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Home My WebLink AboutPermit Building 1995-01-19INSPECTiONS 726-3769 OLD ADDRESS Legal Description CITY OF SPRINCFIELD 225 North sth Street BUILDING MOVINC PERI''IIT/BUILDING DIVISION BUSINESS 726-3753 NEIV AIIDRESS (Furnished Bui lding sD +ul Sfuri, Le'ga 1 Desc r1p 10n \7C) Addres s PhoneBuilding Ow Ivlov ngF rm S pt on Int e escription o Route Des cript j.on i Id ine SE rl // Moving Lengt 4 I..'loving Widt h_h CITY DESI TED JOB BER rES S CS Phone ,Sq will route copies of this application to all appropriate divisions, departments and Agen- cies. HO}JEVER, the applicant must contact property ownel's if trees are 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. 3-n",ght on Dolt q uare Footage Number 0f Sections Being I'loved Of Construction VN-v ALUATION IFI 0N OF I\|0VE e Building v1s10n PLANS, FEES, AND C}IARGES :Prior to receiv- ing a permit to move a building to property within- the City, the applicant or his/her authorized representative must : 1. Subrnit 2 copies of site or plot plan for new site. 2. Submit 2 copies of foundation plan for the relocated building. 5. Obtain a pernit covering the new founda- tion, as well as aI1 plumbing/mechanical and electrical work relating to the re- located building. 4. Pay Systems Development Charge if appli- cable CAP: BU 1 I ngs move ron within t e SEPTIC T I Prior to fl8, owner sha1l have all sludge from the sept 1c tank, seepage p it or cesspool removed bY a person holding a sewage dispoal service li- cense, and sha 11 fill same with clean bar- run gravel or other material aPProved bY the revoked Director or his authorized resentative. I CERTIFY TFIAT t)re above information is true and correct, that all red contacts have ained,that the move will begin at o'clock(a@om City limits shall have the sewer capped at the property Iine and inspected one working day prior to the move. If the inspection indicates that the sewer has not been prop- erly capped, the noving pernit will be been made and authorizations obt on :-F"&S.;!-- ^JSIlnd wil I b and that no qanges 1Il tne rouEe also certify that I have been in e completed by ot clock will be made w it oLlt contact ing t Bui 1 rng v1 fOTMCC] thAt NO PER}4IT WILL BE ISSUED BEFORE 5 II'ORKI DAYS I further certifY that my regi stration with the Builder's Board is in ful lHAVE E LASPED. and effec hereon. force Cr*,3rrrrc S IGNATURH FOR OFFICI] USI] ONI,Y Zone Irlood Plain TYPe of Construction Stori es Living Units Square Footage V ALUE t as required bY ORS 701'055 and 70 Basis for Builder's Board Exemption 1.0 , and that if exemPt the basis is Occunancv Grourl Receipt Number Receipt Number Amount nbow l{ater SUB Application fee $18.00 --Date Paid \co Permit fee $60.00 -- Dilte Pa:id oc) Number of Blocks over Sewer cap $#ift + X 60+60 State ha Fire DePartment -Northwest Gas o ce Department 1lama ane Park -Pacific NW Bel1 -Lane Transit District OTHER -- spe cify d reat 10n Group W Cable -LaneCountYA&T I BUILDING MOVIN RMIT PERMIT VALIDATION I Appl'icant to furnish (except as 'ind jcated) A. Old address for build'ing B. Lega1 DescriPtionC. New address for bu'i 1 d i ng (guitding D'iv. will furnish) D. Lega'l Descri PtionE. Name, etc . of bui'ldi ng owner F. Name, etc. of moving firm G. A description of jntended use H. A description of ProPosed route I . A descri pti on of the bui 1 di ng Applicant to contact property owners if trees involved, and secure authorizations from other jurisdictions as necessary. A site or plot p1an, and foundation plan tnust be submitted for the new site (2 sets) Plans must also be subrnitted for any other work relat'ing to the relocated building. Fees & Charges:A. Appl ication fee due and payable at titne of appl j cati onB. Moving permit fees due and payable uporl permit issuanceC. FEES & CHARGES TO BE CALCULATED BY BUILDING DIVISION STAFF FOR OFFICE USE ONLYA. Plan check data collected B. Cop'ies of appl i cati on to appropri ate divisions, departments and agenc'ies II III. IV. V. VI. PERMIT CLERK BUILDING DIVISION REPORT: r TBA C tJ \vr:to ru ReQoRTi 72 H furtqr*nfn- h/'r4 tfit& Oautufl, *B Date //r ENGINEERI G DIVISION REPORT: cr6e t 6 Ta U (- te ITiONAL PROJECT INFORMATION : a I q5b!)cn 5 Da te l8 aQ-, PU o,(s. Et- ,{5 AE ,s \$\h % .,.,'..'..:.'.... \'.'. .. ,;':.. J, 4.6<tz)nf fte tr o e il {r,wI t I l-.I (( -al{\NL 5-o too,2 a, Lt) C). ;DIh.-i lE s.t ?rd ls, t I