11853093 - Laserfiche WebLink

Home Browse Search

G Cr 8-7411et6g Agricultural or Forestry Building Exemption Certification Equine Facility Exemption Certification Marion County Public Works-Building Inspection Di $ rmo M o o Count 5155 Silverton Rd.NE,Salem Oregon 97305 1 Phone:(503)588-5147 Fax: (503)588-7948 Email:burldmg(a,co u4 l� 1 a �. �,►�J OREGON Site Plan is Required-see attached information Owner/applicant name: 41.969 E $ E- TS Phone: b o3 ci3c. ` 9 33 Email:cihct1/41 ,�ctsC3cj i l Mailing address:>o c "[52. City/State:- it.e-v- a 0- Zip: 9139 Z„ Job site address: $°tea w:p p e4r `i�c\ City/State:. 0 k/2- Zip: t 1392 Parcel Information:Parcel Size: ; A.c-r<S Parcel No.: Cd O% Zone: c9% Zw 3 2 tay Proposed Building Information Describe specific use of the building and items contained within ✓z p_el�� p. } S� tnl��S te_r 041 rS Building Data: Length:' /9 Width: LA D Area: Height: 'Kt cave Type of Exemption:)(Agricultural Building o Forestry Building o Equine Facility(Provide information below): What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the building at any one time? 4 Will this structure be used by the public at any time? oYes `CNo Is the proposed structure located within a floodplain? oYes (EkNo Is the building located on/used in the operation of a farm?)&Yes o No Is the proposed structure a residential dwelling or manufactured home? oYes .yNo Is the use of the structure or the items within it used for any business or commercial activities? oYes yk No If yes,please explain: Agricultural/Equine Exemption Criteria-Select all that apply: Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm o Raising,harvesting,or selling crops raised on this farm o Feeding,breeding,management,or sale of livestock,poultry,furbearing animals,or honeybees o Dairying or the sale of dairy products produced on this farm o Other agricultural,horticultural,or animal husbandry used " o Stabling,training,riding lessons,or clinics(Complete Equine Exemption Criteria) #of stalls/horses #of stalls/horses for personal use only #of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics,shows,etc. Which of the following systems will the proposed structure have. "L:.. • ....----,-•--* - Electrical yes o No(Complete Electrical Wiring Criteria) STATE C E RT g F 1 E D / Will there be a concrete slab either within or adjacent to the building? D'(es AS No PLANS EXAMINER Ry, v V Will there be farm animals(poultry excluded)within the building at any time? oYes ;: 4 ®IC H 1 Will there be farm animals(poultry excluded)on the slab at any time? oYes No Will the building be used for storage of feed,hay,or straw? Yes o No —S-23 Will the building be used for major repair of motor vehicle equipment?)(Yes o No PAUL VVOI.7ERavIA.N Heating/cooling/ventilation/mechanical ) Yes o No M x� 11) r Septic oYes No (Any yes answer 'r a sep it) 1