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HomeMy WebLinkAboutPermit House Move 1996-12-4 .. . ..}.~ -,~.,,-':'" INSPECTIONS 726-3769 .. CITY OF SPRINGFIELD 225 North 5th' Street . BUSINESS 726-3753 BUILDING MOVING PSRMIT/BUILDING DIVISION Address 70S- So, SeneGIA...) fo'!) lift Address Lics # Exp. -;ss- !J Z7H~ ' ~2.03~ ~ 7 JCITriCr&Ar5~UBER OLD ADDRESS 7'36 6- st. Legal Description 17 (J ~ ~~J~O~ 70n Building Owner ~ 1-. V:f'c.c."t D~Po.M..\ :Moving Firm Chr:S ~dlO"P .Bu~\d.~~ ~c(s- ',;D~X~~~i~ ~~~;~~e " Description of Route , : . Of' ''t--'' 5 t', . rtts+ 0 (1 Description of Buildin~ .:Square Footage 11..qg' Moving Length Number Of Sections Being'Moved '2- NEW ADDRESS (Furnished by 7o~& ~r\ Legal Description \ ~\)~~~ (AO~ . - Buildin'( Di v. ) ~ Phone G'67-~-glD Phone ~4-~J 10 t\"_ .$o<JH"\ 1-0 , .f ~o ~J,.12.5 ~~~ A 1-0 .' ., -I'D E Sr - E"'5't t-O frf4ln +'0 \...01- ~D<J~ "K ~\- 70 <lE f/la.:n 6,,' . . I l.( 6 Moving Width e3 Y Height On Dolly Type Of Construction Wco8 0..I\ltr.UATION NOTIFICATION OF MOVE: The Building Division will route copies of this application to all appropriate divisions, departments and Agen- cies. HOWEVER, 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 authorities should the move originate or terminate out- side the City of Springfield. SEWER CAP: Bui Idings moved from wi thin the City limits shall have the sewer capped at the prDperty line and inspected one working day prior to the move. If the 'inspection indicates that the sewer has not been prop- erly capped, the moving permit will be revoked. 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 site. 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 REQUIREMENTS: Prior 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 fill same with clean bar- run gravel or other material approved by the Director or his authorized representative. I CERTIFY THAT the above information is true and correct, that all reguired contacts have been ,Jl).ade and \lJ.lthorizations obtained, that the move will begin at 6~'1S-o'clock<1!IDtpm on VeG. Ijtr'o and will be completed by J /:00 o'clock@i\ipm on f)~c.. 1<:;' tI, and that no changes in the route will be made wit.hout contacting the Building Division. I also certify that I have been informed that NO PEm~IT 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. Basis for Builder's Board Exemption: NAME RIA. \ <)Olc.tf SIGNATURE f/ ~ I DATE Zone ,,-,t! Flood Plain FOR OFFICE USE ONLY Type of-construction~1 ~) Occupancy Group l~ Stories Living Units Square Footage VALUE 2:7f1c;-t! . f2~L( :.-q..CtJ Application fee $18.00 Date Paid Permit fee $60.00 -- Date Paid Number of Blocks over 6 @ .60~ Receipt Number Receipt Number ~~ Amount~.)(l On'Sl~ \ (:l\m.nilt)~-t~5TAs) Date Paid ~WlO. 111/.tJ.D . Sewer Cap $19c;9~ 1% \.. ....... ___Police Department Fire Department ---Northwest Gas OTHER -- specify - I St~te Surcharge -- !-, ~_ -t.... c:. Willamalane Park and Recreation Paci fic NW Bell ---Lane Transit District Rainbow Water / SUB Group W Cable =:=Lane County A & T BUILDING MOVING P~IT ~RMIT VALIDATION <<~\ ~ "I. :~.... 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 Uescription 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 foun~ation plan must be submHted 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 " f1.d~4Jo 1-L1V<< I ~ 11\.20 PERMIT CLERK \~ BUILDING DIVISION REPORT: . \ ~J_f1Ci(\y\C0 \ ~.>rf'<\;-tl \0 \ ~' ~~nor\) l-~}UW -ttJ \.~~ ,J\\\) ~ (\\5 \ \_~ot ~ TRAFFIC DIVISION REPORT: Co~ BIA I\\W("Date \A.q.qlP 1'5 M. S P,Jv"-'Stl3' wE.. fD Pte..h-n::~ f4-r./~ rJ4iM7tJAJ Au..T~c.. c.of'/Tlfu/_ @6-J.US. 1lL.!.' S/e"V/K- UiYSSnJbS S'rlYru.- Be.. /'1-Cfo/,,1bIlA.) _~ i!;l<J$StvvL. 7D tlA./SulZE PR..uf/1L c(.Wm7MS. SI &Nk. 1lktI- (;/-jI't.) w~t!..Ic..' 3 '13 - 'f'i' 02,- It:: S/&v4t..5 M41Jf"wTi,yv C}rU 61.. ~ ~utJ:q18-3(..67Bvt.IJ.4 Date f~(>/1'b ENGINEERING DIVISION REPORT: \J OlJJt-\a.. / (OM-r~'-Tba, \5 1<'rJ.<Pot--lsIBt..~ f'O,c Mv\ MMA<;f.5 7"() , ilttl,./llI f... o~ Pve-L,.t(" fJRo9t(!..~ ~ B'r r; f'\'fiIJ..j~.- Date '../'1/'1(" . ADDITIONAL PROJECT INFORMATION: ] r)bJl~U1P tJl~w _1:JjhL~4- U)CP~4ikvtLD~ u By t. ~te '/1t!f;(P , ,\ -s';J-." -~,;'r;~2.,'. :'"T:~~'''''''~'''''- ""~k:.p;~:;.;;;, _".,-~..,~.t.:.~..~ '~:""'-''if~';~~. ~ ~~~ ~ ~~~~~~~;;r_ t '>n" Ri,.e' :;<',-;~ __________c::::, ,(, "'\ _\C ~ ,,\... ~~..;. lfotJakowski .'t-.l.: # "'~v:nd1.;..:'... \.ll Landing ~ ,~l ".~..; 1 H.l.\'OE~8lIJ0Gl::;; 4"\ .-:. - I F~An "'-. ~;;; Et~"f ~- ~~~ ....1...... , "!J:_,",,,,'lOiL"- 5,~:"dc;~ .....,DEi. -l'~--"~<f--T i: 9l.AOOTOII'EST - ~ .~ "'~ i!!:::O .,. 1, '" ,'""', ,:Y~.,,~ "'H' '" 1,::&' ~ "00. ", - ,,'- Yolanda . ~6o iil-"" ROYilfO~IIt! '~~ . 1- ~" I"~ -I"~ YO\.AH[).I, S1 l --~l CAMBRIDGE Pille w..'-'Y< I <D.... "'~... ~IDG --wv f t$oo ~. 8 E ... to;;z: ~ :>: Ari BflggsMiddleScho.l ........ '" f Sf i!: :>:11':: rtTA _ . e. ,Et; ........ HAYDEN \Y ARIlJGF ,:Zl RD ::: -I AV ,2L~COl'lIlAlDR . . . ~ V' 8 ,~jT !:::o a!i . ~:;; ~o."'. . . WS1 Ilus UI~ ,", _~..,=-'~I ~I~pa.. 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