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171 Federal St - C of A application - new handrails Date Stamp ECEIV OCT 23 2018 Salem Historical Commission c� "UN'Ty�OEPZ OF �® 120 WASHINGTON STREET.SALEM,MASSACHUSETTS 01970 For Office Use O Y (9781 619.5685 FAX(978)740-0404 APPLICATION FOR A CERTIFICATE OF NON-APPLICABILITY 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 Non-Applicability as described below for: New Construction Moving Z Reconstruction Alteration ❑ Demolition Painting Ej Sign Other District: FiDerby Street Lafayette Street QMcIntire Washington Square Address of Property: Name of Record Owner(s): Ho g- 1 I ,4 I') Owner Mailing Address: � V' Description of Work Proposed Please type or print clearly.Attach additional sheets,as necessary. Roof r�jked hoe,-L of cve>y- P_i-6eo. 5arre_ Sly 1 .1 e& a S ©rl fYont. Pro rl-f 7-0-1 IlC 4 s he4I a cc d l G( okl'e.s M ass if'), ; C. Name of Applicant: ail l i k V" ❑OwnerQContractor❑TenantQOther: Y Signature: Date: 1® • ' Tel.#:_ta 1 :7 E-mail Address: M6tVV10U'LI%P C-�)Ll Lt Certificate will be mailed to the owner unless otherwise indic ted here: Certificate should be mailed to: Name �t/C , f Mailing address: �� j .�?�V City: G}� State: ip: ATTACHED DOCUMENTATION An application will not be considered complete unless all work items are thoroughly described and the application includes all information needed for the Commission to make a determination. Failure to submit a complete application may result in a continuation to a future meeting. Recommended information includes: Photos of existing conditions,taken from all public ways Site plan showing location of improvements Elevation drawings of the existing conditions and proposed improvements Drawings of details and other special conditions, including profiles Description,photographs, and/or catalog cuts of proposed materials(please bring to the meeting product samples, if appropriate) 5.e e? X a 4( Dimensions(i.e.height of fence, size of pickets and posts,etc.) Pain color samples, if applicable(no less than 2"x2") CC -f;)< A q f-&Y Location and size of all mechanical equipment, such as transformers,HVAC equipment, electrical service and meters,and proposed screening 1/7 ,zz S _ s ^ILI _^W !.L fpr� J