HomeMy WebLinkAboutPermit Demolition 2000-09-07 (2)t-
City Of Springfield
Development Services
Community Services Division
Building Safety Job# 00-01359-01
.)
Page 1 of 1
Location Of Proposed Site: 4029 E 00016th Ave Eug
AssessorsMap#: 17033443
Lot: Btock: Addition:
Tax Lot #: 06200
Subdivision:
Owner: Robert W. Smith
Address: 664 Startouch Drive
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
Demolish
541-686-2884
Eugene, OR 97405
Value: $0
Contractor Type
GeneralContr
Gontractor
Staton Companies
Po Box 7515, Eugene, OR 97401-0020
Registration #
3371
Expiration Date
3t21t2002
Phone
541-726-9422
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildi
Demolition
State Surcharge For Building Permit
Building Administrative Fee
Total Building
09t07t2000
09t07t2000
09t07t2000
31 37
3137
3137
1 $18.00
$1.26
$.54
$1s.80
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Plumbing
09t07t2000
09t0712000
09t07t2000
3137
3137
3137
$15.00
$1.05
$.45
$16.50
Grand Total $36.30
Required lnspections
Scheduled
Date
Inspection lnspector
Date
Result
Comments
Buildin
Special 0911412000 Steve Graham
Demolition 09/18/2000 09/18/2000 Tom Max
Demolition 0712312001 0712312001 Tom Marx
Plumbin
Sanitary Sewer Cap 09/18/2000 09/18/2000 Steve Graham
lnformation Only
Checked out neighbor complaint about
cess pools, none were present, ground
moisture could be saturated septic
system leech field.
PartialOK
shed still existing with a small amount of
debris
OK
OK
Also septic tank was pumped have
reciept
End Of
AFFIDAVITOF SERVICE
STATE OF OREGON)
counryoflane ,t
*'
I, Tom Man< being first duly swom, do hereby d€eose and say as follows:
l' I state that I am the Building Inspector for the Community Sercices Divisio4 City of Springfield,Oregon.
2 I state that in my crpacity aslnryector, I photographed Dave C-radomslci, Inspector for the City ofSpringfield Community SsrvicesDivisio4 posringat each portal a notice informing the public
that the building is deerned unsafe for human occupansy and a copy ofthe auached Certiged
Letter to Robert w. smith, 664 Startouch Drirr, Eugpne, oregon lz+05 on August 1,2ffi0.
STATE OF OREGON, County- of Lane
On August 7,2004., Tom Marx
instrurnent to be his voluntarv act.
Before me:
appeared before rne, who acknowledged the foregoing
Notary Public for Oregon
My commiss iorreryire, 8 '2Q 'ZQOo
@
OFFICIAL SEAL
SANDRA MARX
NOTARY PUBLIC . OREGON
coMMlsstoN No.0s7202
MY C0MfrilSStoil tXptRES AUo.2S. 2000
AIIFIDAVITOF SERVICE
STATE OF OREGON}
Cormty of lane )
) ss.
I, Dave Gadomski, being firs duly sworq fu trereby depose and say as follo*'s:
1. I state that I am the Etectrical lnspector for the Community Services Divisiorq City of
Springfleld- Oregon.
2. I state that in my capacity as Inspector, I posted at each portal of the structures commonly tnown
as 4029 and 4029 y2Ezrst 166 Avenue, Eupne, Orepn, also tnown as Lane County Reference Nurnber
17033443, Tax Lot A62AA acupy of the original attached Certified l.etter addrcssed to Robert W. Smith,
664 Sta(ouch Drive, Eugene, Oregon 97405 on August 7,200{.
STATE OF OREGON, County of Larrc
&r August 7,2W, Darre Gadomski personally appeared before me, who acknowledged the foregoing
imeumeEt to be his voluntary act.
Before me:
Notary Public for Oregon
My Commission Expires:8 ,zQ-z
*r,rn^nru
f@
OFFICIAL SEAL
SANDRA MARX
NOTARY PUBLIC . OREGONcoMMtsstoN No.057202
My c{JMMtSSloil txplBts AU8. Zt. 2000
AIIFID.{VIT OF SEP.VICE
STATE OF ORECON}
i ss.
County oi i.ane i
I, Li*z Hopper, beiag first duly sworq do hereby depose and say as follows:
1. I state that I am the Building Safety Supervisor for the Community Services Divisiorq City of
Springfletd, Oregon.
Z. I state that irr my capaeity as Supervisor, I fa>€d the original request to disconnwl service to
EWEB at 684477A for tire property cornmonly lnown as 4029 and 4029 ;i2East 16e Avenuc, Eugene,
Oregon on August 7,2400.
STATE OF ORECON, Countyof Lane
On August 7,2C00., Lisa llopper persorelly appeared before fiie, who acknowledged the foregoing
instnrment to be her roluntary act.
Elefote me:
Notary Public for Oregon
My CommissionExpires:8'zQ.zM
@
OBEGO'UCITY OF
SPR!NGFIELO
DEVELOPMENT SERVICES DEPARTMENT
cc.
225 FIFTH SIFEET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
August 7,2044
EWEB Customer Service
Attention Juanita
500 East 4m Avenue
Eugene,Oregon 97441
RE: 4029 arrrd4O2grAhst 16ft Avanue, Eugeng Oregon
The City of Springfield Community Senrices Division, Building Safety requests that the
power and water be disconnected at the above referenced addresse for reasons identified
below by 5:00 p.m. on Monday, August 07,2000.
l. The structures are structurally inadequate and dangerous to human life and are
identified as being unsafe.
2. The electrical wiring is hazardous and is considered to be a life, fire, and safety
hazard.
3. There is raw sewage being ejected onto the ground causing unsanitary and unsafe
conditions to both the occupants of the properfy and the surrounding properties.
The owner ofthe property is identified as Robert W. Smittr, 664 Startouch Drive, Eugene,
Oregon 97405 by I-ane County Assessmert and Taxation records.
Thank you for your assistance and cooperation in this matter. If you have any questions,
please feel free to phone me at 726-3663.
Dave Gadomski
Electrical lnspector
Dave Puent, Community Services Manager
Cynthia Pappas, Development Services Director
Tom Marx, Building Inspector
Code Enforcement
Lisa Hopper, Building Safety Supervisor
Joe Leahy, City Attorneys OfEce
C'TY OF SPR OREGO'V
SPRINGFIELO
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726_3753
FAX (541) 726-s689
August 7,2AOO
CERTIFIED LETTER
Robert W, Smith
664 Startouch Drive
Eugene, Oregon 974O5
Re: Notice and Orrder to Comply With The Springfield 36;lrling Safety Code Admiristratirre Code
Relative To The Unsafe And Substandard Buildings at 4029 ad 40.29 1/2 East 16th Avenue, Eugene,
Oregon
D€arMr. Smith:
As a result of a recent inspectioo, the City of Springfield Community Services Division, Building Safety,
has determined that th€ structures located at the above referenced location also kno*n as l,ane County
Assessors Map #17033443, Tax l,rltlff2ffi, for reasons below, subsandard and unsafe buildings as
described in the Springfield Building Safety Code Administrative Cods. larrc County Assessment and
Taxation records rc\real that you il€ the omer of this property-.
Section 203 of the Springfield Building Safety Code Administrative Code ctassifies stnrctures which are
structurally inadequate 6 dangerous to human life as unsafe. Section 1001 of the Springfield Housing
Code specifies conditions constituting substandard buildings. The following conditions include but are
not limited to oonditions exising at the structures identified abore, classifying them as substandard and
unsafe buildings.
1. In the structure identified as 4O29, there are open eleclrical splies nailed to the srrfaoe of the
wdl in the water hsater closet. In dl structur€s, there is improper use of extension cordq cords
running through ualls, door ways and buried lirrc outlets, switches and light
fixures hrnging outside of the wall surfaes. All of tlrese corditions constitute the electrical
wiring as a potential lift, fire and safety bazard.
Z- None of tlre structues are currently served with hot water. The Housing Code requires
that eac'h residence shall be serr€d with hot and cold running urater.
3. Raw Sewage is being ejtrted from the stnrctures onto tlre ground musing a trealth hazard to
tenants and surrounding properties
4. The structures are structurally ina@uate and dangerous due to deteriorated framing, faulty
ureatherprotection The existing floor systems in all structures are unsafe and camot support
the imposed load.
Section 204 (b) of the Administrative Code provides procedures where the Building Official may require
racation of the premises when citod deficiencies repr€sent an immediate hazild, to life, limb, property or
safety of the public or its oanrpants. Notice is hereby serrred that the poperty is being posted to be
vacated by 4:00 p.rn August 7,2W due to tlre potential hazqrds to the occupants resulting from the
Robert W. Smith
4029 and 4O2g y2East l6d'Awnue, Eugcne
August 7,2OOA
Page 2.
above cited oonditiors. If you do not \racate the prernise wifiin the time frame specifiod, drc City will seek
compliane with the Building Safety Codes through legal recourse, which rnay include Municipal Court
goceedings.
&ce th€ property has been vacated, occupanc,' may not take place until the above mentioned unsafe ard
subsandard conditions arc correcl€d and ap,proved by this office.
Any person having any recor( title or legal interest in the building may appeal from this Notice and
Order to the Building Board of Appeals, provided that he appeal is made in writing and filed with the
Building Official within thirty (30) days from the date of service of this Notice and Order. Failure to
appeal will oonstihrte a waiver of all right to an administrative hearing and determination of this matter.
Your anticipated courtesy and cooperation is appreciated- Ifyou have any questiong you may contact rn€
at726-363.
(
Dave Gadomski
Electrical Inspector
CC:Daw Puenl. Community Services Manager
Cynthia Pappas, Development Services Director
Tom Marrq Building tnspector
Code Enforcernent
Lisa Hoppe4 Building Safety Supervisor
Joe Lrahy, City Attome,ys Office
CITY OF OFEGO'V
SPFlINGFIELO
DEVELOPM ENT SERVI C E S DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
August 7,2AOO
CERTIFIED LETTER
Robed W, Smith
664 Startouch Drive
Eugene, Oregon 97405
Re: Notice and Order to Comply With The Springfield Building Safety Code Administrative Code
Relative To The Unsafe And Substandard Buildings at4A29 and 4029 1/2 East l6th Avemre, Eugene,
Oregon
DearMr. Smith:
As a res'ult of a recent inspectiorL the City- of Springfield Community Services Division, Building Safety,
has determirrcd that the structures located at the above referenced location, also knorrn as Lane County
Assessors Map #17033443, Tax l-ot 1fi200, for reasons below, substandard and unsafe buildings as
described in the Springfield Building Safety Code Administrative Code. [,ane County Assessnrent and
Ta:<ation rccords reveal that you ar€ the omer of this prcpetty.
Section 203 of the Springfietd Building Saftty Code Administrative Code classifies structures which are
structurallyfuudequate ordangeroustohumanlife asunsafe. Section 10Ol of theSpringfieldHousing
Code specifies conditions constituting substandard buildings. The following conditions include but are
not limited to conditions existing at the sfiuctures identified aborrc, classifying them as substandard and
nnsafe buildings.
l. tn the structure identified as 4O29, there are open electrical splices nailed to the surfrce of the
wall in the water h€ater closet. In all stnrctures, there is improper use of extension cordq cords
running thrcugh uralls, door uays and buried underground lirrc outlets, switches and light
fixtures hangng outside of the wall surfaces. All of these conditions constitute tbe electrical
wiring as a potEntial life, fire and safety hazzrrd-
2- None of tlre stnrctures are currently served with hot crlater. The Housing Code requires
that eact residence shall be seryed with hot and cold running water.
3- Raw Sewage is being ejected fr,om the stnrctues onto the ground causing a health hazad to
tenants and surrounding properties
4. The structures are structurally inadequate and dangerous due to deteriorated framing, fuulty
mther protection. Ttte existing floor systems in all structum are unsafe and cannot $pport
the imposed load.
Section 2M (b) of the Administrative Code provides procedures where &e Building Official may require
vacation of the premises when cited deficiencies represent an immediate hazard to life, limb, property or
safet of the public or its occupans. Notice is hereby served that the property is being post€d to be
vacated by 4:ffi p.m. August 7,2W due to the potential hazards to the occrrpants resulting from the
/
Robert W. Smith
4029 and 4DzgyzEast l6d'Avcnue, Eugcne
August ?, 2000
Page2.
abora citcd conditions. If you do not vacate fte prymise within the time frame specified, drc City will sek
compliance with ttrc Building Safety Cod€s through legal recourse, which may include Municipal Court
pmceedings.
Grce the property has been vacate4 occupancy may not take place until tlrc above mentioned unsafe and
substandard conditions are conected and ap,proved by this oEEce.
Any person having anyrcm{ title or hgat inter€S in the building may appeal from this Notice and
Orderto theBuilding*"16 oleprpeals, prwided that he apeeal is nlade inuniting and filedwiththe
Building Official within thirty (30) days from the date of service of this Notice atrd Order. Failure to
appeal will onstitute a waiverof all right to an administratira hearing and detcrmination of ftis mattEr.
Your anticipated courtesy and cooperation is approciated. If you have any questions, you may contac{ me
at726-363.
Dane Gadomski
Electrical tnspector
cc:Dave Puent, Community Services Manager
Cynthia Pappas, Development Services Director
Tom Mar4 Building Inspector
Code Enforcement
Lisa Hoppe4 Building Safety Supervisor
Joe l*ahy, City Auomel's Office
(
HP OfficeJet
Personal Printer/Fax/Copier
Fax Log Report
Aug-07-00 08:22 AM
Identification
96844110
Result
OK
Pages Tyoe
0l Sent
Date Time
Aug-07 O8:22A
Duration Diaenostic
0O:00:26 OO2582O3OO22
,.3-O 2.E
OREGO'VCITY OF SPP
SPFtN6F!ELD
D EV E LO P M ENT SERVI C ES D E PARTM ENT
August 7,}AOC
EWEB Customer Service
Attention Juanita
500 East 4e Avenue
Eugene, Oregon 97441
RE. 4029 and4129 thF;asr 16ft Avenug Eugene, Oregon
The City of Springfield Community Services Division, Building Safety requests that the
power and water be disconnected at the above referenced addresses for reasons identified
below by 5:00 p.m. on Monday, August 07,2A00.
l. The structures are structurally inadequate and dangerous to human life and are
identified as being unsafe.
2. The electrical wiring is hazardous and is considered to be a life, fire, and safety
hazard.
3. There is raw sewage being ejected onto the ground causing unsanitary and unsafe
conditions to both the occupants of the property and the surrounding properties.
The owner of the property is identified as Robert W. Smith, 664 Startouch Drive, Eugeng
Oregon 97405 by Lane County Assessment and Taxation records.
Thank you for your assistance and cooperation in this matter. If you have any questions,
please feel free to phone me at 726-3663.
Dave Gadomski
Electrical Inspector
UU.Dave Puent, Community Services Manager
Cynthia Pappas, Development Services Director
Tom Mani, Building Inspector
Code Enforcement
Lisa Hoppeq Building Safety Supervisor
Joe Leahy, City Attorneys Office
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-375s
FAX (541) 726-3689
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STATON
C MPANIE
DEMOLITION' ENVIRONMENTAL * S
GONTRACTORS
ffEWORK
DATE: Auttust 30.2000
TO:lv{r'. Tom Marks, Building Inspector
City Of Springfield Trensmitted Via Facsirnilc and First Class Mail
s4t-126-3676
FROM: Ron Richey E)n@statonco'com)
SUBJECT: 4C[9 Lasl i6"' Avc. Clenwood, OR
Dear Mr. Marks:
please aocept this letter as confirmation that Staton Cornpanies will perform demolition
services to remove two wood frame buildirtgs and miscellaneous trailers, debris and
garbage at the above referenced property on Thursday, Septembet 7,2000.
please advise, by phone or fax, as soon'as possible regarding permit requirements with
your agency. Both numbers are listed below.
Feel free to call if you have questions or I may be of further assistanee in this matter.
Yours V-'ry Truly,
Staton Companies
lQon lQ;"l*y
Ron Richey
Partner
CC: Robert W. Smith 664 Startouch Dr. Eugene, OR 97405
Bob Srnith 88649 Fir View St. Eugene, OR,97402
nvs.grv.denro.83 00
85386 HTGHWAY 99 S. P.O. tsOX 7515 EUGENE, OR 97401 541726'9422
CCB NO. 03371 www.statonco.com FAX 541 726'9837
R]G-A3-ZAAB A9:18 EUERGREEN LRND TITLE 541 ?4L A5t9 P.A|/AB
EVERGREEN LAND TITLE COMPAT.TY
Merx oFFIcE
I57O Monawx Bout-EVARD, SpRlxcFIELD, OnEcou 97477
Trux DETentMENT TelEr;rx Covxx SHxer
PHoNE (5,41) 7At -t 981 Fax (5at1741"06 t I
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ELT . No:
To:\a\
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Fnx:3
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THIS TFIAI'Si{ISEION 15 INTENDED ONLY FOR fT{E ADDR,ESSEE NAITIED AEOYE. IT CONT^INS
INFORMATION THAT IS PRIVILEGED. CONFTOENTIAL AIID 9THERIYISE PRoTECTED FRoM UsE AND
olscLo6uRE. lF you aRE lttor rHE |I(TENoED REctFtENT, you ARE HEREBY NorlFlED THAT ANy
RTVIE}YI DISCLO6URET COPYING OR DISSEMINATTON OF THIS TRANEH|aSION OR YHE TAKING OF
ANY ACfION IN RELIANCE ON lTS CONTENTS OR OTHF-R UsE IS STRICTI.Y PROHIEITED. IF YOU
HAYE RECEI\/ED TF{ls TRANSMISSION lN ERROR, PLEASE NoTIF'Y US By TELEPHoXE tM}{EDtarELy
SO YHAT IflE CAN ARRAHGE POR ITS RETURN To Us. THANKS FOR YoUR cooPERATtoN.
Tnue lxsunnxce SenvlcEs EscRow CLostNGs TrrLE pua,xr
I
AUG_A3-ZAAA A9:18 EUERGREEN LffND TITLE
rils ragg caus au vuElrtrs 4rIu rsrrlPrd'Lre! rvt r rvyvrt)l r\vrvrre
Stroot Neme
IETH
State
OR
PostDir
LANE COUNTY REGIONAL LAND INFORMATION DATABASE
Site Addross: 4029 E 16Tl{ AVE
Iti'lap & Taxlot #: 17033443 6200
A & T Accourrt #; 300879
Special lntcresl Code.
Vicinity lt/laP
Site Addrsss state Plane
Coordinates
X-Coord: 1333976 Y-Coord: 8759t2
Detail Map
Site Address lrtfo rrnation
House Suffix Predir
4o2s 1t2 E
Mailing CitY
EUGENE
Create Date: I 9E5-o2-24
Land Use and Zoning
Zip Code
971103
Street TYPe
AVE
ZIP+4
2736
547 ?41 g5t9 P.AZ/AE
Unit Type Unit
I
Carrier Route
c009
, ::.:1.r.:. lJl+399
UPdate Date:
caulion: gome zonrng und/or lund use infontralion <;onturnutl rrt this repott may not [rt:
confitm Eonlh{l ltt{ortnrrllan vmh the locol irlridhtlon
Code: DescriPtion:
Land Use Gode and
Description:
Use Code and DescrlPtion:
Parent Zone 1:
Zoning Jurisdictlon:
Zone Acres:
1111
S
8pr
0.10
SINGLE FAMILY HOUSING
SINGLE FAMILY
LOW DENSIW RESIDENT|AL
ax Map
.,.fivlain_report.cfm?&Map=17933443&Lol=06200&account=300E79'/020&housF4029&l)ropID 813100
RUG-83_2AEA A9:19 EUERGREEN LHND TITLE
lhls ragg c,8lts alr qucILtrJ ?urq rEruPlEl'sD r\.,'t l' rvPlJr!, rwPvr!D 547 ?4t A61,9 P.A3/Ae
Bounrlary lnformation
General
lnoorporated CitY Limits:
Urban Growth Boundary:
Fire Protection Providers:
Plan Designation:
Census Tract:
Block Group:
Year Annexod:
Anneration #:
Tra nsportation AnalYsis Zone:
Approximate Acreage:
Approximate Square Footage:
Environmentel Flnding$
Willamette Greenway:
Motro Flood Hazards:
Metro Wetlandsl
Soil MaP Unit Number:
Schools
District:
Elementary School:
Middle Sohool:
High School:
Service Diatricts
LTD Service Area:
LTD Ride Source:
Ambulance Distric{:
Emeralcl People's Uti lity Districlr
Polltical Districts
Electlon Precinct:
County Commissioner Districl:
State Rapresentative Dlstrict:
City Council Ward:
EWEB Commissioner Distric't:
Name:
EUGENE
HARRIS
ROOSEI/ELT
SOUTH EUGENE
LOW DENSITY RESIDENTIAL
EAST
B
27
SPR
GLh,
L
3600
1
0
,t96
.11
rl70{.5
100086
5
12
Code:
4J
20f
s66
560
YES
Y
.,Avlain_report.ofm?&M ap-17033443&Lot:06200&account=300t79%20&house-4129&l>ropl D 8/3100
HUG-A3_2AAO E9:19 EUERGREEN LAND TITLE
lnrs raBtr ullllu tllr vrrErr'wJ (l[u rv$rr^*'vs .-'r----
UNITED STATES
Country
UNITED STATES
CountrY
Section:
lmprovement Velue
Real Market
6E,490
80,490
87,150
58"[00
tls'990
54L 74L O5L9 P.AA/OA
97401
ZIp Code
e7401
Zlp Code
Lane County Assessor's office I Account Number: 300879
Property Owner
Ownerl Neme: SMITH ROBERTW
Owner Address: 633 STAR TOUCH
EUGENE OREGON
City Stqte
Tarpayer
Tarpayer Name: SMITH ROBERTW
Tarpayer Address: 633 STAR TOUCH
EUGENE OREGON
City State
Remarts:
Convefted Record
ProPerty Logal DescriPtion
Township: Range:
Subdivision Type: Subdivisiort Name:
LoUTract/Unit Number:
Subdivlslon Number:
Recording Number:
Froperty Value and Tares
Land Value
RealMarket
1999 12,530
1990 12,790
t99I 11,710
1096 11,170
1995 I I ,520
54,911
Taxable Value
0
Exemption Amount
Regular (EAR)
0
Exempt Property Value
(EPV)
Quarter:
Dlvision/Phase:
TotalValue
Real Market Assessed
El,o20 54,911
79,280 53,312
7E,g9o 51,759
69,570 69,570
57,510 57,5{0
0
Frozen Assessed Value
(FZNPU)
1999
Tar Year
83{.61
Certified Tax Amount
Account Status
Cl Active
Glt Tarable
Gl Looally Assessed
G Pending Seg/Merge
G Delinquency
G Delayed Foreclosure
G Bankruptcy
,",Main_report.cfm?&Map=17933443&Lot=06200&account=3008'19%20&house=4029&l'roplD 8/3i00
RUG-o3-2AAA E9:19 EUERGREEN LFND TITLE
lnls .t,age catls iru \2ugrrcri 'ulu I EurPrort;r rr,r a rvPvr9 r*rvrtv
Grantor
LATTUYER INV CORP
GURCIO, JOSEPH AJR
HOME BUYERS INC
541 ?41 4519 P.A5/AB
lnstrument #
9t{4503300
g0-05868600
90-0214s900
BankruPtcY
G Code Split lndicator
Land Characteristics
Code DescriPtlon
General lnformation
Property Cless: 101
Account TYPe: RP
Gategory: LANO AND IMPROVEMENTS
Mortgage CompanY Name:
Total Acrcege for this Acoount: 0.0
Fire Acres:
Tax Code Area (LeUY Code): 00414
Glenwood Water Distrlct
Lane Community college
Lane County
Lane County Etlucation Service Disrict (E.S.D')
Sehool District No. tU / Eugene
Witlamalane Park and Recreqtlon Districl
v!e\g Taxing District lnformation from Lane counw Depgrtment of Asses$flent and TaxatioDls--9lt-Q,
Sales lnformation
Sales Date Sales Price
09-18-1991
12-05-{990
09-01-l989 I,080,000
Manufactu red Structu res
ModalYear: Make:
SerialNumber: Plate Number:
Buitding'l Characteristics
Property lD: 300879
Occupancy: STNGLEFAMILY
ll STAT 110 0R {20'
Eurloing r YPe: sEE OUALIT
Class: 2
Year Built: 1910
Depreciation:
Floor Base Area
Basement
Flrsl 558
Second
Attic 606
TOTAL 1052
Model:
Map and rL: l7o3s44362oo :',:L lol
Roofstyle: GABLE Bedroornsi 3
Roof Cover: COMP SHINGLE MEDIUM Full Batlts: 1
Heating: BASEBOARD l-lalf Baths: 0
Exterior Wall: SHINGLE'WOOD Fireplaces: YES
Neighborhood Code: 21340
Firtished Area PHIkino Area
Bsmt Gar sqft:
E56 Att Gar sqft:
Att Port sqft;
496 Det Gar sqfi:
Driveway Sqft:
1052 Paved Patio Sqft:
,..Main_repon.cfm?&Map=17933443&Lot*06200&account:300t79%20&house=4029&ProplD 813100
FUG-A3-2AEA A9:19 EUERGREEN LFND TITLE
Illl! I (}!5v Yso qr --- -'- -'r
54r ?41 A619 P.@6/Ae
Euilding 2 Characteristics
Property lDl 300879
OccupancY: SINGLE FAMILY
1l STAT 110 0R 120,
tsulldlng I ype: sEE GUALTT
Class: 1
Year Built: 10tJ0
Depreciation:
Floor -Bqse Area
Basement
First 1t2
Second
Attic ?28
TOTAL
$eJr Propeftv Se3rch
Map and TL:
Roofstyle:
Roof Cover:
Heating:
ErteriorWall:
Neighborhood Code:
Finished Afea
170334436200 ProP Class:
GABLE BedroorTls:
GOMPOSITION ROLL Full Baths:
OTHER Half Bitths:
WOOP SIDING FlrePlaces:
21340
Parkino Area
I4ru..!$snu
Bsmt Gar sqft:
432 Att Gar sqft:
Att Port sqfr:
228 Det Gar sqft:
Driveway Sqft:
660 Paved Patio Sqfl:
Search Re,51lts
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tL/oS/OO IEU 0S:45 FA-I 541 : 394?
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I,]INE CO I,]TND UGUNT @ooz'
DEPARTilENT O F ET{VIRONMENTAL OUAUTYtANo usE cor,tpAner-rry CiaEGii GUcs,
lfifl:itffil['h'tr,:J,"r:f#ffi:f*Silfl: thar oEe pennils ana o'nrer ripprwaa u,it "r.a
ItHy ls A LuGs REeUTRED? o*gon raryreouires rfi,, G'd- --^mmnm:Hgi* Tffiffi","t
VUI{EN ISA LUCS REQUIRED? A tlJCStsrco ut,xt frt aaortu,! r.rE^ --_r- _ _ .ep, or'as of er.*-J 5ra.6 ;rhd;fi ;ffiE Hj*gffila souroe neads fl'ore than ooe DEe p.ffi o. +**"f a srrrgre-Lt cs rray be used.
A frmit modifrcafron requi,rcs a LUCS when:' trre* k" ptrysic"r croansi"r; {,;pap.rry orsre,scof affii&narhrd ts pr.p*ed- p"* ba spnfica4rtincrcase h-.ffi.rp* bwater- therc h arerocatirir"r"rrortaiGioe?rcffi* pmpcrrvt of: 'ffiffiffiffif,trffiffitffipinutantsourcefrratresurtsihanersenrncanr
ffi a LUcs if ;il ; p*,lt*rv G. sutmitted, or if o'e of ttre aborre fou, peftr,it
1- Narne of t/.)rTH
Telephone
ilailing addrcss:
2. Oescribe type of
Contad
Location address:
9rA16A
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Cot {6S
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-€rrtlouircrlu/cslt of, o.ooc
or andhe servlxsor provided:
rmmsrrip_[_Rane"!3__ setlidr3tl$3
Rec6J-vecl 2 111 gl u 5:eoAM;
1L/09/o0 TEU 08:48 FA-f, 541 3547
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I.{NE CO I.JIND UGUNT @ oor
3. Carde the typeof DEa permits oe approvats behg apptled brat fhts ti,,r*:
SWDisp/tutr pemrit
Waste Tfou$orage permit
twtfPCB Sxofegefffint/,Oisdt pennit
Folirfion Conbol Borrd Request
llttastarater Radving toan Reqqest
' trMng wttfilc txfity pa17211s -&rolrsrs en$*rdarrttua panB, txDEe tunr F..lt,t,1rx16usEoss- ffi,deslt'dcttcr'fut4r,twr{rdrwird itrr,unl +grirrdp.rrrrrqffi.-rd:t;rlx;y.raldtc&.rliarirry,-
4. This appl'rcation is fora: newpenrfi_ pemft
5' The lhdlity proposar is bqted:
-hsidedty
rimirs .f,krsideuGB _ornsue uGB
6. Nane irf ciU or cou&y*m
7' The business or hdlity'complies ttttr all appli=He local land use requi,rernents: ,X-ye6 :ffi
7a Listall local reviews orapplovsls trdwerc tBqqlred of the apptcant before thc LUcs consistency wasdetermhedrnrs & s ttot tttdrcrcpec rwi***r M tb t*,t o,hu a ru-iGiii ;rri-fr*r,
'b' lf no, identiff rea$oos for nonconrplianoq or fst rcquiremerit(s) ttut ttre applicaot must comply ud61 betue Lucsconsistency can be detennined:
7c. ls localgaremment
date of decision
currently processirE rermini,ng requlrenrents to attain LUcs consistency: _Jes )s_*Antcipated
7d- ls a p{Jbfic notice and hearing requiled ? ve .K_no hearing date _
8. Planning officiat radewe/s tetephone
AirNotice of ConsL'AirDiscfiarge Permif
Tirile VAir Pennit
Ah lnctireLt Soorce permit
Partrhgr/Traff c Circ. plan
Fcd. PemitVViQ Cert
l/ljEl NPOESTWFCF permit..
ES
M nu"B..^... lL _oqqe.JJ+SJCDHanning ffica,al
print phnning official's narne
!
Date
(@ffitg twtdybttty gg,€e,ae/il oa iuffia ae q, f|,,res bd wltt ht tJcE,t
Offial
ITENTIOH: A LUCS apprcval cannot be eccofred by oEcl untit slt local ruquirementr have been met wrttsGnfintlinga of fact for all local dectralons addredsei undir z trrru iu "r,rr t "u"inrei iii" iiidrr.lr*
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CONTRACTOFIS
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15411728{1422 ' Fax(5411 72s9437
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