1 Chestnut Street - C of NA application Date Stamp
Salem Historical Commission
120 WASHINGTON STREET,SALEM.MASSACHUSETTS fit B'0 For Office Use Only
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 ❑ Reconstruction ❑ Alteration
❑ Demolition 0 Painting ❑ Sign ❑ Other
District: ❑Derby Street ❑Lafayette Street ❑✓Mclntire ❑Washington Square
Address of Property: 1 Chestnut Street
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Name of Record Owner(s): Richard A. LeBel &Janice L. LeBel
Owner Mailing Address: 1 Chestnut Street, Salem, MA 01970
Description of Work Proposed
Please type o_r 't clearly, Aaac:li additloljal sheets, a:.Decessary
We wish to repaint the north, south, and west sides of the house and touch up the east side of the house
wherip needed (repainted about 18 months ago), all with the existing paint colors (gray body, green
shutters, white trim). When/if rot is found, we plan to replace the wood with the identical material and
paint the replacement woodwork in the same color as the rotted wood.
Name of Applicant,Janice L. LeBel Owner❑Contractor❑Tenant❑Other:
Signature- Date: 08/06/18
Tel. #:9 -549-5662 E-mail Address: tlebel@comcast.net
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Naive
Mailing address: City: State:—Zip:
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)
Dimensions (i.e. height of fence, size of pickets and posts, etc.)
Paint color samples, if applicable (no less than 2"x2")
Location and size of all mechanical equipment, such as transformers, HVAC equipment,
electrical service and meters, and proposed screening