16 Hardy St - C of NA application - replace fence inkind Date Stamp
R CEIVED
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Salem Historical [�omMisSi011 D PT. OF PLANNING &
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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 ❑ Painting R Sign ❑ Other
District: Q✓Derby Street QLafayette Street QMclntire EjWashington Square
Address of Property: 16 HARDY ST
Name of Record Owner(s): DEBORAH C PRENTICE 2017 FAMILY TRUST
Owner Mailing Address: 16 HARDY ST,SALEM,MA 01970
Description of Work Proposed
Please type or punt clearly.Attach additional sheets, as necessary.
REPLACE BACK FENCE,IN KIND,APPROX 11.5'L X 6'H.
SOLID BOARD WITH LATTICE TOPPER SET "ON SQUARE", COLOR WHITE
Name of Applicant: DEBORAH PRENTICE Q✓OwnerOContracto�TenantQOther:
Signature: /a Date:
Tel.#:978-744-3608 E-mail Address: prenticed45@yahoo.com
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name
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 mcy result in a continuation to a J_irture 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
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