Fill - Free fillable Preserve the Past for the Future (City of Lawrence Massachusetts) PDF form

“Preserve the Past for the Future”

APPLICATION FOR AN HISTORICALLY SIGNIFICANT BUILDING OR

STRUCTURE DEMOLITION/REMOVAL PLAN REVIEW PURSUANT TO

LAWRENCE’S DEMOLITION DELAY ORDINANCE

Notice: Application must be typewritten, completed in full and accompanied with 9 copies of

completed application packages as noted in the attached checklist. One copy must be filed with

the City Clerk prior to filing with the Lawrence Historical Commission. All copies must be

complete with all attachments.

1. Property Location

2. Zoning District

3. Applicant(s)

Address

4. Telephone

5. Owners of Properties

Address Telephone

6. Attorney or Agent for Applicant

Address Telephone

7. Describe the reasons for the proposed demolition/removal including all data to justify the

need for the demolition/removal.

___________________________________________________________________________

Chairman

Jonas Stundza

HISTORICAL

COMMISSION

LAWRENCE

MASSACHUSETTS

Vice Chairman

David Meehan

Secretary

Donna Bertolino

Treasurer

Kate Hernandez

Voting Members

Frank Giles

Glavielinys Cruz

Chad Montrie

Administrative Assistant

Anne-Marie Nyhan-Doherty

Land Use Planner

Daniel McCarthy

8. Description of proposed or existing Building, Lot, Occupancy, Work and/or uses

a. Lot Size s.f Building Size s.f.

b. Existing Occupancy or Use of each floor

c. Proposed Work and/or Uses in detail if demolition is allowed (attach additional sheets if

necessary)

9. Have there been any other appeals or a request for a Variance or Special Permit under Zoning

for this property?

If yes, a copy of each decision must be filed with this application.

10. Have there been any previous building zoning violations, court orders and/or building

permits issued at this location? If so, when?

11. Is a hearing before any other City Board required for this use?

If yes, please list

Signature of Applicant ___________________________________ Date:

Signature of Owner(s) ___________________________________ Date:

Signature of Representative _______________________________ Date:

The petitioner/applicant/appellant is fully responsible for completion of this application and for

providing all required and requested documents. Incomplete applications are unacceptable.

The Zoning Board strongly recommends that the petitioner/applicant/appellant seek appropriate

assistance and representation for this application request. Unfamiliarity with zoning procedures

may cause unanticipated and unnecessary delay. Representation without proper written

authorization by the petitioner/applicant/appellant is unacceptable. Neither the Building

Commissioner, the Land Use Planner nor their staff is responsible for the completion of this

application.

The Lawrence Assessors’ Office

Instructions to Petitioners for Abutters Lists

The City of Lawrence mails a Notice of Hearing and Notice of Decision to all parties in interest

within three hundred (300) feet of the property line of the petitioner's property.

To prepare a complete application, the petitioner must:

I. Obtain the applicable tax map(s) for the site from the assessors office;

II. Identify the Parties in Interest, i.e., the petitioner/applicant, immediate abutters, owners of land

directly opposite on any public or private street or way and abutters to abutters within three

hundred (300) feet along the property sideline in an easterly or westerly direction from the

property lines of your site as they appear on the most recent applicable tax list, notwithstanding

that the land of any such owner is located in another city or town.

III. List all the tax map numbers of the parcels identified above on the forms provided;

IV. Prepare a typewritten list of abutters and their mailing address for certification by the city tax

assessor; and

V. Provide two (2) sets of mailing labels listing the property owner's name and certified mailing

address for each abutter identified through the above process. Your name, the site owner's name

and the site address should be at the top of the list.

NOTE:

a. Where a petitioner's property line is within three hundred (300) feet of an adjacent town,

the petitioner must also supply a certified list of abutters from the adjacent town's tax

assessor; the applicable tax map for verification; and complete a label form for each

abutter. All information must be typed on the forms provided by the adjacent town.

b. Familiarize yourself with zoning requirements, because erroneous notification(s) to

abutters can jeopardize or invalidate your permit.

c. Use the attached forms and prepare your list carefully and neatly. All information must

be typed on the forms provided.

d. Every effort will be made to certify the listing you submit as soon as possible, but the

assessor has 10 days, after the receipt your written request, to verify the owner's names

and addresses supplied on your list.

e. The assessors maps utilized are for assessing purposes only: therefore, they are not of

survey accuracy. In the case of questionable parcels, you should include any adjacent

lots rather than eliminate one due to any difference in a scaled dimension.

f. Our requirements are to certify your list as to accuracy of our "most recent applicable tax

list.” This certification does not include any recent transfers of ownership that we have

not received.

Please do not hesitate to ask either the requesting authority or your assessors should you have any

questions about your request for certification. Thank you

If a public hearing is ordered by the commission, please provide the following information

regarding the abutters

List of owners to receive Notice

Petitioner:

Mailing Address:

Site Address:

List all owners within three hundred (300) feet of the site.

Assessors

Map Lot Owner Mailing Address

For Tax Assessor's Use Only

According to our records of this date, certified by the City of Lawrence Board of Assessors. This review is based

upon our existing parcel maps, which are compiled for assessing purposes only; therefore, they are not drawn to

survey accuracy for conveyances. This certification does not include any recent transfers of ownership that have not

been received by the assessor's office. Every effort has been made to maintain these records as legally required.

_____________________________ ___________

_____________________________________________

Page ____ of ____.

Site:

Abutters:

Tax Assessor's Signature

Typed Name and Title

Date

IMPORTANT

** INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.

** PETITIONER/APPLICANT OR PETITIONER’S/APPLICANT’S REPRESENTATIVE

IS SOLELY RESPONSIBLE FOR COMPLETION OF THE APPLICATION AND

FULFILLMENT OF ALL REQUIREMENTS, NOT THE BUILDING

COMMISSIONER, HISTORIC COMMISSION, LAND USE PLANNER, NOR THEIR

STAFF.

** COMPLETE PACKAGE – ARTICLES I THROUGH VIII REFERRED TO ON THE

CHECKLIST MUST ACCOMPANY THE APPLICATION PACKAGE.

** FAILURE TO COMPLY WITH ANY OF THESE REQUIREMENTS WILL RESULT

IN THE PETITION NOT BEING PLACED ON THE AGENDA AND NOT HEARD.

** THE BUILDING COMMISSIONER, LAND USE PLANNER AND THE ZONING

BOARD OF APPEALS RESERVES THE RIGHT TO REJECT INCOMPLETE

APPLICATIONS AT ANY TIME.

** THE HISTORIC COMMISSION STRONGLY SUGGESTS CONTACTING THE

ABUTTERS, NEIGHBORHOOD GROUP, IF ANY, AND THE APPROPRIATE CITY

COUNCILLOR (S) OF THE SUBJECT PROPERTY FOR ADDITIONAL

COMMENTS AND INPUT, PRIOR TO COMPLETING AND SUBMITTING YOUR

APPLICATION.

SPECIAL NOTICE

If you are or feel unable to complete the application as it is intended, you are advised to seek

assistance. Please be advised that neither the Building Inspector, the Historic Commission, the

Land Use Planner, the City Clerk nor their staff can help you with this matter.

The acceptance by the City Clerk of your application shall not be construed to mean that the

Board will accept it as being properly drafted.

Prior to hearing your petition, the Board will review it to ascertain if it is completed properly.

The Historic Commission reserves the right to dismiss without prejudice any matter before it on

the basis of an incomplete application.

I _______________________________________________ have read the application directions

(Applicant’s signature(s) and this special notice.

AUTHORIZATION OF REPRESENTATION

I/we owner(s)

of record of (address)

hereby authorize(s) (applicant)

and/or ,(authorized representative)

to represent me/us/it before the Lawrence Historic Commission.

________________________________

Owner of Record’s signature

________________________________

Applicant’s signature

________________________________

Authorized representative’s signature

________________________________

Date

AUTHORIZATION OF REPRESENTATION

I/we owner(s)

of record of (address)

hereby authorize(s) (applicant)

and/or ,(authorized representative)

to represent me/us/it before the Lawrence Historic Commission.

________________________________

Applicant’s signature

________________________________

Authorized representative’s signature

________________________________

Date

CHECKLIST

HISTORICALLY SIGNIFICANT BUILDING OR STRUCTURE DEMOLITION/

REMOVAL PLAN REVIEW

(See Sec. 15.37.030 – Lawrence Municipal Code)

NOTE: This form is to be completed by the petitioner and/or authorized representative and a

copy is to be attached to each application package.

Please check as attached.

I. APPLICATION

1. MUST be typewritten and completed by petitioner or representative.

2. Petitioners are responsible for obtaining the abutters list. The Building

Commissioner will provide you with the Map and Lot #s from the Real Estate

Assessor's Map. Subsequently, you shall obtain the abutters names and addresses

from the Assessor's Office; after the list is completed by the Applicant, the

Historical Commission clerk will notify the abutters listed. The Assessor's list may

not be updated; therefore the Board strongly recommends that you personally notify

your immediate abutters.

3. MUST have all pertinent information noted, including owners names and

signatures.

4. Incomplete applications will not be accepted.

II. MAP

(see Section 15.37.030 (C ) 1 of the Lawrence Municipal Code)\

a. 1. MUST show present location of building to be demolished or removed on the site with

references to lot lines and neighboring buildings.

NOTE: A certified Site Plan is not required.

III. COPY OF PREVIOUS ZONING AND/OR PLANNING

DECISIONS INCLUDING VARIANCES, SPECIAL

PERMITS, AND/OR SITE PLAN APPROVAL, ZONING

VIOLATIONS, COURT ORDERS, AND/OR BUILDING

PERMITS IF ANY.

IV. COPY OF THE MOST RECENT DEED (CURRENT

OWNER (S)) RECORDED AT THE NORTH ESSEX

REGISTRY OF DEEDS. (Include Book and Page numbers or

Instrument number of Recording.)

____________

9 copies mandatory

____________

9 copies mandatory

____________

9 copies mandatory

____________

9 copies mandatory

V. 3” x 5”_PHOTOGRAPHS OF ENTIRE SITE INCLUDING ALL SIDES

OF THE SUBJECT BUILDINGS OR STRUCTURES

(different views)

VI. CERTIFIED CHECK, CASHIERS CHECK OR MONEY ORDER ONLY.

(No personal checks or cash accepted.)

VI. COPY OF THE AUTHORIZATION FORMS.

VIII. DATE AND SIGNATURE (S) *** MANDATORY ***

Including: Property owner

Applicant/petitioner (if different) and

Applicant/petitioner's representative.

____________

Original plus 8 copies

____________

See fee schedule

____________

9 copies mandatory

LAWRENCE HISTORICAL COMMISSION

FEE SCHEDULE

Initial application filing fee $50.00 Payable to the City of Lawrence

If public hearing is ordered:

Demolition/Removal Plan $200.00 Payable to the City of Lawrence

$150.00 Payable to the Eagle Tribune

(for advertising expenses)

_________________________________________________________________

The petitioner/applicant shall be responsible for payment of any study requested by the

Commission.

The petitioner/applicant shall be responsible for payment of all costs associated with the Registry

of Deeds.

ONLY CERTIFIED CHECKS, BANK CHECKS OR MONEY ORDERS ACCEPTED.

Effective 7/03/03

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