Laserfiche WebLink
(94 � �c�iS7—PtQjL <br /> Agricultural or Forestry Building Exemption Certification <br /> r �: ._�: Equine Facility Exemption Certification <br /> Marion County Public Works-Building Inspection Divis to pp)0 <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 41 <br /> county <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email:building�a�,co..1.+ VE1 <br /> Site Plan is Required-see attached information <br /> Owner/applicant name: a:lei c 4„t d Clerk" RAT Phone f Y/J O -1 3 8 0 Email: Chr kr et's'.A a rq <br /> Mailing address: ,Po is 5')'7 City/State: rnolrpi.e/,++c.e -0 le Zip: 9'7 3 r1 .•( <br /> Job site address: 13 V/ Si /v r r Fir/1 s 0 r. c t City/State: S,iL9r>•o r, OR Zip: ')7 3 i j <br /> Parcel Information: Parcel Size: Vo res Parcel No.: IT 311 3 6 Zone: 071 i 3 L Z200 S4O <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within o/ <br /> 0 f eq u J,p m�.,./ 5 74 rot , O C?C�'c P <br /> g5/finer *Kr- 7 rfSt v� k ert ' sS / <br /> Building Data: Length: Io ' idth: �o Area: 900 Sy. {Y. Height: /C <br /> Type of Exemption: o Agricultural Building ,Forestry Building o 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? <br /> Will this structure be used by the public at any time?--oYes tirrNo - - - - -- <br /> Is the proposed structure located within a floodplain? oYes beNo <br /> Is the building located on/used in the operation of a farm? oYes kS No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes 4o <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: <br /> Yyt Storage,maintenance, or repair of machinery, equipment,and supplies used on this farm <br /> o Raising,harvesting, or selling crops raised on this farm <br /> o Feeding,breeding,management, or sale of livestock,poultry, furbearing animals,or honeybees <br /> o 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 c*To (Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes lifNo <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes 15/No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes ` No <br /> Will the building be used for storage of feed,hay, or straw? oYes NisTo <br /> Will the building be used for major repair of motor vehicle equipment? oYes KNo <br /> Heating/cooling/ventilation/mechanical oYes X No <br /> Septic oYes No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes 1 No <br /> Page 1 of 5 <br />