplete applications may delay review.
IMPORTANT: Submission of this application does not authorize construction. Work may begin only after the City issues the applicable permit. The permit must be posted at or near the front of the permitted structure. Please provide at least 24-hour notice when requesting a City inspection.
1. APPLICANT, OWNER & PROPERTY INFORMATION
Applicant / Permittee Name*
*
First Name
Last Name
Applicant Phone*
*
Format: (000) 000-0000.
Applicant Email*
*
exemple@exemple.com
Applicant Mailing Address*
*
Numéro et rue
Complément d'adresse
Ville
Département/Région
Code postal
Project Address*
*
Numéro et rue
Complément d'adresse
Ville
Département/Région
Code postal
Record Property Owner*
*
First Name
Last Name
Owner Phone / Email
Legal Description*
*
Parcel / CAMA # (if known)
If the applicant is not the record property owner:
Owner authorization is attached
Applicant is authorized agent/contractor.
2. PROJECT TYPE, CLASSIFICATION & USE
Permit Type*
*
New Principal Structure
Addition
Alteration/Remodel
Accessory Building
Fence
Modular Home
Other
Proposed Use*
*
Single-Family
Duplex
Triplex / Multiple Dwelling
4+ Dwelling Units
Commercial
Accessory/Storage
Other
Number of dwelling units:
Will units be rented?
Yes
No
N/A
Building Classification
Principal Building
Accessory Building
State/Local-Code Modular Home
Other
Existing principal structure on property?
Yes
No
Existing accessory structures?
Yes
No
3. PROJECT DETAILS
Description of Work*
*
Width
*
Length
*
Height
*
Stories: {{STORIES}}
*
Finished / Habitable Area
Estimated Total Project Value*
*
Estimated Start Date*
*
-
Mois
-
Jour
Année
2 digit month, 2 digit day, 4 digit year
Date
Estimated Completion Date*
*
-
Mois
-
Jour
Année
2 digit month, 2 digit day, 4 digit year
Date
For a triplex or other multi-unit project, the proposed use and number of dwelling units must match the plans submitted with the application.
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BUILDING &CONSTRUCTIONPERMIT APPLICATION
Permit #
4. REQUIRED PLOT / SITE PLAN & SETBACK INFORMATION
The plot/site plan must show all of the following. You may attach a separate survey/site plan OR draw the plan in the space below.
Property lines and lot dimensions
Street(s) and right-of-way
Known easements
Proposed building footprint and orientation
Existing buildings/structures
Driveway, hard-surfaced walks/terraces and parking areas
All setback measurements
Additional porches/decks/steps/patios/garages/carports
General private water/sewer entry locations
4. REQUIRED PLOT I SITE PLAN & SETBACK INFORMATION
Rows
Code Minimum
Proposed
City Verified
Front property line
Left side property line
Right side property line
Rear property line
Principal-building setbacks above apply under City Code §4-601. If this application is for an accessory building or fence, complete the applicable conditional section below because different placement rules apply.
5. CONDITIONAL PLACEMENT INFORMATION Complete only the subsection(s) that apply.
ACCESSORY BUILDING (garage, shed, barn, outbuilding, etc.) Rear lot-line distance:
Distance to nearest building:
Side lot-line distance:
Rear-yard coverage by accessory building:
Empty residential lot?
Yes
No
Lot area:
If on empty lot ≥12,500 sq. ft.:
Located on back half of lot
Required area remains for future primary dwelling.
FENCE Fence material:
Height:
Corner lot?
Yes
No
Location:
Front/Street Side
Side
Rear
Finished side faces outward?
Yes
No
Unplatted property?
No
Yes
If yes, distance from street right-of-way:
6. SITE PLAN SKETCH Not to scale is acceptable if all dimensions and required items are clearly shown.
Site Plan Sketch Area
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BUILDING & CONSTRUCTIONPERMIT APPLICATION
CITY OF LEON
KANSAS
Permit #
111 S. Main Street • Leon, KS 67074 • 316-742-3438
7. RESIDENTIAL / MULTIPLE-DWELLING INFORMATION Complete for any project containing dwelling unit(s).
Floor Plans Attached*
*
Yes
No
Other
Unit 1: {{UNIT1_AREA}} sq ft
Unit 2: {{UNIT2_AREA}} sq ft
Unit 3: {{UNIT3_AREA}} sq ft
Other: {{OTHER_UNIT_AREA}}
Entrances / Egress
Each dwelling unit has a normally used separate access: Yes
Each dwelling unit has a normally used separate access: No
Secondary exit available: Yes
Secondary exit available: No
Bathing / Toilet
Each unit has bathtub/shower, lavatory and flush toilet: Yes
Each unit has bathtub/shower, lavatory and flush toilet: No
Kitchen
Each dwelling unit has a kitchen sink with public water/sewer connection: Yes
Each dwelling unit has a kitchen sink with public water/sewer connection: No
Heating
Each unit is designed to be capable of maintaining 70°F under ordinary winter conditions: Yes
Each unit is designed to be capable of maintaining 70°F under ordinary winter conditions: No
Ventilation
Habitable rooms use: Openable windows
Habitable rooms use: Approved mechanical ventilation/air conditioning
Habitable rooms use: Combination
Water Heating
Each dwelling has water-heating facilities serving required fixtures: Yes
Each dwelling has water-heating facilities serving required fixtures: No
Attached Garage?
No
Yes — fire-resistant separation details are shown on plans
Basement Dwelling Unit?
No
Yes — ventilation/egress details are shown on plans
8. MODULAR HOME INFORMATION Complete only if the dwelling is represented as a modular home.
Manufacturer
Model
Serial / Unit ID
Construction Standard
Documentation confirms home was built offsite to applicable local/state code: Yes
Documentation confirms home was built offsite to applicable local/state code: No
Manufacturer certification/data documentation attached
Installation Documents
Manufacturer installation specifications attached
Floor plans/elevations attached
Foundation Support
Foundation itself supports the home: Yes
Foundation itself supports the home: No
If the proposed dwelling is actually a mobile home rather than a modular home, Article 2 contains separate placement requirements. Check with City staff before placement.
9. FOUNDATION INFORMATION Complete for new principal residential structures and whenever a new permanent foundation is proposed.
Foundation Type
Slab
Crawlspace
Basement
Stem Wall
Other
Foundation Contractor
Footing Depth*
*
At least 30 inches? Yes
At least 30 inches? No
Other
Width: {{FOOTING_WIDTH}} in
Thickness: {{FOOTING_THICKNESS}} in
Material: {{FOUNDATION_MATERIAL}}
Width/Thickness: {{FOUNDATION_WALL_SIZE}}
Reinforcement
Anchoring / Attachment
Plans / Specifications
Foundation plan/specifications attached
Manufacturer foundation requirements attached (if applicable)
Engineer Design
Engineer-stamped design required by project/manufacturer? No
Engineer-stamped design required by project/manufacturer? Yes — attached
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BUILDING & CONSTRUCTION PERMIT APPLICATION
Permit #
10. GRADING, DRAINAGE & STORMWATER
Final Grading: Describe how the site will be graded so water does not pool:
Roof Runoff: Downspouts / roof runoff discharge to:
Foundation Drain / Sump: Proposed?
Yes
No
Foundation Drain / Sump: Discharge location:
Confirmed
Drainage Attachment
Grading/drainage plan attached
Drainage shown on site plan
Written description provided above
11. CITY WATER & SEWER COORDINATION
City Water Needed?
Yes
No
Number of water meters/services requested:
Water Metering
One meter for building
Separate meter(s)/branch service requested
Other details
City Sewer Needed?
Yes
No
Number of building sewer services requested:
Private Service Entry: General water/sewer entry locations are shown on the plot/site plan:
Yes
No
City Coordination Contact
First Name
Last Name
City Coordination Contact Phone
Format: (000) 000-0000.
The City will coordinate the municipal water and sewer taps. Private building sewer work remains subject to applicable City sewer requirements and inspection before backfill where required.
12. ADDITIONAL IMPROVEMENTS INCLUDED WITH THIS PROJECT
12. ADDITIONAL IMPROVEMENTS INCLUDED WITH THIS PROJECT
Rows
Steps / Landing
Attached Garage
Detached Garage
Driveway
Shed / Accessory Building
Dimensions / location notes for checked items:
13. CONTRACTORS & CITY TRADE LICENSE VERIFICATION
13. CONTRACTORS & CITY TRADE LICENSE VERIFICATION
Rows
Business I Contractor
Phone
City License #
Insurance on File
Master/State License (if applicable)
General Contractor
Foundation / Concrete
Electrical
Plumbing
HVAC
Roofing
Other
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BUILDING & CONSTRUCTION PERMIT APPLICATION
CITY OF LEON
KANSAS
Permit #
111 S. Main Street • Leon, KS 67074 • 316-742-3438
14. REQUIRED ATTACHMENTS CHECKLIST
Required Attachments Checklist
Legal description of property
Building/floor plans (new dwelling or multi-unit project)
Foundation plan/specifications
Modular certification/data and installation specs, if applicable
Accessory-building information, if applicable
Contractor trade-license documentation not already on file
Master Plumbing license information, if applicable
Kansas roofing license, if applicable
Plot/site plan with dimensions and setbacks
Exterior elevations / manufacturer plans, if applicable
Grading/drainage information
Owner authorization, if applicant is not record owner
Fence material/height/location information, if applicable
Current comprehensive general-liability insurance not already on file
Master Electrical license information, if applicable
Other
15. APPLICANT CERTIFICATION
I HEREBY CERTIFY that I have read and examined this application and that the information provided is true and correct to the best of my knowledge. I understand that all applicable provisions of federal, state, county and City of Leon laws and ordinances governing this work must be complied with whether or not specifically listed on this application. Issuance of a permit does not authorize violation of any law, ordinance, easement, right-of-way, property boundary, or other applicable requirement. I authorize City representatives to conduct inspections permitted by law and applicable City Code in connection with this project.
15. APPLICANT CERTIFICATION
Rows
{{SIGNER_NAME}}
Signature
Date
Property Owner Signature (if required)
CITY OFFICE USE ONLY
Application Received
-
Mois
-
Jour
Année
2 digit month, 2 digit day, 4 digit year
Date
Received By
Application Fee
Inspection Fee
Plan Review Fee
Other Fee
Verified
Verified
Plot Plan
Complete
Incomplete
Setbacks
Verified
N/A
Trade Licenses
Verified
N/A
Insurance
Verified
N/A
Utility Coordination
Water
Sewer
N/A
Permit #
Decision
Approved
Approved w/ Conditions
Denied
More Info Required
Decision Date
-
Mois
-
Jour
Année
2 digit month, 2 digit day, 4 digit year
Date
Approved / Reviewed By
Title
Permit Expiration / Extension
Conditions / Notes
CITY INSPECTION / REVIEW LOG
CITY INSPECTION I REVIEW LOG
Rows
Date
Result
Inspector I Staff
Notes
Site / Setback
Footing / Foundation
Sewer / Underground (if applicable)
Other
Final
CODE BASIS USED TO DESIGN THIS APPLICATION (for City administration): Leon City Code §§4-101–102 (Accessory Buildings); 4-401–406 (Fences); 4-601–602 (Building Structure and Setbacks); 4-701–706 (Trade License Permits); 4-201(e),(m) and 4-202(o) (Modular Homes); 8-402, 8-404(h),(w), 8-406 and 8-411 (Minimum Housing Code); 15-201–204 (Water); 15-304–305 (Sewers). The online City code reviewed for this form states it is current through Ordinance No. 2025-05, adopted July 7, 2025. Any later adopted ordinance or City policy should be incorporated before final implementation.
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