HomeMy WebLinkAboutPermit House Move 1992-7-14
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INSPECTidNs 726-3769,
C ITV OF SPRINGFIELD
-225 North 5th Street
BUSINESS 726-3753
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BUILDING MOVING PERMIT/BUILDING DIVISION
NElv ADDRESS (Furnished by Building ?iv.)
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Legal Description
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Description of Route
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~~ ~}\~p}101\ fUct 0) \_"-1 at-t-) tJJ 1~; ,~\6/ffi-to ((J~_ C1U
:Squ'are Footage Moving Length 2P-; I,loving Width~4"" Height On Dolly ~4
Number Of Sections Being ~Ioved I Type Of Construction \,1 l\J VALUATION
OLD ADT\D~ ~ i f\ Sb
Le\1 O~p3~ \ () 55CJO
BU\l~~ng Owner"
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NOTIFICATION OF ~tOVE: The Building Division
will route copies of this application to all
appropriate divisions, departments and Agen-
cies. HOt/EVER, the applicant mus t 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 t~rminate out-
side the City of Springfie ld.
SEWER CAP: Buildings moved from wi thin the
City limits shall have the sewer capped at
the property 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 recei v-
ing a permit to move a building to property
within the City, the applicant or his/her
authorized representative must:
J. Submit 2 copies of site or plot plan
for new si te.
2. Submit 2 copies of foundation plan for
the relocated building.
3. Obtain a permit covering the new founda-
tion, as well as all 1'1 umbingjmechanical
and electrical work relating to the re-
located building.
4. Pay Systems Development Charge if appli-
c:lble.
SEPT] C TANK REQUIREltENTS: Prior to moving,
Clvner 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-
I run gravel or other material approved by the
~ Director or his authorized representative.
I' CERTIFY THAT the above information is true :lnd correct, that all 1Jl'1.'R,r,d cont~ct have
been made andAut;tlOrizations obtained, that the mov';..,lipl begin at [) _l.A.P'cloc am.tem
on, fl- \ ~ ,...1..-\ I L and will be completed by f)'.LU 0' clock ~m on '\ - \, - L\fJ....,. ,
and that no chan-ges in the route will be made without contacting the Building ,D1vision. I
also certify that I have been informed that NO PERMIT 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:
NAlIE
SIGNATURE
DATE
FOR OFFICE USE ONLY
zone.ill~ Flood Plain
Stories !J.. Living Units
Occupancy Group
Type of Construction
/ Square Footage
VALUE,
\PlJ::JLG
( 0 O. Receipt
'l:l() Amount
-- DatePaid \S,f)~
Application fee $18.00
Permit fee $60.00 -- Date
Date Paid
Paid
Number of BI~OV&r
Sewer Cap $~ +~.
.' VPolice Department
~ire Department,
Northwest Gas
OTHER -- specify
6 @ .60~
Receipt
Number I
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Number ,,~ '
\( '1 'J. ~ ',/1. ~/-
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j iUB -:~
Sta te Surcha rge
Willamalane Park and Recreation
---Pacific NW Bell
~ane Transit District
JL:!1.ainbow Water
Group W Cable
~anc County A & 'I'
BUILDING MOVING PERMIT PERMIT VALIDATION
I. Applicant to furnish (except as indicated)
A. Olg address for building
B. Legal Description
C. New address for building
(Building Div., will furnish)
D. Legal Description
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.
I.I I . 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
permi t 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 PERMIT CLERK
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TRAFFIC DIVISION REPORT:
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ENGINEERING DIVISION REPORT:
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