HomeMy WebLinkAboutPermit House Move 1995-6-14
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M E M 0 RAN DUM
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June 15, 1995
TO:
Police Department
Fire Department
Lane Transit District
Springfield Utility Board
FROM:
Lisa Hopper, Building Safety
SUBJECT:
House Move
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CITY OF SPRINGFIELD
..-
DiVision~
Attached is an application and proposed route for a house move scheduled for
Tuesday, June 20, 1995. The move is scheduled to begin at B:OO a.m. and to be
completed by 9:30 a.m, on that same date. The move will take place primarily on
private property, but will cross Nicholas Drive to site.
If you have any concerns, please phone me as soon as possible so I can either
get you the information that you need, or direct you to the appropriate person.
My number is 726-3790.
cc: Sanipac
US West
TCI Cable
911 Dispatch
us Postal Service
NW Natural Gas
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CITY OF SPRINGFIELD
. 225 North 5th Street
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BUSINESS 726-3753
INSPECTIONS 726-3769
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BUILDING MOVING PERMIT/BUILDING DIVISION
Address Lics # EXP'~V
7rc-w 7 ~\; 3I03Q 9 b
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t'ITY DESIGNATED JOB NIJMB~R
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OLD ADDRESS
6'Cj?l C() It\(l :'",,1
Legal Description
l1()usr<J \f\t)~~_~m mirY)
Building Owner
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Moving Firm
Address
chr:5 5d1o"-8 [)v~ld:"ti f{Odl[S
Description Of Intended tfse
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DescrfPtion of Route
rrol'1 ('f\\"r.:'<t.\ Or. /hru r e.ld
DescriPtion of BuildinR
,Square Footage 146 ~ ~ Moving Length
Number Of Sections Being Moved I
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NEW ADDRESS (Furnished by Building Div.)'
b \ z.. N' dlD \ '" <; \Jr.
Legal Description
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Phone
Phone
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5' 3 Moving Width <10 Height On Dolly JR'
Type Of Construction kJo,,~FT~4UALUATION
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: Buildings moved from within 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 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 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 plumbing/mechanical
and electrical work relating to the re-
located building.
4, Pay Systems Development Charge if appli-
cable.
SEPTIC TANK REQUIRHIENTS: 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.
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I CERTIFY THAT the above information is true and correct, that all r qui ed contacts have
bee~ made ilpd authorizations obtained, that the ,Jllove will begin at : 0' clock m~,
on~\.{\Q. "l.ft1 ,Ocr:; and will be completed by ~:.:~r)_o'clock ~pm on ,
and that no chRnges in the route will be made without-contacting the Building Div1s~on.
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: .
NAME 90.(,.\ 5t/:C.l( SIGNATURE p ~ DATE 6 -l6-,~
FOR OFFICE USE ONLY
Type of Construction \f D
\ Square Footage~~
Application fee $18.00 Date
Permit fee $60,00 -- Date Paid
Number of Blocks over 6 @ .60~ f\\~
Sewer Cap ~\O~ro;\%"",in.."6. 5~~ ~- Date
_POlice bepXrtmen~' .\J-Willamalane Park and Recreation
Fire Department Pacific NW Bell
-Northwest Gas -Lane Transit District
OTHER -- specify
Zone ~~lOOd Plain
Stories
\ Living Units
Paid \~ C(:)
l cf'l;D
Occupancy Group
f\~
VALUE
/8o.?~
Receipt~- /~eJ)1
Amount ~ l.'\~ .~li ) ~
Paid \KOO~. 'lS -+:-\-<; ':. \\ 0.'11 )
Receipt Number
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Rainbow Water / SUB
-Group W Cable
==:Lane County A & T
BUILDING MOVING~MIT
of'
~ERMIT VALIDATION
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 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.
III. A site or plot plan, and foundation 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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PERMIT CLERK ~~
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BUILDING DIVISION REPORT: _~. \1 j, . \...
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TRAFFIC DIVISION REPORT:
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ENGINEERING DIVISION REPORT:
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. ADDITIONAL PROJECT INFORMATION:
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Date