HomeMy WebLinkAboutPermit House Move 1985-9-4
",
.
CITY OF SPRINGFIELD
.
~g5'O CZs'7.
INSPECTIONS 726-3769
225 North 5th Street
BUSINESS 726-3753
BUILDING MOVING PERNIT/BUILDING DIVISION
OLD ADDRESS
3:-'1$5: M'MVi '3t-,
,/
Legal Description
n..cz. -')/-"3--J T.' L.. ()6bO '3
Building Owner
Sly LYtA<'~
~~~~g~::~m ~ S: ~ I~\DL
Description Of Intended Use
Address
NEIV ADDRESS (Furnished by Building Div.)
'.'2e56 7W'eJr ':1 S"m- r.=1:/
Legal Description
1?~3.lJ '1-// ?:~. C/7t!)t::)
Phone
Address Lics #
,(ku",,, l~c-lAJ. 11th
\ ':ll li'''"'''''-
CITY DESIGNATED JOB NUMBER
~
Sf-!)
Description of Route
MA'N iJ"U r J1:)
3'2C3C(
Exp.
3- 8v
Phone
?;"Ii O&)~
':h. ~),
+
If)~ N""" '11\ 1<> ~ wf...sr
-ro
'"to ~ 1flLa- Alo( 111 no
Description of Building
-.:r
IG>
10 ..lA I '-\.. NCR. \t(
(.( <>J ,..S,
~((E
..Square
Number
Footage /""Ja Moving Length
.
Of Sections Being ~loved
tic...' 21P
Moving Width 'Height On Dolly
Type Of Construction rP..ftJAL VALUATION
00 '
NOTIFICATION OF ~lOVE: The Building Division
will route copies of this application to all
appropriate divisions, departments and Agen-
cies. HOWEVER, ~he 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: Buildings moved from wi thin the
City limits shall have the sewer capped at
.theproperty 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:
I, Submit 2 copies of site or plot plan
for new si te.
2. Submit'2 'copies of fouridation 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 REQUIRE~IENTS: 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 ,
.' /
I CERTIFY THAT the above information is true and correct, that all .required contacts have
been made and authorizations obtained, that the mov,e will begin~t S-:bO O'clock~/pm
on St!.fY1"., '\':, l'lt-r and will be completed by /{) o'clock ~pm on bD-T: f I~ t,-,
and that no changes in the route will be made without co~tacting the Building Division. I
also certify that I have been informed that NO PE~1IT WILL BE ISSUED BEFORE 5 IVORKING DAYS
HAVE ELASPED. ; I' further certify that my registration with t.he 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:
NANE 1(\(W {Scbf' 'ls:l~ '..bWUIIb) SIGNATURE Ufu/Aw DATE 0-'08. 8'~--:-
.. ~ vI
FOR OFFICE USE ONLY
Zone~ L. Flood Plain./LLI. Type of .Construction ,4)'-h- Occupancy Group
Stories
I
Living Units
/
Square Footagel'~~ VALUE
PAiD
Application fee $18.00 Date Paid 9-f{- ~ S- Receipt Number f2, ~C; .:J.L/-v
Permi t fee $60.00 -- Date Paid q- <{- ~S- Receipt Number ()y (",[; ~ c.fV
Number of Blocks over 6 @ .60~ If"X. ~ Amount "2 c/o, - -:= 10::2. o't>
.. . ~",!,~R~/7"FBr08Y6
Sewer Cap $10.00 + 4~, State Surcharge - - Date PaId _ ,.:> .::0.....-9- ~
LPolice Department lVillamalane Park and Recreation Rainbow lVater / SU8
~Fire Department ---Pacific NIV Bell ---Group IV Cable
___Northwest Gas ---Lane Transit District ~Lane County A, & T
OTHER specify
.
~-?
_L"..."."..'......-. -'-._._,'-_
BUILDING MOVING~RMIT
, · PERMIT VALIDATION
I. Applicant to furni5h'(except as indicated)'
A. Old address for building
B. Legal Description
C. New address for building
(Building Div~ will furnish)
D. . Lega1"Description'
E. Name, etc. of building owner
F. .Name, etc. of movi ng fi rm
G. A description of intended use
H. A description of proposed route
I. A description of the building
II. Applicant to contact property owners if trees
involved, and secure authorizations from
other jurisdictions as necessary.
III. A site or plot plan, and foundation plan must
be submitted for the new site (2 sets)
IV_ Plans must also be submitted for any other
work relating to the relocated building.
V. Fees & Charges:
A. Application fee due and payable at time
of application
B. Moving permit fees due and payable upon
permit issuance
C. FEES & CHARGES TO BE CALCULATED BY
BUILDING DIVISION STAFF
VI. FOR OFFICE USE ONLY
A. Plan check data collected
B. Copies of application to appropriate
divisions, departments and agencies
~I ;"
. ,
, .
PERMIT CLERK
I
BUILDING DIVISION REPORT:
~t5'€ ~r;t?u~7'CJ7'f#' f e-c.cCn'J/~ /.......~c::;r/'CA;o' if~
-.lJ~..<:t=V 8-~c>~ .7?~'-PI(~ ~ /'~fJ4>/'77~A;i' b~ ~~
5/'~L.h!::.7~H~ ~ ~",~~ ,??~/~".
5etS li,N &v/E"~ C~<~~AY LKr ~ ~ c:=-.;"'$
llE..~/vc 7;' ~~/~ 7;:, P;L1>CE;Jr Vhc;r-
TRAFFIC DIVISION REPORT: A
p~~ W/'h.~ _11"~..c::2:> ,/2> i9e:-
-7b~/n~A'~ ~N 76,):> ~ ./.v.c L-:'-j~ 76 ~CJA'&;
c.c.~_J'r.~~ aF ~.~ ~<i/~A/~~5 O/"f 7i::.
~r ~~.A""~~ aJjc=,,! ~ ...;,,/.~ B~~G-~~€ ~~~,...
ENGINEERING DIVISION REPORT: ~,
.bb ~~~7"": jf~ .r~l""!'"> ~/----=- S::~i!!:!:'I=-/..s./h;.5
~
, "
.F.u~c..Y ,~~. ~E /t#r '::?~ __I !,~~."-.~
l ~ ,~...e-~K A 'p~/I-/"r)'TV<,,''',~~ ..-~... '.~~ /~zu,:!
BV~''- Date
..,
,..~~ ;-
BY~. C" Date t!!r2'9/3$-
ADDITIONAL PROJECT INFORMATION:
'.
'.' .
, '
'. .
.' ,.
"T ..
'.. .... ....' ~.,
.,......
By , Date