396 Essex Street Date Stamp
9
Salem Historical Commission
,2e WASHINSTON$TREE-.SALEM.MAssncHusMS01970 For Office Use Only
1978,619-5685 FAx f970174G-04'1
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 Q Painting ❑ Sign ❑ Other
District: [-]Derby Street ❑Lafayette Street ❑✓McIntire ❑Washington Square
Address of Property: 396 Essex Street,Salem MA 01970
Name of Record Owner(s): Michael Boone
Owner Mailing Address: 396 Essex Street,#3,Salem MA 01970
Description of Work Proposed
Please type or print clearly.Attach additional sheets,as necessary.
Repair and painting of existing windows, porches, railings, dormers and fascias on both main house and
carraige house. The majority of the work is in the rear of the property and not visible from the street.
The locations that will require work on the front portion of the house are identified in the attached
photos. Note that all of the work will be done "in kind"with the same materials to match existing
conditions.
Name of Applicant-Michael Boone
pp 00wner❑Ccntractoi❑Tenant❑Other,
Signature: l Date: 07/13/18
Tel.#:7173-690-0971 E-mail Address: boone0971 @hotmail.com
Certificate ftcate nill be maikd to the miner unless o rr�ITT r 'dirated here-
Certifficate should be.mailed to: Name io ae cane
Mailing address:Same as above City: State:_Zip:
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