HomeMy WebLinkAboutPermit Building 1996-7-11
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INSPECTIONS 726-3769
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CITY O~ SPRINGFIELD
BUSINESS 726-3753
225 North 5th Street
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BUILDING MOVING PE~IT/BUILDING DIVISION
'3)C{~
Building Owner
~J Ct.- n 6 CO\r'
Moving' Firm Address
dhrfs ~h()(Le 7~ ~27~~ ~.{li9 ''(In 3CfL(-Y:933
De:gPf~t Intend.ed Use CITY DESIGNl\LO~L.~
DescriPti(\:fosS,\'~ S-\\re 1 ~
OLD ADDRESS
'3 '.) 0 6 Be; r d \ / V; (IA/
LeY1Y5?Q,IOrYJ\a) :
Address
NEW ADDRESS ~r BU,i.ld. ing D~.V:), .
~~~~ ~. r\ 1Jw)r' 'j',c.,1
. ! f)03~mOm(j[)~
Phone
)L/ os'- -3~ ld \/ V iN (
Lics #
Description of Building
,:Square Footag~ (<)'16 Moving Length
N~mber,Of Sections Being'Moved J
Exp.
7'1 b - YC/ c./ LJ
Phone
50 r Moving Width L.{L-lr Height On Dolly 7J-I' .
Type Of Construction U~cd. tf"...YALUATION p
NOTIFICATION OF MOVE: The Build,ing Division
will route copies of this appllcation to. all
appropriate divisions, departments and Agen-
cies. HOWEVER, tne 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.
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 site.
2. Submit 2 copies of foundation plan for
the relo~ated building.
3~ Obtain a permit co~ering 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. ~
SEWER CAP: Buildings moved from within the SEPTIC TANK REQUIREMENTS: Prior to moving, ~
City limits shall have the sewer capped at "owner shall have all sludge from the septic "
the property line and inspected one working - tank, seepage pit or cesspool removed by a s)..'
day prior to the move. If the 'inspection person holding a sewage dispoal service li- ~
indicates that the sewer has not been prop- cense, and shall fill same with clean bar- ~.
erly capped, the mqving permit will be run gravel or other material approved by the
revoked, ,:w.;U ~L ~q Iq;tV Director or his authorized repr:,sentative. ~
I CE.RTIFY THA, T, t~'a'bO'1'e informa~ion is true and correct, that all re9!:!...iredCOn, ta~chave .
been ~~~o ~n~ Jf~rizations obtained, that the move will begin at \l) o'clock'amr m
on' \, ~~ .~ and will be completed by V\Oon o'clock am/pm on ~_- _ ~ ,- "':".
and- t~o-'ch!anges in the route will be made wI1hout contacting the Building Wis:ion. I
also certify that I have been 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 exempt the basis is
noted hereon. Basis for Builder's Board Exemption: '
NAME
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5 ().'e -if
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SIGNATURE /Pd J/~
DATE 7/// /96
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Zone ~^,/()~...FioOd Plain
FOR OFFICE USE ONLY . J
Type of - Construction \J J\J Occupancy Group
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R~
Stori.es Living Units \ Square Footage VALUE 0
Application f,,--~- Date Paid f) c!lll ,0 \JIl\~ceiPt Number jJj9,clj /~O
Permit fe~O,VDate Paid f' .~[) ,q (0 ~Receipt Nu ber ~.q' ~~-;
Number of BlOCkS over 6 @ . 60~ U Amount . ~o....(.../ -
St;-,\\;Il. G':"r ,t1'-' ':":c::t:::::..~un:h:l.I:l!c ~ li!lte ~']~G' .'4':;v-
vPol).ce Department' V Willamalane Park and Recreatlon vRainbow IWater / SUB
\/ Fire Department V Pacific NW Bell' (,/Group WCable
,/Northwest Gas I/Lane Transit District ,/Lane County A & T
f , .
i IOTHER -- specify
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BUILDING MOVING PL..AIT _4RMIT VALIDATION
I. Applicant to furnish (except as indicated)
! A. Old address for building '\
I, B. Legal Description
C. New address for building
(Building Div. will furnish)
D. Legal Description
E. Name, etc. of building owner
F. Nacie, ,~tc. 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 o~ plot plan, ahd foun~~tionplan must -
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be submHted for the new site (2 sets)
IV. Plans must also be submitted for any other
work relating to the relocated building. 6-llQl.Q
V. Fees & Charges:
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 application to appropriate,
divisions, departments and agencies PERMIT CLERK
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BUILDING DIVISION REPORT:' 'U..... .' J:\
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TRAFFIC DIVISION REPORT:
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B'I,,-*wfLeatel-r7-~0 .
/Jtp Af?fn:elPJi {J./ry PAC I L. /(;rG...s / N l.JDJ. up/).,
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(2&.5 ~tJV 5" ,~U? PIJt'2.
SAPE
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B'I t.M./i/ Date 7!C7/96
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,eE.SPOM'516~ t:D(2.' fJrH0J ,()PrMA-6t:-~ TO
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ENGINEERING DIVISION REPORT:
o/JJl!lcJ<- / CONft<AC.TotZ.. IS
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Po BLI L
PlZ-i>ftElZ-lVI ~
By {.""if1IIt~fer- Date .~f1ftf,o
ADDITIONAL PROJECT INFORMATION:
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By
Date
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