HomeMy WebLinkAboutPermit Building 1991-7-25
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CITY OF SPRINGFIELD
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INSPECTIONS 726-3769
225 North 5th Street
BUSINESS 726-3753
BUILDING MOVING PERMIT/BUILDING DIVISION
NEIS\R;r (A~hed Wng Div.)
, r~rD~?~n~ mcrD'
B~:n~~~ner S\-J~, ooss<B43S.b Wlo~. 344A3t
M~1n~~rm \ \. .. Address . L1CS ~ Exp. I .Phone 5'14:
\~\\\)\~~lS~ f)~ujflf)~~8~~ L.-(ZEICi4 ~!:D
Description Of Intended Use I' f ' , CITY DESIGNATED JuB NilliBER · ' ~
~~ ~-\~\~ ' q\OR2-~
DescriPt~ut,e ~ f'~A . )
OLD ADDRESS
'~'t)\l~~~ 'Un~
Legal Description \j
/
Description of Building
Square Footage r-Ioving
Number Of Sections Being Moved
I
, -<,1"1 b __Vl/tlfl.JCk.. XJ
Length ~~~S Moving Width Height On Dolly
( (Type Of .construction fRJt.~ VALUATION
I CERTIFY THAT the above information is true and correct, that all required contacts have
been made f\~ authorizations obtained, that the m~ewill begin at -~, o'clock am~
on rJyG-, cV() and will b~, completed by 0 0' clock am/pK..on ')\J ~ "l.t: 'r'-
and thati no changes in the route will be made without contacting the Buildingl Division. I
also certify that I have been informed that NO PEro1IT 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
:::d G;:' &;;or B~ilder's Boards:::::~ :;?~4 DATE7-7-y-c;J
FOR OFFICE USE ONLY
Typ~ of Constru'ction \J AJ Occupancy Group
NOTIFICATION OF~10VE: 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 Bnd 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 ang inspected one working
day prior to ~he move. If the inspection
indicates that the sewer has not been prop-
erly capped, the moving permit will be
revoked.
Zone
~~~lodd Plain
/v/ ~(I
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
persqn 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.
/ "
./ ',,/
RS
Stor.ies
Living Units
\ -,Square footage
V AWE
------
Application fee $18.00 ua1:e palU R06-:i:r~ f\h,l11l1"lPr_
Permit fee $60.00 ...:- Date Paid 1...'J,,~ftS,~jAm!ountR, eC~1,',.Pt(N{}u~r ..0, ' {2~3
Number o~ Blocks ~ve~ .60ct -1 - )..iJ_X. I .J~d: '~.~ <...) :1-(~1
Sewer cap~.p~~te Surcharge -- Date Paid '~
'-'Police Depa'rtment Willamalane Park and Recreation
VFire Department Pacific NW Bell
Northwest Gas ~ane Transit District
OTHER sped fy
~ainbow Water ~B' ')
Gi::J:2J: IKa:::-e
V"Lane. County A, & T
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BUILDING MOVINl ~RMIT
PERMIT 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 building6wner
F. Name~ etc. 'of rrioving firm,
G. A description of intended use'
H. A description' of proposed route
, ,I. A.description of the building
H.' ,App 1 i can~ to contact pr6pel';'ty owners if trees
involved, and secure authorizations from
other jurisdictions as necessary.,
'HI;. A ~;:~e".6r"pJot'plian;, and ~?undaU0(1 ,pla;n'ffiust
be!subm1 tted for the new Sl te (2 sets') " , .',' \
, IV: Pl ans !llust also b1e submitted for any other
work re,l a ti ng to' the re 1 oca ted bu 11 di ng.
V. Fees &:Charges: l f '
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 appl{2~tion to appropriate
divisions, departments and agencies
~~&S"q(
PERMIT CLERK
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BU~D~ISION REPORT:,
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ry - ~ ~-q\-- .
TRAFFIC DIVISION REPORT:
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Bir\~~~e 1.tE.~~
PO II $( 6 Jt-I 012.-
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