HomeMy WebLinkAboutPermit Building 1994-4-28
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. CITY OF SPRlNGFll'LD
225 North 5th Street
BUSINESS 726-3753
INSPECTIONS 726-3769
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BUILDING ~10VING PERI-lIT/nUL LDING DIVISION
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OLD ADDRESS
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Legal Description
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Building Owner
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Moving Firm
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Address
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Description Of Intended Use
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Descri~tion of Route )
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NEW ADDRESS (Furnished by Building Div.)
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Lega] Description
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Phone
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Phone
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Exp.
5t057
CITY DESI~~L\f1~SBER
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Description of Building
:Sq~are Footage
Number Of Sections
~lov ing Length
Being Moved /
S-o Moving Width '3cJ
Type Of ConstnlctionwQ(ld
Height On Dolly
VALUATION'
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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 si te.
2. Suhmit 2 copies of foundation plan for
the relocated building.
3. Obtain a permit covering the new founda-
tion, as well as all plumbing/mechanical
and electrical work relating to the re-
loeated building.
4. Pay Systems Development Charge if appli-
'C:lli! e. .
SEWER CAP: Buildings moved from \;ithin the SEPTIC TANK IlEQUIRE~IENTS: Prior to moving,
City Iindts shall. have the sewer cappell at owner sha]1 have all sludge from the septic
the property line and inspected one working tank, seepage pit or cesspool removed by a
day prior to th~ move. If the inspection person holding a sewage dis~~al service li-
indicates that the sewer has not been prop. cense, :lnd shall fill same with clean bar-
erly capped, the moving permit will be run gravel or other material approved by the
revoked. Director or his authorized representative.
I CERTIFY THAT the above information is true and correct, that all require,d contac~have
bee'l- made al1P authorizations obtained, that the moye will begin)\t 'f,'.3D o'clock Cl!!1JIpm
on rnJ"" ~ ~ and will be completed by It o'clock~/pm on trtJ-, ~ (p
and thalf no cllanges in the route will be made without contacting the Building'DivHion. I
also certify that I have been informed that NO PERMIT WILL BE ISSUED BEFORE 5 WORKING DAYS
HAVE HASPED. 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: It;~,
NMIE6.R/~ ~fbS'" SIGNATURE lAJ1/(~'> DrATE Y-Zt-1(
NOTIFICATION OF MOVE: The Building Division
will route copies of this application to all
appropriate divisions, departments and Agen-
cies. HOWEVER, the applicant must contact
.property owners if trees are involved in the
proposed move. IN ADDITION, the applicant
mus t secure the approval of all, appropriate
.unicipal, county and state authorities
should the move originate or terminate out-
side the City of Springfield.
I zonC~~lood
Plain
FOR OFf-ICE USE ONLY
Type of Construction V~
Occupancy Group
R~
Stories
Living Units
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Square Footage
VALUE,
Permit fee $60.~0 -- q~f-Y1id
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, ~-d}~g.t;e Surcharge n Date P:lid
'..J.:::::..Police Department _IVillamalane Park and Recreation
"lvFire Department ...,..-Pacific NW Bell
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.,vNorthwest Gas.' vLane Transit District
OTHER -- specify
Application fee $18.00 -- Date Paid
Receipt Number
ilecei'pt Number
Amount ~ .~~S -l n-l() 0
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M E M 0 RAN DUM
CITY OF SPRINGFIELD
April 28, 1994
TO:
Police Department
Fire Department
Lane Transit District
Springfield Utility Board
Lane County Assessment and Taxation
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FROM:
Lisa Hopper, Building Safety Division
SUBJECT:
House Move
Attached is an application and proposed route for a house move scheduled for
Friday, May 6, 1994. The move is scheduled to begin at 8:30 a.m. and scheduled
to be completed by 11:00 a.m. on that same date.
If you have any questions, comments andlor concerns, please contact me at
726-3790.
cc: Sanipac
US lIest
Tel Cable
911 Dispatch
US Postal Service
Nil Natural Gas
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