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HomeMy WebLinkAboutPermit House Move 1988-8-15 ,I. I ".. 1.1 I . .I II CITY OF SPRINGFIELD ",....1,...1.1.................1 ",.. ...~lOo;:,nL...~....jlll I I q '} ~\) J \9 BUILDING MOVING PE~1IT/BUILDING DIVISION It) INSPECTIONS 726-3769 225 North 5th Street BUSINESS 726-3753 fO~ CITY DESIGNATED JOB NUMBER 8~O /)(1 3 rJ (proN6~~ ./Jr< Vol.,) N, ~ I( rM, f.AJ fA) R J OLD ADDRESS A/A Legal DescrlptIon BUllding Owner Address &AfJt. 0ouf\k:( SOl0:Jl- Dsf', C( T Address 73v 100r t1J 6 Jio f.f.fi!J tvlonng Fum (t(4.{.s S Ol-{CJrfro Descrlption Of Intended Use tV. A { Description of Route ~Vv\ w tsr ) ~ DJP! .4, t. 7lJ IV\....!o 16 v ~ Descrlption of BUllding Square Footage Moving Number Of Sections Being Moved Length 7u ( I Type NOTIFICATION OF MOVE: The BUlldlng Division will route copies of this application to all . appropriate divisions, departments and Agen- cies. HOWEVER, the appllcant must contact property owners if trees are lnvolved 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: BUlldlngs moved from within the City limits shall have the sewer capped at the property line and inspected one worklng day prior to the move. If the inspection indicates that the sewer has not been prop- erly capped, the moving permit wlll be revoked. NEW ADDRESS (Furnlshed by BUlldlng D1V.) #( AI Legal Descrlption Phone fD87 3?--:>7 Lics # Exp. Phone ~'2-0t i ~Y\.( ~ ~ S '> JJ. ( Moving Width .~ ~ Of Construction Height On Dolly VALUATION 1 ')-- , , PLANS, FEES, AND CHARGES: Prior to receiv- / / 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 buildlng. 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 REQUIREMENTS: Pnor to moving, owner shall have all sludge from the septic tank, seepage plt or cesspool removed by a person holdlng a sewage dispoal service li- cense, and shall fill same with clean bar- . run gravel or other material approved by the i ,j Director or his authorized representative. I CERTIFY THAT the above lnformatlon is true and correct, that all required contac~have been made and authorizations obtained, that the move will begin at <;", '3cJ 0' clock ~~Ul on ~, Au~\ 7..,.\ and \'1111 be completed by '7 ~ \)" o'clock ~pm-on Auf' '--\, , and that no thanges ln the route will be made without contacting the Building Division. I also certify that I h3.ve been informed that NO PEID1IT 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. BaS1S for Builder's Board Exemption: (l/fA A NAME ~(j &w/fp 1,{1(f/-1n.u. iUvP\SIGNATURE VVVVl ~ DATE &--(r-~&'Y FOR OFFICE USE ONLY Zone Flood Plain Type of Constructlon Occupancy Group StorIes LivIng Units Square Footage V AWE Appllcation fee $18.00 Date Paid 0 ~ IS-~ ~ Permlt fee $60.00 -- Date Paid Number of Blocks over 6 @ .60~ Sewer Cap $10.00 + 4% State Surcharge -- Date Pald Pollce Department Flre Department Northwest Gas OTHER -- specify Receipt Number Receipt Number /2. (nS Amount Willamalane Park and Recreatlon Paofic NW Bell Lane Transit District Rainbow Water / SUB Group W Cable Lane County A & T -, BUILDING MOVINL .: RM IT PERMIT 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. 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 PERMIT CLERK BUILDING DIVISION REPORT: Bv TRAFFIC DIVISION REPORT: By ENGINEERING DIVISION REPORT: By ADDITIONAL PROJECT INFORMATION: By Date Date Date Date