HomeMy WebLinkAboutPermit House Move 1996-12-4
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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
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.f ~o ~J,.12.5
~~~ A 1-0
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-I'D E Sr - E"'5't t-O
frf4ln +'0 \...01-
~D<J~ "K
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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
"
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~ 11\.20
PERMIT CLERK \~
BUILDING DIVISION REPORT: .
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TRAFFIC DIVISION REPORT:
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ENGINEERING DIVISION REPORT: \J
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