|
2/??-00tig3ct 6&e
<br /> '"w ; Agricultural or Forestry Building Exemption Certification
<br /> _._- a - Equine Facility Exemption Certification
<br /> Marion County Public Works-Building Inspection Division
<br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305
<br /> Cc LITIty
<br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email:building@co.marion.or.us
<br /> U. REGON
<br /> Site Plan is Required-see attached information
<br /> Owner/applicant name: D„,.,,42,I M c G a r i-e Phone: 503-3 3 Email: bon N ict.n i�1e54+ i I,co
<br /> Mailing address: 2 -1-7© ( co,..,es c^e.y Qb �e- City/State: ,4 0for-O , o R Zip: 9-1 Q9Z_
<br /> Job site address: 221-1.3v for a rt'y RD 1,E City/State: ,q,j rbrcu , 0 17_ Zip: 91 002-
<br /> Parcel Information: Parcel Size: )0,z Parcel No.: Zone:
<br /> Proposed Building Information
<br /> Describe specific use of the building and items contained within S- ot-d_ '_) Ya-,4iri-l�:v ame..L� c rc' {r ran ,L3S0
<br /> el o to .vc , - y S-E-arc..-P_ / crptize Ina -t-I c...v[-hJ a-c,.1 ►i se_ .
<br /> Building Data: Length: 13(0 Width: Co 2- Area: :3)-11a Height: Imo' -t , ecAj s '°
<br /> Type of Exemption: �Q"Agricultural Building ❑Forestry Building ❑ Equine Facility, • i':�, z:.: ►►-i,•
<br /> What is the proposed maximum number of people(including employees, owners, etc.)t- '�•■b e ;LaO e ',d' at
<br /> any one time? 2, .�
<br /> -- - - Will this structure be used by the public at any time? -oYes N'No JUN 2 E ZQZ
<br /> 4
<br /> Is the proposed structure located within a floodplain? oYes , No MARION COUNTY
<br /> Is the building located on/used in the operation of a farm? )(Yes o No BUILDING INSPECTION
<br /> Is the proposed structure a residential dwelling or manufactured home? oYes 'No
<br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes A.No
<br /> If yes,please explain:
<br /> Agricultural/Equine Exemption Criteria-Select all that apply: 0n
<br /> 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 /> ❑ 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 )(No(Complete Electrical Wiring Criteria)
<br /> Will there be a concrete slab either within or adjacent to the building?)4Yes o No
<br /> Will there be farm animals(poultry excluded)within the building at any time? *es o No
<br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes )i(No
<br /> Will the building be used for storage of feed,hay, or straw? )(Yes o No
<br /> Will the building be used for major repair of motor vehicle equipment? oYes )(No
<br /> Heating/cooling/ventilation/mechanical oYes )4'No
<br /> Septic oYes X No (Any yes answer will require a separate permit)
<br /> Plumbing(Please specify fixture type) oYes No
<br /> Page 1 of 7
<br />
|