Building Permit Application

This application can be emailed to t.roberts@galenaks.gov or dropped off at the City Clerks office at 211 W 7th St. Galena, Kansas 66739. For more information contact us at 620-783-5265 ext. 6. Please make sure all building plans are included with your application. All permit and inspection fees are due at the time of request. Inspection fees are $75.00 each. Building Permit must be approved by the Building Inspector before any work may be done.

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Application for Building Permit and Certificate of Occupancy

Building codes ad requirements can be found on our Website. We follow all 2018 International Building Codes. All permit fees and inspections must be paid for before Construction can begin. Only the Building Inspectors have the right to approve permits.

Building Address *

Address Line 1

Address Line 2

City

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Zip Code

Lot No.

Block No

Zoning District

• R1- Residential One Family
• R2 – Residential Two Family
• R3 – Residential Multi Family
• C1 – Commercial
• C2 – Commercial
• M1 – Manufacturing
• M2 – Manufacturing
• MHP – Mobile Home Park
• A – Agriculture

Owner Name *

First

Last

Owner Mailing Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Owner Email *

Contractor Name

If other than self. Contractor must hold a City of Galena Business License.

Contractor Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Contractor Phone

Contractor Email

Value of Construction *

Date project is expected to be complete *

Class of Work *

• New
• Demolish
• Alteration
• Repair
• Addition
• Move

Will surface drainage affect adjacent property? *

• Yes
• No

File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Plot plan is required on all new builds. Please attach all supporting documents.

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