HomeMy WebLinkAboutPermit House Move 1995-1-6
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4IIIFITY OF SPRINGFIELD
225 North 5th Street
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INSPECTIONS 726-3769
BUSINESS 726-3753
BUILDING MOVING PERMIT/BUILDING DIVISION
NEW ADDRESS (Furni~'id by Buildi~g Div.)
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Legai Description ~ \
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,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
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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-
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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
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PERMIT CLE~.t~Q av
BUILDING DIVISiON REPORT: <
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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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