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Home My WebLink AboutPermit House Move 1995-8-18 .. . CITY OF SPRINGFIELD 225 North 5th Street INSPECTIONS 726-3769 . BUSINESS 726-3753 BUILDING MOVING PERMIT/BUILDING DIVISION NEW ADDRESS (Furnished by Building Div,) @ O(t.n" Sub D:v. \0210 nidlOtCl() l()~1Si2rtion 0\?JJ4 Address ~ 5 V C.CAJ\ 36f0S ?JI\ ~rt I ,/\J\~ I I J Moving Firm . ~ ~ss -- I. l\i s ii' Exp. Ch{">~ 5c.ho<>,p 7?'S W 1..7 L1(.nc. ~Z.03'l ~&, Description Of Intended Use CITY DESIGNATED JOB NUMBER qSI~~LfJ OLD ADDRESS 3072... &t'-~e. to-l!'1 Legal Description Rl Building Owner PI 6t>1e.. Description of Route ((/')5<; P,~I ~\'".. Tr>, M(A+", ~ G R To r'\ n Description of Building ~C) tld w", r L Hu !-t,.,n Phone 14-\01(\ 1.1_ 'PhOn e '3'14- ~!?.33 (")~ O~ H (rHo(\ Hv H<'JCl m F: o.cd-- f:etcl Act R~I l-[,tnL .:Square Footage Number Of Sections Moving Length Being Moved 5f) I I Moving Width s.< Height On Dolly Type Of Construction j.y",o~ t\,..vALUATION If? f 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 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 dispoa1 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 re~uired contacts have been made and authorizations obtained, that the move will begin at 1:000'clock ~/pm on (?-I\?-~'f and will be completed by 9:"(5-- o'clock @Ppm on g--lr-9,,", , and that no changes in the route will be made without contacting the Building Division. I also certify that I have been informed that ~O PE~4IT 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 701.0SS and 701.070, and that if exempt the basis is noted h~re n. Basis for Builder's Board Exemption: /- _ 0 Af/. c?~. NAME./~ f"''^ I <; (),'C~ SIGNATURE '/ . ~ DATE g' -11- 9) Zone LJl)~Flood Plain FOR OFFICE USE ONLY Type of Construction \ff\1 Occupancy Group \\~ Stories \ \ Square Footage VALUE Living Units - Application fee $18,'00 Date Paid \~ .oU Permit fee $60.00 -" Date Paid \O[)~ Number of Blocks over 6 @ ,60~ 0 Receipt Number , Receipt Number \B'13B- Amount qL\..2.0, l--!l-,-r' Paid /3. 18'~cJ"1' /Rainbow Whter I SUB vGroul' \I ~~\ ~ane County A & T Se~r Cap SlB.Eta ,,,4\"-State Surcharge -- Date \~, "'l<<"""S nO,'II,) ~Police Department Wi11ama1ane Park and Recreation ~Fire Department ~Pacific NW Bell ~Northwest Gas ~ane Transit District OTHER -- specify BUILDING MOVINdlltRMIT 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 besubmHtedfor the new site (2 sets) IV. Pl ans 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 up~n 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 !BUILDING DIVISION REPORT: - _fl \~110lin k()(\ l.~f\\:l CJhhffi11rQ{~ J;l~yfu (~,. TRAFFIC DIVISION REPORT: CD rJ -vel' C;;J?XL tell-sl' AVSI f3~ 70 /'>A7 ..l/TA /.oJ f'Ul!u{' F4C 1/ I~" /hV/J ~c. {'DtV~/ , ENGINEERING DIVISION REPORT: OWriER./ cOHrIZA'-rctz- ,,; /26..,; Po"'; S/8LtZ. pf:!./l!/J"-E RZ-o ft:'R-"'-<II , 0(2. PUI.SL-IL . ADDITIONAL PROJECT INFORMATION: ~ERMIT VALIDATION ~6 8.\~' n,(L ~> \f(;~bU 1 ~~.tP PERMIT CLERK F\.\S-c\'C; " ~,~ v ' B1 J~R-Qate8-lfn'~, BvU/J6.- u Date g' It~-; qs , / Foe /h<./ !:J /)f!rMI!-{,t:S70 By 1': i"'I1l1i.icv- Date 1J/,./q5--' By Date