132 Essex Street C of NA application Date Stamp
QN -4ii,
Salem Historical Commission
120 WASHINGTON STREET SALEM MASSACHUSETTS 01970 For Office Use Only
(978)619-5685 FAX 197B)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 ❑ Reconstruction ✓❑ Alteration
❑ Demolition ❑ Painting ❑ Sign ❑ Other
District: Derby Street OLafayette Street OMcIntire QWashington Square
Address of Property: 132 Essex St
Name of Record Owner(s): Peabody Essex Museum
Owner Mailing Address: 161 Essex St Salem,MA 01970
Description of Work Proposed
Please lyl3c orlmittl cleitrly. Allach additional slteels, as ueressarJ.
Work completed - Create (12) in total, exploratory openings in the East, north and west facades of the 1966
"Stacks" addition to the John Daland Tucker House portion of the Phillips Library Building. Each opening will be
less than one square foot in size, and created for the purpose of identifying material potentially classified as
hazardous.
Once testing is complete the exploratory holes will be in filled with brick and mortar in kind to original material.
The infill work is scheduled to be completed by 3/2/2018.
Photos attached, photos from a public way are not possible.
Name of Applic nt: Peabody Essex Museum OwnerQContractorE]Tenant QOther:Representative
Signature: Date: t g
Tel. #: 978-745-9500 x 3149 E-mail Address: robert_monk@pem.org
Certificate will be mailed to the owner unless otherwise indicated here:
Certificate should be mailed to: Name Peabody Essex Museum
Mailing address: 161 Essex St City: Salem State: NbZip: 01970
ATTACHED DOCUMENTATION
An application will not be considered complete unless all work items are thoroughly described and the application
includes all information neededfor 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
40
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