HomeMy WebLinkAboutPermit Building 1996-7-11 (2)
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CITY OF.' SPRINGFIELD
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IN~~ECTIONS726~3j~9
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. C~ 0,,225 North 5th' ,Street
BUSINESS 726-3753
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'BUILDING MOVING PE.RMIT/BUILDiNG DIVISION
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OLD ADDRESS
'330" 13L,rd'\1 V':((,,/
Legal Dess.:;i)l~ion ,I I
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NEW ADDRESS Furriished,:bYB~ilding ,Div.)' ,
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, Legal Description ."',, ' .
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Building Owner
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Moving/Firm
Addre'ss
Phone
6 -""P.~e\f','
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Des~'iPti:on 00' In, tended" Use
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Description o~,Rou'te?, ,-, '., ..," ,
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Exp.
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, Phone
Address
'~.7~'~27tl~
~cs~f41n: 3Lfq "r:2 3 3
CITY DESIGN~eD: JO~ l,.Th~~", '
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'Description of Building , , ;.
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,:Square Footag~ i q<9b Moving Length 5(; Moving Width Height On Do 11 y 2J.-/' "
Number Of Sec1;}or:ls Being 'Moved } Type Of Construction U6crl \1",~YALUATIO.N I
NOTIFICATI0N OF MOVE: . The Build,in:g Division
will route copies, of this application to. all
appropriate divisions, departments and Agen-
cies. ' HOWEVER, 'the ~pplicant must contact
property, owners if trees ate ,invol ved.in,-the
proposed move. IN ADDITION" the applicant
must secure the approval of all appropriate
munici~al, county and staieauth6riti~s ' " ,
should the moveoriginCite'pr, ,terrriin~te out'"
side the City of Springfield. '
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PLANS, ,FEES, AND CHARGES: Prior to recei v- ,
ing a permit to move 'a building to property
withinthe City, the applicant or,his/her
author.ized repre,sentati ve .must:
1. Submlt, 2, copies ,of site' or plot. plan
for new si te. '
"I', 2. Submit 2 copies of foundation plan for
jthe relocated building.
1 ,3,.'Obtaiv a,' p.~rmi t ,covering the new founda-
tion" asw.~'llas all' plumbing/mechanical
and electric:U work .relating ,to the re-
located building.
4. Pay Systems Deve~opment Charge if appli-,
~, .. 'cable. ~
SEWER CAP: BuildingslTloved from,within the SEPTIC TANK REQUIREMENTS: 'Prior to moving, g:.
Ci ty limits shall flave ,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 ~,
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 moving permit will be ~n gravel or other material approved by the
revoked'., ' ~ _ L Zq Iq~/- Director or his autho:r1zed representative.
I CERTIFY THATt".<~~ ?nfon;'~io-;; 1't'true and correct, that all res!!ired co~ta~v~,~ .
befD-'~::,:~"',-"..:d..:-i~rization: obtained, that the move will begin at' \() 0' clock' am m ~ -
oni, ,~~~~ and wlll be completed byY'\OOn o'clock am/pm on ~_-:?
and-that ho-c~anges in the route will be made,without contacting th~. Building ~vis on. I
also certify that I have been informed that NO PERMIT WILL BE ISSUED BEFORE 5 \'lORKING DAYS
HAVE ELASPED. I further certify that my registration with the Builder's Board is in full
force and effect (as required by ORS 70.1.0.55 and 70.1.070." and that if exempt the basis is
noted hereon. Basis for ,Builder's Board Exemption: '
NAME
Ptu'-I
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SIGNATURE /?~// ~
DATE 7 Iii /96
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Zone ~/OOd Plain
FOR OFFICE USE ONLY . ')
':J'ype of -Construction \J}.J Occupancy Group
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Sto'ries, I ' qving Units '\ Square Footage VALUE
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APP,l,ication f~- O.te Paid [) ~fI Ll,"W ~)eceipt Number /~-l)
permitfe~O~ate Paid ,'B.~,f),C{CO~ReceiPt Nu ber . ~~,
Number, of 'Br-o-cKs over 6 @ . 60~ U, , Amount . ~/L /
~:i:'(~4-\jj~_;;jUrCnaI,g} _~~"El. ~~
vPol"ice Depa,rtment ,V Willamalane Park and Recreatlon vRainbow Iwater / SUB '
,j 1Hie Department V Pacific NW BellvGroup W Cable
,/~orthwe:;:t ,Gas I/Lane Transit District '/Lane County A ,& T
i 10THER - -, speci fy ,
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BUILDING MOVING PL,AIT
/~RMIT VALIDATION
1. App ltcant to furn ish (except as i nd ica ted)
l A., Old ad, dress for buildin,g ," \,
lB: LegaJDescription
'C. : New, address for 'quilding
'. (Bullding Div> wilkfurnish)
D. LegaJ ~escriptiori,' "
'E.~ Name, ~tc~ of building owner
F. Name, l~tc. ,of movi ng .fi rm
-G. A description of intended use
H~A de~drt~tiori of proposed route
,1. ,'A des.er;iption of the building, ' "
I I. \ ARP'l i cant to contact property owners if trees
i' i rlVO 1 ved, ...-and secure authori za ti ons f,rbm
other juri sdicti on's ,as necessilfY "'.. c, ,',
III. A .site or. plot plan; ahdfoun9ati..orLplan 'rri~st.', '
be submnttedfor th~ l1ew sHe ,(2 sets) "
IV. Pl ans must also be su'bmitted for any other
work relating to the relocat~d building.
V.' Fees & Charges : , ' " ,
, ..A. ' App'l icationfee due and payable at ,time
, of application .,'
" B., '"Mavi ng"permi t fees due' and payabl e upon;
, , permi t :Jssuance ' '
, ,c. FEES &',CHARGES' TO BE CALCULATED BY
, , BlhtDING DIVISION STAFF
VI. FOR OFFICE USE ONLY
,A. ,Plan check data' collected "
B. Copies ,of application to appropriate~'
divisions, ,departments and agencies
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PERMIT CLERK,
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BUILDING' D:IVISION REPORT: . . '~, . ' ,.' '..C\
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T:RAFFl C D1 V-I,$ I ON REPORT;,
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ENGINEERING DIVISIDN REPORT:
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By (. M''f114~frtr Date ~7l1flfrO
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'ADDITION~L PROJECT INFORMATION:
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