MAINTENANCE IMPROVEMENTS SALEM REDEVELOPMENT AUTHORITY
DESIGN REVIE1-� BOARD
Application for Design Apvroval - OTHER THAN SIGNS
1. Date of Application 411a,11W -7 /M6
2. Location of Building.
Number and Street
Proposed work cts upon -_Derby Square Historic area, Museum area,
—Essex Mall,i—MKNorth residential area, —Peripheral area,
—Significant historic bldg. (Itemize)
3, Owne Nod
Telephone Number
Name
Address
4. Architect*/Engineer*/ other
Name
Address Telephone Number
5. Type of Improvement —New construction —Alteration —Demoliti on
Site work —Addition
Othe
6. Reason for Request —Security —Change of use —Energy conservation
—Change of, image —Safety _Changge of business
other
7. Level of Approval Requested —Concept —Schematic design
_5&Final design —Field decision
Applicant must attach 3 copies of all schematic subLssiOns (or in the case of
originals, models, or mock ups, the original and two photos of the submission)
24 hours prior to the regularly scheduled DRB meeting to SRA staff.
(Do not write below this line)
Number of DRB members in attendance The vote was unanimous. —Yes —No
DRB recommended action: —Approval as submitted —No action, �dvisory only
Resubmit to DRB _No action, inadequate
submission
—Approval subject to thefollowing:
DRB comments are attached.
A licensed professional architect or engineer is required for all construction
other than ordinary repairs (p. 71 S.B.C.) or performed on a building less than
35,000 cu. ft. enclosed space.
*--If, in the appi-cant' s view, the change is of significant economic importance,
information including financial figures where applicable should be supplied on
a separate attached sheet which will allow the Board to evaluate the proposal
intelligently.