HomeMy WebLinkAboutPermit House Move 1988-8-15
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CITY OF SPRINGFIELD
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BUILDING MOVING PE~1IT/BUILDING DIVISION It)
INSPECTIONS 726-3769
225 North 5th Street
BUSINESS 726-3753
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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
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Description of Route
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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.)
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Legal Descrlption
Phone
fD87 3?--:>7
Lics #
Exp.
Phone
~'2-0t i
~Y\.( ~ ~ S '>
JJ.
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Moving Width .~ ~
Of Construction
Height On Dolly
VALUATION
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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