31 Broad Street - C of A application - blown in insulation after the fact Date Stamp
RECEIVE®
JUN282018
Salem Historical Commission EPT. OF PLANNING &
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APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
Pursuant to the Historic District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance,
application is hereby made for issuance of a Certificate of Appropriateness for:
❑ New Construction ❑ Moving ❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ✓❑ Other
District: ❑Derby Street ❑Lafayette Street �cintire ❑Washington Square
Address of Property: 31 Broad Street Salem,MA 01970
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Name of Record Owner(s): Matthew&Ellen Marshall
Owner Mailing Address: Same as property address
Description of Work Proposed
Please type or print clearly.Attach additional sheets, as Necessary.
Mass Save/National Grid- insulation work between exterior and interior wall for energy and heat savings. It
should be noted that the work has been completed and this is a response to a Notice of Violation. The siding has
been repaired and painted back to original state-pictures attached.
Name of Applicant: Matt Marshall ❑✓ Owner❑Contractor❑Tenant❑Other:
Matt Marshall Digitally signed by Matt Marshall 6/26/18
Signature: Date:2018.06.2611:46:26-04'00' Date:
Tel. #: 6179533546 E-mail Address: matt.sha118764@gmail.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name Matt Marshall
Mailing address:31 Broad St City:Salem State:MAZip: 01970
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