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HomeMy WebLinkAboutPermit House Move 1995-1-6 "L . - 4IIIFITY OF SPRINGFIELD 225 North 5th Street - "', ~ INSPECTIONS 726-3769 BUSINESS 726-3753 BUILDING MOVING PERMIT/BUILDING DIVISION NEW ADDRESS (Furni~'id by Buildi~g Div.) \~t1?J l0. \\lUrffi.Nr' / Legai Description ~ \ . \lr\3Xl~! n~oO ~J~lNP~~1)o)(( '. ~~s~~~~ ~~ r)4~.qffit ~ ~~. - ~J f\ ~~d~';~~il\ ~ 3[)~ ~q '1l~(o '"64.4 ~ O,,,,ip.i" ~~.fM}u" Pm t em DCS;.;'''!'' JOO ,...." o.~ :c ,,1~1 dmllL- Q4\C\\<y\ &n..& An (\flli>JV\n.O \'0, ~~) ~ aY) I ~ ~~~~t ~~"()l'r ~V\:\- 0'" \0~ t ,Square Footage , Moving Length 4~' Moving Width ~4" Height On Dolly Number Of Sections Being ~loved \ Type Of Construction \J f\J VALUATION OLD ADDRESS LegJ)~~~~~ I f 1 ~ ftQ-- NOTIFICATION OF MOVE: The Builtling Division will route copies of this application to all appropriate divisions, departments and Agen- cies. HOt/EVE It , 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 terminate out- side the City of S~ringfield. 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 recei v- ,,- 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 REQUIREMENTS: 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 CERTIFY THAT the above information is true and correct, that all reS);lired contacts have been made and au~~izations obtained, that the ~ve will begin at . ,:(()b'Clock~pm~ on~f\" \ ':\ \Q~and will be completed by '-1 :rf)o'clock<!!ilYpm on ~\\ _\~'\n ~ and that no cllanges in the route will be made without contacting the Building Division~ I also certify that I have heen informed that NO PEm~IT 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 ~xempt the basis is noted hereon. Basis for Builder's Board Exemption: /);/ /1 NAME {};/,0:> :i(k cf' SIGNATURE (~A ~~ DATE !-6-fJ- , , Zone LDI2- Flood Plain FOR OFFICE USE ONLY Type of Construction V JJ Occupancy GroupM Stories d \ Square Footage VALUE Living Units \~$~ \~q~ I Application fce $18.00 Date Paid \?).C() , Receipt Number Permi t fee $60.00 -- Date Paid \ JJ.0:5 Receipt Number Number of Blocks over 6 Q . 60~ p,,, 4-.~} Amount, e/l. ffJ Sewer Cap $10.83 . lr.~~te_?UrChargC -- Date Paid~ (\"."..~..,,"t\':,..\f>ol\~~;f\ 9J.~l\Q..> Police Department Willamalane Park and Recreation RainboW) Water / SUB , Fire Department Pacific NW Bell Group W Cable Northwest Gas Lane Transit District ___Lane County A & T OTHER -- specify BUILDING MOVIN~MIT 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 submitted for the new site (2 sets) . IV. Plans must al so be submitted for any other work relating to the relocated building. V. Fees & Charges: A. Appl ication 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 ~ERMIT VALIDATION . . , -. ~ :) \.. PERMIT CLE~.t~Q av BUILDING DIVISiON REPORT: < \ AA.l\"- f) [')~l {)~ I! \ U I ~ "4- \ I\ ~ Ql 'Tt. ~ -'~ \. -to{ \..J\Q1.o Sltv "" \ ~^ f'\(1 0 [')1') ) . "1"-', , . TRAFFIC DIVISION REPORT: ftjJ.1/7%/-Ic}JVt? B1 ~~~~te \4.qs R,JZ;,<,p{)t0..4 leu: rOtZ- 11:01 J)~+t:,.,. 7(J Pv/3L{ C 1'~4c,,/LI/b:5 /-l LL 7.A2A-1-"'/-i c... go /c-.vA-c... S- ( e p.v.7'....w, -n.-/ "IflPNJ) 9~ 3<t Fl/Ll., '1 P'''WC'-F7o,uII'c... /1~ I-(o..x.;'c / S . ..7'> /l.3;;t7,z) POL ~{lt/e ' C><V,.... / ' tu7Jf L.."""'''::. B"~ Date I/Y1S- t:(,ti!. AI-I,::\{)A.f'\A(,~<;' /V'Ot...j.:,o 'T1--/,€i)i/c,l1r, Wp/:.O'>v9-PP,v ENGINEERING DIVISION REPORT: ovJ Mr;:J2. / Co~AcTO/Z. I f'l2-11l PrTE. At4 0 IS t<.r::.s Po t-I "'-L g ~E' 'n~ PuBLIC Pk'oDEt:--'T'"'\ . By r; IA '1II/j~-ft... Da te .; q /"'5' ADDITIONAL PROJECT INFORMATION: By Date / -- ~~ dn ~ . "' tC: A :tl, ~ BAR-M MARTINGALE BOGART VILL ARD> ORC ~ARq r- DA ~ , .. :.:: .......:' 1'-1 A~ . ~ '::::::~:':;::::~:'. -::.;:..:;;:.:7.....:::/... ---V (p': t' ............,. ~..'.~..-...........'. . ( . ~~~ \dAJ:~\~~:~~;:..Zr!1i;t~f..;.;f I.~ :::.~. .;..,..:::::::::.:-::: . .. 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