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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