The URL can be used to link to this page

Home My WebLink About2021-04260 APP DOC DICKINSON FAMILY LTD� W County DIVISION OF PLAN REVIEW & PERMITTING FEES Bond Fee: $ -i Amount Paid: $ St'. UV Home Builder: $ — Balance Due: $ Permit Fee: $.S0.pO Excise Tax: $ Total: $.S0,60 IVR/Building No.: ZCZi -OKZ (OO Tax Acct. ID No: ZYb o f L I 0 Lot No: Zoning District: p1 Lot Size: 13'-1 .Sirs Acre Flood Plain:Gor N Historic: YoorK5 The following permit(s) were applied for: A. Building/Entrance/Grading B. Zoning Certification Demolition ProjectNo.: Q7 -0&L —L000 Site Plan/Subdivision No: _ Site Plan/Subdivision Name: D. Floodplain Permit E. Sign Permit F. Chimney Condition(s) that MUST be met BEFORE the issuance of the building permit: A. An electrical permit filed by an electrician licensed in Washington County B. A plumbing permit filed by a plumber licensed in Washington County An affidavit executed by the owner granting approval Driveway Performance Bond E. Manual J, D & S (Load calculations and duct work drawings) or signed waiver form F. Swimming Pool Certificate of Compliance G. IECC Residential Energy Efficiency Code I HEREBY CERTIFY THAT I HAVE, TO THE BEST OF MY KNOWLEDGE, ACCURATELY SUPPLIED THE INFORMATION REQUIRED FOR THE ABOVE REFERENCED PERMIT(S). I AGREE THAT I WILL NOT BEGIN CONSTRUCTION PRIOR TO ISSUANCE OF A PERMIT NOR OCCUPY THE STRUCTURE UNTIL THE CODE OFFICIAL HAS ISSUED A WRITTEN USE AND OCCUPANCY CERTIFICATE. I VERIFY THAT I HAVE RECEIVED AND WILL COMPLY WITH THE ABOVE REFERENCED REQUIREMENTS/ SPECIFICATIONS AS WELL AS LOCAL, STATE AND FEDERAL LAWS PERTAINING TO THIS PROJECT. [-,: k, -c�O%1 ft-S e. Iat,S'ZciZ( Signature (Applicant) Printed Name \tr 1. Date 31Z-6s6-?KctL C..LQ. LQ C1LL Email Address Phone No. Permit Tech Rev: 03/06/2018 80 West Baltimore Street F Hagerstown, MD 21740-6003 ( P: 240.313.2460 1 TDD: 711 WWW.WASHCO-MD.NET Washington County DIVISION OF PLAN REVIEW & PERMITTING Demolition Permit Application Required Documents for Demolition: Plot plan/Site Plan showing location of structure being demolished 4 Affidavit (if applicant differs from Property Owner) N $50.00 Flat fee Job Address: 16822 National Pike. Hagerstown MD 21740 Property Owner Name: Dickinson Family LTD P -SHIP ET Al Property Owner Address: PO BOX 1917 Hagerstown, MD 21740 Property Owner Contact #: Applicant: Northpoint Development -David Salinas Applicant Address: 4805 Montgomery Road, Suite 310 Cincinnati, OH 45212 Applicant Contact #: 312-656-7491 Applicant Email: dsalinas northpointkc corn Contractor Name: Circle H Services, LLC License Number: 21866273 Contractor Contact #: 717-377-5252 Contractor Email: hunter@circlehservices.com Field Notification Name: Joe Franek Field Notification Contact #: 847-845-2998 Field Notification Email: jfranek@northpointkc.com Note: The field notification contact will receive all automatic notifications in relation to the permit such as issuance and inspection notifications Upon issuance, would you like this permit mailed or issued for pickup? :i Mail 4 Pick up If mailing, to what address: Please provide a detailed description of work being performed: Demo of (2) residenital dwellings down to foundations. (2) barns (2) garages and (2) sheds All salvaged material to be repurposed o: Square Footage of Structure: Present use of structure: Residential/AC Prior use of structure: Residential/AG Will the foundation of structure remain: @Yes o No Applicant Signature: Date: 80 West Baltimore Street Hagerstown, MD 21740-6003 240.313.2460 711 WWW.WASIICO-MD.NET It Washington County DIVISION OF PLAN REVIEW & PERMITTING Demolition Permit Application Required Documents for Demolition: A Plot plan/Site Plan showing location of structure being demolished A Affidavit (if applicant differs from Property Owner) A $50.00 Flat fee Job Address: 16822 National Pike. Hagerstown, MD 21740 Contractor Name: Circle H Services, LLC Property Owner Name: Dickinson Family LTD P -SHIP ET Al Property Owner Address: PO BOX 1917 Hagerstown, MD 21740 Property Owner Contact #: Applicant: Northpoint Development -David Salinas Applicant Address: 4805 Montgomery Road, Suite 310 Cincinnati, OH 45212 Applicant Contact #: 312-656-7491 Applicant Email: dsalinas _northpointkc com License Number: 21866273 Contractor Contact #: 717-377-5252 Contractor Email: hunter@circlehservices.com Field Notification Name: Joe Franek Field Notification Contact #: 847-845-2998 Field Notification Email: jfranek@northpointkc.com Note: The field notification contact will receive all automatic notifications in relation to the permit such as issuance and inspection notifications Upon issuance, would you like this permit mailed or issued for pickup? i Mail A Pick up If mailing, to what address: Please provide a detailed description of work being performed: Demo of (2) residenital dwellings down to foundations. (2) barns, (2) garages, and (2) sheds. All salvaged material to be repurposed o': Square Footage of Structure: Present use of structure: Residential/AC Prior use of structure: Residential/AG Will the foundation of structure remain: @Yes ❑ No Applicant Signature: G�✓�/" •e/� — Date: 10-5-21 80 West Baltimore Street Hagerstown, MD 2174O6003 240.313.2460 71 1 WWW.WASIICO-MD.NET Washin ton CountCREwEWIPERM"ING o�n DIVISION OF PLAN REVICW & PERMITTING OWNER'S REPRESENTATIVE AFFIDAVIT this is to certify that Northpoint Development _ __.___. _,is authorised to snake application for the work described as Oemoittion permit fa existing structures and located at 16822 National hike. Na�e!sILO n• Mp 21740 I he said work is authorized by the owner in Ice. as required by the International Residential Ctkfe and the International Building Code. This office does not enforce covenants or deed restrictions and it is the owner's, buikter's anti' or developer's responsibility to make sure the covenants and/or deed restrictions are not being violated as a result of the issuance of this permit. PROPER IV Otit NEK: 4L c Naps: � _ 't✓G'.�S.._._t_�i z.__._.._ __...._..__-- ._ Address 2(7 Z City ySta . Zip Code �— Pr a wner's Signature ,4 -.cc) 4c) AUTHORIZED REPRESENTATIVE: Joe Franek Name 3010 Highland Parkway, Suite 440 Address Downers Grove, IL 60515 Authors Kepresent>ttive's Signature 80 West Baltimore Street Hagerstown, MD 21740-6003 240.313.2460 WWW.WASHCO-MD.NET 711 Revised: 091142O 18 Washington County DIVISION OF PLAN REVIEW& PERMITTING OWNER'S REPRESENTATIVE AFFIDAVIT This is to certify that Northpoint Development is authorized to make application for the work described as Demolition permit for existing structures ,and located at 16822 National Pike, Hagerstown, MD 21740 I lie said work is authorized by owner in fee, as required by the International Residential Code and the International Building Code. This office does not enforce covenants or deed restrictions and it is the owner's, builder's and; or developer's responsibility to make sure the covenants and/or deed restrictions are not being violated as a result of the issuance of this permit. PROPERTY OWNER: Na %� Address csr('�j D 2 t 79 G— Cityy Staid, Lip Code Prole ty ner's Signature AUTHORIZED REPRESENTATIVE: C / l>cok t2 Name Address C Author' Representative's Signature 80 West Baltimore Street Hagerstown, MD 21740-6003 240.313.2460 711 WWW.WASHCO-MD.NET Revised: 08142018 FOR MDE USE ONLY MARYLAND DEPARTMENT OF THE ENVIRONMENT Air and Radiation Management Administration / Asbestos Division Notification # NOTE: Please email to 1800 Washington Boulevard, STE 725 Baltimore, MD 21230-172() demo.mde@maryland.gov Phone (410) 537-3200• Fax 410-537-3924 Postmark Date: or fax to 410-537-3924 www.mde.state.md.us/asbestos Date Received demo.mde@maryland.gov Notification of Intent to Demolish Project Information Structure Owner Structure Information Name: Dickinson Family Limited/B. Mark Dickinson Building Name: (2) dwellings, (2) barns, (2) garages, (2)sheds Address: O.O. Box 1917 Address/Location: 1166822 National Pike City: Hagerstown State: MD Zip: 21740 City: Hagerstown State: MD Zip: 21740 Contact Name: Joe Franek Age (years): 218 years Size (sq. ft.): Phone Number: 847-845-2998 Present Use of Building: Agricultural Fax Number: Prior Use of Building: Agricultural Type of Operation (check one): Demo ❑ Ordered Demo ❑Fire Training Demolition Contractor: Circle H Services, LLC Dates of renovation, demolition or fire training burn: Address: Start Date: ASAP City: State: Zip: End Date: Contact Name: Hunter Hours of Operation: Phone Number: 847-845-2998 Fax Number: Means of Demolition: Emergency Demolition (complete only if this project is an Emergency Demo.) 1. Attach a copy of the Order to this notice: 2. Name of Authority Issuing Order: Title: 3. Authority of Order (Citation of Code): 4. Date of Order (MM/DD/YY): Date Ordered to Begin Description of procedures to be followed in the event that unexpected RACM is found or non -friable ACM becomes crumbled, pulverized, or reduced to powder. Note: Federal regulations prohibit the intentional burning of any structure, including single-family homes, which have asbestos containing materials (A CMs), including floor tiles and exterior shingles. Date of Inspection: Note: You must inspect the structure of the presence ofACMs prior to demolition. Are any ACMs present? ❑ Yes ❑ No Friable materials (can be crumbled under ordinary hand pressure), usually associated with thermal systems or fire -proofing, must be removed by a licensed asbestos contractor before demolition. You may remove exterior shingles, with care, on your own. Call your local Health Department or landfill for disposal instructions. MDE Sign -Off & Date: