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Home My WebLink AboutLA165243BUILDING PERMIT APPLICATION COMMERCIAL AND INDUSTRIAL CONSTRUCTION CITY OF LAKEVILLE BUILDING INSPECTIONS DEPARTMENT 20195 HOLYOKE AVENUE LAKEVILLE, MN 55044 952-985-4440 Office Use Only ___________________ Permit Number ___________________ Received By ___________________ Date Received ___________________ Fee Total JOB SITE ADDRESS: __________________________________________SUITE# __________________ SITE BUSINESS NAME: _________________________________________________________________ LEGAL DESCRIPTION: LOT _____ BLOCK_____ SUBDIVISION: ______________________________ APPLICANT: _______________________________ EMAIL: ___________________________________ OFFICE PHONE: ________________CELL PHONE: ___________________FAX: __________________ STREET ADDRESS: ___________________________CITY:_______________ ST: _____ZIP: _________ CONTRACTOR: ____________________________ EMAIL: ___________________________________ OFFICE PHONE: ________________CELL PHONE: ___________________FAX: __________________ STREET ADDRESS: ___________________________CITY:_______________ ST: _____ZIP: _________ ARCHITECT: ____________________________________ LICENSE#: _____________ CIVIL ENGINEER: ________________________________ LICENSE#: _____________ STRUCTURAL ENGINEER: ________________________ LICENSE#: _____________ MECHANICAL ENGINEER: ________________________ LICENSE#: _____________ ELECTRICAL ENGINEER: _________________________ LICENSE#: _____________ VALUATION OF WORK (excluding land): ____________________ SQUARE FOOT ________________ IS BUILDING SPRINKLED? _________________________ STANDPIPES? _______________________ I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE, THAT I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN. NAME OF APPLICANT (Please Print) _____ APPLICANT’S SIGNATURE: ___________________________________DATE: __________________ www.lakevillemn.gov COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION PAGE 2 OFFICE USE ONLY BUILDING PERMIT TYPE:CODE INFORMATION Apartment Building Commercial Bldg – New Commercial Bldg – Add/Remodel Industrial Bldg – New Industrial Bldg – Add/Remodel Tax Exempt Bldg – Add/Remodel Tax Exempt Bldg – New Commercial Re-roof/Reside Retaining Wall Buildings Moved Buildings Demolished Footing/Foundation Only Grading Miscellaneous VALUATION: $REQUIRED INSPECTIONS: PERMIT FEES:FOOTING PERMIT FEE: $FOUNDATION PLAN CHECK $FRAMING STATE SURCHARGE $INSULATION M.C.E.S. SAC UNIT (___) $FIREPLACE WATERMAIN UNIT (___) $SITE SANITARY SEWER UNIT (___) $OTHER SANITARY SAC UNIT (___) $BUILDING FINAL ESCROWS $ OTHER $ TOTAL FEES: $ APPROVALS: PLANNING or CED DIRECTOR:DATE: CITY ENGR or ASSIST CITY ENGR:DATE: FIRE MARSHAL:DATE BUILDING OFFICIAL:DATE: IBC Occupancy Group Type of Construction Fire Suppression System Zoning District Code Edition