HomeMy WebLinkAboutApplication APPLICANT 11/23/2010
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City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
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Floodplain Overlay District Development
Required Project Information (Applicant: complete this section)
A e'l--) Phone0"tti 165' - 0
1- Fax: 5'/1) 7't>-IOO
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A licant's Re " Phone:
Com an : Fax:
Address:
, lie --- Phone:
Com an Fax:
Address: '2-763 JJ Zt 51 S"'.. PI (::) OrL- 97)L y
Size of Pro
Acres
ASSESSOR'S MAP NO: 17-03-2;.<'-5'z..
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Zonin :
Existin Use:
Description of If you are filling in this form by hand, please attach your proposal description to this application.
Pro osal:
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Associated Cases: ~
110- cEDI>
Case No.:
Date:
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A lication Fee:
Technical Fee:
TOTAL FEES: $ 1750.35
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PROJECT NUMBER:
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Date Received:
NOV 2 3 2010
Revised 1/1/08 Molly Markarian
Original Submittal
1 of 4
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Signatures
Applicant:
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ation in ttlis appliCation is correct and ~ccurate.
Date:
11-/1-/0
Sigrt'ature
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Print
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If the applicant is not the owner, the owner hereby grants permission for the appliCant to act in his/her behatf. i
Owner:
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Signature
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Print
Date:
II -/'1 -10
Date Received:
NOV 2 3 2010
R.evised 1/1/08 Molly Markarian
Origil'1al S:Jbmittai
2 of 4
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Floodplain Overlay District Development Submittal Requirements Checklist
NOTE: If you feel an item does not apply, please state the reason why and attach the
explanation to this form.
EJ Submitted Concurrently with Site Plan Review, Minimum Development Standards, or
Residential Building Permit applications, where applicable
e:J Application Fee - refer to the Development Code Fee Schedule for the appropriate fee
calculation formula. A copy of the fee schedule is available at the Development Services
Department. The applicable application, technology, and postage fees are collected at the
time of complete application submittal.
0' Floodplain Development Application Form
~ Copy of the Deed
[2( Preliminary Title Report issued within the past 30 days documenting ownership and
listing all encumbrances.
[2r Narrative explaining the proposal and any additional information that may have a bearing
in determining the action to be taken, including findings demonstrating compliance with
the Floodplain Overlay District Development Standards described in SDC 3.3-420.
NOTE: Before the Director can approve a Floodplain Overlay District Development
request, information submitted by the applicant must adequately support the request. All
of the Floodplain Overlay District Development Standards must be addressed by the
applicant. Incomplete applications, as well as insufficient or unclear data, will delay the
application review process and may result in denial.
0' Three (3) Copies of a Plot Plan drawn to scaie to include:
o Name, location, and dimensions of all existing and proposed structures
o Name, location, and dimensions of all fill
o Name, location, and dimensions of all storage of materials
o Name, location, and dimensions of all drainage facilities
o Base flood elevation area
o Elevation in relation to mean sea level
o Of the existing grade of the proposed development (for residential structures,
show elevations at the corners of the proposed structures)
o Of the lowest floor (including basement) of all structures
o To which any structure has been flood-proofed
o For residential structures, elevations at the corners of proposed structures
o Certification by an Oregon licensed Engineer or Architect that flood-proofing
methods for any non-residential structure meet the flood-proofing criteria in SDC 3.3-420
B.2.
o Description of the extent to which any watercourse will be altered or relocated as a result
of the proposed development
Revised 1/1/08 Molly Markarian
Date Received:
NOV 2 3 2010
4 of 4
Original Submittal
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www.ci.springfield.or.U5
TRANSACTION RECEIPT
TYP110-00013
2763 21ST ST
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@ci,springfield.or,us
RECEIPT NO: 374974
RECORIl NO: TYPIIO-OOOI3
IlATE: 11/23/2010
DESCRIPTION
5% Technology Fee _ _ __ _ _
Floodplain Oevelopment Base Fee - UGB
L.PAYMEN~~Yp'E___PAYOR
CASHIER: DKELl Y
ACCOUNT CODE AMOUNT DUE
100-00000-425605 $83.35
- - ---
100-00000-425002 $1,667.00
TOTAL DUE: $1,750.35
COMMENTS _AMOUNT P.AID__J
Check
20985
Gansen Construction
362 HWY 99N
Eugene, OR 97402
$1,750.35
$1,750.35
Date Received:
NOV 2 3 2010
Original Submittal
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GANSEN CONSTRUCTION
GGB 392159
362 HWY. 99 N.
EUGENE. OR 97402
(541) 463-1000
UBeRTY BANK
EUGENE. OR 97401
96-7142/3232
20985
11n'lnn1n
6'}iD~~ 'bHFE City of Sorinafield
One Thousand Seven Hundred~n
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City of Springfield
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Permits - Deller - 868
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Date Received:.
NOV 2 3 2010
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City of Springfield
Floodplain Overlay District Development Application Narrative
10bsite; 2763 N21 st St.
We are proposing a 252 square foot family room addition to the existing home located at
2763 North 21st St., Springfield. The finished floor is to be I foot above base flood
elevation.
Mike Gansen
o do
Date ReceIVe .
NO'J 1 3 10\0
\ submittal-
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Regional Land Information Database (RLID)
RLID Summary Property Report
Site Address 2763 21ST ST Springfield, OR 97477-1767
Map & Tulot # 17-03-24-42-02728
SIC N/A
Tax Account # 0200889
Property Owner I
DELLER MICHAEL JAMES & K
2763 N 21ST ST
SPRJNGFIELD, OR 97477
image not available
Taxpayer
DELLER MICHAEL JAMES & K
2763 N 21ST ST
SPRJNGFIELD, OR 97477
Boundary - Land Use Data
Approximate Taxlot 0.21 19,148
Acreage 1 Sq Ft
Incorporated City
Limits
Urban Growth
Boundary
Census TracllBlock
none
School CodeName
School District 19 SPRJNGFIELD
Elementary School559 Yolanda
Middle School 542 Briggs
High School 561 Thurston
SPR
Subdivision Name
Lot/Tract/Unit
Phase
Recording Number
2001/1
N/A
TL 02728
N/A
N/A
Zoning
Parent/Overlay
Land Use
Property Class
Statistical Class
LD
1111 Single Family Housing
101 RESIDENTIAL, IMPROVED
130 CLASS 3 SINGLE FAMILY DWELLING
Property Values & Taxes
Real Market Value (RMV) Total Assessed Value
Year Land Improvement Total
120101 S54,939 SI09,650 $164,589 $124,356
2009 $75,935 SI0I,710 $177,645 $120,734
2010 Taxable Value 2010 Tax 2010 Tax Code Area
ISI24,356 11$1,452.11 1101904 I
Two Most Recent Sales/Ownership Transfers
Date Price Grantor (lirst listed) Grantee (lirst listed) Instrument # Image
07121/94 $86,900 WILLIAMS, KATHRYN ALOHA data not available 1994-55410 iii
08103/92 $0 WILLIAMS, DALE LEROY data not available 1992-69499 II
Dwelling #1 of 11 Building Type >> Class 3 dwelling
Year Built 1967 Base Sq FtFinisbed Sq Ft
Bedrooms 3 1st Floor 1129 1129
Full Batbs I Total Sq Ft 1129 1129
HaIr Baths I
% Complete 100%
Fireplace(s) Yes
Heating data not available
Roof Style/Cover Gable/Comp shingle medium
Bsmt Gar Sq Ft N/A
All Gar Sq Ft 555Date Received:
Det Gar Sq Ft N/A
All Carport Sq Ft NI A NOV 2 3 2010
ThiS report extracts commonly used mformatlon from t!)c Detailed Propc:ny Report (DPR)
Original submittal
Report was generated by First American Title Insurance Co. of Oregon on 11/1912010 at 2:00PM using www.RLID.org
Page 1 of 1
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Date Received:
NOV 2 3 2010
Original Submittal
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No.3067~77
Expires December 31.2005
Important: Read the instructions on es 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAA1E ,1}1, ke <,f (-J I ,so.. I
BUILDING STREET ADDRESS O",,",,1ng Apt.. Unij. Sum.. and/or Bldg. No.) OR P.O. ROUTE ANO BOX NO.
J.76 21 S_ sJr...,f
CITY STATE
~. lJ.,.lj oQ. 17'177
PROPERTYDESCRIPTlON ::;,;{arocl< NU~~ P~Number, ~ ~ elC.)
Lt/S' - ~r_ ;,....:EI ~ ; G ..J.n< 17-03-24-<lz
BUILDING USE (e.g., Residential, l. AddIlJon. Accessory, etc. Use a ComtMnts area, if necessary.)
For Insuml'l(2 CampallY Use:
Policy Number
Company NAIC Nurnller
ZlPCODE
If .2728
LATITUDEllONGITUOE (OPTIONAL)
( 1#f'-##'-##.1IIf' or ##._')
HORIZONTAL DATUM:
I~ NAD '927 I~ NAD 1983
SOURCE; U GPS (Type~
U USGS Quad Map U OIlu.'
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
/.AIJE CLl<Jr-ITI' ORlGON - 4155'11
B2. COUNTY NAME 63. STATE
l-AN. co<JriTy'-lNINColi!f'oRllTr/, ~ O~
B4. MAP AND PANEL B5. SUFFIX 88. FIRM INDEX B7. FIRM PANEL 88. FLOOD B9. BASE FLOOD ELEVATION(S)
S#UMBER F DATE EFFECTlVEfREVlSEO DATE ZONE(S) (Zone AO, use depth oI11ooding)
'liS 1- 1/5"& ..ru.ra~ Zl 1m -"wn. ?, I'l'i'l Ac ,/52.'11./'
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89.
LI FIS Profile U FIRM ~ Community O.tarmined U Oth... (Oescribe);
B". Indicate the elevalion datum usedforlt1e BFE in B9; lxJ NGVO 1929 U NAVO 1988 LJ Olh... (Oescribe);
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? U Yes ItU No
Designation Date: )J/A
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
.C1. Bulldin~ elev:tkms..!.r8 based on:_L,JConstru~?n Drawillg~. L.J~U.!ldi~~ Under COnstruction. ..~Flnis!1ed Construction
*A new Elevation Certificate will be required when construction at the building is complete. _
C2. BuiJding Diagram Number ~ (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building. provide a sketch or photograph.)
C3. Elevations - Zooes A'-A30@AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, ARIA, ARlAE, ARJA l-A30, ARJAH. ARlAO
Complete Items C3.a-i below acoording to the building diagram specmed in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Sedion 6. oonvert tha datum to that used for the BFE_ Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section 0 or Section G, M appropriate, to document the datum conversion.
Datum Nt;Vb '~Z,'L Conversion/Comments
Elevafion reference mat1c used see CArrot'r>6roJ$ (i) Does the elevation reference marl< used appear I"'l" tho ~U? I I v~ I Y1 ~
Cl a) Top of bottom floor (induding basement or endosure(~~) QQ'l.-1- ft.(m) ~.
a b) Top of next higher floor (I;ui"'j e:r...j 'ISI ...1..ft.(m)"
Q c) Bottom of lowest horizontal structural member (V zones only) MIA _ _ ft.(m) !
Q d) AltacI1ed gaJ'all" (lop of slab) ~ S<l .lll.(m) E ~
o 8) Lowest elevation of machinery and/or equipment W CII
servicing the building (Describe In a Comments area.) @ 450' . L fl.(m) f i
a f) Lowest adjacent (finished) grad. (LAG) '/So . L fl.(m) z_
0"
o g) Highest adjacent (finished) 9rad. (HAG) </S'o . ~ fl.(m) ;:
o h) No. of permanent openings (flood vents) within 1 ft_ above adjacent grade 6 ~
Q i) Total area of an permanent openings (flood vents) in C3.h 6'11 sq. in. (sq. em)
PROFESSIONAL
LAND SURVEYOR
~)I LJIa-<>-
OREGON
JULY 19M
DAVID H. WELLMAN
2163
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTlF1CATlON f~ .,/!p/-,
This certification is to be signed and sealed by a land surveyor. engineer. or architect authorized by law to certify elevation information.
( certify that the information in Sections A. 8. and C on this cemffcate represents my best efforts to Interpret the data available.
I undef3land that any false slBtemenl ma be punishable b fine or implfsonment under 18 u.s. Code. Section 1001.
CERTIFlER'S NAME 11. U l ma. LICENSE NUMBER
COMPANY NAME
CITT
DATE
TITlE
ADDRESS
SIGNATURE
FEMA Form 81-31, January 2003
See reverse side for continuation.
NOV 2 3 2010
Original Submittal
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SECTION E - BUILDING ElEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AD and Zona A (without BFE), romplete Iiams E1. through ES. If the Elevation Certificale Is Intended for use as supporting
irnonnatlon tOf a LOMA or LOMR-F, Sectfon C must be completed.
E1. BulldiN Diagmm Number _ (Select the building diagram most similar 10 the bu~ding for which this cellillcate is baing complated-
see pages 6 and 7. If no diagram accurately raprasants the building, provide a sketch or photograph.)
E2. The lOp oflhe boItom floor (including basement or enclosureJ of the building Is U-I ft. (mJ L1-1 In. (emJ U above or U below
(check one) the highest edjacent grad., (Us. natural grade, hva~abl..)
E3. For Building Diagrams 6-8 ,.,;th openill!is (see pege 7), the next higher floor or elevated floor (elevation b) of the building is
L.J....J tl. (m) L1-1in. (em) above the highest adJal;8l\t grade. Complela Items C3.h and C3.i on front at fotm.
E4. ThelDp at the pialform of machine!}' and/or equipment servicing the building is LU tl. (m) LLJ in:(em) U above or U below
(checIc one) the highest adjacent grade. (Use nalural grade, Wavailable.)
ES. For Zone AD only: If no flood depth number is available, is the lDp of the boIlom floor elevated in acoon:la1ce with the community's
fl_n me_ordinance? I I Ves I I No I I Unknown. The local official must certlfylhls infonnation In Section G.
SECTION F - PROFERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's author1zed representative who completes Seeton. A, B, C (Items C3.h and C3.i only), and E for Zone A
(without a FEMA-issued ... communily-issued BFEJ or Zone AO must sign he.... The ._moms in Sections A. B. C, end E 818 COf1fIct to
the bestofmv knowledae.
PROPERTY OWNER'S OR OWNER'S AllTliORlZEO REPRESENTA T/VE'S NAME
I
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
COMMENTS
DATE
TE.EPHONE
I I Check here if attachmenSB
SEiCTlON G - COMMUNITY INFORMATION (OPTIONAl)
The local official who Is authorized by law or ordinance to administer the community's ftoodplaln management ordinance can complete
Seetons A. B, C (or El, and G of this Elevation CellillC8!e. Complete the epplicable ~em(s) and sign below.
G1. U The infonnation in Section C was laken from other documentation that has been signed and embossed by 8 licensed surveyor,
engineer. or architect who is authorized by state or local law to certify elevation Information. (Indicate the source and date of the
elevation data In the Comments area below.)
G2. U A communJty official ccmpleted Section E for a building located In Zone A (without e FEMArlssued or community-issued BFE) or
Zone AO.
G3. U The following infomlation (Items G4-G9) is provided for community noodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCEIOCCUPANCY
. ISSUED
G7. ThIs permit has been issued for. U New Consln1ction U SubstanliaJ Improvemenl
G8. Elevation of as--built lowestfioor (including basement) of the buUding is:
G9. BFE or (In Zone AD) depth of flooding at the building site Is:
._Il.(m)Dal1Jm;
. _ tl. (m) Datum:
LOCAL OffiCIAL'S NAME
COMMUNITY NAME
SIGNATURE
TITLE
TELEPHONE
DATE
COMMENTS
FEMA Form a1-31, JanLIBry 2003
7_ rY1~ ~~ here W __
Da ~Itions
NOV 2 3 2010
Original Submittal
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SEI/4 Sac.L
NW 114 COUNTY
LANE
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Date Received:
NOV 2 3 2010
Original Submittal