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i rK i 2.--iic-/E- <br /> .4 ,h,, Agricultural or Forestry Building Exemption Certifica ' E l� E E Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Divis n <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 G 1 1 2023 <br /> COLll1t Phone: (503)588-5147 Fax: (503)588-7948 Email: buildingAco.marion.oi <br /> OREGON MARION COUNTY <br /> ©® Site Plan is Required—see attached information BUILDING INSPECTION <br /> Owner/aet' '• '•` : obert David Goin Phone: 541-926-4229 Email: rdavidgoin@gmail.com <br /> Mailing ail+T s: 6883 SE 70th Ave City/State: Salem/OR Zip: 97317 <br /> Job site address: 6883 SE 70th Ave City/State: Salem/OR Zip: 97317 <br /> Parcel Information: Parcel Size: Parcel No.: Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Storage of Farm Equipment&Tools. <br /> Building Data: Length: 36 ft Width: 36 ft Area: 1296 ft Height: 20 ft <br /> Type of Exemption: A Agricultural Building ❑Forestry Building ❑ Equine Facility(Provide information below): <br /> What is the proposed maximum number of people(including employees, owners, etc.)that will be present in the building at <br /> any one time? 2 <br /> Will this structure be used by the public at any time? oYes I No <br /> Is the proposed structure located within a floodplain? oYes IN No <br /> Is the building located on/used in the operation of a farm? UYes ❑No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes I No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes I No <br /> If yes, please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> I Storage,maintenance, or repair of machinery,equipment, and supplies used on this farm <br /> ❑Raising, harvesting,or selling crops raised on this farm <br /> ❑Feeding,breeding,management,or sale of livestock, poultry,furbearing animals,or honeybees <br /> ❑Dairying or the sale of dairy products produced on this farm <br /> o Other agricultural, horticultural, or animal husbandry used <br /> o Stabling,training,riding lessons, or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses <br /> #of stalls/horses for personal use only <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals, clinics,shows, etc. <br /> Which of the following systems will the proposed structure have? <br /> Electrical oYes III No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes I No <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes I No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes II No <br /> Will the building be used for storage of feed,hay,or straw? oYes I No <br /> Will the building be used for major repair of motor vehicle equipment? oYes IN No <br /> Heating/cooling/ventilation/mechanical oYes U No <br /> Septic oYes INo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes U No <br /> Page 1 of 5 <br />