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HomeMy WebLinkAboutPermit Building 1991-4-15 i,.J1.-I;I,11 I;C .I,". L.. .. 1I11~j ,.:;t.,j,,:.UI.. ~ \~...l. -~_ )it:""""'- ~ . CITY OF SPRINGFIELD . ! INS~ECTIONS 726-3769 225 North 5th Street BUSINESS 726-3753 BUILDING MOVING PEruMIT/BUILDING DIVISION \lD~?..;lDO C)~~()() rr~ \l )Qf)+f\ W~ t-Ioving Firm Add.?-ss A() LU:s # Exp. ~.s ~~ toll4;)(((f6 .IauJ 19,~~<{-/ff\.., ~W.J1 4-(l<6/ur4 Descbt~ O~ Q;;;\d ~ I -\CITY DESIGNATECf\ D\~O . D::r~ou~ ~-' 0 OLD ADDRESS J. Jo-( !1A.-'::\ M-'t,v Legal DescrIptIon Building Owner CffA/J vY-H';,At'" Address DescrIptIon of Blllldlng Square Footage ,g/..A-. MovIng Length Number Of Sections Being Moved \ NEW ADDRESS (FurnIshed by BUllding DIV.) E. UCdt\fi. Legal Descriptlon Phone 31~ ..83t:>3 H 3'1'-(- ~ ~ 13 W Phone A \ r r-/ 0.""4 ,"/ ~ 0 MovIng Width ~J Height On Dolly Type Of ConstructIon \/tJ VALUATION \ 1 J (Qr-I NOTIFICATION OF MOVE: The BUlldlng Division will route copies of this application to all appropriate divisions, departments and Agen- cies. HO~EVER, the applicant must contact property owners if trees are involved in the proposed move. IN ADDITION, the applicant must secure the approval of all appropriate municipal, county and state authoritles should the move originate or terminate out- side the City of SpringfIeld. SEWER CAP: BuildIngs moved from withIn the City limIts shall have the sewer capped at the property :line and inspected one working aay prior to Lil\:: move. I:: th~ i.PSpf>cti.on " indicates that the sewer has not been prop- erly capped, the moving permIt will be revoked. / 1 PLANS, FEES, AND CHARGES: PrIor to recelV- / / I 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. Submit 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- located building. 4. Pay Systems Development Charge if appli- '~ cable. SEPTIC TANK REQUIRHIENTS: Pnor to moving, owner shall have all sludge from the septic tank, seepage pit or cesspool removed by a person holding a sewage dispoal service li- cense, and shall tlll Sdffie wi.::h cl",.:;.;: t,~T- run gravel or other material approved by the Director or his authorized representative. I CERTIFY THAT the above informatlon is true and correct, that all regulX contacts have bee~ ~ade,' ,iI.and ~uthorizations obtained, that the mo.v~ will begln at ,00 ,'\\ '. '.cloc~pJl1 on~ 11'\ I \) 'I lC{CU 'and will be completed by '7 ,3D 0' clock@/pm 0 :1. L9.9~, and tfiat no changes in the route will be made without contacting the Buildl g Div~slon. I also certify that I have been Informed that NO PEm~IT WILL BE ISSUED BE~ORE 5 WORKING DAYS HAVE ELASPED. I further certify that my registration with the Builder's Board is In full for~e nd effect as required by ORS 701.055 and 701.07~ and that if exempt the basis is ::l:d he~ BJ;:; Budder's Boards:::::::n'/~ ~ DATE~?prl \ " [It.! . 11__ ( I..... I / . n ') FOR OFFICE USE ONLY V Zone \ D,UFloOd P1:.l1n Type of Construction V A.J Occupancy Group l7 ~ StorIes LIving Umts Square Footage V AWE Receipt Number ~~es',~ ~"Uj.tuer \{V\oQil~ f~ (I:.L~ Maount, 29../J.Ot I~~~ ,( ']4.15 Date Pald -4. ,S yJ:, 1!12:53 .'_ ~alnbow Water / SUB Group W Cable ~ane County A & T Appllcation fee $18.00 3.\.L\\ Date Paid Permlt fee $60.00 -- Date Pald Number of Blocks over 6 @ .60~~ Sewer Cap $10.00 + 4% ,-polIce Department ~lre Department. ~orthwest Gas OTHER -- specify State Surcharge'-- Wlllamalane Park and Recreatlon Paclfic NW Bell ~Lane Transit District .. ,~,; ..?' _....~ , ,-'. . ; I I. III. 47 BUILDING MOVING~IT 'RMIT VALIDATION -. ~"-_~_.lr-~ , '--, ! Applicant to furnish (except as indicated) A. Old address for building B. Legal Description C. New address for building (Building Div. will furnish) D. Legal Description . E. Name, etc. of building owner F. Name, etc. of moving firm G. A description of intended use H. A description of proposed route J. A description of the building Applicant to contact property owners if trees involved, and secure authorizations from other jurisdictions as necessary. A site or plot plan, and foundation plan must be submitted for the new s'ite (2 sets) . ' Plans must alsq be submitted for any other work relating to the relocated building. V. Fees & Charges: A. Application fee due and payable at time of application B. Moving permit fees due and payable upon permit issuance C. FEES & CHARGES TO BE CALCULATED BY BUILDING DIVISION STAFF FOR OFFICE USE ONLY A. Plan check data collected B. Copies of application to appropriate divisions, departments and agencies I. I ~ t l \ \. ,', l ' ~. ~ , ", . IV. VI. ~' I ,: PERMIT CLERK' lm.), / BUILDING DIVISION REPORT: ~ TRAFFIC DIVISION REPORT: B~.'l~~.~e ~4.~ PI 0 f../n/1L -P /ffkcf.Yl9j _ _ P l-(-0yJ/f.. f'1- YJ .tI;; , 7H 6~ IS A 2.. ~ Wi 0& f2E-sr;e I ~7~ Afi-5r ~ ?f15 1- r)O;- SA S -;- t3WYO ~PPPl-P. ~7 f11-fZ's;S~ .3 /11 r:f 3 /~( fI12- (,JIU- /oA2/f:"O 7() G~ II1t7 SlaJ -,-2 tfJrvr 13'1. 14vf? .lP~e To pJLJLte /9VJD/JniD E 't 7l~ ~ ;:O~ f2e.~47 jl:..:5 By J..()"L'~, Da te 3/"'-1 /9/ ~ ~SleuE. ~'.J:.( ., .. '. al+M~ . ~ L-e,~ OOD r' 7D fr.:!'e.{ J-t / "/::.-$ 1-./, LL- /35... ENGINEERING DIVISION REPORT: Cc:.*-T1~olL ~ I ai::.iN\~.S -ro s \ DE:UJl::::J...JI- ~ ~"e~'T "S.--m...l)Gn.)GU::~ E:.i(_ BY'O'~'" 3 -21-~1 Da te ~'''':i..J;.---:':' L.l ~\ApDITIONAL, PR...O. JECT I~ORMATI2N: ~.\ ~ '\\\'f\ \\ ~\_' \<JL\j luU ( - I . ~ M{~ By '/VO Date ''1~7211 ..~..>- ~........., _ .,.~ ......4..:.~ "':;"."'>.1 .7..