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HomeMy WebLinkAboutPermit House Move 1994-9-22 " _.CITY OF SPRINGFIELD 225 North 5th Street INSPECTIONS 726-3769 e- BUSINESS 726-3753 BUILDING MOVING pERMIT/IlUJl.IJING DIVISION OLD ADDRESS 0515~~ ~. Legal Description ~1 CJ~ \~C(') B21~g ~;(MtlAJ?- Moving Firm Address (/(d/f S;r{)1f' !vfL.d#G" ff()f;tre/ . Des'cdption Of -Intended Use " SJ.D \\.~ Address Description of Route ~ ~c(._~ _ ~ Description of Building .square Fo-otage/?~:t... Moving Length Number Of Sections Being ~Ioved I NEW ADDRESS (Furnishe \~~f[ \~ Lega' Description \'\o~al~\ \\ 0\'3)0 Phone Lics 1/ Phone Exp. <('-1 cP '5yyffs5 320)9 CITY DESIGNATED .lOR ",,,,ml'R - -~\ ~\.d1 //0 I" .,;::..., I" '(l Moving Width../v Height On Dolly Type Of Construction t.nJd ~ALUATION 221 NOTIFICATION OF MOVE: The Building Division will route copies of this application to all appropriate divisions, departments and Agen- cies. _ HOt/EVErt, the applicant mus t contact property owners if trees arc involved in the proposed move. IN ADDITION, the applicant must secure the approval of all appropriate municipal, county and state authorities should the move originate or terminate out- side the City of Springfield. . SEWER CAP: Buildings moved from \;ithin the City limits shall have the sewer capped at the property line and inspected one working day prior to the move. If the inspection indicates that the sewer has not been prop- erly capped, the moving permit will be revoked. PLANS, FEES, AND CHARGES: Prior to recei v- ing a permit to move a building to property within the City, the applicant or his/her authorized representative must: 1. Submit 2 copies of site or plot plan for new site. 2. Submit 2 copies of foundation plan for the relocated building. 3. Obtain a permit covering the new founda- t ion, as well as all plumbing/mechanical and electrical work relating to the re- located building. 4. Pay Systems Development Charge if appli- cable. SEPTIC TANK REQUIREMENTS: Prior to moving, owner shall have all sludge from the septic tank, seepage pit or cesspool removed by a person holding a sewage dispoal servi.ce li- cense, and shall fill same with clean:bar- run gravel or other material approved by the Director or his authorized representative. I CERTIFY THAT the above information is true and correct, that all required contacts have been"ma;le and/lWthoriptions obtained, that the move will begin at -;' o'clock (aQ)lym on <~:).::; fSUMCW, Jand will be completed by / o'clock am/<0 on ~,'2::'r , and that no 6l.1angesf xn the route will be made without contacting the Buildi~~ Division. I also certify that I have heen informed that NO PERMIT WILL BE ISSUED BEFORE 5 WORKING DAYS HAVE ELASpED. I further certify that my registration \;ith the Builder's Board is in full force and effect as required by ORS 701.05.5 and 701.?6070' and that if exempt the basis is noted hereon. Basis for Builder's Board Exemption: /;. 1 NAME Lk-.41J c.XtrO.1o SIGNATURE (/> /'t) DATE fl-JJ-fy I I , FOR OFFICE USE ONLY V Zone t.,/),,;:::f Flood Plain ,-1/~ Type of Constl'l1ction G'7?" Occupancy Group X-=? Stories--.2 Living Units / Square Footage~~ VALUE ?~6-_c..-' Application fee $18.00 Permit fee $60.00 -- Date Number of Blocks over 6 @ Date Paid 4.22. -"70/" Receipt Number Paid &J~ 2'2-9"'/ Receiirt ~8'er .60~ ,1...\ Amount \...\~. - 7iJ7;#L ;? ~~~.~ /2;'2.. '1'6 Sewer Cap $10.00 + 4~, State Surcharge -- Date Paid - _Police Department Willamalane Park and Recreation Fire Department -Pacific Nil' Bell -Northwest Gas - -Lane Transit District OTHER -- specify Rainbow Water / SUB _Group II' Cable _Lane County A & T BUILDING MOVING PERMIT I. Applicant to furnish (except as indicated) A, Old add~ess 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. 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 of application B, Moving permit 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 BUILDING DIVISION REPORT: w , ',.,\..... ....- ---"',.T""'''''l .:.'~, . .....,-:,,:..'. PERMIT VALIDATION tII; ~ :z.... 'f t? ?#f ?a7t? 9~2 '2JS7-r. !fcpr#'l1&/3 PERMIT CLERK~~ V"/7 / ~ '. . -'; ~(~,., 'f. .: "j, - ,".' BA~ ..;. Date<1 .1:L qr TRAFFIC DIVISION REPORT: c.,...-re.u,-\o.- .... la.'3....n .,bIt.'a..- 'M.....-~~ ~\L'" ~I o...-l So\.r"-""'"."C- R=tl..>a'1' N\^~... . 'i.. eu.~..~\o\.t... ~ ~\.m..,,,,-'\. S\y'>..Q oa...-~"""-<'" do",,,,,,;' Ql+e...... . , f'-/o~ I'J~ -10 ~>.o...~ Eo~.Q. ; n ~ ",'\.'~ "....d..- po.. blo....~ C(M:\~....tc ~<V'<\ We.d<.)~ J'A",..t.1 ~r i!:, o..~~.\.ol.. fo..... ~. c\~t-+..., <lub\;C_ 0.", '\~'...c "~~-lj'01 Bv~ ~ \)12:, Date ~'I'l..9l1 ENGINEERING DIVISION REPORT: '11I.tt. OWIJeJi?; COMrie Ac.TO~ , I~ e€..sf'cN516~ FeR- A-N~ OAMAc.~s 10 Pu~uc.. ojt. P~\JA-T~ iCAL I L ITI€:<:' .. . ; , ADDr'TIONAL PROJECT INFORMATION: . 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