HomeMy WebLinkAboutPermit Miscellaneous 1996-7-11 •
CITY OF SPRINGFIELD
INSPECTIONS 726-3769 225 North 5th Street BUSINESS 726-3753 •
BUILDING MOVING PEMIT/BUILDING DIVISION 3 P
OLD ADDRESS NEW ADDRESS Furnished b Building Div.)
3306 SC: \ l View .S3 r ,e d
Legal Descri Lion / Legal Description
k1 D?L20(t1Q0 ( t 1 o3as03 COc60
Building Owner Address Phone
S�c.c; n • 3 Coq, 3gos' -b�ld,r Uw, ?y6 kcIclLl
Moving Firm Address Lics # Exp. Phone
On f1.5 ..Jio&9 7- X27 ' '. �9 LM 3y-723 3
Des iptitn •�- Intended Use CITY DESIGNED 19_ �{1I�J�i
1 I . . 1 / 'fin/U( ,`/�L
Description of Route. . ,
OAS•\ s\veet SCANNED
Description of Building /' . •
Square Footage lq9 6 Moving Length 5 G Moving Width IN Height On Dolly 261 ' •
Number Of Sections Being Moved 1 Type Of Construction ',fogy rfcti4ALUATION e
NOTIFICATION OF MOVE: The Building Division PLANS, FEES, AND CHARGES: Prior to receiv-
will route copies of this application to all 'ing a permit to move a building to property
appropriate divisions, departments and Agen- within the City, the applicant or his/her
cies. HOWEVER, the applicant must contact authorized representative must:
property owners if trees are involved in the 1. Submit 2 copies of site or plot plan
I proposed move. IN ADDITION, the applicant for new site.
must secure the approval of all appropriate 2. Submit 2 copies of foundation plan for
municipal, county and state authorities the relocated building.
should the move originate or terminate out- 3. Obtain a permit covering the new founda-
side the City of Springfield. tion, as well as all plumbing/mechanical
and electrical work relating to the re-
located building.
4. Pay Systems Development Charge if appli-
cable. lT
SEWER CAP: Buildings moved from within the SEPTIC TANK REQUIREMENTS: Prior to moving,
City limits shall have the sewer capped at . owner shall have all sludge from the septic
the property line and inspected one working tank, seepage pit or cesspool removed by a 0.'
day prior to the move. If the 'inspection person holding a sewage dispoal service li-
indicates that the sewer has not been prop- cense, and shall fill same with clean bar-
erly capped, the moving permit will be run gravel or other material approved by the
revoked. b tau SL 2� �a To
Director or his authorized representative.
I CERTIFY THAT t e a o e information is true and correct, that all required .contact have
been m^a° c,na nathorizations obtained, that the move will begin at 0 o'clock 'am ,y__
on and will be completed by r)0fl o'clock am/pm on a;_��_� �
and that o changes in the route will be made wi .hout contacting the Building I;vis on. I
also certify that I have been informed that NO PERMIT WILL BE ISSUED BEFORE 5 WORKING DAYS
HAVE ELASPED. I further certify that my registration with the Builder's Board is in full
force and effect as required by ORS 701.055 and 701.070, and that if exempt the basis is
noted hereon. Basis for Builder's Board Exemption: �J
NAME P -I Crci - SIGNATURE 1��i/ ,� DATE /2/796
J r FOR OFFICE USE/ONLY I . l
ZoneV�/�J�1.K-Pfood Plain Type of Construction 1/JV Occupancy Group
Stories J Living Units 1 Square Footage VALUE
n 1 C1 '�
Application fez $.1: .00 - Date Paid _ L9 eceipt Number _se,,- ADO
p 45n. �'.'li
Permit fe - ' 60.00 ate Paid Receipt Nu�ber '
f
Number of B oc s over 6 0 .60¢ X Amount dchofrit n,•
_ . _ ,-_ . .... .tea-=^ - -teti 1 / C'.4I .""•ais'
V Police Department V Willamalane Park and Recreation ✓Rainbow Water / SUB
l/ Fire bepartment V Pacific NW Bell Group W Cable
L/Northwest Gas ,/Lane Transit District s/Lane County A F, T
OTHER -- specify
BUILDING MOVING SiIT •RMIT VALIDATION
•
I . Applicant to furnish (except as indicated)
A. Old address for building
B. Legal Description
C. New address for building
(Building Div. will furnish)
D. Legal Description
E. Name, etc. of building owner
F. Name, etc. of moving firm
G. A description of intended use
H. A description of proposed route
I . A description of the building
II. Applicant to contact property owners if trees .
involved, and secure authorizations from
other jurisdictions as necessary. ON-
e.',III . A site or plot plan, and foundation plan must .
be submitted for the new site (2 sets)
IV. Plans must also be submitted for any other
work relating to the relocated building.
V. Fees & Charges:
A. Application fee due and payable at time
%ine‘R,/"'of'apphicati�on
B..-Movi:ng% penult fees due and payable upon
permit issuance . . •
C. FEES & CHARGES TO BE CALCULATED BY
BUILDING DIVISION STAFF •
VI. FOR OFFICE USE ONLY
A. Plan check data collected
B. Copies of application to appropriate .
divisions, departments and agencies PERMIT CLERK 4•11/40-a•
BUILDING DIVISION REPORT: • •
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TRAFFIC DIVISION REPORT: •
•
l�® A P o e F 2- e i'y /=p l c fz i;,f 6 3 / Ivcc trr , Conu ei
/KGsgai.54/Sm5142 Pe7 &9PF T7e-er—A3e .Ceir,-0‘_ I:W--6 En eatic -
By 4-a/(746 Date r/6/4G
ENGINEERING DIVISION REPORT:
oGyI�IER/LonreAcro2 15 ICLSP0,-416 •1 co2 fPiiik6C5 To
•
P/ei UAVE oR- Pu5u L P9-.opE2TH
By TemWI/4er Date .7/i1/4
ADDITIONAL PROJECT INFORMATION:
By Date •